fam debates

The resources available to help and promote Home Support

The resources available to help and promote Home Support

27/06/2022

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE FACE-TO-FACE AND REMOTE DEBATES.

NOTHING WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

Videoconference and face-to-face event

In creating its Foundation, the National Academy of Medicine wished to put at the service of society as a whole its unique capacity to bring together, on essential health and social issues and around the best French and international experts, all the political, medical, scientific, economic and associative stakeholders.

To fulfill its mission, the Academy of Medicine Foundation (FAM) has chosen to organize debates based on excellent scientific publications or communications, open to the general public (associations, NGOs, companies, patients) and the media, and directly relayed to public authorities, particularly members of parliament. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are recognized at the National Academy of Medicine.

After the first cycle of conferences organized by the Foundation of the Academy of Medicine on the theme “Transforming the future of aging”, it seemed important to focus the rest of the discussions on “Aging at home”. This theme, linking citizenship and the home, appears to be extremely topical and important.

The recent revelations concerning the elderly in an institutional setting have prompted the Foundation of the Academy of Medicine to propose a series of 4 debates between care professionals and the general public, followed by a synthesis before the decision-making authorities of our country. The aim of these debates is to analyze the difficulties and limits of home care, and then to respond to them in an objective, constructive and ethically correct way in order to build together a better last period of life in a chosen and loved environment.

 

2nde session :The resources available to help and promote Home Support  

 

In support of the family carers, the home care professionals intervene by providing competence, support and availability. Everything is done to ensure that the system works as well as possible for the sick person and their family. All the professionals, GPs, nurses, care assistants, home helpers, meals on wheels and financial support should work together to make this happen in the best possible conditions. And yet, everything is far from perfect… Perhaps the circumstances are not optimal, information is not sufficiently shared, coordination is insufficient. The debate will serve to clarify these essential aspects.

Program

Debate organised under the direction of Prof. Jean-Pierre Michel* (Geriatrician, rapporteur of the working group on ageing commissioned by SAPEA for the European Union) and moderated by Olivier Mariotte (nile).

14:00 Welcoming speech
          Pr Patrice Tran-Ba-Huy* (President of the National Academy of Medicine), Pr Richard Villet* (FAM General Secretary)

           Summary of the 1st session and presentation of the theme of the day’s session
            Pr Jean-Pierre Michel* (Geriatrician, rapporteur of the working group on aging commissioned by SAPEA for the European Union)

           Home support in Denmark
           Anne Smetana (Health Officer at the Danish Embassy)

 

Part 1: home adaptation aids

 

Round table discussion :

14:40 Ergonomic home design: towards a home that is easy to live in
           Sophie Cacou Crop (Mobile Rehabilitation Team, GH Pitié-Salpêtrière)

            Home automation by bridging the technology gap: towards a smart home
            Dimitri Voilmy (Head of Living Lab ActivAgeing)

            Financial aid to adapt the home for aging people
            Gaëlle Roux (Head of the EMS APA service)

            Discussions with the public

 

Part 2: home support by networks of health professionals

 

Round table discussion :

15:40 Home care aides and auxiliaries
           Céline Martinez (Clinical psychologist and caregiver)

           Coordination of home care nurses
           Bernadette Hérault (Secretary General URPS Nurses Île de France)

           The network of homecare professionals
           Joël Belmin (Head of the geriatric unit at Charles-Foix Hospital)

           Training of home care workers
           Anne Marcilhac (Senior Lecturer HDR, EPHE-PSL)

           Discussions with the public

Part 3: new provisions to promote home support

 

Round table discussion :

16:40 Coordination Support Devices (CSDs)
          Samuel Delafuys (Head of the “Cooperation and Contractualization” Office, Sub-Directorate for the Management of the Performance of Health Care Providers)

          Comprehensive assistance and financial benefits to support home care
          Louise Cadin (Head of the office for the prevention of loss of autonomy and the life course of the elderly)

          General discussion
          Pr Gérard Réach* (diabetologist, specialist in the care relationship)

          Discussions with the public

17:50 Conclusion

 

*Member of the French Academy of Medicine

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Why is it difficult to age in place? Feedback on our event

Feedback on the 1st session of the new Aging at Home cycle: Why is it difficult to age at home?

09/05/2022

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE FACE-TO-FACE AND REMOTE DEBATES.

NOTHING WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

Videoconference and face-to-face event

In creating its Foundation, the French Academy of Medicine wished to put at the service of society as a whole its unique capacity to bring together, on essential health and social issues and around the best French and international experts, all the political, medical, scientific, economic and associative stakeholders.

To fulfill its mission, the Foundation of the French Academy of Medicine (FAM) has chosen to organize debates based on excellent scientific publications or communications, open to the general public (associations, NGOs, companies, patients) and the media, and directly relayed to public authorities, particularly members of parliament. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are recognized at the National Academy of Medicine.

After the first cycle of conferences organized by the Foundation of the Academy of Medicine on the theme “Transforming the future of aging”, it seemed important to focus the rest of the debates on “Aging at home”. This theme, linking citizenship and the home, appears to be extremely topical and important.

The recent revelations concerning the elderly in an institutional setting have prompted the Foundation of the French Academy of Medicine to propose a cycle of 4 debates between care professionals and the general public, followed by a synthesis before the decision-making authorities of our country. The aim of these debates is to analyze the difficulties and limits of home care, and then to respond to them in an objective, constructive and ethically correct way in order to build together a better last period of life in a chosen and loved environment.

 

Session 1: Why is it difficult to age in place?

