Home » today » Health » The policy to fight the virus has moved from regional to departmental level | ESS, Employment, Training, Integration and many other things. | Michel Abherve

The policy to fight the virus has moved from regional to departmental level | ESS, Employment, Training, Integration and many other things. | Michel Abherve

The government has just decided to advance the curfew to 6 p.m. in 15 departments, thus reducing the scope of the preparatory map which concerned 20 departments.

This decision confirms a change in territorial logic in public health policies since these, which were previously applied at the scale regional, as was the case during deconfinement (see The choice of regional logic puts the Nièvre in red against all consistency and With the transition to green of the Sarthe, the preeminence of regional logic for deconfinement is confirmed), are now to scale departmental.

In the Great East, was concerned in the first version on Bas-Rhin. It is joined in the second version by the Haut-Rhin. It is true that to announce the very day of the creation of the European Collectivity of Alsace that the two departments, which remain unchanged entities for the State, were governed by different rules would have made this semi-reform even more illegible (see War of panels at Lauterbourg). By the way theDawn disappears from the list

In Bourgogne Franche Comté six departments are involved, the Côte d’Or spared in the first version is joined by theYonne in the second version

In Provence-Alpes-Côte d’Azur are concerned High mountains and the Alpes-Maritimes, without Monaco since the border of the principality stops the virus (see The virus stopped at the border of Monaco)

On the other hand, the two departments ofAuvergne Rhône-Alpes appear that the list at 20, theAllier and theArdeche disappear from the list at 15.

We can clearly see that the change of scale makes it possible to better determine the appropriate measures, which leads us to wonder about the reasons for the previous choice, that of the regional scale. We see only one hypothesis, the importance of the organization of the State which had designed its territorial health policy on this scale, with its instrument the ARS, Regional Health Agencies. Obviously the reform enlarging the regions has made this level less relevant for health issues, which this latest decision confirms.

As for the impact of the advance of the curfew hour on the circulation of the virus, one can only wonder about the validity of the reference to the only realization, in Guyana, for which many conditions are completely different: climate, lifestyles, and above all the strength of the pandemic on the other side of a very long border (see among others In Guyana, the pandemic continues to develop, Concern over the border between Guyana and Brazil : Covid 19 is very present in the state of Amapa, on the other bank of the Oyapock and The pandemic is progressing in Guyana, and the concern is real, with 730 kilometers of border with Brazil). Claiming to learn from this situation to determine the relevant schedule of the curfew in metropolitan France lacks scientific rigor, to say the least.

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