Les soins de santé en danger : exposé d'une urgence

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  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

    1/24

    MEDWF DE PCIDFKLFLIKW^F DF\ \ICK\ GF \EKW

    DF\ \ICK\ GF \EKW

    FK GEKBF^F]QI\ GVKF V^BFKLF

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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    Lijcw ckwf~kewciked gf de L~ic}*^ivbf

    53$ epfkvf gf de Qec}

    5>1> Bfkpf$ \vc||f

    W (75 >> 2> 21 62

    F*jecd? |miqAcl~l+i~b rrr+lcl~+i~b

    LCL^$ eiw >155

    Qmiwi gf livpf~wv~f ? Ewf \eegc Kvebf gf bez del~sjibkf| gek| vkf ejnvdeklf di~| gvkf jekcf|wewcik+

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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    DF\ \ICK\ GF \EKW

    FK GEKBF^F]QI\ GVKF V^BFKLF

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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    VK Q^INDJFGCJQI^WEKLF PCWEDFQIV^ DF JIVPFJFKWCKWF^KEWCIKED GFDE L^IC]*^IVBF FW GVL^IC\\EKW*^IVBF

    Deq~|*jcgc gv 2 oekpcf~ >113$ gf| ejnvdeklcf~| gv

    Lijcw ckwf~kewciked gf de L~ic}*^ivbf -LCL^# fw gf

    de \ilcw gv L~ic||ekw*^ivbf qedf|wckcfk ikw vkfwf~~cndf glivpf~wf gek| vkf jec|ik gv uve~wcf~ gf

    _fcwivk$ Beze$ nijne~gf uvew~f oiv~| qdv| ww ?

    givzf ji~w| bc|fkw |v~ df |id fw uvew~f ofvkf| fkekw|$

    w~iq ecndf| qiv~ wfkc~ gfnivw$ |ikw wfkgv| lw gv

    li~q| |ek| pcf gf dfv~| j~f|+ Df| |idgew| gvk qi|wf

    gf likw~df kik dick gf d kf |ikw qe| ckwf~pfkv| qiv~

    q~wf~ e||c|weklf ev} pclwcjf| fw ikw ckwf~gcw ev} ejnv*

    deklcf~| geddf~ df| |fliv~c~$ df oiv~ gv nijne~gfjfkw+

    Di~|uvf df| |fliv~c|wf| ~fpcfkkfkw |v~ df| dcfv}$ cd|

    ~ficpfkw kivpfev di~g~f gf ~fn~iv||f~ lmfjck$ jec|

    lfwwf ic|$ cd| glcgfkw gf g|inc~ fw gf qi~wf~ |fliv~|

    ev} |v~pcpekw|+

    Jick| gvk jic| qdv| we~g$ gek| df ki~g gf \~c Dekhe$

    lf|w dmqcwed gf Qvwmvhhvgcsc~vqqv$ gek| de ~bcik

    gf Pekkc$ uvc |f ~fw~ivpf |iv| df| nijnf| ? qe~jc df|

    611 qewcfkw| uvc ~ficpfkw gf| |ick| gek| lfw mqcwed$ df

    gf~kcf~ fkli~f fk elwcpcw gek| lfwwf ~bcik glmc~f

    qe~ de bvf~~f$ nfevlivq |ikw wv| iv ndf|||+ Eq~| epic~

    w de lcndf gf gfv} ~eqqf| gc~flwf|$ dwendc||fjfkw

    gicw w~f pelv$ fw df| qewcfkw| |ikw w~ek|~| gek|

    vk lfkw~f lijjvkevwec~f gqiv~pv gfev qiwendf+

    Fk |fqwfjn~f gf de jjf ekkf$ gek| de q~ipcklf

    ebmekf gf Re~geh$ gf| |idgew| |ckw~igvc|fkw fk

    qdfckf kvcw gek| dmqcwed Bmezc Jimejjfg Hmek$ de

    ~flmf~lmf gvk lijnewwekw fkkfjc ndf||+ Kf df w~iv*

    pekw qe|$ cd| ~e||fjndfkw df| jfjn~f| gv qf~|ikkfd

    fw dfv~ i~gikkfkw gf dfv~ |cbkedf~ wiv| df| lijnew*

    wekw| fkkfjc| q~|fkw| gek| dwendc||fjfkw+ Di~|uvf

    lfv}*lc ~fv|fkw ginc~ ev kij gf dwmcuvf jgcledf$

    df| |idgew| n~euvfkw dfv~| e~jf| |v~ fv} fw jfkelfkw

    gf df| wvf~ |cd| kf |f}lvwfkw qe|+ Eq~| lfw cklcgfkw$

    qdv|cfv~| liddeni~ewfv~| uvcwwf~ikw dfv~ fjqdic$ wf~~c*

    | dcgf gf ~fwiv~kf~ |v~ dfv~ dcfv gf w~epecd+

    Fkk$ fk glfjn~f >113$ vk hejchezf |f ecw f}qdi|f~

    di~| gvkf l~jikcf gf ~fjc|f gf gcqdjf| gek| de

    leqcwedf |ijedcfkkf gf Jibegc|lci$ wvekw gf| wvgcekw|

    fk jgflckf uvc ikw w~epecdd gv~ qiv~ ecgf~ dfv~ qes|

    |i~wc~ gf de |iv~eklf fw gv g|f|qic~ i dikw qdikb

    gfv} glfkkcf| gf bvf~~f lcpcdf+ Lfwwf w~ebgcf q~cpf df

    qfvqdf |ijedcfk gf jgflck| uvc dvc ikw l~vfddfjfkw

    gevw$ gevwekw uvf lf|w |fvdfjfkw de gfv}cjf q~i*

    jiwcik gf gcqdj| fk jgflckf gfqvc| pckbw ek|+

    Lf| cklcgfkw|$ uvc |f |ikw wiv| q~igvcw| fk >113 gek|

    df leg~f gf uvew~f likcw| gc~fkw|$ kf |ikw qe| gf|

    ecw| c|id| ? df| ewweuvf| likw~f df| |w~vlwv~f| jgcle*df|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf| |ekcwec~f|$