 

The limits of home care are above all individual, depending of course on the state of physical, functional and mental health, but also on life history, marital status, family and environmental proximity. All of these interconnected factors play a major role in determining whether or not it is possible to keep one’s home, a built and cherished environment, despite the undeniable emotional, human, technical and financial burdens.

Program


Debate organized under the direction of Pr Jean-Pierre Michel* (Geriatrician, rapporteur of the working group on aging commissioned by SAPEA for the European Union) and moderated by Olivier Mariotte (nile).

 

14:00 Welcoming remarks
Pr Patrice Tran-Ba-Huy* (President of the National Academy of Medicine), Pr Richard Villet* (FAM General Secretary)

 

14:10 Overall presentation of the cycle
Prof. Jean-Pierre Michel* (Geriatrician, rapporteur of the working group on aging commissioned by SAPEA for the European Union)

 

14:25 The different individual pathways of aging and care
Prof. Regis Gonthier* (Geriatrician)

“What is going to be at stake at home is often chronic diseases, with relapse, which makes us vulnerable for daily life and leads to a destabilization of self-esteem, which complicates the maintenance at home.

 

14:40 The traditional actors of home support
Michel Billé (Sociologist)

“Maintenance or support at home? In the best case, I maintain myself because you support me. By maintaining me, you deprive me of my exercise of autonomy and you do not come to my home with the same intention.

 

14:55 Discussion with the audience

 

15:05 Domestic accidents in the home of the elderly
Pr Joël Belmin (Head of the geriatric unit at Charles-Foix Hospital)

“Of the 122,000 accidents of everyday life recorded in 2017, 50% of accidents occurred at home. In the over 70s, 38.9% of accidents are falls, in the garden or bathroom for example.”

 

15:20 The setbacks of home support for health professionals
Pr Philippe Jaury* (General practitioner)

“The ethics of the doctor: benevolence. Often, an intrusion into the patient’s intimacy is imposed on him/her during a home hospitalization. Our role is to explain the projections related to the doctor, to his health, to his entourage.

 

15:35 Testimony of a person/family supported at home

 

15:45 Discussion with the audience

 

15:55 Home, citizenship and territory
Prof. Jean-Philippe Viriot-Durandal (International Chair for Inclusive Societies and Advancing Age (SIAGE), 2L2S Metz, University of Lorraine)

“The home is an intimate object but becomes public when it is an object of public policy. It is the object of consensus and reflects a refusal of the loss of autonomy, where it is the proof of preserved autonomy. It appears as the only positive alternative.

 

16:10 Environment, city and society
Pierre-Marie Chapon (President of VAA Conseil)

“The geographical environment around the home has a real impact on aging. Within a 500m radius, in the city center, we must find local shops, health services and exchange spaces.

 

16:25 Aging and incivilities in public life
Dr. Louise Giaume (Emergency doctor, Paris Fire Brigade)

“Among people over 85 years old, 1/3 of the trauma cases require the intervention of firemen to compensate for the absence of doctors. The lack of medical means forces the transport of elderly people to the hospital, even without serious clinical case.

 

16:40 Discussion with the audience

 

16:55 Evaluation for home care
Dr Thierry Lacombe (EMS-APA) and Caroline Kervran (Social worker)

“The APA is about making information accessible while taking into account the capacities and needs of each person. APA is an inalienable right.

 

17:10 Testimony of a person/family supported at home

 

17:20 Aging well at home in rural areas
Pr Dominique Vuitton* (Member of the Board of Directors of the Association Santé Education Prévention sur les Territoires (ASEPT) de Bourgogne Franche-Comté), Clément Prévitali (Director of the ASEPT Bourgogne Franche-Comté)

“There is not a “rural” but “rural”: 3/4 of the living areas are rural territories that have their own challenges (mobility, internet access, etc.) and advantages (proximity to nature, coordination, social ties).

 

17:35 Discussion with the audience

 

18:00 Conclusion

 

*Member of the French Academy of Medicine

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Aging well in rural areas

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Cycle Exposome chapter III

Feedback about our Exposome cycle chapter 3 : knowledge and uncertainties: understand, interpret, dialogue with trust

24/03/2022

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE FACE-TO-FACE AND REMOTE DEBATES.

NOTHING WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

Face-to-face and visio event

In creating its Foundation, the French Academy of Medicine wished to put at the service of society as a whole its unique capacity to bring together, on essential health and social issues and around the best French and international experts, all stakeholders, political, medical, scientific, economic and associative. To fulfill its mission, the Foundation of the Academy of Medicine (FAM) has chosen to organize debates open to the public and the media and directly relayed to the public authorities, based on excellent scientific publications or communications. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics which are recognized to the French Academy of Medicine.

After its first cycle of debates on the theme “Society and Aging”, two others are underway on the themes: “Food today and tomorrow” and “Exposure to chemical pollution – Exposome and public health”.

The subject of human exposure to mixtures of chemical contaminants is wide-ranging, of major health importance and is becoming more complex by the day, as illustrated by the case of pollutants with endocrine disrupting effects. This pollution is sometimes visible, as in the case of smog in large megacities (Beijing, New Delhi, etc.), or invisible, as in the case of pesticides, plasticizers or solvents in the environment, drinking water or food.

The effects of this pollution on health (cancers, infertility, cognitive disorders, diabetes, obesity) and the associated economic impacts are better and better quantified. For the European Union, the annual cost of the impact of endocrine disruptors has been estimated at about 157 billion euros*.

Considerable work is still required to better quantify the risk resulting from the combination of the presence of a hazard, its effects and the exposure of populations.

There is a great deal of ambition to better assess exposure and quantify risks, particularly at the European level. It is a question of installing the notion of Exposome in the sense of the totality of an individual’s exposure inducing effects often in the medium or long term.

