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Author |
Roduit, Pascal |
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Title |
Les offres résidentielles en matière de traitement des addictions: le temps de l'“innovation adaptative” |
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Journal Article |
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Year |
2012 |
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ARTIAS : dossier du mois |
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05/2012 |
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12 |
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Keywords |
addiction; inpatient care; residential facility; French-speaking Switzerland; Ticino; Switzerland |
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Abstract |
L’évolution de l’action collective en matière de traitement et de réinsertion dans le champ des addictions s’inscrit dans un processus de renforcement et d’élargissement de l’offre – résidentielle et ambulatoire – de prise en charge des personnes dépendantes. Une tendance à l’affaiblissement de la place du résidentiel est identifiée en Suisse depuis la fin des années 1990. Cependant, face à la prévalence de certaines situations sociales et psychopathologiques lourdes et à l’évolution des profils des usagers, cette relativisation de la place du résidentiel semble avoir plus récemment trouvé ses limites. Les différents acteurs des dispositifs de traitement reconnaissent que l’addiction est un phénomène qui résulte de l’interaction de multiples facteurs. La recherche de solutions implique la concertation de plusieurs domaines complémentaires: le social, la santé, l’éducation et la sécurité. Dans cette perspective multifactorielle et interdisciplinaire, la sortie de la dépendance ne concerne pas seulement l’affranchissement de pratiques de consommation, mais aussi l’éloignement de situations de vie problématiques. Une «convergence adaptative» se dessine ainsi entre les approches médicale et sociale et les acteurs ambulatoire et résidentiel posant la question de leur articulation. Dès lors, comment intégrer les héritages des référentiels et de leurs dispositifs d’action respectifs sans diluer les compétences acquises? Et quelles pistes de réflexion peuvent inspirer des reconfigurations possibles de cette politique publique? Ce sont les questionnements auxquels l’Observatoire de la Ville et du Développement durable de l’Institut de Géographie de l’Université de Lausanne contribue à répondre dans une étude évaluative sur les institutions romandes publiée récemment1. Le présent article reprend et met en perspective les principaux enjeux que celle-ci a pu mettre en évidence. L’evoluzione dell’azione collettiva in materia di trattamento e di reinserimento nel campo delle dipendenze si iscrive in un processo di rafforzamento e di ampliamento dell’offerta – residenziale e ambulatoriale – di presa a carico delle persone dipendenti. Una tendenza all’indebolimento del ruolo del residenziale si evidenzia in Svizzera dalla fine degli anni 1990. Tuttavia, di fronte alla prevalenza di certe situazioni sociali e psicopatologiche pesanti e all’evoluzione dei profili degli utenti, questa relativizzazione del ruolo del residenziale sembra avere recentemente trovato i suoi limiti. I diversi attori dei dispositivi di trattamento riconoscono che la dipendenza è un fenomeno che risulta dall’interazione di molteplici fattori. La ricerca di soluzioni implica la concertazione di più campi complementari: il sociale, la sanità, l’educazione, la sicurezza. In questa prospettiva multifattoriale e interdisciplinare, l’uscita dalla dipendenza non riguarda solo l’affrancamento dalle pratiche di consumo, ma anche l’allontanamento dalle situazioni di vita problematiche. Una “convergenza di adattamento” si disegna fra gli approcci medico e sociale e gli attori dei settori ambulatoriale e residenziale, ponendo la questione della loro articolazione. Quindi, come integrare le diverse prospettive e i rispettivi dispositivi d’azione senza diluire le competenze acquisite? E quali piste di riflessione possono nascere dalle riconfigurazioni possibili di questa politica pubblica? Sono le domande alle quali l’Osservatorio della Città e dello Sviluppo sostenibile dell’Istituto di Geografia dell’università di Losanna contribuisce a rispondere in uno studio di valutazione sulle istituzioni romande pubblicato recentemente.Il presente articolo riprende e mette in prospettiva le principali sfide che lo studio ha potuto mettere in evidenza. |
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Association romande et tessinoise des institutions d'action sociale (ARTIAS) |
Place of Publication |
Yverdon-les-Bains |
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French |
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Riassunto anche in italiano |
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Call Number |
50-12687 |
Serial |
60922 |
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Author |
Menzi, Peter; Hoffmann, Regine; Bruggmann, Philip |
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Title |
Hepatitis-C-Versorgung in den Kontakt- und Anlaufstellen : Projektbericht |
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Report |
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Year |
2012 |
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12 |
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Keywords |
harm reduction; hepatitis C; prevention; HIV infection; Aids; treatment and maintenance; study; Zurich; Switzerland |
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Abstract |
Die Schweiz bietet mit einer fortschrittlichen Drogenpolitik und dem gesetzlich verankerten Ansatz der Schadensminderung gute Voraussetzungen, um als Drogenkonsument oder -konsumentin gesund zu bleiben oder es wieder zu werden. Gross angelegte Aufklärungskampagnen über das HIV-Ansteckungsrisiko und Aids haben in den letzen zwei Jahrzehnten enorme Erfolge erzielt. Im Bereich der Hepatitis C sieht die Bilanz ernüchternder aus. Über 50 Prozent der intravenös Drogen Konsumierenden (aktiv oder ehemals) sind mit dem Hepatitis-C-Virus (HCV) infiziert. Obschon viele von ihnen in medizinischer Betreuung sind, werden sie nur selten auf eine mögliche Infektion getestet, und wenn ein positives Resultat vorliegt, wird eine Therapie noch immer sehr zurückhaltend angeboten. Eine unbehandelte Hepatitis C kann jedoch zu Leberschädigungen bis hin zu Leberversagen und damit zum Tod führen. Das Projekt der Testings in den Kontakt- und Anlaufstellen (K&A) der Stadt Zürich soll die Konsumierenden selber, aber auch die in der Suchtversorgung tätigen Institutionen für das Problem der Hepatits-C-Infektionen sensibilisieren und über Behandlungsmöglichkeiten aufklären. Die Auswertung des Pilotprojekts zeigt, dass das Bedürfnis nach Information gross ist – die Weichen für entsprechende Folgeprojekte sind somit gestellt. |