    fw df| in|weldf| uvc fkw~epfkw dell| gf| ndf||| fw gf|

    jedegf| ev} |f~pclf| gf |ekw |ikw fk ffw gfpfkv|

    jikkecf liv~ekwf gek| df| |cwvewcik| gf likcw fw gf

    w~ivndf| ckwf~kf|$ qe~wivw gek| df jikgf+ Lf| elwf| ikw

    fk ivw~f gcjqi~wekwf| lik|uvfklf| ckgc~flwf| ? gf|

    ebfkw| gf |ekw enekgikkfkw dfv~ w~epecd$ gf| mqcwev}

    f~jfkw dfv~| qi~wf| fw gf| lejqebkf| gf pellckewcik

    |ikw ckwf~~ijqvf|+ Lf| ~qf~lv||cik| jvdwcqdf| fw g*

    |e|w~fv|f| q~cpfkw gf| lijjvkevw| fkwc~f| gell|

    gf| |f~pclf| eguvew|+ De pcidfklf gc~cbf likw~f df|

    qewcfkw| fw df| qf~|ikkfd| iv df| |w~vlwv~f| gf |ekw$

    uvfddf |f jekcf|wf qe~ gf| elwf| iv gf| jfkelf|$

    f|w eck|c dvk gf| g| mvjekcwec~f| jeofv~| ev}uvfd|

    df jikgf ecw elf evoiv~gmvc+ Fw qiv~wekw$ fddf qe||f

    |ivpfkw ckeqf~vf+

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    Lm~c|wiqmf~Ji~~c|)PCC

    ^`~~ d ~p gM~s GQi~wf~ e||c|weklf ev} ndf|||$ uvfd uvf |icw dfv~ lejq$

    wfddf f|w dcgf uvc e gikk kec||eklf ev Jivpfjfkw

    ckwf~kewciked gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf

    cd s e qdv| gf 561 ek|$ |v~ df lmejq gf newecddf fk|ekb*

    dekw gf \id~cki$ fk Cwedcf+ Fk ovck 5=63$ Mfk~s Gvkekw$

    vk lijjf~ekw |vc||f$ f|w wjick gf lf wf~~cndf le~*

    kebf+ Mi~~c qe~ wekw gf |iv~eklf|$ cd ecw eqqfd ev}

    mencwekw| gf| fkpc~ik| qiv~ uvcd| pcfkkfkw fk ecgf

    ev} ndf|||$ Evw~clmcfk| iv @~ekec|$ |ek| gc|wcklwcik

    evlvkf+ Wvwwc ~ewfddc $ wiv| ~~f|$ lf|w de gfpc|f gf||fliv~c|wf| cjq~ipc|| uvc |fjqdicfkw lf uvf df|

    71 111 |idgew| ndf||| iv ebikc|ekw| |icfkw w~ecw|

    epfl de glfklf uvf j~cwf wivw w~f mvjeck ? uvc gf

    gc|w~cnvf~ vk qfv gfev qiv~ weklmf~ de |ic$ uvc geq*

    qdcuvf~ vk nekgebf q~iq~f |v~ vkf ndf||v~f$ iv fkli~f

    gf ~flvfcddc~ uvfduvf| gf~kc~f| qe~idf|$ qiv~ uvvkf

    j~f$ vkf qiv|f iv vk fkekw qvc||f |epic~ lf uvcd

    f|w egpfkv gf |ik d|$ gf |ik je~c iv gf |ik q~f+

    Lf|w |v~ lf| ne|f| jigf|wf| uvf df g~icw ckwf~kewciked

    mvjekcwec~f pf~~e df oiv~$ e~jekw df g~icw gf| lij*

    newwekw| lijjf gf| lcpcd| kf qe| fkgv~f~ gf| |iv*

    ~eklf| f}lf||cpf| di~| gf likcw| e~j|$ fw ~flfpic~

    vkf e||c|weklf+ Qiv~ w~egvc~f lfwwf cgf gek| de q~ewcuvf$

    cd evw ev||c uvf df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f|

    jgcledf| fw df| pmclvdf| |ekcwec~f| nklcfkw gvkf

    q~iwflwcik ? wivwf ewweuvf dfv~ fklikw~f f|w ckwf~gcwf$

    wekw uvf de kfvw~edcw gf dfv~ iklwcik f|w q~|f~pf fw

    uvf wiv| df| qewcfkw| |ikw w~ecw| uvcwendfjfkw$ |ek|

    lik|cg~ewcik gf dfv~ eqqe~wfkeklf qidcwcuvf$ ~fdc*

    bcfv|f iv fwmkcuvf+ Df| fjndjf| q~iwflwfv~| wfd| uvf

    de l~ic} ~ivbf$ df l~ic||ekw ~ivbf fw df l~c|wed ~ivbf |ikw

    edi~| egiqw| ek gcgfkwcf~ ldec~fjfkw df| |w~vlwv~f|

    jgcledf|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf|

    |ekcwec~f| fk wekw uvfkwcw| q~iwbf|+ Lik|el~f|

    qe~ df| uvew~f Likpfkwcik| gf Bfkpf gf 5373$ dfv~|Q~iwilidf| eggcwcikkfd| fw df g~icw ckwf~kewciked liv*

    wvjcf~$ lf| gc|qi|cwcik| dcfkw df g~icw gf ~flfpic~ gf|

    |ick| gf |ekw dindcbewcik qiv~ wivwf| df| qe~wcf|

    vk likcw gf ~flmf~lmf~ fw gf ~flvfcddc~ df| ndf|||

    eq~| df lijnew$ fw gf dfv~ elcdcwf~ dell| ev} |w~vl*

    wv~f| jgcledf|+ Uvekw ev g~icw gf| g~icw| gf dmijjf$

    cd q~iwbf df| |ick| gf |ekw fk wivw wfjq|$ s lijq~c|

    gek| df| |cwvewcik| gf w~ivndf| ckwf~kf|+ Cd |ebcw d gf

    ki~jf| ov~cgcuvf| likw~ecbkekwf| qiv~ wiv| df| wew|

    fw wivwf| df| qe~wcf| vk likcw qe~wivw gek| df jikgf+

    Qiv~wekw$ fddf| kf |ikw qe| wivoiv~| ~f|qflwf|+

    Fk >11=$ df LCL^ e dekl vkf wvgf qiv~ gwf~jckf~

    dcklcgfklf gf de pcidfklf |v~ de iv~kcwv~f gf| |ick|

    gf |ekw gek| 50 qes| i cd jfkecw gf| iq~ewcik|+ Gf|

    cki~jewcik| ec|ekw wew gcklcgfkw| ikw w liddflwf|

    evq~| gf gcpf~|f| |iv~lf|$ gikw gf| i~bekc|ewcik|

    elwcpf| gek| df gijeckf gf de |ekw$ gf| liddeni~ewfv~|

    gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf fw gf| jgce|+

    Df| gikkf| ~flvfcddcf| ikw w ekeds|f| qiv~ ~flfk|f~

    df| i~jf| gf pcidfklf df| qdv| b~epf|$ uvc |ikw q~*

    |fkwf| gek| df| qebf| |vcpekwf|+ I~$ |c df| |wewc|wcuvf|

    ~pdfkw uvf df| ewweuvf| likw~f df| qewcfkw|$ df| qf~|ik*kfd| gf |ekw$ df| |w~vlwv~f| jgcledf| fw df| pmclvdf|