Thanks to the expected progress, the goal will be to identify the agents, situations and populations at risk in order to build health prevention policies.

This cycle will allow the audience to better understand the complex issue of the Exposome, its ambitions, and the major associated health issues. The proceedings of these debates will be presented to the French National Assembly.

 

Chapter III – Knowledge and uncertainties: understand, interpret, dialogue with trust

 

Two discussions have already taken place:
– the first one defined in a general way the different health risks linked to multi-exposure and the means to evaluate them
– the second one insisted on the different pathologies linked to the Exposome

It emerged that the progress made has enabled the identification of numerous agents, situations and populations at risk, but the toxicological and epidemiological elements in particular are still too limited to perfectly construct health prevention policies and considerable work is still required to better quantify the risk resulting from the combination of the presence of a hazard, its effects and the exposure of populations.

In view of the many concerns about the information on pollutants in our environment, the session will allow for exchange and debate. In particular, aspects concerning risks (proven, suspected or assumed), the taking into account of uncertainties and limits, and confidence in scientific information will be addressed.

It is in this spirit that this third debate was organized.

Programm


 

Moderation : Pr Yves Lévi (FAM Vice-president)

 

14:00 Introductions
Pr Patrice Tran Ba Huy (President of the FrenchAcademy of Medicine)

Pr Richard Villet (FAM General Secretary)

 

14:10 Quantifying risk in a context of uncertainty
Pr Yves Lévi (FAM Vice-president)

 

14:30 What can we learn from 30 years of IRSN barometer on the perception of risks by the French?
Ludivine Gilli (Deputy Head, Division for Strategic Planning, Foresight, Partnerships and Innovation – IRSN)

 

14:50 Chemical risk and society
Etienne Klein (Physicist, Director of the Laboratoire des Recherches sur les Sciences de la Matière – CEA)

 

15:10 Discussion with the audience

 

15:30 Chemical exposure and judicial orientations
Corinne Lepage (Lawyer – former Minister of the Environment)

 

15:50 Cognitive biases in risk communication and interventions
Pr Thierry Meyer (Deputy Director of the Laboratoire Parisien de Psychologie Sociale (LAPPS) Université Paris Nanterre/ Université Paris 8)

 

16:10 Discussion with the audience

 

16:35 Restoring trust and dialogue between citizens and policy makers on environmental health risks
Elisabeth Toutut-Picard (Member of Parliament for Haute-Garonne, co-chair of the Environmental Health Study Group at the National Assembly)

 

16:55 Concluding discussion

 

17:15 Conclusions

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Food today and tomorrow Chapter IV: food and society

Feedback on the debate : food and society ; cycle of debates Food today and tomorrow Chapter IV

20/01/2022

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE DEBATE IN FACE-TO-FACE AND IN VISIO-CONFERENCE.

NOTHING WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

Cycle of debates supported by the Chef Olivier Roellinger

Visioconference and face-to-face event

In creating its Foundation, the French Academy of Medicine wished to place at the service of society as a whole its unique ability to bring together, on essential health and social issues and around the best French and international experts, all stakeholders, political, medical, scientific, economic and associative. To fulfil its mission, the Foundation of the French Academy of Medicine (FAM) has chosen to organise debates based on excellent scientific publications or communications, open to the general public (associations, NGOs, companies, patients) and the media and directly relayed to the public authorities, in particular parliamentarians. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are recognised at the National Academy of Medicine.

After a first cycle of debates on “Society & Ageing”, and a second cycle in progress on the “Exposome”, the first debate of which dealt with “Health risks linked to chemical pollutants”, the FAM continues its cycle on “Food today and tomorrow”. This cycle of debates has been developed by Professors Catherine Buffet and Gabriel Perlemuter. Both are members of the commission “Digestive system – Food – Nutrition – Metabolic diseases” of the French National Academy of Medicine. The famous Breton chef Olivier Roellinger has accepted to sponsor this cycle. The reflections raised by food are multiple and concern the health of all populations with a paradoxical situation since, according to the United Nations Organisation, in 2018, more than 113 million people in 53 countries were on the verge of famine while more than 2 billion people in the world were overweight. Obesity and undernutrition are two phenomena of malnutrition that now go hand in hand and are linked to poor nutrition.

Chapter IV: food and society

During this fourth meeting, we traced the history of food from hunter-gatherer man, whose way of life was based on hunting, fishing and gathering, to the food of the future, when we may eat without food like our domesticated and farmed animals, feeding ourselves on kibble? In addition, we looked at the role of collective food, food supplements, the place of alicaments and organic food and the question of proteins of new origins (insects, larvae, etc.).

From an environmental point of view, We looked at the future of ultra-processed foods and new forms of agriculture, particularly those known as “reasoned”, and the place of short circuits.

Programm


Moderated by the Pr Richard Villet, FAM General Secretary.

14:00 Welcoming speech
Olivier Bohuon (President of the FAM), Pr Richard Villet (FAM General Secretary)

14:15 Word of the patron
Olivier Roellinger (Chef, patron of the cycle)

14:20 Introduction
Pr Gabriel Perlemuter (academician, hepato-gastro-enterologist, nutritionist), Pr Catherine Buffet (academician, hepato-gastro-enterologist)

 

I – The history of food

 

14:30 The evolution of food, from hunter-gatherer to the industrial age
Pr Nadine Vivier (contemporary history at the University of Maine, Honorary President of the French Academy of Agriculture)

14:50 Discussion with the audience

 

II – From the farm to the plate

 

15:00 Consequences of breeding systems on food and the environment
Jean-Louis Peyraud (agricultural engineer and doctor-engineer of the ENSA of Rennes, member of the French Academy of Agriculture)

15:15 The right balance between animal and vegetable proteins in our food
Didier Rémond (Doctor in nutrition and physiology)

15:30 Reducing animal protein intake: Nutritional issues & environmental impacts
Florent Vieux (researcher on sustainable food, co-founder of MS-Nutrition, Marseille)

15:45 What are additives used for? Uses and dangers?
Pr Dominique Parent-Massin (food toxicology, member of the French Academy of Agriculture)

16:00 Is beauty the enemy of goodness?
Philippe Fagot (Arcenciologist)

16:15 Discussion with the audience

 

III – Collective food: can we eat well in the canteen ?

