André C. Rougemont

André C. Rougemont
University of Geneva | UNIGE · Department of Health and Community Medicine

MD, MPH

About

121
Publications
10,541
Reads
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2,053
Citations
Citations since 2016
0 Research Items
481 Citations
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
20162017201820192020202120220204060
Additional affiliations
October 2012 - present
Hokkaido University
Position
  • Professor (Associate)
Description
  • Part time lecturer in International Health and Exchanges
October 1979 - present
University of Geneva
Position
  • Lecturer
Description
  • Implementation, management and teaching of 5 programs in the field of International Public Health, Epidemiology, Tropical Medicine and Humanitarian Action
January 1972 - March 1977
Aix-Marseille Université
Position
  • Lecturer
Description
  • Head of a research group working about epidemiology of tropical and parasitic diseases

Publications

Publications (121)
Article
Full-text available
Objectives: To study the manifestations of Plasmodium infection, and its relations with the malaria disease, especially when comparing dry and rainy seasons in a hyperendemic area of West Africa. Methods: The study was carried out in an area where malaria transmission is high, showing important seasonal variations. One thousand children, represe...
Article
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Background: The 20th century's rapid industrialization and urbanization brought important social changes to Taiwan, including an increased number of elders living alone, which has increased risk of depression for the elderly. This study aimed to evaluate the changing pattern regarding the effect of intergenerational exchanges on elders' depressive...
Article
Full-text available
Background This study aims to evaluate the length of time elapsed between reports of the same incidents related to avian flu and H1N1 outbreaks published by the WHO and ProMED-mail, the two major global health surveillance systems, before and after the amendment of the International Health Regulations in 2005 (IHR 2005) and to explore the associati...
Article
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This study aimed to evaluate social evolution in Taiwan in recent decades using the changing pattern of care provided by grandparents for their grandchildren as an indicator. Data from the second, fourth and sixth wave surveys of the Study of Health and Living Status of the Middle-Aged and Elderly in Taiwan were used for the analysis. This survey c...
Article
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Recent WHO guidelines recommend a universal "test and treat" strategy for malaria, mainly by use of rapid diagnostic test (RDT) in all areas. The evidence for this approach is questioned here as there is a risk of over-reliance on parasitological diagnosis in high transmission situations, which still exist. In such areas, when a patient has fever o...
Article
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Societal health patterns result from the interaction of human behavior and the characteristics of natural, social and cultural environments. Knowing the powerful influence that the larger society exerts is crucial in order to identify and manage the factors that help determine healthy development outcomes. Low or persistently low fertility levels a...
Article
In many technical domains the term "network" is well defined in terms of structures and functions. This is not the case in the social and health sectors where numbers of groupings called themselves networks, suggesting a certain level of interactions, lots of independence, even a will to escape a more restrictive outline-law (foundation, associatio...
Article
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Onchocerciasis Control Programme in West Africa (OCP; 1974 - 2002) was one of the most successful large scale operations ever carried out in the field of vector transmitted diseases. It is also an example to demonstrate that a programme without any medical intervention was able to eradicate a disease, on a scale of several countries. This success w...
Article
Dieses Buch vermittelt einen vollständigen Überblick über die theoretischen Grundlagen und praktischen Anwendungen der Sozial- und Präventivmedizin bzw. von Public Health. Der erste, allgemeine Teil umfasst die grundlegenden Konzepte, Begriffe und Methoden, die in Public Health zum Einsatz kommen. Der zweite, spezifische Teil beinhaltet die Epidemi...
Article
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In populations where the prevalence of infection with Plasmodium parasites is high, blood tests that identify Plasmodium parasites in patients with fever may lead to false positive diagnosis of malaria-disease. We characterised the diminishing value of the parasite detection test as a function of the prevalence of infection. We computed the ability...
Article
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Examining life expectancy and general mortality rates, the health of the population of Geneva can be described as one of the best in the world. However, in some areas Geneva fares worse than the rest of Switzerland or Europe. To re-appraise the current health priorities of the Genevan population, we analysed the relative importance of specific dise...