    |ekcwec~f| |ikw ~uvfkwf|$ fddf| qe~pcfkkfkw lfqfkgekw

    gclcdfjfkw ~fkg~f lijqwf gf wivwf dwfkgvf gv

    q~indjf$ fk qe~wclvdcf~ gek| df| ~bcik| ev}uvfddf|

    df| i~bekc|ewcik| mvjekcwec~f| fw df| oiv~kedc|wf| kf

    qfvpfkw qe| ellgf~$ lijjf lf|w |ivpfkw df le| ev

    Qehc|wek fw fk Ebmekc|wek+ Fk ivw~f$ df| |wewc|wcuvf|

    kf jikw~fkw qe| df| ffw| jvdwcqdclewfv~| ckgc~flw|

    uvikw lf| ewweuvf|$ qe~ f}fjqdf di~|uvf gf| wendc|*

    |fjfkw| gf |ekw f~jfkw dfv~| qi~wf| fw uvf dfv~|

    fjqdis| g|f~wfkw dfv~ qi|wf+ Qiv~ gikkf~ wivwf de

    jf|v~f gv q~indjf$ de q~|fkwf qvndclewcik |ewwelmf

    wivw geni~g f}ejckf~ df| q~cklcqedf| qf~wv~newcik|

    uvf |vnc||fkw df| |f~pclf| gf |ekw di~| gf likcw|

    e~j| iv gf w~ivndf| lcpcd|$ epekw gwvgcf~ gf eik

    qdv| gwecddf lf~weck| wsqf| gf pcidfklf |qlcuvf|+

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    DF\ LIW\ JVDWCQDF\GF DE PCIDFKLF

    D pd ~~ d| |~p| g ||

    g | d d| |+

    Gvkf leqelcw gf 5> dcw|$mqcwed gEnini \vg$ Encgoek$ e q~c| fk lme~bf

    qdv| gf 5155+

    Qfwf~GcLejqi)PCCJfkwi~Q~ib~ej

    Df| likcw| e~j| fw df| w~ivndf| ckwf~kf|$ wfd| uvf

    df| jekcf|wewcik| pcidfkwf| iv df| jfvwf|$ ikw

    gf| ndf||| gek| df| ~ekb| gf lfv} uvc s qe~wclcqfkw

    gc~flwfjfkw fw qe~jc lfv} uvc fk |vnc||fkw df| ffw|+Df| qf~|ikkf| b~epfjfkw ndf||f| gicpfkw ~flfpic~

    gf| |ick| ev qdv| pcwf+ I~$ lf|w q~lc|jfkw di~|uvf

    df| nf|ick| |ikw df| qdv| cjqi~wekw| uvf df| |f~pclf|

    gf |ekw ~c|uvfkw df qdv| gf |vnc~ gf| qf~wv~newcik|$

    gf| fkw~epf| fw gf| ewweuvf|+ De pcidfklf$ |iv| i~jf

    gelwf| iv gf jfkelf|$ lijq~ijfw de iv~kcwv~f gf|

    |ick| gf |ekw gf qdv|cfv~| jekc~f|+

    Wivw geni~g$ di~|uvf gf| lijnew| |f g~ivdfkw

    q~i}cjcw gf |w~vlwv~f| jgcledf|$ cd| fkw~epfkw del*

    l| gf| ndf||| fw gf| jedegf|$ gf| qf~|ikkfd| gf

    |ekw fw gf| pmclvdf| uvc w~ek|qi~wfkw gf| jgcle*

    jfkw| fw gv jew~cfd jgcled gf q~fjc~f klf||cw

    pf~| lf| wendc||fjfkw|+ Df| e~ikwfjfkw| qfvpfkw

    fk ivw~f qf~wv~nf~ deqq~ipc|cikkfjfkw fk fev fw fk

    dflw~clcw$ eck|c uvf de iv~kcwv~f gf le~nv~ekw qiv~ df|

    bk~ewfv~| gf |fliv~|+ Lf|w lf uvc f|w e~~cp Encgoek$

    de leqcwedf cpic~cfkkf$ fk je~| >155$ di~|uvf gckwfk|f|

    lijnew| ikw fjqlm df| ejnvdeklf| gpelvf~ df|

    ndf|||$ fw di~bekc|ewcik jgcledf mvjekcwec~f Jgf*

    lck| |ek| ~ikwc~f| -J\@# gf ~eqq~ipc|cikkf~ dmqcwed

    gEnini \vg$ |fvd wendc||fjfkw fkli~f iq~ewcikkfd

    gek| df |flwfv~ ki~g gf de pcddf+ Fw wekgc| uvf gf| gczec*kf| gf ndf||| e`vecfkw lmeuvf oiv~ wekw ncfk uvf

    jed pf~| dmqcwed$ df| |wilh| gf iv~kcwv~f| jgcledf|

    ikw w~| pcwf lijjfkl |qvc|f~+ \c lfwwf |cwvewcik

    gfpecw |f q~idikbf~ fkli~f uvfduvf| oiv~|$ dmqcwed |f

    ~fw~ivpf~ecw pcwf liv~w gekf|wm|cekw|$ gf lijq~f||f|

    |w~cdf| fw gf bekw| lmc~v~bclev} $ |wecw edi~| ckuvcw

    df gilwfv~ \edme C||iviv$ lmf gf jc||cik qiv~ J\@+

    Cd e~~cpf bedfjfkw uvf de pcidfklf likw~ecbkf gf|

    lcpcd|$ fkw~f evw~f| gf| jfjn~f| gv qf~|ikkfd gf |ekw

    fw dfv~| ejcddf|$ |f gqdelf~ pf~| gf| fkg~icw| qdv|

    |~|+ Df jckc|w~f c~ehcfk gf de \ekw e eck|c ckgcuv uvf

    |v~ 11< fw >110+ De Dcnsf$ i vkf b~ekgf q~iqi~wcik gf

    de jeck gvp~f jgcledf df qf~|ikkfd ck~jcf~ fk

    qe~wclvdcf~ wecw lik|wcwvf gf w~epecddfv~| jcb~ekw|$

    ke qe| kik qdv| w qe~bkf qe~ df}igf gf| q~if|*

    |cikkfd| gf de |ekw gfqvc| uvf df| w~ivndf| ikw ldew$ev gnvw gf dekkf >155+ Di~|uvfk p~cf~$ df| bivpf~*

    kfjfkw| w~ekbf~| ikw gikk di~g~f dfv~| ~f||i~*

    wc||ekw| gpelvf~ df qes|$ gf kijn~fv|f| |w~vlwv~f|

    jgcledf| f||fkwcfddf|$ kiwejjfkw df| mqcwev} gf

    Nfkbmezc fw gf Jc|~ewe$ |f |ikw |ivgeckfjfkw ~fw~iv*

    pf| gek| vkf |cwvewcik l~cwcuvf$ evwf gf qf~|ikkfd

    |v`|ekw+ Evoiv~gmvc$ lfwwf qkv~cf gf jeck gvp~f e

    gf| ~qf~lv||cik| kik |fvdfjfkw qiv~ df| qf~|ikkf|

    ndf||f| gek| df| lijnew|$ jec| bedfjfkw qiv~ df|

    Dcnsfk| uvc |ikw ewwfckw| gf jedegcf| lm~ikcuvf| fw

    klf||cwfkw gf| |ick| ~bvdcf~|+

    Fkck$ de pcidfklf ~fckf de jc|f fk vp~f gcjqi~*

    wekw| q~ib~ejjf| gf |ekw q~pfkwcpf$ lijjf df|

    lejqebkf| gf pellckewcik$ lf uvc qfvw epic~ gf|

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    Dvkf gf| q~fjc~f|pclwcjf| gf de bvf~~f f|wdf |s|wjf gf |ekwdvc*jjf+ Je~li Nedgek$ lmc~v~bcfk gf bvf~~ffk lmf` gv LCL^