 

16:35 How to move from individual to collective food
Olivier Roellinger

16:45 The experience of Sodexo
Carole Galissant (directrice pôle nutrition Education Sodexo)

17:00 100% home-made, organic and local canteens: a concrete utopia
Jean-Marc Mouillac (technician and trainer for the CD24 and president of the SCIC Nourrir l’avenir)

17:15 Discussion with the audience

 

IV – The food of the future

 

17:30 Acceptability of new protein sources
Gaëlle Pantin-Sohier (holder of the AAPRO Chair “Advantages and acceptability of alternative proteins” at the University of Angers)

17:45 The food of the future, the example of slow food
Carlo Petrini (journalist, sociologist and food critic)

18:00 Final exchanges and conclusion

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Food today and tomorrow Chapter III: Food, which and for whom?

Feedback on the debate III of the cycle Food today and tomorrow: Food, which and for whom?

09/09/2021

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE DEBATE IN FACE-TO-FACE AND IN VISIO-CONFERENCE.

NOTHING WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

In creating its Foundation, the French Academy of Medicine wished to place at the service of society as a whole its unique ability to bring together, on essential health and social issues and around the best French and international experts, all stakeholders, political, medical, scientific, economic and associative. To fulfil its mission, the Foundation of the French Academy of Medicine (FAM) has chosen to organise debates based on excellent scientific publications or communications, open to the general public (associations, NGOs, companies, patients) and the media and directly relayed to the public authorities, in particular parliamentarians. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are recognised at the National Academy of Medicine.

After a first cycle of debates on “Society & Ageing”, and a second cycle in progress on the “Exposome”, the first debate of which dealt with “Health risks linked to chemical pollutants”, the FAM continues its cycle on “Food today and tomorrow”. This cycle of debates has been developed by Professors Catherine Buffet and Gabriel Perlemuter. Both are members of the commission “Digestive system – Food – Nutrition – Metabolic diseases” of the French National Academy of Medicine. The famous Breton chef Olivier Roellinger has accepted to sponsor this cycle. The reflections raised by food are multiple and concern the health of all populations with a paradoxical situation since, according to the United Nations Organisation, in 2018, more than 113 million people in 53 countries were on the verge of famine while more than 2 billion people in the world were overweight. Obesity and undernutrition are two phenomena of malnutrition that now go hand in hand and are linked to poor nutrition.

Chapter III: Food, which and for whom?

Following its first debate, the FAM tried to define the notion of “eating well”, through the quality and quantity of food, then in its second debate it dealt with food as a source of disease. Now this third chapter is articulated around two questions: can food have a real preventive role for certain pathologies? And are we all equal when it comes to food? By looking at the genetic causes and the microbiota.

Program


Moderated by the Prof. Richard Villet, FAM General Secretary.

14:00 Welcome word
Pr Bernard Charpentier (President of the French Academy of Medicine), Olivier Bohuon (President of the FAM)

14:15 Word of the patron
Olivier Roellinger (Chef, patron of the cycle)

14:20 Introduction
Pr Gabriel Perlemuter (academician, hepato-gastro-enterologist, nutritionist), Pr Catherine Buffet (academician, hepato-gastro-enterologist)

 

I – Food: the best prevention

 

a) Diseases that can be prevented by diet

14:30 Chronic inflammatory bowel diseases and diet
Pr Francisca Joly (Gastroenterologist, IBD & Nutritional Assistance, Beaujon Hospital)

14:45 Diet, a central concern of IBD patients
Anne Buisson (Deputy Director of the association afa Crohn RCH France)

15:00 Discussion with the audience

15:10 Primary prevention of cancer and diet
Dr Bernard Srour (Epidemiologist, Coordinator, NACRe Network (National Food Cancer Research Network))

15:25 Discussion with the audience

b) Early childhood nutrition: a capital for life

15:35 Nutrition in early childhood
Pr Olivier Goulet (Head of Gastroenterology and Nutrition Department; Hôpital Necker-Enfants malades)

15:50 Discussion with the audience

16:00 A word from Olivier Roellinger

16:05 Break

 

II – Food inequalities

 

16:15 Introduction
Prof. Gabriel Perlemuter

16:30 Links between obesity, diabetes and microbiota
Pr Judith Aron-Wisnewsky (nutritionist, Pitié-Salpétrière Hospital)

16:45 Genetic aspect and diet
Prof. Frédéric Fumeron (epidemiologist, University of Paris- Diderot)

17:00 Ketogenic diet and cancer
Pr Bruno Raynard (gastroenterologist, Institut Gustave Roussy)

17:15 Discussion with the audience

17:30 Conclusion speech
Olivier Roellinger

17:45 Conclusion
Prof. Gabriel Perlemuter

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Debate resume

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Food today and tomorrow chapter II: Food and diseases

Feedback on the debate II of the cycle Food today and tomorrow chapter II: Food and diseases

10/06/2021

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO LOGGED ON TO FOLLOW THE DEBATE ONLINE.

NONE OF THIS WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, SPONSORS AND PARTNERS.

