About this trial
The prison system in French Guiana is characterized by severe overcrowding, high levels of promiscuity, poor sanitary conditions, and the documented presence of potential reservoirs or vectors of zoonotic diseases, particularly swallows and rodents.
In French Guiana, several zoonotic diseases have a high incidence or are of particular public health significance, including Q fever, leptospirosis, Chagas disease, histoplasmosis, and toxoplasmosis. Despite this context, the risk of zoonotic diseases in prisons remains poorly documented, even though endemic and epidemic circulation of Q fever has already been described at the French Guiana correctional facility. This study aims to document this risk in a systematic and prospective manner.
The main objective is to assess the prevalence of zoonotic infections (Q fever, leptospirosis, Chagas disease, histoplasmosis, and toxoplasmosis) among inmates at the French Guiana Correctional Facility in 2026-2027.
The other objectives are :
* To measure the seroprevalence of zoonotic infections among new arrivals at the French Guiana correctional facility; * To identify individual risk factors, both within and outside the prison, for acquiring zoonotic infections; * To analyze the results in relation to bioclimatic data (wind direction, humidity, precipitation, temperature) The expected benefits will aim to objectively assess the risk of zoonotic diseases within the French Guiana correctional facility, to improve understanding of zoonoses in prison settings, to guide the implementation of appropriate prevention and screening measures, and to contribute to improving health conditions in detention.
It should also strengthen cooperation between health and justice officials as part of an integrated approach to the prevention and management of infectious diseases.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult aged 18 or older
Incarcerated and housed at the French Guiana Correctional Facility for 15 days or less.
Disqualifiers
Refusing to participate in the study
Pregnant women
Had already participated in the study
Trial population
Adults above 18 years old, incarcerated and housed at the French Guiana Correctional Facility for 15 days or less, from september 2026 to september 2028
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Incidence rate of zoonotic infections of interest (Q fever, leptospirosis, Chagas disease, histoplasmosis, toxoplasmosis) among participants who were seronegative for the infection in question at enrollment
Number of new infections documented during follow-up divided by the person-time actually observed in detention at the correctional facility, from enrollment until the occurrence of the event, the last available visit, release, transfer, withdrawal of consent, or the end of follow-up at 12 months.
Secondary outcomes
Seroprevalence of Q fever at baseline
Proportion of participants with positive Q fever serology at enrollment
Seroprevalence of leptospirosis at baseline
Proportion of participants with positive Q leptospirosis serology at enrollment
Seroprevalence of Chagas disease at baseline
Proportion of participants with positive Chagas disease serology at enrollment
Seroprevalence of toxoplasmosis at baseline
Proportion of participants with positive toxoplasmosis serology at enrollment
Sponsors and contacts
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Centre Hospitalier de Cayenne
Lead sponsor
European Founds for regional Developement (FEDER)
Collaborator
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