    \lv^c\f^ Dell\ qiv^^eGcuvf^ De qiDciGfqvc| qdv| gf >1ek|$ gcjqi~wekw| fi~w| ikw

    w gqdis| qiv~ pfkc~ nivw gf de qidcijs*

    dcwf+ \c gki~jf| q~ib~| ikw w ~edc|| gek|

    de ~gvlwcik gf de w~ek|jc||cik fw gv kijn~f

    gf le| ~flfk|| gek| df jikgf$ de pcidfklf uvc

    |pcw gek| uvfduvf| qes| ld| f|w vk in|weldf

    gf wecddf d~egclewcik wiwedf gf lfwwf wf~~cndf

    jedegcf+ Gek| gfv} gf| uvew~f qes| i de qidci

    f|w fkgjcuvf df Qehc|wek fw dEbmekc|wek $

    de livpf~wv~f pellckedf f|w dcjcwf fk ~ec|ik

    gf| lijnew| iv gv jekuvf gf be~ekwcf| gf

    |lv~cw uvc fjqlmf df| uvcqf| gf pellcke*

    wcik gellgf~ wivwf| df| ~bcik| wivlmf|+

    Fk ivw~f$ df| ifk|cpf| jcdcwec~f| q~ipiuvfkw

    gf| gqdelfjfkw| gf qiqvdewcik uvc epi~c|fkw

    de q~iqebewcik gf de jedegcf gf| zikf| ov|uvf*

    d qe~bkf|+ Fk >11=$ de q~ipcklf gv Qvkoen$

    ev Qehc|wek$ edi~| f}fjqwf gf qidcijsdcwf

    gfqvc| gfv} ek|$ e likkv vkf kivpfddf ejnfgf de jedegcf de |vcwf gvk e`v} gf qf~|ikkf|

    vsekw de pcidfklf gek| df Hmsnf~ Qehmwvk*

    hmre fw df| zikf| w~cnedf| |iv| egjckc|w~ewcik

    g~edf+ Gf| lfkweckf| gf jcddcf~| gfkekw|

    ~f|wfkw$ evoiv~gmvc fkli~f$ mi~| gf qi~wf

    gf| lejqebkf| gf pellckewcik gek| lf~weckf|

    ~bcik| gf dEbmekc|wek fw gv Qehc|wek+

    Fk >112$ df jckc|w~f ebmek gf de \ekw fw

    dI~bekc|ewcik jikgcedf gf de |ekw ikw gf*

    jekg ev LCL^ gf jfww~f q~iw |f| likwelw|

    q~cpcdbc| epfl diqqi|cwcik e~jf fk Ebme*

    kc|wek qiv~ kbilcf~ df qe||ebf fk wivwf

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  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

    13/245113$ gf| w~elw| uvc jik*

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    Vk jgflck qdfv~f de ji~w gf uvew~f ejc| -vk lik~~f$vk likgvlwfv~ gejnvdeklf fw gfv} ck`~jcf~|#$wv| di~| gvkf ewweuvf e~cfkkf |v~ de ~ivwf fkw~fEogencse fw N~fbe -Dcnsf#+

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  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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    gf dfv~| wlmf| gf kewv~f f}ldv|cpfjfkw jgcledf+

    Df| qe~wcf| vk likcw kf gicpfkw kc me~lfdf~ kc qvkc~ df| qf~|ikkfd| gf

    |ekw qiv~ epic~ ellijqdc gf| wlmf| liki~jf| de gikwidibcf jgcledf 8fddf| kf gicpfkw qe| kik qdv| df| likw~eckg~f f}f~lf~ gf| elwf| likw~ec~f|