In creating its Foundation, the French Academy of Medicine wished to put at the service of society as a whole its unique capacity to bring together, on essential health and social issues and around the best French and international experts, all the political, medical, scientific, economic and associative stakeholders. To fulfill its mission, the Foundation of the French Academy of Medicine (FAM) has chosen to organize debates based on excellent scientific publications or communications that are open to the general public (associations, NGOs, companies, patients), the media and directly relayed to public authorities, particularly members of parliament. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are granted to the French Academy of Medicine.

After a first cycle of debates on the theme of “Society and Ageing”, and a second cycle underway on “Exposure, Environmental Health”, the first of which dealt with “Health risks related to chemical pollutants”, the FAM is continuing its new cycle on “Food today and tomorrow”. This cycle of debates was developed by Professors Catherine Buffet and Gabriel Perlemuter. Both are members of the “Digestive system – Food – Nutrition – Metabolic diseases” commission of the French Academy of Medicine. The famous Breton chef Olivier Roellinger has agreed to sponsor this cycle and Alain Kruger (journalist, creator and producer of the program “On ne parle pas la bouche pleine” on France Culture) has honored us by hosting it. The reflections raised by food are multiple and concern the health of all populations with a paradoxical situation since according to the United Nations, in 2018, more than 113 million people in 53 countries were on the verge of starvation while more than 2 billion in the world were overweight. Obesity and undernutrition are two phenomena of malnutrition that now go hand in hand and are linked to poor nutrition.

Chapter II : Food and disease

Following its first debate, the FAM sought to establish the definition of “eating well”, defined by the quality and quantity of food.

For this debate, the FAM wanted to address food as a source of disease.

Program


Moderation by Alain Kruger, journalist, creator and producer of the program “On ne parle pas la bouche pleine” (France Culture).

14:00 Welcoming remarks
Alain Kruger, Pr Bernard Charpentier (President of the French National Academy of Medicine), Olivier Bohuon (President of the FAM)

14:15 Word of the sponsor
Olivier Roellinger (Chef, patron of the cycle)

14:20 Introduction
Pr Gabriel Perlemuter (academician, hepato-gastroenterologist, nutritionist), Pr Catherine Buffet (academician, hepato-gastroenterologist)

 

I – Food and diseases

 

14:30 Introduction, “Food and diseases, epidemiological aspects”
Dr Marie-Christine Boutron-Ruault (internist doctor, hepatogastroenterologist, doctor of nutrition)

14:45 Discussion with the public

 

a) Overweight – obesity and toxicity

 

14:55 The weight of genes in obesity
Dr Philippe Froguel (academician, diabetologist)

15:10 The patient’s point of view
Anne-Sophie Joly (President of the French National Collective of Obese Associations)

15:25 Childhood obesity: myths and realities
Pr Patrick Tounian (Head of the pediatric nutrition department, Trousseau Hospital, Sorbonne University, Paris) 

15:40 Discussion with the public

 

b) Food allergies

 

15:50 My child is food intolerant
Pr Florence Campeotto (gastroenterologist paediatrician, Necker Hospital, Faculty of Pharmacy of the University of Paris)

16:10 Celiac disease and gluten hypersensitivity
Pr Georgia Malamut (gastroenterologist and hepatologist, Cochin Hospital) 

16:25 Testimonial of the AFDIAG (Association Française Des Intolérants Au Gluten)
Brigitte Jolivet (AFDIAG President)

16:35 Discussion with the audience

16:45 Spicy food
Olivier Roellinger

16:50 Break

 

II – Eating disorders

 

17:00 Psychiatric aspects of eating disorders
Pr Philippe Jeammet (paedospychiatrist, professor of child and adolescent psychiatry, Paris V) 

17:20 Testimony of the Sandrine Castellotti Foundation
Danielle Castellotti (President of the foundation)

17:30 Discussion with the public

17:40 The final word
Alain Kruger et Olivier Roellinger

17:55 Conclusion
Pr Gabriel Perlemuter

All debate

Debate abstract

copyright Fondation Sandrine Castellotti

The FAM is on TikTok! Watch our videos of the debate  bellow :

 


Presentation of the Prof. Richard Villet

What is the Foundation of the french Academy of Medicine ?

What are the actions of the FAM ?

Who are the speakers at these debates?

How to follow the FAM debates ?

Presentation of the Prof. Philippe Jeammet

Who are the people most affected by eating disorders ?

Why teenagers are the most vulnerable to eating disorders ?

What to do if there are signals of eating disorders ?

Who should I contact if I have signs of disordered eating ?

What can parents do about bullying on social networks ?

Presentation of the Prof. Perlemuter

What is the topic of today's debate ?

Are we born or do we become allergic ?

How can our food cause diseases ?

Is obesity a disease ?

What are the next themes of the cycle of debates about Food ?

Why support the FAM debates ?

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Exposome Cycle, chapter II; Perceptible and known effects on populations: links between Exposome and diseases

Feedback on debate II of the Exposome cycle: health risks linked to chemical pollution

Perceptible and known effects on populations: links between Exposome and diseases

26/04/2021

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE DEBATE ONLINE.

NONE OF THIS WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, PATRONS AND PARTNERS.

In creating its Foundation, the French Academy of Medicine wished to put at the service of society as a whole its unique capacity to bring together, on essential health and social issues and around the best French and international experts, all the political, medical, scientific, economic and associative stakeholders. To fulfil its mission, the Foundation of the French Academy of Medicine (FAM) has chosen to organise debates open to the public and the media and directly relayed to the public authorities, based on excellent scientific publications or communications. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics which are recognised to the French Academy of Medicine.