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Arbeitsgemeinschaft für risikoarmen Umgang mit Drogen (ARUD) |
Place of Publication |
Zürich |
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German |
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Arud-News Forschung |
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1/2012 |
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Call Number |
50-12667 |
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60920 |
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various |
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Drugnet Europe No. 78 : New trend report for the evaluation of the EU drugs strategy 2005-12 : monitoring the uptake of HCV treatment among IDUs in Europe : feature: new drugs detected in the EU; at the rate of around one per week : Austria and Hungary tackle new psychoactive substances : EMCDDA to host first Reitox week : new EMCDDA products : 2012 EMCDDA scientific paper award |
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Journal Article |
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Year |
2012 |
Publication |
Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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Volume |
17 |
Issue |
78; 05/2012 |
Pages |
8 |
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Keywords |
addiction; AOD use, abuse, and dependence; chemical addiction; evaluation; heroin-assisted treatment; study; AOD supply; treatment and maintenance; monitoring; illicit drug; hepatitis C; law; psychoactive substances; Austria; Hungary; Reitox (body); international area; Europe; newsletter |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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English |
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0873-5379 |
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no |
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Call Number |
50-12593 |
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60916 |
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various |
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Drugnet Europe No. 79 : ESPAD releases latest survey results : responses to HIV outbreak among IDUs in Greece : feature: new drugs – making the international connections : new criteria applied to; Dutch “coffee shops” to reduce public nuisance : spotlight on psychiatric co-morbidity : new EMCDDA products and services : EMCDDA management board adopts next three-year work programme |
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Journal Article |
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Year |
2012 |
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Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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17 |
Issue |
79; 07/2012 |
Pages |
8 |
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Keywords |
addiction; AOD use, abuse, and dependence; chemical addiction; cannabis; drug market; drug trafficking; survey; illicit drug; tobacco product; smoking; school; prevalence; drug safety; HIV infection; Greece; Netherlands; drug decriminalization; comorbidity; European Monitoring Centre for Drugs and Drug Addiction (body); international area; Europe; newsletter |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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0873-5379 |
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Call Number |
50-12594 |
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60917 |
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Author |
Nordt, Carlos; Stohler, Rudolf |
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Title |
Heroinabhängigkeit: ein Update zur Problemlage und Versorgung im Kanton Zürich |
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Journal Article |
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Year |
2011 |
Publication |
Resultate aus der Begleitevaluation der Methadonbehandlung im Kanton Zürich |
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17; 12/2011 |
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2 |
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drug user; drug dependent; heroin; treatment and maintenance; harm reduction; heroin-assisted treatment; methadone; prevalence; incidence; monitoring; Switzerland |
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Forschungsgruppe Substanzstörungen der Psychiatrischen Universitätsklinik Zürich |
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Zürich |
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German |
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50-12297 |
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60865 |
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various |
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Drugnet Europe No. 77 : EMCDDA-Europol amphetamine review : range of tools needed to counter threat of emerging drugs : first European quality standards to improve drug prevention in the EU : EMCDDA 2012 work programme: new developmental areas supplement core analysis : Romania passes law to curb distribution of new psychoactive substances : European summer school in illicit drugs : new EMCDDA products and services : quality of EMCDDA outputs commended |
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Journal Article |
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2012 |
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Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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17 |
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77; 01/2012 |
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8 |
