[When school meets health prevention, collaboration and confrontation co-occur]. / Quand l'école rencontre la prévention sanitaire, collaborations professionnelles et appropriations différenciées.

BACKGROUND: The French social security system has initiated a nutritional education program in nursery schools. On the basis of empirical data and a nursery school model compelling the application of specific standards, we analyze the conditions under which the program is implemented. METHODS: A socio-ethnographic study was conducted during the 2012-2017 period in 16 classrooms in 6 nursery schools that implemented the nutritional program. This article presents the results of a monographic analysis drawn from data collected through interviews and the observation of nutritional sessions at school. RESULTS: The pedagogical tools and the rationalization of tasks involving teachers and dietitians furthered adaptation to the constraints of nursery school functioning in accordance with the dietitians' vision of the school. With the teachers' feedback in mind, the nutritional program is called upon to evolve, but its evolution will not stand in the way of program rationalization and uniformization. Teachers will nevertheless implement the program in different ways, according to the realities of their classrooms. CONCLUSION: We studied and analyzed the conditions favorable to collaboration between nursery schools and the French social security system. Results showed how the "sanitarization" of nursery schools requires anticipation of the constraints imposed by the nursery school model. Conditions for organizing collaborative work necessitated both transformation of the health program and satisfactory coordination at school between the protagonists, thereby highlighting reciprocal influence and adjustment between two (dietitians and teachers) work cultures.

[Toulouse, an "urban figure of public health". Dealing with public local struggles against health social differences]. / Toulouse, une "figure urbaine de la santé publique". À propos de l'action publique municipale de lutte contre les inégalités sociales de santé.

When drawing up the portrait of "urban figures of public health", in 1998, Didier Fassin considered Toulouse to be one of the worthy "local experiments". Fifteen years after his precursory work, the recently developed local public policy against health social differences gives an opportunity to question ourselves about the effectiveness of such a quality then associated to the city. A cognitive analysis of the elaboration of the Toulousian health public policy meaning enables to notice that the process of health legitimization on a local scale takes the following forms. On the one hand, renaming health as a legitimate object of public policies sets it up as a common wealth. On the other hand, local public policy puts the emphasis on health education and tries to increase the standing of social appraisal coming from associative experiments and abilities of the inhabitants themselves. Finally, it calls for citizens' mobilization and solidarity in order to promote a "health democracy" able to struggle efficiently against health social differences.