[Vaccination against COVID-19 in pharmacies in the Auvergne-Rhône-Alpes region. Study conducted three months after the start of vaccination]. / Vaccination contre la COVID-19 dans les officines en région Auvergne-Rhône-Alpes. Étude menée trois mois après le début de la vaccination.

INTRODUCTION: The development of vaccines against SARS-Cov-2 has enabled the deployment of vaccination, particularly through dispensing pharmacists, who are already authorised to administer influenza vaccines in France. METHODS: We surveyed pharmacists in the Auvergne-Rhône-Alpes region to assess the current status of SARS-Cov-19 vaccination in the region. A questionnaire was sent to them; the analysis was carried out jointly with the URPS-Pharmacists. RESULTS: 739 pharmacies took part in our survey, and gave us their impressions of the organisation of the anti-COVID-19 vaccination and the information to be transmitted to patients. CONCLUSIONS: The commitment of pharmacists to the anti-COVID-19 vaccination testifies to the attachment of pharmacists to their patients, and their privileged place in prevention in France. The extension of their competences to the general vaccination of the population expects legitimacy from the decision-making authorities.

[The armed forces health service in the face of major health risks]. / Le Service de Santé des Armées face aux risques sanitaires majeurs d'origine infectieuse. Une mise en œuvre de l'éthique de responsabilité.

In 2020, the COVID-19 pandemic in France called upon the French Army Health Services (SSA) to support the population on its national territory but also overseas, in Mayotte and French Guiana. In charge of the medical support of the forces, the SSA has evolved since the 18th century according to the format of the Armed Forces but also according to the nature of the conflicts, these changes being accompanied by ethical and moral questions. If rules of medical ethics apply to practitioners, they are also military: in this context, the notions of ethics of responsibility and ethics of conviction bring questions. Its questions are even more complex when these soldiers are projected into external operations where current conflicts, of a terrorist nature, expose the local populations, women and children specifically. Nevertheless, the SSA can also be projected to respond to exclusively health issues (excluding conflicts) as during the Ebola epidemic in Guinea in 2014, or more recently in Mulhouse with COVID-19. This last point raises fears of the development of bioterrorism where the questions of medico-military ethics would then be very complex; they must therefore be taken into account and analyzed, but also extended to raising awareness of the fighting forces.

[Use of self-tests and rapid diagnostic tests: Survey of dispensing pharmacists in the Auvergne-Rhône-Alpes region]. / Utilisation des TROD et autotests : enquête auprès des pharmaciens officinaux de la région Auvergne­Rhône-Alpes.

OBJECTIVES: RDT and self-tests are sold in pharmacies. These are medical biology procedures that are currently reserved for biologists. Nevertheless, their use is now being reinforced by the COVID-19 pandemic. What role should the dispensing pharmacist have in relation to the patient? What role can the biologist have in this system? METHODS: A survey was carried out in pharmacies in the Auvergne-Rhône-Alpes region, as well as in Cameroon during the summer of 2020, to evaluate the use of RDT and self-tests. The answers obtained to the 10 questions were discussed after a simple statistical analysis. RESULTS: Two hundred and eighty-three pharmacies and 13 Cameroonian pharmacies participated in our survey. Pharmacists want to develop the use of RDT and self-test, but agree that training is necessary. Some tests are dispensed despite their unproven clinical usefulness. CONCLUSIONS: The delivery of TRODs and self-tests is acquired in pharmacies despite the reluctance of biologists. Pharmacists should be trained by biologists to use these tests in a relevant and appropriate manner.