Article
The Delphi method was used to determine the health priorities in one Swiss canton. The opinion of various groups concerned, either as health professionals or as representatives of the general population, was gathered to identify the health determinants and health problems perceived as most important, to clarify the reasons for these choices, and to...
Article
Temporal variations of blood parasite density were evaluated in a longitudinal study of young, asymptomatic men in a village with endemic malaria in Mali (West Africa). Our main intention was to challenge the value of a single measure of parasite density for the diagnosis of malaria, and to define the level of endemicity in any given area. Parasita...
Article
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Despite excellent mortality indicators, there is clear evidence that the health status of the population of Geneva could be improved if more attention and resources were devoted to prevention strategies. To identify a set of robust health priorities an original approach was used triangulating results between three methods. The study calculated pote...
Article
Background: In a newly developed master of public health (MPH) training program, emphasis was put on educational experimentation to enhance meaningful learning. The approach includes the systematic use of concept mapping in the training process. Description: This article describes the technique of concept mapping as an educational tool in the parti...
Article
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Fifteen cohorts of healthy bathers were recruited at four Lake Leman beaches between 3 July and 23 August 1996 to assess the public health importance of cercarial dermatitis in Geneva, Switzerland. Telephone follow-up interviews were carried out after 2-7 days. Overall, 153 bathers out of 555 reported probable cercarial dermatitis at follow-up. Med...
Article
A telephone survey was carried out with the objective of measuring the prevalence, duration and determinants of breast-feeding in the canton of Geneva, between August and December 1993. The participants were 278 out of 320 families with a telephone number in Geneva, from a random sample of families in which a child had been born in Geneva in the pr...
Article
This paper describes the development and systematic use of a 'professional profile' for participants in a programme which leads to a Master's degree in public health (MPH). A series of Nominal Group Processes were undertaken with leading public health professionals in the French-speaking part of Switzerland. A list of high priority health problems...
Article
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To compare prospective and retrospective measurements of change in health status. Health status was measured using a French language version of the short form 36 (SF-36) health survey on two occasions one year apart--in 1992 and 1993. Differences in SF-36 scores measured prospectively were compared with the patients' single item retrospective evalu...
Article
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In this cohort study, the authors studied the effect of blood malaria parasite density on fever incidence in children in an endemic area with 9 days' follow-up of 1- to 12-year-old children during two time periods: the end of the dry season (May 1993: n = 783) and the end of the rainy season (October 1993: n = 841) in Bougoula, West Africa (region...
Article
The importance of malaria as a cause of anemia in pregnancy in endemic areas remains controversial. The prevalence of anemia in pregnant women following the dry (May) and the rainy (November) seasons was compared in two successive years in Bougoula village (region of Sikasso, Mali). Phase I (1992) was observational and included 172 pregnant women a...
Article
The impact of malaria on low birthweight was investigated in Bougoula village (Sikasso region, Mali). In two successive years, pregnant women were followed until delivery. Phase I (1992) was observational, with 135 complete observations. Phase II (1993) included 126 participants, who were offered malaria prophylaxis with proguanil (200 mg/day) and...
Article
A survey by telephone interviews has been carried out in 1993 in the canton of Geneva, in order to measure the prevalence of 3 risk factors for the sudden infant death syndrome (SIDS) and to evaluate the potential for SIDS prevention based on these factors: prone sleeping position, tobacco smoking by the parents during pregnancy, and no complete br...
Article
In the Swiss context, the newly developed MPH programme at the University of Geneva is experimental in educational matters. Indeed the programme is fully learner-centered and community-oriented. Throughout the curriculum students plan, implement and evaluate intervention programmes or/and research projects related to health problems of the communit...
Article
Full-text available
Une enqute par questionnaire tlphonique a t ralise dans le canton de Genve, en 1993, afin de mesurer la prvalence de trois facteurs de risque du syndrome de mort subite du nourrisson (SMSN), et d'valuer le potentiel de prvention base sur ces facteurs: la pratique de coucher l'enfant sur le ventre, l'usage de tabac par les parents pendant la grosses...
Article
In the Swiss context, the newly developped MPH programme at the University of Geneva is experimental in educational matters. Indeed the programme is fully learner-centered and community-oriented. Throughout the curriculum students plan, implement and evaluate intervention programmes orland research projects related to health problems of the communi...
