French Guiana Research Articles

Different profiles of soil phosphorous compounds depending on tree species and availability of soil phosphorus in a tropical rainforest in French Guiana

BackgroundThe availability of soil phosphorus (P) often limits the productivities of wet tropical lowland forests. Little is known, however, about the metabolomic profile of different chemical P compounds with potentially different uses and about the cycling of P and their variability across space under different tree species in highly diverse tropical rainforests.ResultsWe hypothesised that the different strategies of the competing tree species to retranslocate, mineralise, mobilise, and take up P from the soil would promote distinct soil 31P profiles. We tested this hypothesis by performing a metabolomic analysis of the soils in two rainforests in French Guiana using 31P nuclear magnetic resonance (NMR). We analysed 31P NMR chemical shifts in soil solutions of model P compounds, including inorganic phosphates, orthophosphate mono- and diesters, phosphonates, and organic polyphosphates. The identity of the tree species (growing above the soil samples) explained > 53% of the total variance of the 31P NMR metabolomic profiles of the soils, suggesting species-specific ecological niches and/or species-specific interactions with the soil microbiome and soil trophic web structure and functionality determining the use and production of P compounds. Differences at regional and topographic levels also explained some part of the the total variance of the 31P NMR profiles, although less than the influence of the tree species. Multivariate analyses of soil 31P NMR metabolomics data indicated higher soil concentrations of P biomolecules involved in the active use of P (nucleic acids and molecules involved with energy and anabolism) in soils with lower concentrations of total soil P and higher concentrations of P-storing biomolecules in soils with higher concentrations of total P.ConclusionsThe results strongly suggest “niches” of soil P profiles associated with physical gradients, mostly topographic position, and with the specific distribution of species along this gradient, which is associated with species-specific strategies of soil P mineralisation, mobilisation, use, and uptake.

New geographical and taxonomical observations on two rare Gonatozygon species (Zygnematophyceae, Desmidiales) from the upper Okavango Delta, Botswana

Two extremely rare and morphologically similar Gonatozygon species, namely G. dicranoaculeatum and G. chadefaudii, were previously recorded from only two geographical locations in the world. G. dicranoaculeatum was reported from Zambia and Australian billabongs, while G. chadefaudii was known from French Guiana and Australian billabongs. During June 2023, a Gonatozygon species was discovered in the upper reaches of the Okavango Delta, Botswana. This species had characteristics corresponding to both G. dicranoaculeatum and G. chadefaudii and can, therefore, be regarded as an intermediate between these two species. The main distinguishing characteristics between G. dicranoaculeatum and G. chadefaudii include the structure of the apices and chloroplasts, the presence of girdle bands and a slight median constriction, the cell length-to-width ratio, and the length of the spines on the surface. Gonatozygon cells from the Okavango Delta corresponded to G. dicranoaculeatum with regards to the chloroplast structure and the absence of a median constriction and girdle bands but were closer to G. chadefaudii in terms of their dilated apices and dimensions. Due to the discovery of cells with intermediate characteristics, the authors propose the merger of G. dicranoaculeatum and G. chadefaudii into a single taxon, namely G. dicranoaculeatum, as this name has priority. G. chadefaudii should then be transferred to a synonym of G. dicranoaculeatum.

A second species of the genus Panolcus Gerstaecker 1860 (Coleoptera: Curculionidae: Molytinae: Cryptorhynchini) from French Guiana and Suriname with taxonomic changes in Cryptorhynchini

A second species of the genus Panolcus Gerstaecker, 1860 (Coleoptera: Curculionidae: Molytinae: Cryptorhynchini) from French Guiana and Suriname is described and compared with Panolcus scolopax Gerstaecker, 1860. Diagnostic characters and images are provided to facilitate identification. Adults were collected in a fruit of Duguetia surinamensis R.E. Fr. (Annonaceae). The genus Panolcus is transferred from Aedemonina (Cryptorhynchini) to Cryptorhynchina (Cryptorhynchini). The type species of Thrasyomus Pascoe, 1880 is here designated as Thrasyomus tumens Pascoe, 1880 and the species Thrasyomus uniformis Champion, 1905 is transferred from the genus Thrasyomus to Eubulus Kirsch, 1869 as Eubulus uniformis (Champion, 1905), new combination.

