Editorial
This issue opens with a new file from the Open Notebooks dedicated to social isolation, with guidelines for action in our territories. The question of connection runs through this entire issue: loneliness, housing, extreme poverty, but also equity in global health in the face of funding cuts. Screens remain at the heart of current events, among children as well as among people with disabilities. On the public policy side, the PLFSS 2027, the health at work plan for the public service, and the AI roadmap of the National Education announce concrete changes for our practices. The Local Health Contract is presented as a lever for Health in all policies, and the OECD proposes a method for selecting and adapting interventions from elsewhere. The medico-social sector will find an analysis of FINESS data, and a guide from Miviludes helps to identify sectarian drifts in health. Forty years after Ottawa, Theresa Tam reminds us that the principles of health promotion remain valid in the face of current crises.
News from Health Practices
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The Open Notebooks of Health Practices: social isolation
https://www.pratiquesensante.com/blog/actualites-17/les-cahiers-ouverts-de-pratiques-en-sante-5998 and 🎙️🎥 https://www.youtube.com/watch?v=XTJnc9GVxBw
HEALTH PROMOTION
Health promotion in an era of upheaval: applying sustainable principles in a changing world
🧭 40 years after the Ottawa Charter, Theresa Tam argues that we should not replace the principles of health promotion, but apply them to current crises. https://www.pratiquesensante.com/blog/pratiques-15/la-promotion-de-la-sante-a-l-ere-des-bouleversements-appliquer-des-principes-durables-dans-un-monde-qui-change-6252
Guide to best practices in public health (OECD)
🧭 Choose an intervention from elsewhere, check that it can work at home, implement it and then evaluate it: the OECD details a 3-step approach, with grids and examples mainly drawn from European countries. https://www.pratiquesensante.com/blog/pratiques-15/guidebook-on-best-practices-in-public-health-6248
SOCIETAL AND ENVIRONMENTAL ISSUES
Focus – Modes and places of life. Protecting connections, designing spaces
🤝📱 Solitude, screens, housing: the High Commissioner for Strategy and Planning proposes a law on attention, a strategy against solitude, and a principle of habitability. https://www.pratiquesensante.com/blog/pratiques-15/focus-modes-et-lieux-de-vie-proteger-les-liens-amenager-les-lieux-6238
Under fire, unyielding: triple the commitment to public accountability and intersectional solidarity for equity in global health
🌍⚖️ End of USAID, cuts in the fight against HIV, regression of rights: three authors refuse to adapt in silence and call out researchers and practitioners. https://www.pratiquesensante.com/blog/pratiques-15/sous-le-feu-inflexibles-tripler-la-mise-sur-la-redevabilite-publique-et-la-solidarite-intersectionnelle-pour-l-equite-en-sante-mondiale-6243
PUBLIC POLICIES
The local health contract as a tool for implementing the Health in All Policies approach
🏙️🤝 Three communities, one tool: under what conditions can the local health contract become a lever for Health in All Policies? Barriers, levers, 6 recommendations
Budget 2027 and PLFSS 2027: presentation and annexes 1 to 9
🩺 PLFSS 2027: obligation for professionals to participate in organised screenings, storage of vaccines in occupational health and laboratories, sugar tax extended to solid products… 🧭 https://www.pratiquesensante.com/blog/pratiques-15/budget-2027-et-plfss-2027-presentation-et-annexes-1-a-9-6251
Occupational health plan in the public service 2026-2030
🛡️ Mental health, professional burnout, violence, extreme heat: the 2026-2030 plan outlines 22 actions for agents of the three public services, with pilots and deadlines 📅 https://www.pratiquesensante.com/blog/pratiques-15/plan-sante-au-travail-dans-la-fonction-publique-2026-2030-6249
A useful, human, and sovereign AI for public services – Roadmap 2026/2027
AI in schools: tutor for students, assistant for agents, massive training. The 2026-2027 roadmap of the National Education, also useful for prevention actors. https://www.pratiquesensante.com/blog/pratiques-15/une-ia-utile-humaine-et-souveraine-pour-les-services-publics-feuille-de-route-2026-2027-6253
POPULATION HEALTH
Extreme poverty in rich countries: empirical analysis based on French data. Summary note
📊🏠 Severe poverty: 5.5 million people assisted by Restos du Cœur between 2018 and 2025, representing 8% of the population. A stay lasts an average of 18 months; unemployment and rents weigh heavily. https://www.pratiquesensante.com/blog/pratiques-15/l-extreme-pauvrete-dans-les-pays-riches-analyse-empirique-sur-donnees-francaises-note-de-synthese-6245
THEMATIC APPROACHES
Growing up with screens (file), Health in action, no. 474
📱🧒 Screens and childhood: what is agreed upon (sleep, sedentariness, vision), what remains debated (mental health, cognition) and concrete tools to support families and young people. https://www.pratiquesensante.com/blog/pratiques-15/grandir-avec-les-ecrans-dossier-la-sante-en-action-n-474-6247
Health guide and sectarian drifts (Miviludes)
⚠️ Pseudo-therapies, control, abandonment of care: the Miviludes 2026 guide offers sheets by health profession to identify warning signs and know who to alert and how. https://www.pratiquesensante.com/blog/pratiques-15/guide-sante-et-derives-sectaires-6240
MEDICAL AND SOCIAL ESTABLISHMENTS AND SERVICES
Preventing problematic screen use among people with cognitive, mental or psychological disabilities
🧩 Screens and cognitive, mental or psychological disabilities: few data, but seven intervention levers, each illustrated by an existing project, and the testimony of a DIME. https://www.pratiquesensante.com/blog/pratiques-15/prevenir-l-usage-problematique-des-ecrans-aupres-des-personnes-en-situation-de-handicap-cognitif-mental-ou-psychique-6241
Observing the medical-social offer based on FINESS data
🔎📊 Does FINESS accurately describe the medical-social offer? This working document compares the directory to 4 other sources and proposes a reliability grid and 5 usage conditions. https://www.pratiquesensante.com/blog/pratiques-15/observer-l-offre-medico-sociale-a-partir-des-donnees-finess-6242
ACCESS AND QUALITY OF CARE
Reforming the care offer: what Europe tells us (Anap)
Six European countries are reforming their care offer around the gradation of care. Anap derives five success conditions: shared diagnosis, consultation, funding, measurement, follow-up. https://www.pratiquesensante.com/blog/pratiques-15/reformer-l-offre-de-soins-ce-que-l-europe-nous-dit-6254