After its first cycle of debates on the theme of “Society and Ageing”, two others are underway on the themes of “Food today and tomorrow” and “Exposure to chemical pollution – Exposome and public health”.

The subject of human exposure to mixtures of chemical contaminants is wide-ranging, of major health importance and is becoming increasingly complex, as illustrated by the case of pollutants with endocrine-disrupting effects. This pollution is sometimes visible, as in the case of smog in large megacities (Beijing, New Delhi, etc.), or invisible, as in the case of pesticides, plasticisers or solvents in the environment, drinking water or food.

The effects of this pollution on health (cancers, infertility, cognitive disorders, diabetes, obesity) and the associated economic impacts are increasingly well quantified. For the European Union, the annual cost of the impact of endocrine disruptors has been estimated at around 157 billion euros*.

Considerable work is still required to better quantify the risk resulting from the combination of the presence of a hazard, its effects and the exposure of populations.

There is a great deal of ambition to better assess exposures and quantify risks, particularly at European level. The aim is to establish the notion of Exposome in the sense of the totality of an individual’s exposure leading to effects often in the medium or long term.

Thanks to the expected progress, the aim is to identify the agents, situations and populations at risk in order to construct health prevention policies.

This cycle will allow the audience to better understand the complex issue of the Exposome, its ambitions and the major associated health issues. The proceedings of these debates will be presented to the French National Assembly.

Session II – Links between Exposome and diseases, perceptible and known effects on populations

Exposure of populations to mixtures of chemical contaminants, particularly through air, food, beverages and skin contact, occurs throughout life. Major scientific progress has allowed us to better identify the nature of chemical agents and to better understand their pathways, their targets of action and their effects on human health. Today, 4 main types of pathologies associated with multiple exposures to chemical contaminants are noted :

1. “Hormone-dependent diseases” and the role of endocrine disruptors:

– Metabolism (diabetes)
– Hormone-dependent cancers
– Developmental and reproductive disorders…

2. Other cancers and other environmental exposures: asbestos, UV radiation…
3. Cardiovascular, respiratory, allergies and air pollution
4. Neuropsychological disorders

After presenting the main areas that guide risk assessment, the FAM is continuing its series of debates on the Exposome and the health risks linked to multiple chemical exposures by approaching the levels of knowledge on known and internationally measured health impacts. The debate is cover diseases linked to endocrine disruptors (hormone-dependent cancers, developmental disorders, metabolic diseases, etc.), the consequences of air pollution, cancers, and cognitive and behavioural functional syndromes linked to environmental exposures.

In view of the many concerns about the information on pollutants in our environment, the session is provided an opportunity for exchange and debate on the state of the science. The debate is also proposed to discuss known examples, figures, types of contaminants (including unknown mixtures) and critical life stages.

Program

14:00 Introductions
Prof. Bernard Charpentier (President of the French Academy of Medicine)
Olivier Bohuon (President of the FAM)
Prof. Yves Lévi (acadamician, Vice-President of the FAM)

14:20 The estimation of environmental impacts on health: issues and purposes
Sébastien Denys (Director of the Health-Environment-Work Directorate, Santé Publique France)

Part 1

Prof. Philippe Bouchard (endocrinologist, Foch Hospital), moderator

14:40 Chlordecone: an emblematic endocrine disruptor
Prof. Luc Multigner (Director of research INSERM – Institute of research in health, environment and work)

14:55 Endocrine disruptors and type II diabetes
Prof. Claude Jaffiol (Honorary President of the French National Academy of Medicine)

15:10 Exposures to chemical contaminants and child health
Charline Warembourg (researcher at INSERM – UMR1085 Irset)

15:25 Health impacts of ambient air pollution
Dr Sylvia Medina (coordinator of the Air et santé monitoring program, Santé publique France)

15:40 Discussion with the audience

15:55 Break

Part 2

Prof. Richard Villet (FAM General Secretary), moderator

16:10 The influence of endocrine disruptors on the incidence of breast cancer
Prof. Henri Rochefort (academician, former director of the INSERM Unit (U148) Hormones and Cancer)

16:25 Cancers: comparative study of the causes of cancers in France
Prof. Béatrice Fervers (Head of Cancer and Environment Department, Centre Léon Bérard)

16:40 Environment and cancer: mechanisms and perspectives at INCa
Dr Jérôme Foucaud (Head of the Human and Social Sciences-Epidemiology-Public Health Department, within INCa’s Research Division)

16:55 Presentation on feedback from the field on the concerns of local residents exposed to pesticide spraying in their agricultural environment
Testimony of the association Générations futures – François Veillerette, spokesperson

17:10 Discussion with the audience

17:25 Conclusion – Senate Report “Environmental Health: a new ambition”
Senator Florence Lassarde

All debate

The FAM is on TikTok! Check out our videos on this debate below:


Presentation of Prof. Yves Lévi

Description of the theme of the debate

What is the Exposome?

What are the risks of chemical exposure?

Where do we find ourselves confronted with the Exposome?

Announcement of the next themes of the cycle

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FAM debates, food cycle, introductory debate

Feedback about the introductory debate of our new cycle of debates: Food today and tomorrow

25/03/2021

What is good food?

Diets for healthy people

Cycle of debates supported by the chef Olivier Roellinger

THE FAM WOULD LIKE TO THANK THE HUNDREDS OF PEOPLE WHO ATTENDED THE DEBATE ONLINE.

NONE OF THIS WOULD HAVE BEEN POSSIBLE WITHOUT ITS SPEAKERS, PATRONS, PARTNERS, AND THE FRENCH ACADEMY OF SURGERY, WHICH OPENED ITS DOORS FOR THIS DEBATE.