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AOD use, abuse, and dependence; amphetamines; psychoactive substances; HIV infection; prevention; quality control; laws and regulations; illicit drug; newsletter; European Monitoring Centre for Drugs and Drug Addiction (body) |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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English |
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0873-5379 |
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50-12267 |
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60863 |
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various |
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Drugnet Europe No. 76 : EMCDDA Annual report 2011 highlights : Europe's changing; opioid problem : risk of HIV outbreaks among drug injectors : feature: Seven ways to reduce infections among people who inject drugs : Finland and the UK; respond to emerging substances : EMCDDA celebrates scientific writing with; new award : new EMCDDA products and services : annual report 2011 (continued) |
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Journal Article |
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2011 |
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Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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16 |
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76; 07/2011 |
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8 |
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AODR mortality; heroin; treatment and maintenance; product substitution; heroin-assisted treatment; risk; risk assessment; HIV infection; public opinion on AOD; cooperation; international area; Europe; United Kingdom; Finland; annual report; newsletter |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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English |
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0873-5379 |
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50-12175 |
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60856 |
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various |
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Drugnet Europe No. 75 : Survey results: youth attitudes to drugs : Mapping GPS questionnaires : Prevention science award for EMCDDA staff member : Forum on new drugs – reflections and conclusions : Stakeholders have their say on EU funding : IPA 3 project progresses in Albania : Participate in our Drugnet Europe survey : EMCDDA Scientific Committee elects new Chair and Vice-chair |
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Journal Article |
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2011 |
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Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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16 |
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75; 07/2011 |
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8 |
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monitoring; drug market; illicit drug industry; drug trafficking; AOD supply; AOD use, abuse, and dependence; prevention; designer drug; research chemical; general population survey; research; prevention research; adolescent; public opinion on AOD; cooperation; international area; Europe; Albania; Malta; newsletter |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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English |
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0873-5379 |
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50-11974 |
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60838 |
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various |
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Drugnet Europe No. 74 : Over 40 new drugs reported in 2010 : HIV in the European region: unity and diversity : Mapping “drug squads” in Europe : Feature: Khat use in Europe – implications for European policy : Technical expert seminar on “threshold quantities” for drug offences : Turkish-German twinning project success : New EMCDDA products and services : EMCDDA to acknowledge excellence in scientific writing |
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Journal Article |
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2011 |
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Drugnet Europe : newsletter of the European Monitoring Centre for Drugs and Drug Addiction |
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16 |
Issue |
74; 04/2011 |
Pages |
8 |
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designer drug; research chemical; HIV infection; monitoring; epidemiology; adolescent; AOD supply; law enforcement; drug trafficking; khat in any form; prison; health; cooperation; international area; Europe; newsletter |
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European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) |
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Lisbon |
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English |
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0873-5379 |
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50-11918 |
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60836 |
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various |
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Spectra No. 86 : Early identification and early intervention |
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2011 |
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Spectra : prevention and health promotion |
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86; 05/2011 |
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4 |
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early identification; early intervention (young children); social equality; alcohol; communicable disease; Switzerland |
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Federal Office of Public Health (FOPH) |
Place of Publication |
Berne |
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English |
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Auch auf Deutsch vorhanden: 50-11858; aussi disponible en français: 50-11859 |
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50-11860 |
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60818 |
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