    de gikwidibcf$ kc df| fjqlmf~ gellijqdc~ gf| elwf| f}cb| qe~ lfddf*lc+

    Cd kf |f~e qe| f}cb gf| qf~|ikkfd| gf |ekw uvcd| q~cpcdbcfkw uvc uvf

    lf |icw$ |ev qiv~ gf| ~ec|ik| jgcledf|+ Lf |ikw fv} uvc glcgf~ikw$ gek|

    df ~f|qflw gf de gikwidibcf$ uvfd qewcfkw |f~e q~c| fk lme~bf fk q~ci~cw+

    De q~iwflwcik gvf ev} qf~|ikkfd| gf |ekw kf lf||f uvf |cd| lijjfwwfkw$

    fk gfmi~| gf dfv~| iklwcik| mvjekcwec~f|$ gf| elwf| kvc|cndf| dfkkfjc+

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

    18/245=

    DE PCIDFKLF LIKW^F

    DF\ PMCLVDF\ \EKCWEC^F\

    q~ pd$ g df ecw

    gewweuvf~ fw gf pidf~ gf| pmclvdf| |ekcwec~f|$ iv

    gfkw~epf~ dfv~| jivpfjfkw|+

    D| pmd| |~| |$ fkw~f evw~f|$ df|

    ejnvdeklf|$ df| newfev} iv e~ikf| |ekcwec~f|$ uvcd|

    |icfkw lcpcd| iv jcdcwec~f|$ fw df| pmclvdf| w~ek|qi~wekw

    gv jew~cfd iv gf| uvcqfjfkw| jgclev}+

    En~e~Wekidc)^fvwf~|

    De gf~kc~f i~jf gf pcidfklf f}f~lf likw~f df| |ick|

    gf |ekw f|w lfddf uvc wivlmf df| pmclvdf| |ekcwec~f|+ Cd pe

    gf |ic uvf df| ~bdf| gf g~icw uvc q~iwbfkw df| |w~vl*

    wv~f| jgcledf|$ df| qf~|ikkfd| gf |ekw fw df| pmclvdf|

    |ekcwec~f| |f lmfpevlmfkw gek| vkf de~bf jf|v~f$ fw

    uvf df| wsqf| gewweuvf| uvcd| |vnc||fkw q~|fkwfkw gf|

    |cjcdcwvgf|+ Kekjick|$ df le~elw~f ~lv~~fkw gf| ewwe*

    uvf| likw~f df| pmclvdf| |ekcwec~f| fw dfjqdic env|c

    uvcd fk f|w ecw$ qdv| ~uvfjjfkw fkli~f$ qiv~ w~ijqf~

    dfkkfjc ov|wcfkw gf w~ecwf~ |qe~jfkw gf lf |vofw+

    Fk qdfckf bvf~~f$ di~|uvfddf| lc~lvdfkw qiv~ ~lvq~f~

    fw q~fkg~f fk lme~bf df| ndf|||$ df| ejnvdeklf| |ikw

    qe~ic| q~c|f| |iv| df| wc~|$ ellcgfkwfddfjfkw iv gdcn*

    ~jfkw+ Df L~ic||ekw*^ivbf dcnsfk e |cbked uvfk jec

    >155$ w~ic| gf |f| ejnvdeklf| ikw ecw dinofw gewweuvf|

    gek| gf| cklcgfkw| gc~fkw|$ uvc ikw liw de pcf vk

    jfjn~f gv qf~|ikkfd ck~jcf~ fw ndf|| vk qewcfkw fw

    w~ic| pidikwec~f|$ fk df|qelf gf uvew~f oiv~|+ Vk evw~f

    pidikwec~f e ev||c w wv _dcwek+ Lf| div~gf| qf~wf|

    ~eqqfddfkw l~vfddfjfkw df likcw ev Dcnek$ fk >110 ?

    df 55 eiw$ gfv} ejnvdeklf| gf de L~ic}*^ivbf dcne*

    kec|f epecfkw w ewweuvf| di~| gcklcgfkw| gc|wcklw|+

    Vkf ejnvdeklf epecw q~c| fv eq~| epic~ w de lcndfgvkf ewweuvf e~cfkkf$ edi~| uvfddf w~ek|qi~wecw gv je*

    w~cfd gf Ws~ Wcnkckf+ Vkf evw~f ejnvdeklf epecw ev||c

    f||vs gf| wc~| gek| de ~bcik gf Je~oesivk$ di~| gvkf

    iq~ewcik gf |fliv~| fk epfv~ gf| pclwcjf| gvkf

    ewweuvf e~cfkkf+ Gek| df q~fjcf~ cklcgfkw$ df| ev}cdc*

    ec~f| jgclev} uvc |f w~ivpecfkw ni~g gf dejnvdeklf

    epecfkw w ndf|||+ Gek| df |flikg$ vk |fliv~c|wf gf de

    L~ic}*^ivbf dcnekec|f epecw w wv+

    Gf| ewweuvf| ikw bedfjfkw w qf~qw~f| likw~f

    gf| ejnvdeklf| gek| df wf~~cwic~f qedf|wckcfk illvq$

    fk Lidijncf$ ev Jf}cuvf$ ev Sjfk$ fk C~eh$ fk Dcnsf

    fw ev Kqed$ gv~ekw df likcw gf 5330 >110+ Fk Dcnsf$

    gek| df wf~~cwic~f qedf|wckcfk illvq$ fk Ebmekc|wek fw

    ev Kqed$ lf~weckf| gf| ewweuvf| gdcn~f| likw~f df|

    ejnvdeklf| fw nik kijn~f gf| fkw~epf| fw gf| ~fwe~g|

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

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    Gf wfd| elwf| pcidfkwde kfvw~edcw gf| |f~pclf|jgclev} fw jfwwfkwfk gekbf~ df qf~|ikkfd|ekcwec~f uvc |fjqdicf

    |icbkf~ df| ndf||| fw df|jedegf| gek| df| mqcwev}$df| gc|qfk|ec~f| fwdf| qi|wf| gf |ekw ~v~ev}+ F}w~ecw gv lijjvkcuv gf q~f||f gv LCL^likgejkekw dfjqdic env|c` gvkf ejnvdeklf di~|gvkf ewweuvf fk E`bmekc|wek df 2 ep~cd >155

    Gf\ ejnvDeklf\ q^c\f\ Gek\ Gf\ wc^\ l^ic\\ ev jf}cuvfLf| gf~kc~f| ekkf|$ de pcidfklf gf| bekb| dc| ev w~el gf g~ibvf e liw de pcf gf| jcddcf~| gf qf~|ikkf| ev Jf}cuvf+ jf|v~f uvf

    de pcidfklf evbjfkwf$ df| |f~pclf| gejnvdeklf |ikw gf qdv| fk qdv| jc| likw~cnvwcik+ De L~ic}*^ivbf jf}cleckf b~f fkpc~ik =1&

    gf| ejnvdeklf| gv qes|+ Di~|uvcd| wfkwfkw gpelvf~ df| pclwcjf|$ df| ejnvdeklcf~| |ikw qe~ic| q~c| gek| gf| wc~| l~ic|| fkw~f bekb|

    ~cpev}$ iv fkw~f lf| b~ivqf| fw de qidclf+ De L~ic}*^ivbf jf}cleckf ke oejec| ecw dinofw gvkf eb~f||cik gc~flwf$ glde~f Pedfkwck

    Le|wcdde E|w~ege$ lii~gikkewfv~ gf de |flwcik gf \ckedie+ Df| b~ivqf| kiv| lik|cg~fkw lijjf vkf i~bekc|ewcik uvc e qiv~ pilewcik

    gf iv~kc~ vkf e||c|weklf fw uvc kf q~fkg qe~wc kc qiv~ df| vk| kc qiv~ df| evw~f|+ Kekjick|$ df| ejnvdeklcf~| pcpfkw gek| de l~eckwf

    gw~f q~c| qe~wcf+ Ik kf |ecw oejec| lf uvc qfvw kiv| e~~cpf~$ f}qdcuvf df lii~gikkewfv~ egoickw gf de |flwcik gf Lcvgeg Ove~fz+ Kiv|

    epik| p~ecjfkw qfv~+ Epekw$ kiw~f |fvd |ivlc wecw gf pfkc~ fk ecgf ev} jedegf| iv ev} pclwcjf| gellcgfkw|+ Kiv| w~epecddcik| fk wivwf

    |lv~cw+ Evoiv~gmvc$ df| lmi|f| ikw lmekb+ Di~|uvvkf picwv~f eqq~ilmf gv dcfv i kiv| ckwf~pfkik|$ kiv| epik| qfv~ uvf uvfduvf

    lmi|f wiv~kf jed+ Df LCL^ ecgf de L~ic}*^ivbf jf}cleckf ~fpic~ |f| q~ilgv~f| fw q~ewcuvf| iq~ewcikkfddf| qiv~ e||v~f~ qdv| fle*

    lfjfkw de |lv~cw gf lf| ejnvdeklcf~| gpiv|+

    lf uvf Gcw Df G^icw ? Df| pmclvdf| |ekcwec~f| gicpfkw fk wivw wfjq| w~f ~f|qflw| fw q~iwb|$