After a first cycle of debates on the theme of “Society & Ageing”, and a second ongoing cycle on “The Exposome”, the first debate of which dealt with “Health risks linked to chemical pollutants”, the FAM has initiated a new cycle on “Food today and tomorrow”. This cycle of debates was developed by Professors Catherine Buffet and Gabriel Perlemuter. Both are members of the “Digestive system – Food – Nutrition – Metabolic diseases” commission of the French Academy of Medicine. The famous Breton chef Olivier Roellinger has agreed to support this cycle and Alain Kruger (journalist, creator and producer of the programme “On ne parle pas la bouche pleine” on France Culture) has honoured us by hosting it. The reflections raised by food are multiple and concern the health of all populations with a paradoxical situation since, according to the United Nations, in 2018, more than 113 million people in 53 countries were on the verge of famine while more than 2 billion people in the world were overweight. Obesity and undernutrition are two malnutrition phenomena that now go hand in hand and are linked to poor nutrition.

What is good food? Diets for healthy people

 

It seemed logical to us to start this cycle with this theme in order to ask the right questions. During this debate, the theme of balanced diet for good health was be addressed, highlighting the Foundation’s role in preventive actions through its advice on good practices and its support for associations. In this respect, the role of Nutris-Score in helping people to “eat well” was be discussed. This dietary balance was applied at different stages of life and in specific situations (sport, pregnancy, the elderly, etc.). Alongside this “academic” balance, certain diets, whatever the motivations behind them, also deserve to be discussed.

 

Moderated by Alain Kruger, journalist, creator and producer of the programme “On ne parle pas la bouche pleine” (France Culture).

 

Welcome speech: Pr Bernard Charpentier (President of the French Academy of Medicine), Olivier Bohuon (President of the FAM)

President speech: Olivier Roellinger (chef)

Introduction: Pr Gabriel Perlemuter (hepato-gastroenterologist, nutritionist), Pr Catherine Buffet (hepato-gastroenterologist)

 

I – Dietary balance for good health at different stages of life

• General, prevention and common sense : Dr Jacques Bassier (general practitioner, specialised in nutrition)
• In children :  Pr Patrick Tounian (paediatric gastroenterologist)
• In the elderly : Pr Jean-Pierre Michel (academician and geriatrician)
• In the sportsman : Dr Christophe Baudot (doctor of PSG), Cyril Torre (CEO of Lsee)
• The place of water in the food supply : Dr Odile Cotelle (consultant at Antoine Béclère Hospital APHP, ex hospital practitioner at Diaconesses Hospital-Paris)
• Does the nutri-score help you eat better? Pr Serge Hercberg (epidemiologist, nutrition and Nutri-Score specialist)
• Technology and startups: eating better tomorrow : Suzanne Gorge (think tank Terra Nova)

 

Break, Hugues Ducoin, chef at Apéti restaurant – video animation on a plant-based recipe

 

II – Influence on health of different types of diets

• Definition of the different vegetarian food models : Pr Jean-Louis Guéant (hepato-gastroenterologist)
• Round table discussion “special diets: protein, detox, ketogenic, gluten-free, trendy diets, fasting, cultural diets (Mediterranean, Asian) : Dr Jacques Fricker (nutritionist), Coralie Béguin (naturopath), Ulrich Genisson (eatfat2befit), Léonard Anthony (practitioner in ecological hypnosis), Pr Antoine Bioy (psychologist)
• Start-up for a new nutritional approach: 1Food1Me: Camille Corman (Founder and President) and Aurélie Boni Tournier (pharmacist specialized in Health Nutrition)

All debate

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FAM debates, Exposome cycle chapter 1

HEALTH RISKS RELATED TO MULTIPLE EXPOSURE TO CHEMICAL POLLUTANTS

02/11/2020

The FAM would like to warmly thank the hundred or so people who logged on to follow the debate online.

In creating its Foundation, the French Academy of Medicine wished to put at the service of society as a whole its unique ability to bring together, on essential health and social issues and around the best French and international experts, all stakeholders, political, medical, scientific, economic and associative. To fulfill its mission, the Foundation of the French Academy of Medicine (FAM) has notably chosen to organize debates open to the public and the media and directly relayed to the public authorities, based on publications or scientific communications of excellence. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics that are recognized at the Academy of Medicine.

After its first cycle of debates on the theme of “Society & Ageing”, the FAM is initiating its new cycle on the theme of “Exposome”.

The subject of human exposure to mixtures of chemical contaminants is broad, of major health importance and is becoming more complex by the day, as illustrated by the case of pollutants with endocrine disrupting effects. This pollution is sometimes visible, as in the case of smog in large cities (Beijing, New Delhi …), or invisible as for pesticides, plasticizers or solvents in the environment, drinking water or food.

The effects of this pollution on health (cancers, infertility, cognitive disorders, diabetes, obesity) and the associated economic impacts are increasingly quantified. For the European Union, the annual cost of the impact of endocrine disruptors has been estimated at approximately 157 billion euros*.

Considerable work is still required to better quantify the risk resulting from the combination of the presence of a hazard, its effects and population exposures.

There is a very high level of ambition to better assess exposures and quantify risks, particularly at the European level. The aim is to establish the notion of Exposome in the sense of the totality of an individual’s exposure, often with medium- or long-term effects.

Thanks to the expected progress, the goal will be to identify the agents, situations and populations at risk in order to build health prevention policies.

