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Open AccessArticle

The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

1
Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33076 Bordeaux, France
2
Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France
3
Department of Obstetrics and Gynecology, Bordeaux University Hospital, 33076 Bordeaux, France
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(3), 694; https://doi.org/10.3390/ijerph17030694
Received: 17 December 2019 / Revised: 15 January 2020 / Accepted: 18 January 2020 / Published: 21 January 2020
(This article belongs to the Special Issue Health Impact Assessment)
In France, a new approach is being developed through the ARTEMIS Center, which is a prevention platform for environmental health dedicated to reproduction. The objective is to describe the clinical management of patients in the ARTEMIS center. Couples with a condition affecting reproduction are referred to the ARTEMIS center. Management includes a medical consultation and a standardized interview. Current exposure is assessed by a questionnaire that includes exposure circumstances to reproductive risk factor and on the basis of which it is possible to implement preventive action in clinical practice without prejudging the role of such exposure in the onset of disease. From 16 February 2016 to 2 May 2019, 779 patients were seen in the ARTEMIS center. On the day of the consultation, 88.3% men and 72.2% women were employed. Among employed men, 61.5% had at least one instance of occupational exposure to a reproductive risk factor, and among employed women, 57.8%. The main nonprofessional circumstances of exposure identified were proximity of the residence to an agricultural area (35.3%) and domestic pesticide exposure (79.7%). The preventive actions implemented by the ARTEMIS center are targeted to the individual practices of patients. However, patient care also allows their physicians to become familiarized with environmental health. View Full-Text
Keywords: prevention; environmental exposure; reproduction prevention; environmental exposure; reproduction
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MDPI and ACS Style

Delva, F.; Manangama, G.; Brochard, P.; Teysseire, R.; Sentilhes, L. The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction. Int. J. Environ. Res. Public Health 2020, 17, 694.

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