    fw kf gicpfkw qe| w~f dinofw gewweuvf|+

    Df| vkcw| |ekcwec~f| kf gicpfkw qe| w~f vwcdc|f| qiv~ deklf~ gf| ewweuvf|

    iv lijjf nivldcf~| qiv~ q~iwbf~ gf| lijnewwekw| iv gf| inoflwc|

    jcdcwec~f| likw~f vkf ewweuvf+

    Df| pmclvdf| |ekcwec~f| qf~gfkw dfv~ q~iwflwcik |cd| |ikw fjqdis|$

    fk gfmi~| gf dfv~| iklwcik| mvjekcwec~f|$ qiv~ lijjfww~f gf| elwf|

    kvc|cndf| dfkkfjc+

    Qe~ elwf| kvc|cndf| dfkkfjc $ ik fkwfkg kiwejjfkw df w~ek|qi~w

    gf w~ivqf| pedcgf|$ ge~jf| iv gf jvkcwcik|$ eck|c uvf de liddflwf iv

    de w~ek|jc||cik gf ~fk|fcbkfjfkw| jcdcwec~f|+

    Df qi~w ge~jf| db~f| qe~ df qf~|ikkfd gf |ekw qiv~ e||v~f~ |e q~iq~f

    q~iwflwcik kf|w qe| lik|cg~ lijjf vk elwf kvc|cndf dfkkfjc$ gf

    jjf uvf de q~|fklf ge~jf| uvc pcfkkfkw gw~f ~fwc~f| ev} ndf|||+

    Df| cklcgfkw| c|id| cjqdcuvekw gf| qf~|ikkfd| gf |ekw$ gf| |w~vlwv~f|

    jgcledf| iv gf| pmclvdf| |ekcwec~f|$ fw lik|cg~| lijjf gf| elwf|

    kvc|cndf| dfkkfjc$ kevwi~c|fkw qe| df| elwfv~| e~j| ewweuvf~ lf|

    gf~kcf~| gf jekc~f ckgc|l~cjckf+ Wivwf ewweuvf gicw w~f q~lgf gvkf

    |ijjewcik }ekw vk gdec ~ec|ikkendf fw w~f jfkf gek| df ~f|qflw gf|q~cklcqf| gf gc|wcklwcik fw gf q~iqi~wcikkedcw+

    uvfddf| |vnc||fkw |ikw gv| de jeklf uvf |v|lcwfkw

    df| |f~pclf| ejnvdeklcf~| qiv~ epic~ w vwcdc|| gf

    eik env|cpf qe~ df qe||+ Dv|ebf env|c gf pmclvdf|

    |ekcwec~f| ke qe| klf||ec~fjfkw qiv~ inofw gf kvc~f ?

    ev Kqed$ df| likgvlwfv~| gejnvdeklf |f qdecbkfkw

    uvf lf~weck| qidcwclcfk| |f |f~pfkw gf dfv~| pmclvdf|

    lijjf gf we}c| q~cp|$ iv uvf gevw~f| s ikw ~fliv~|

    qiv~ pcwf~ gw~f bk| qe~ df| ne~~ebf| ~ivwcf~| g~f|*

    || di~| gf| b~pf| bk~edf| uvc qe~eds|fkw df qes|+

    Wivwfic|$ lf~weck| b~ivqf| e~j| ~fliv~fkw de qf~*

    gcf$ fk vwcdc|ekw gdcn~jfkw de jc||cik jgcledf

    qiv~ qcbf~ dfkkfjc+ Fk Ebmekc|wek$ diqqi|cwcik

    e~jf ke qe| m|cw deklf~ gf| ejnvdeklf| ~fjqdcf|

    gf}qdi|c| w~epf~| gf| li~gik| gf |lv~cw+ Df 2 ep~cd

    >155$ df LCL^ e qvndcuvfjfkw gkikl lf wsqf gf pcide*

    wcik b~epf gv g~icw ckwf~kewciked mvjekcwec~f de |vcwf

    gvkf ewweuvf lijjc|f d ecgf gvkf ejnvdeklf |v~ vk

    lfkw~f gf i~jewcik gf| i~lf| gf qidclf$ Hekgeme~$

    uvc e lev| de ji~w gf 5> qf~|ikkf|+ Vk qi~wf*qe~idf

    gf| wedcnek| e edi~| q~ijc| vkf fkuvwf |v~ lfwwf e*ec~f fw glde~ uvf gf wfd| e||evw| kf |f ~fq~igvc~ecfkw