On the basis of this observation, the FAM proposes the first meeting of its “Exposome” cycle entitled “Health risks related to multiple exposure to chemical pollutants” intended to present and discuss the major advances, needs and expectations concerning in particular :

 

I – Exposome and dangers

-Analytical tools whose immense progress makes it possible to detect a very large number of families of contaminants in all media.
-bioassays and methods in toxicology and their ability to express the health risks associated with these multiple exposures
-the strengths and limitations of epidemiology with regard to these issues
-the importance of the major European programs on the Exposome

II- Assessing risks and acting for health prevention

-ambition and contributions of European programs on the Exposome
-analysis of human health risks in the case of micropollutants in chronic exposure: a rigorous and collective expertise

 

The session will end with a round table discussion: acting by combining a solid base of knowledge or by applying the principles of prevention or precaution?

 

Speakers: Pr. Bernard Charpentier (Vice-President of the FrenchAcademy of Medicine and Vice-President of the FAM), Mr. Jean-Marie Dru (President of the FAM), Pr. Robert Barouki (Univ. of Paris, INSERM, Necker Hospital), Pr. Philippe Bouchard (Endocrinologist, Foch Hospital), Dr. Hélène Budzinski (CNRS Bordeaux), Dr. Cécile Chevrier (INSERM), Pr. Emmanuel Hirsch (Univ. Paris Saclay, Director of the Area of Ethical Reflection of the Ile-de-France Region), Pr. Yves Lévi (Univ. Paris Saclay, CNRS, AgroParisTech), Mrs. Veronica Manfredi (Director for Quality of Life at the European Commission’s Directorate General for the Environment), Dr. Fabrice Nesslany (President of the French Society of Toxicology, Pasteur Institute of Lille), Mr. Matthieu Schuler (Director of Risk Assessment at the Anses), Mr. Michel Vialay, Member of Parliament for Yvelines (Commission on Sustainable Development), Pr. Richard Villet (General Secretary of the FAM).

This cycle will allow the audience to better understand this complex issue of the Exposome, its ambitions, and the major health issues associated with it. The proceedings of these debates will be presented to the French National Assembly.

 

CALL FOR SCIENTIFIC RESEARCH GRANTS

Aware of the number of researchers involved in this theme but also of the number of points still to be clarified, the FAM has decided to set up a call for scientific research grants. To do so, it will set up a committee of experts in which the main independent experts, recognized by the French Academy of Medicine, will be appointed. Together, they will draft the call for research grants. A charter will list the selection criteria and expectations regarding the protocols put in place. This committee will be constituted as a jury and will be joined by consumer and patient representatives, journalists and public and institutional actors. It will meet in order to select one or two project leaders: scientists, researchers, individuals or groups, in order to conduct research that will be supervised and monitored by the committee’s experts. The call for research grants will be presented at the conference and the winners at the restitution to be held at the National Assembly with the proceedings of the inter-academic conference.

Watch all debate, following

Resume

In the press

Le défi de la mesure de l’exposome

Published the 05/01/2021, by Elsa Bellanger, Charlène Catalifaud, Damien Coulomb

Page 1, page 2, page 3, page 4

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Society & Ageing: restitution conference at the French Academy of Medicine

Society & Ageing: restitution conference

Under the high Patronage of Mrs Audrey DUFEU
Member of Parliament for Loire Atlantique

12/10/2020

In creating its Foundation, the FAM wished to place at the service of society as a whole its unique ability to bring together, on essential health and social issues and around the best French and international experts, all stakeholders, political, medical, scientific, economic and associative.

To fulfil its mission, the FAM has chosen to organise debates open to the public and the media and directly relayed to the public authorities, based on excellent scientific publications or communications. In addition to their level, these debates are distinguished from other events of the same type by the benefit of the institutional status and the guarantees of credibility and ethics which are recognised at the Académie de Médecine.

The FAM were following up on its presentation in June 2019 of the SAPEA (Science Advice for Policy by European Academies) report on the future of ageing in Europe and its care, to launch a cycle of 5 debates on the situation in France entitled “Society and Ageing” which addressed 5 topics:
Demography and the economy, Falls, sensory disorders and public policies, Taking care of yourself and not fearing the gaze of others, The contribution of new technologies, End-of-life anxiety.

These topics were discussed by academics with sociologists, philosophers, architects, representatives of patient associations, start-ups and companies; and were coordinated by Professor Jean-Pierre Michel, geriatrician, academic and Chairman of the working group which produced the SAPEA report on ageing for the European Union. These debates will be followed by a call for associative projects in 2021 to act on the ground with the beneficiaries.

 

RESTITUTION CONFERENCE

 

This meeting enabled the analyses and concrete proposals resulting from the 5 conferences to be brought live to the highest level of public decision-makers.

Thanks to Audrey Dufeu Schubert (Member of Parliament for Loire Atlantique), Jean-Marie Dru (President of the FAM), Pr Jean-Pierre Michel, Serge Guerin (sociologist specializing in seniors), Pr Bernard Charpentier (Vice-President of the French Academy of Medicine and Vice-President of the FAM), Pr Marc Revol (plastic surgeon), Pr Jean-Marie Gomas (President of the CEFAMA), Marie-Claire Chain (association Old’up), Sylvain Grevedon (DHR), Nicolas Perrette (Ages&Vie), Pr Christian Hervé (medical ethics), Marie de Hennezel (psychologist specializing in better aging), Pr René Amalberti (French Academy of Tecnologies), Pr Gilles Berrut (co-founder of the Gérontopôle des Pays de la Loire).

Proceedings of the debate coming soon.

Watch the whole conference, PART 1

Watch the whole conference, PART 2

Interview of Audrey Dufeu Schubert

Interview of the Pr Jean-Marie Gomas

Interview of Nicolas Perrette

Interview of Sylvain Grevedon

Interview of Eléonore Assante Di Panzillo

Interview of Olivier Mariotte

Interview of Marie de Hennezel

THANKS TO OUR PARTNERS

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