Chapter
In the newly redesigned PBL preclinical curriculum at the University of Geneva School of Medicine, a community-oriented skills programme introduces students to the conceptual framework of social and preventive medicine, the epidemiologic methods and data, as well as the network of community-based services and health care delivery. In addition, the...
Article
Certains comportements alimentaires à risque pour la santé à long terme semblent s'installer à l'adolescence, alors que ces comportements sont susceptibles de se modifier sous l'influence d'actions de promotion de la santé. L'objectif de l'étude est d'identifier les principaux comportements alimentaires des 12–16 ans du Valais romand dans l'optique...
Article
The purpose of this study was to assess the impact of sponsorship of a mailed satisfaction survey on response patterns and patient satisfaction ratings, and to establish whether satisfaction ratings depend on the timing of response. The study was part of a patient satisfaction survey conducted in a medical group practice in Geneva, Switzerland. All...
Article
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In 1992, most members of a Swiss indemnity health insurance plan were automatically transferred into a newly created managed care organization. This study examined whether this semivoluntary change affected enrollees' health status and satisfaction with care. Three groups of enrollees were compared: 332 plan members who accepted the switch (managed...
Article
Eating habits that are potentially harmful are picked up during the teens. The aim of the study is to identify the main eating habits of 12-16 year-old teenagers of central Valais in order to plan better targeted health promotion interventions. The study design is cross sectional. An anonymous questionnaire was taken by a sample of 962 teenagers. S...
Article
The global health assessment of the population of the canton of Geneva, based on the WHO's 38 "Health-for-ALL" targets, shown several gaps in the health information system. The quality of the available data is discussed in regard of various criteria (type of statistics, representativeness, frequency of data collection, diffusion, comparability, con...
Article
The MOS 36-Item Short Form Health Survey (SF-36) is designed to measure 8 dimensions of health in clinical and general population settings. The main aim of this paper was to examine the reliability and validity of this instrument in young adults. A secondary aim was to document the results of a rapid translation procedure of the instrument, to be c...
Article
Populations enrolled in various health insurance plans may differ in their health care needs. Whether mental health affects choice among competing health plans is not clear. This study examined self-selection by participants in a Swiss indemnity insurance plan that was transformed into a managed care organization that controlled access to specialis...
Article
Screening for proteinuria is widely recommended in the monitoring of pregnancy in order to detect preeclampsia. The method often used in primary health care centers (urine heated with acetic acid) has often attained results of over 50% positive cases. This result indicates a considerable lack of specificity outside highly endemic, for urinary schis...
Article
Currently, three main perspectives are considered in international relations in the field of health: humanitarian action in cases of emergency, development cooperation, and ''international health''. Usually, these situations are described as separate fields, managed by different types of organizations, with specific aims and problems. The main ques...
Article
Full-text available
Background Malnutrition of children is a major public health problem in many African countries. Despite a relatively favourable geographical situation, the prevalence of malnutrition is high in the Sikasso region (Mali). Methods Survey repeated annually during 5 years, to a sample of 491 families living in Sikasso. The determinants of wasting and s...
Chapter
In 1991 the University Hospital of Geneva was considering implementing a smoke-free hospital policy. As resistances were raised we decided to conduct an anonymous survey among hospital employees. The goal of this survey was to measure the prevalence of smoking habits and gather opinions about smoking regulation in a representative sample of the 5 1...
Article
Factors affecting choice between a managed care organization (MCO) and a fee-for-service insurance plan were examined when the University of Geneva health insurance plan was transformed into an MCO, in October 1992. A case-control study using a mailed questionnaire (response rate 84%) was conducted to compare former members who joined the MC...
Article
Switzerland's first Master degree course in public health was launched in the autumn of 1990 at the Geneva University School of Medicine. It is a 3 year, part-time course, which is learner-centred and community-oriented. The aim of the course is to prepare students to use a multi-disciplinary approach to plan, implement and evaluate activities inte...
Article
To measure the immunization uptake among 2 year-old children living in Geneva. Review of the vaccination cards, systematically checked because of the compulsory vaccination against diphtheria, during the year in 1991. 3937 immunization cards were reviewed, ie. 93.6% of the children in the given age group. Immunization uptake rates were, for diphthe...