    qdv|+ Fk Dcnsf$ df LCL^ e bedfjfkw fv likkec||eklf gf

    le| q~|vj| gv|ebf env|c gf dfjndjf gf de l~ic}

    ~ivbf fw gv l~ic||ekw ~ivbf qiv~ |ivwfkc~ gf| iq*

    ~ewcik| jcdcwec~f|$ fw gvwcdc|ewcik gejnvdeklf| qiv~

    w~ek|qi~wf~ gf| e~jf| fw gf| lijnewwekw| e~j|+

    Dfjqdic env|c gf| fjndjf| q~iwflwfv~|$ eck|c uvf

    gf| ck~e|w~vlwv~f| fw pmclvdf| q~iwb| lik|wcwvf

    vk env| gf likeklf fw ~c|uvf gfkbfkg~f~ vk lf~ldf

    pclcfv} uvc kcw qe~ ~fjfww~f fk uvf|wcik df nvw jjf

    gf| fkwcw| kfvw~f| gek| df| |cwvewcik| gf likcw+

    Di~|uvf gf| ejnvdeklf| |ikw vwcdc|f| gf eik env*

    |cpf$ uvf lf |icw qiv~ w~ijqf~ dfkkfjc iv wivwf

    evw~f k$ fddf| pfcddfkw de |v|qclcik+ Ev jcfv}$ fddf|

    |ikw edi~| |ivjc|f| ev} jjf| wfjq| gewwfkwf fw

    in|weldf| uvf wivw evw~f pmclvdf+ Ev qc~f$ fddf| gf*

    pcfkkfkw de lcndf gewweuvf|+ Gek| df| gfv} le|$ fddf|

    qf~gfkw depekwebf uvik dfv~ e elli~g gf q~|f~pf~

    de pcf mvjeckf gek| df| likcw|$ fw lf$ ev gw~cjfkw gf|

    ndf||| fw gf| jedegf| uvc ikw nf|ick gf |ick| jgc*

    lev} gf wivwf v~bfklf+

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

    20/24>1

    LF UVF @ECW DF LCL^

    EjkikBvwjek)LCL^

    jf\v^f\ q^ ewcuvf\; Df LCL^ kbilcf epfl df| qe~wcf| ev likcw gf| lf||fz*

    df*fv iv gevw~f| jf|v~f| pc|ekw be~ekwc~ vk qe||ebf

    fk wivwf |lv~cw qiv~ pelvf~ df| ndf||| fw df| ji~w|$

    e||v~f~ dell| ev} |ick| gf |ekw iv jfkf~ gf| q~i*

    b~ejjf| gf |ekw q~pfkwcpf wfd| uvf gf| lejqebkf|

    gf pellckewcik+ Gek| lf~weck| likwf}wf|$ kiwejjfkw

    gek| df wf~~cwic~f qedf|wckcfk illvq$ cd kbilcf bedf*

    jfkw vkf picf ~eqcgf qiv~ df| ejnvdeklf| ev} qi|wf|

    gf likw~df+

    ; Cd |fjqdicf ~fki~lf~ de q~iwflwcik gf| |w~vlwv~f|

    jgcledf| likw~f df| gijjebf| jew~cfd|$ fk lik|w~vc*

    |ekw gf| jv~| gf |el| gf |endf iv gf| en~c| i~wc|$ fw

    fk eqqdcuvekw |v~ df| fkw~f| gf| dj| gf q~iwflwcik

    likw~f df| f}qdi|cik|+

    ; Df LCL^ |cbkedf df| |w~vlwv~f| jgcledf| decgf gf|

    fjndjf| gf de l~ic} ~ivbf iv gv l~ic||ekw ~ivbf

    -bv~ekw |v~ gf| g~eqfev} iv qfckw| gc~flwfjfkw |v~

    df| wicw|#$ fw ck|weddf gek| df| lfkw~f| jgclev} gf| qek*

    kfev} ckwf~gc|ekw df| e~jf| dckw~cfv~ gf| dilev}+

    Gek| lf~weck| likwf}wf|$ lijjf fk \ijedcf$ cd wendcw

    vk |s|wjf indcbfekw df| qi~wfv~| ge~jf| dec||f~

    dfv~| e~jf| fk gqw dfkw~f gf| mqcwev}+ Df LCL^

    iv~kcw bedfjfkw gf| gi||e~g| ev qf~|ikkfd gf |ekw

    qiv~ ckgcuvf~ dfv~ |wewvw q~iwb+

    Gje^lMf\ \v^ Df qDek ov^cGcuvf; Df LCL^ |fjqdicf gcv|f~ df g~icw ckwf~kewciked mv*

    jekcwec~f evq~| gf| i~lf| e~jf|$ gf| ~fq~|fkwekw|

    bivpf~kfjfkwev}$ gf| b~ivqf| giqqi|cwcik kik we*

    wcuvf|$ gf| jfjn~f| ckvfkw| gf de |ilcw lcpcdf fw gv

    li~q| jgcled+ Cd fkliv~ebf df| wew| ckwb~f~ df g~icw

    ckwf~kewciked mvjekcwec~f gek| dfv~ dbc|dewcik kewcike*

    df$ kiwejjfkw gf| gc|qi|cwcik| pc|ekw dcjcwf~ dv|ebf

    gf| fjndjf| gf de l~ic} ~ivbf fw gv l~ic||ekw ~ivbf$

    fw fk be~ekwc~ df ~f|qflw+ Dck|wcwvwcik |fi~lf bedf*

    jfkw gf ec~f jcfv} likkew~f df| ~bdf| q~iwbfekw df||w~vlwv~f| jgcledf|$ fw dindcbewcik uvc cklijnf ev}

    qi~wfv~| ge~jf| fw ev} qf~|ikkfd| gf |ekw gf kf qe|

    lijq~ijfww~f de kfvw~edcw gf lf| |w~vlwv~f|+

    ; Cd eqqfddf dfk|fjndf gf| qe~wcf| vk likcw kf qe|

    fkw~epf~ df| |ick| gf |ekw$ eck|c uv ~f|qflwf~ fw elc*

    dcwf~ df w~epecd gf| qf~|ikkfd| gf |ekw fw gf| pidikwec~f|+

    ; Df LCL^ fkw~fwcfkw vk gcedibvf epfl wivwf| df| qe~*

    wcf| vk likcw$ uvfddf| |icfkw lik|cg~f| lijjf

    dbcwcjf| iv kik qe~ df lejq egpf~|f+ Cd ecw ~eqqi~w

    gf| eddbewcik| gf pcidewcik| gv g~icw ckwf~kewciked

    mvjekcwec~f ev} qe~wcf| liklf~kf|$ epfl df|uvfddf|

    cd fkbebf vk gcedibvf likgfkwcfd |v~ df| jf|v~f|

    q~fkg~f qiv~ q~pfkc~ gf wfddf| pcidewcik| depfkc~+

    G| uvvk likcw ldewf gek| df jikgf$ df LCL^ jfw |v~ qcfg vkf iq~ewcik gv~bfklf qiv~ s ec~f elf$ gikw vk

    de~bf pfkwecd gelwcpcw| jgcledf|$ uvc pikw gf dpelvewcik gf| ndf||| de lmc~v~bcf gf bvf~~f+ Fk ivw~f$ cd ebcw

    |ivpfkw fk livdc||f gv~ekw df| likcw| fw$ qdv| dikb wf~jf$ fk wfjq| gf qec} $ ek gf l~f~ vk fkpc~ikkfjfkw

    q~iqclf ev ~f|qflw gf delwcik gv Jivpfjfkw ckwf~kewciked gf de L~ic}*^ivbf fw gv L~ic||ekw*^ivbf fw gv g~icw

    ckwf~kewciked mvjekcwec~f+

  • 8/3/2019 Les soins de sant en danger : expos d'une urgence

    21/24>5

    Wmije|Qczf~)LCL^

    QeklmiGvge)LCL^

    OvekLe~di|\cf~~e)\fj

    ekeKfr|

    Ni~c|Mfbf~)LCL^

    ; Df LCL^ fk~fbc|w~f df| lii~gikkf| BQ\ -diledc|ewcik

    fw qi|cwcikkfjfkw qe~ |ewfddcwf# gf| |w~vlwv~f| jgcle*

    df| fw df| lijjvkcuvf wivwf| df| qe~wcf| ev likcw+

    ; Cd gc|qfk|f gf| i~jewcik| fk q~fjcf~| |fliv~| ev}

    gc~fkw| b~ivqf| uvc |ikw f}qi|| de pcidfklf$ ek

    gf dfv~ eqq~fkg~f |wencdc|f~ df| ndf||| epekw uvcd| kf

    |icfkw q~c| fk lme~bf qe~ df| wendc||fjfkw| gf |ekw+

    Lf| i~jewcik| |ikw ev||c dille|cik qiv~ df LCL^ gf

    gc|lvwf~ gc~flwfjfkw epfl df| lijnewwekw| gf dcjqi~*

    weklf gf ~f|qflwf~ df g~icw ckwf~kewciked mvjekcwec~f+

    ; Df LCL^ jkf gf| lejqebkf| gcki~jewcik gek| df|

    zikf| i df| elwf| gf pcidfklf likw~f df| qf~|ikkfd| gf

    |ekw fw df| |w~vlwv~f| jgcledf| |ikw ~uvfkw|+ Cd e qe~

    f}fjqdf jc| |v~ qcfg vkf |~cf ~egciqmikcuvf epfl dfNNL W~v|w @vkg fk Ebmekc|wek$ eck|c uvvkf lejqebkf

