摘要:Figures See all figures Authors P. Bovet , J. Gédéon , M. Louange , P. Durasnel , P. Aubry , B.-A. Gaüzère Ministère de la Santé, Victoria, République des Seychelles, Service de réanimation polyvalente, centre hospitalier, Mamoudzou, Mayotte, Centre René-Labusquière, université Bordeaux Segalen, Bordeaux, France, Service de réanimation polyvalente, CHU de La Réunion, hôpital Félix-Guyon, 97405 Saint-Denis, France Key words: health, diseases, public health, Seychelles, Indian Ocean, Africa DOI : 10.1684/mst.2013.0222 Page(s) : 256-66 Published in: 2013 Off the coast of Kenya, the Seychelles, home to 87 400 inhabitants mostly of African origin, have largely completed their demographic and epidemiologic transitions. Major investments in infrastructure and social services have fostered steady economic growth. Health care and education are free. The predominance of chronic non-communicable diseases and rapid aging of the population nonetheless present significant challenges for public health and the health system. Like the other small island states in the region, the Seychelles continue to be threatened by arbovirus outbreaks. Health indicators are good, but the geographic isolation, the small and aging population, and limited resources make a major challenge maintaining and sustaining an effective workforce of health professionals, a constantly evolving technical platform, and increasing amount of medications particularly in view of the increasing burden of chronic diseases.
关键词:health; diseases; public health; Seychelles; Indian Ocean; Africa