Article
Objective To measure the immunization uptake among 2 year-old children living in Geneva. Methods Review of the vaccination cards, systematically checked because of the compulsory vaccination against diphteria, during the year in 1991. Results 3937 immunization cards were reviewed, ie. 93.6% of the children in the given age group. Immunization uptak...
Article
Switzerland's first master's program in public health was established in the fall of 1990 at the University of Geneva School of Medicine. The 3‐year program is fully learner centered and community oriented. The process of problem‐based learning (PBL), around which the program is designed, is well accepted by students and staff. In the summer of 199...
Article
Insufficient response rates are a frequent problem in mailed epidemiologic health surveys. As part of a health survey of 1,235 young adults conducted from November 1992 through January 1993 in Geneva, Switzerland, a randomized factorial trial was carried out to assess the contributions of two tactics to increase response rates. The first incentive...
Article
We have surveyed the prevalence of smoking habits and the opinions about it's regulation among 192 students in two different schools (a teachers' and a nursing school) and among 320 employees of the University Hospital of Geneva. Smoking prevalence varies depending on the profession and sex, and remains high considering the level of education of th...
Article
This study provides a descriptive image of the work published in Soz Präventivmed between 1980 and 1990, and analyses certain trends. All articles of this period were categorized and recorded in a data base for: language of publication, city of location and affiliation of first author, sponsor (funding body), citation in Medline, regions and popula...
Article
We have surveyed the prevalence of smoking habits and the opinions about it's regulation among 192 students in two different schools (a teachers' and a nursing school) and among 320 employees of the University Hospital of Geneva. Smoking prevalence varies depending on the profession and sex, and remains high considering the level of education of th...
Article
It is difficult to distinguish childhood malaria from other common febrile disorders by parasite count alone, because of the wide variation in tolerance of parasitaemia among individuals. We postulated that the proportion of febrile episodes among young children that can be attributed to parasitaemia varies according to simple clinical criteria. We...
Article
At the planning stage of a community-oriented and problem-based learning master's programme in public health it is indispensable to build a network of teachers, experts in specific fields, willing to guide the students in acquiring new competencies and ready to facilitate the experimental learning process. We discuss in this paper the construction...
Article
Hypo- or ahaptoglobinemia, a common phenomenon in tropical countries, is mainly due to malaria induced hemolysis. We have recently shown that the prevalence of hypohaptoglobinemia is a useful epidemiologic indicator in malaria endemic areas. The main limitation to the practical utilisation of this indicator is the available methodologies. Here we d...
Article
The distribution of S. mansoni and S. haematobium was evaluated using a cluster sampling technique in 15 fishing villages around Lagdo lake and 2 inland villages in northern Cameroon. The overall prevalence of S. haematobium infection was 26% and of S. mansoni was 15%, while 7% of the population sampled had mixed infections. The highest prevalences...
Article
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A survey in five Swiss cantons has indicated several kinds of difficulty that will have to be overcome if strategies for the prevention of illness and the promotion of health are to be satisfactorily developed and implemented.
Article
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Epidemiology gives only a partial picture of a health problem. Without a knowledge of social, cultural, and economic conditions as well, one can fall into farcical errors in designing interventions.
Article
Hypohaptoglobinaemia is a common phenomenon in tropical countries, where it is probably due to malaria-induced haemolysis. Two studies were carried out in a hyperendemic zone of West Africa to test its specificity and usefulness as an epidemiological indicator for measuring malaria endemicity. The first study evaluated the prevalence of hypohaptogl...
Article
This survey consists in a process of «collaborative reflection» between consultants from a university department of public health and health authorities in five cantons. The goal of this effort is to identify, within a common framework, known and suspected health problems, risk factors, preventive measures as well as priority research needs in thes...
Article
This survey consists in a process of "collaborative reflection" between consultants from a university department of public health and health authorities in five cantons. The goal of this effort is to identify, within a common framework, known and suspected health problems, risk factors, preventive measures as well as priority research needs in thes...
Article
The importance is stressed of a case history based on accurate epidemiological and parasitological information in the diagnosis and treatment of imported tropical diseases. Some examples are quoted and discussed.