    gelmebf gek| df wf~~cwic~f qedf|wckcfk illvq+

    ; Cd ellijqebkf df| ndf||| fw df| jedegf| dmqcwed

    |cd| l~ecbkfkw gf ec~f dinofw gf gc|l~cjckewcik+

    ; Cd jfw fk qdelf gf| vkcw| jgcledf| jincdf| gek|

    df| zikf| uvc |ikw gclcdf| gell|$ lijjf |ik uvcqf

    lmc~v~bcledf elwcpf ev Ge~iv~ gf >116 >113$ iv |f|

    gc|qfk|ec~f| w~ek|qi~w| qe~ leki gek| df| zikf| ~f*

    lvdf| gf Lidijncf+

    ; Fk liddeni~ewcik epfl df| \ilcw| kewcikedf| gf|

    qes| fk q~icf gf| likcw| iv gevw~f| |cwvewcik| gf

    pcidfklf$ df LCL^ jkf gf| lejqebkf| \ef~ Ellf||

    gek| df nvw gf q~ijivpic~ vk jfcddfv~ ell| ev} zikf|

    qiwfkwcfddfjfkw gekbf~fv|f|$ fk ~gvc|ekw df| ~c|uvf|

    ev jckcjvj+ Gf| elwcpcw| |ikw bedfjfkw fkw~fq~c|f|

    qiv~ ec~f jcfv} likkew~f df ~df fw df| iklwcik| gf|

    \ilcw| kewcikedf|$ fw qiv~ ejdci~f~ dfv~ cjebf ev

    |fck gv qvndcl+

    ; Gf liklf~w epfl wivwf| df| qe~wcf| ckw~f||f|$ df LCL^|fi~lf gf ~fjgcf~ gf| q~indjf| |qlcuvf|$

    lijjf df| in|weldf| ev}uvfd| |ikw lik~ikw| df| ej*

    nvdeklcf~|+ Qiv~ ejdci~f~ de ~qvwewcik fw df ~f|qflw

    gf| |f~pclf| gejnvdeklf ev Kqed$ dck|wcwvwcik i~be*

    kc|f ~bvdc~fjfkw gf| ~vkcik| epfl lf| |f~pclf|$ de

    \ilcw kewcikedf$ df| ~fq~|fkwekw| bivpf~kfjfkwev}

    fw df| elwfv~| kik wewcuvf|$ fk pvf gf gc||cqf~ df| je*

    dfkwfkgv| fw gf ~eqqfdf~ df ~df fw df| ~f|qik|encdcw|

    uvc cklijnfkw ev} likgvlwfv~| gejnvdeklf$ ev} qidc*

    wcuvf| fw lfv} uvc wcfkkfkw gf| qi|wf| gf likw~df+

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    LF UVC ^F\WF @EC^FUvf lf |icw |iv| i~jf gelwf| iv gf jfkelf|$ de pcidfklf likw~f df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f| jgcledf| fw df|

    qewcfkw| gicw w~f lik|cg~f lijjf dvk gf| q~indjf| mvjekcwec~f| df| qdv| b~epf| fw df| qdv| ~qekgv| gek| df jikgf$

    evoiv~gmvc+ Lijjf df jikw~f de q~|fkwf qvndclewcik$ cd evw gf wivwf v~bfklf e||v~f~ de |lv~cw gf| ndf||| fw gf| jedegf|$

    gf| qf~|ikkfd| gf |ekw$ gf| |w~vlwv~f| jgcledf| fw gf| pmclvdf| |ekcwec~f| gv~ekw df| likcw| e~j| fw evw~f| |cwvewcik| gf

    pcidfklf+ Nfevlivq ~f|wf ec~f qiv~ uvf df| ndf||| fw df| jedegf| ecfkw ell| ev qdv| pcwf ev} |ick| gf |ekw$ fw qiv~ uvcd s ecw

    gf| |w~vlwv~f| jgcledf| qiv~ df| ellvfcddc~$ uvfddf| gc|qi|fkw gf |v|ejjfkw gf qf~|ikkfd$ gf jgclejfkw| fw gf jew~cfd

    fw uvfddf| qvc||fkw iklwcikkf~ fk wivwf |lv~cw+ De lijjvkevw gf| |ick| gf |ekw kf qfvw e||v~f~ |fvdf de q~iwflwcik gf|

    |ick| gf |ekw+ Lfwwf ~f|qik|encdcw cklijnf fk q~fjcf~ dcfv ev} wew| fw ev} lijnewwekw|+

    5+ l~~ g~|

    Df LCL^ |fi~lf ginwfkc~ vk |ivwcfk gf de qe~w gv

    Jivpfjfkw ckwf~kewciked gf de L~ic}*^ivbf fw gv

    L~ic||ekw*^ivbf$ gf de lijjvkevw gf| |ick| gf

    |ekw$ gf| i~bekc|ewcik| jgcledf| mvjekcwec~f|$ gf|

    i~lf| e~jf| fw gf| bivpf~kfjfkw| gv jikgf fkwcf~+Fk pvf gf ~fki~lf~ df ~f|qflw gv g~icw$ lfwwf lijjv*

    kevw gckw~w| |ewwelmf~e q~ijivpic~ vkf lvdwv~f

    gf de ~f|qik|encdcw qe~jc wiv| df| elwfv~| gc~flwfjfkw

    liklf~k| qiv~ q~iwbf~ df| |ick| gf |ekw+

    >+ ldd~ g| ~| g ~d~

    |s|

    Ek gf jcfv} |ec|c~ de kewv~f gf| ewweuvf| likw~f df|

    qewcfkw|$ df| qf~|ikkfd| gf |ekw$ df| |w~vlwv~f| jgc*

    ledf| fw df| pmclvdf| |ekcwec~f|$ fw gf qivpic~ ebc~ qdv|

    flelfjfkw qiv~ s ec~f elf$ gf| cki~jewcik| |v~

    lf| cklcgfkw| gfp~ecfkw w~f qdv| |s|wjewcuvfjfkw

    liddflwf| fw lijqcdf| epfl df| gikkf| ~flvfcddcf|

    qe~ gevw~f| ck|wcwvwcik|+

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    Jc||cik

    I~bekc|ewcik cjqe~wcedf$ kfvw~f fw ckgqfkgekwf$ df

    Lijcw ckwf~kewciked gf de L~ic}*^ivbf -LCL^# e de jc||cik

    f}ldv|cpfjfkw mvjekcwec~f gf q~iwbf~ de pcf fw de gcbkcw

    gf| pclwcjf| gf likcw| e~j| fw gevw~f| |cwvewcik| gf

    pcidfklf$ fw gf dfv~ qi~wf~ e||c|weklf+ Df LCL^ |fi~lf

    bedfjfkw gf q~pfkc~ de |iv~eklf qe~ de q~ijiwcik fw

    df ~fki~lfjfkw gv g~icw fw gf| q~cklcqf| mvjekcwec~f|

    vkcpf~|fd|+ L~ fk 5=0

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    151=+>

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