Geographical Locations - New Caledonia

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  • (Statistical) Number of Inhabitants per Doctor:
  • CIA - World Factbook: New Caledonia (by ODCI)

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Reports, Guidelines, and Projects

  • Laboratory-based influenza surveillance in New Caledonia, 1999-2003
    We aimed to evaluate the annual incidence of influenza in New Caledonia and to identify the circulating viral types and subtypes in order to gather information for the local vaccination programme and regional influenza surveillance. A surveillance network was set up in 1999; it included sentinel practitioners in Nouméa and the virology department of the Pasteur Institute. Influenza circulated in New Caledonia every year, regularly during the southern hemisphere winter and occasionally during March-May. Isolates were generally consistent with world surveillance, except in 1999, when a new A/H1N1 variant was identified. This study emphasises the need for regular influenza surveillance, even when performed on a limited scale. Importantly the optimal time for local vaccination was found to be in December or January each year. [author abstract] [Transactions of the Royal Society of Tropical Medicine and Hygiene, 99, 290-300 (2005)]
  • Time trends and geographic variations for thyroid cancer in New Caledonia, a very high incidence area (1985-1999)
    Thyroid cancer incidence in New Caledonia is the highest reported in the world and is approximately 10-fold higher than in most developed countries. We describe the incidence patterns in this country according to histological and sociodemographic characteristics to give clues about potential etiologic factors. Another objective is to see whether the incidence figures are related to enhanced detection of small size carcinomas. The study included all 498 cases of thyroid cancer diagnosed in 1985-1999. Pathology reports were systematically reviewed to determine the histological type of the tumor and the size of the cancerous nodules. The incidence of carcinomas ≤10 mm was taken as an indicator of enhanced detection due to improved screening procedures. The age-standardized incidence rates in 1985-1999 were exceptionally high in Melanesian women (71.4/100 000) and men (10.4/100 000). The incidence increased three-fold in women from 1995 onwards. The increase in incidence was more striking for papillary carcinomas ≤10 mm than for large size carcinomas, but an increased incidence of carcinomas >10 mm was also observed among women. The analysis by municipality of residence in Melanesian women showed that the incidence was twice as high in 1995-1999 in the Loyalty Islands as in the rest of the country. The sharp increase of thyroid cancer incidence in 1985-1999 in New Caledonia was partly related to enhanced detection of small size carcinomas. The elevated incidence of thyroid cancers, as well as the ethnic and geographic disparities, may result from common environmental or lifestyle risk factors that need to be identified. [author abstract] [subscription required] [similar version] [European Journal of Cancer Prevention: February 2007 - Volume 16 - Issue 1 - pp 62-70]

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