@article{fdi:010092813,
  title = {{C}olonial transition as a major mediator of global health transition : lessons from the 2024 {N}ew {C}aledonia crisis},
  author = {{M}oury, {P}. {H}. and {T}romhae, {M}. and {C}azorla, {C}. and {S}{\'e}rie, {M}. and {F}lahault, {A}. and {C}ouadau, {E}. and {F}leury, {C}. and {M}angeas, {M}organ and {D}e {G}reslan, {T}.},
  editor = {},
  language = {{ENG}},
  abstract = {{N}ew {C}aledonia is currently seeking its future institutional framework through violent, politically-driven clashes within the population. {T}he insurrections in {M}ay 2024, fuelled by political, and social divisions, also targeted the healthcare system in an unprecedented manner. {H}ere we summarise the situation from a global health perspective and outline its link with colonial transitions. {T}he territory now faces new health-related challenges because of trends in ageing (due to demographic transitions) and the transition from infectious to noncommunicable diseases ({NCD}s), especially due to disparities between ethnic groups. {R}esearch has shown the {M}elanesian ({K}anak) and {O}ceanian populations had a higher average body mass index than {E}uropean ({P} < 0.001). {S}imultaneously, the incidence of leptospirosis (which is associated with rainfall) in 2021-22 were higher in the communal district where the {K}anak group formed the majority of the population, compared to the western and southern coasts, where {E}uropean people lived. {A}mong the {NCD}s, issues with mental health predominate the literature, especially among the young, males, and the {K}anak population. {W}e therefore call for a deep consideration of this problem, considering all the cases that are emerging due to the new civil unrest that targeted all the society. {S}imultaneously, the 2020 and 2021 referendums for independence during the {COVID}-19 pandemic lockdowns revealed the deep-seated impacts of global health transition embedded within the colonial trauma, as disease control and its consequences were an essential prerequisite for the political debate. {T}hese vulnerabilities highlighted the urgency for targeted interventions, necessitating an approach adapted to community care that respects the {N}ew {C}aledonia people's cultural practices. {W}e also call for a field-based experimental approach that must emphasise sustainable health, inequality reduction, the {O}ne {H}ealth approach, and climate change. {U}ltimately, integrating sociological insights into health policies is crucial for restoring dignity, addressing trauma, and preparing for future crises, fostering a more inclusive and resilient society.},
  keywords = {{NOUVELLE} {CALEDONIE}},
  booktitle = {},
  journal = {{J}ournal of {G}lobal {H}ealth},
  volume = {15},
  numero = {},
  pages = {03004 [7 p.]},
  ISSN = {2047-2978},
  year = {2025},
  DOI = {10.7189/jogh.15.03004},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092813},
}