Phylogeography of a Widely Distributed Atlantic Species: The Case of the Ghost Crab Ocypode quadrata (Fabricius, 1787) (Decapoda: Brachyura: Ocypodidae)

Ocypode Weber, 1795 (Brachyura: Ocypodidae) is popularly known as ghost crab, and encompasses 21 valid species, including Ocypode quadrata (Fabricius, 1787). This species has wide distribution along the Atlantic coast of America, from the USA (Massachusetts) to Brazil (Rio Grande do Sul), Central America, and Antilles. Such distribution, along with some biological characteristics of its life cycle and the presence of geographic barriers, could lead to genetic structuring. Herein, we evaluate the hypothesis of the presence of geographic barriers using COI and 16S partial gene fragments. The Maximum Likelihood tree suggests the monophyly of O. quadrata, while the values of intraspecific genetic distance along with the star-shaped haplotype network suggested a lack of genetic structure in Brazilian, Panama, and French Guiana populations, probably caused by larval dispersion. USA and Mexico populations may be a new lineage, but we cannot say it with few sequences and with no morphological characters.

Emerging and re-emerging infectious diseases in pregnant women in an amazonian region: a large retrospective study from French Guiana.

Over the past decade, the Amazon basin has faced numerous infectious epidemics. Our comprehension of the actual extent of these infections during pregnancy remains limited. This study aimed to clarify the clinical and epidemiological features of emerging and re-emerging infectious diseases during pregnancy in western French Guiana and along the Maroni River over the previous nine years. This retrospective cohort study enrolled pregnant women living in west French Guiana territory and giving birth in the only local referral center after 22 weeks of gestation between 2013 and 2021. Data on symptomatic or asymptomatic biologically confirmed emerging or re-emerging diseases during pregnancy was collected. Six epidemic waves were experienced during the study period, including 498 confirmed Zika virus infections (2016), 363 SARS-CoV-2 infections (2020-2021), 87 chikungunya virus infections (2014), 76 syphilis infections (2013-2021), and 60 dengue virus infections (2013-2021) at different gestational ages. Furthermore, 1.1% (n = 287) and 1.4% (n = 350) of pregnant women in west French Guiana were living with HIV and HTLV, respectively. During the study period, at least 5.5% (n = 1,371) faced an emerging or re-emerging infection during pregnancy. These results highlight the diversity, abundance, and dynamism of emerging and re-emerging infectious agents faced by pregnant women in the Amazon basin. Considering the maternal and neonatal adverse outcomes associated with these infections, increased efforts are required to enhance diagnosis, reporting, and treatment of these conditions.

Etiology of Acute Febrile Illnesses in Adults in the Defense Community in French Guiana.

In tropical countries, acute febrile illnesses represent a complex clinical problem for general practitioners. We describe the prevalence of different etiologies of acute febrile illnesses occurring among French service members and their families, excluding children, in general practice in French Guiana. From June 2017 to March 2020, patients with a fever ≥ 37.8°C with a duration of less than 15 days who sought medical care at the army medical centers in Cayenne and Kourou were prospectively enrolled. Based on clinical presentation, blood, urine, nasopharyngeal, and stool samples were collected for diagnostic testing for viruses, bacteria, and parasites (by direct examination, microscopic examination of blood smears, culture, serology, or polymerase chain reaction), and standardized biological tests were systematically performed. Among 175 patients retained for analysis, fever with nonspecific symptoms was predominant (46.9%), with 10 Plasmodium vivax malaria cases, 8 dengue infections, and 6 cases of Q fever. The second most frequent cause of acute febrile illness was upper respiratory tract infections (32.0%) due to influenza virus (n = 18) or human rhinovirus (n = 10). Among the causes of acute febrile illness in French Guiana, clinicians should first consider arboviruses and malaria, as well as Q fever in cases of elevated C-reactive protein with nonspecific symptoms and influenza in cases of signs and symptoms associated with upper respiratory tract infections. Despite an expanded microbiological search, the etiology of 51.4% of acute febrile illnesses remain unknown. Further investigations will be necessary to identify the etiology of acute febrile illnesses, including new pathogens, in French Guiana.

Return Migration and Fertility: French Overseas Emigrants, Returnees, and Nonmigrants at Origin and Destination.

Although growing research has emphasized the critical importance of studying returns for understanding various aspects of migration processes, knowledge regarding return migrants' fertility behaviors remains limited. This study addresses this knowledge gap by comparing rates of first births and completed fertility among three groups: nonmigrants (at origin), migrants, and return migrants. Using extensive data collected both in the home regions and at destination, we analyze female migration from Martinique, Guadeloupe, French Guiana, and Réunion Island to metropolitan France (European France). We find intermediate fertility behaviors for return migrants relative to nonmigrants and migrants: on average, completed fertility levels are lower among return migrants than nonmigrants but slightly higher among return migrants than migrants. Some of these differences can be attributed to selection into migration and return, although significant gaps persist among women with similar socioeconomic characteristics. Our findings highlight three key observations. First, when migrants return before beginning childbearing, their transition to motherhood closely resembles that of nonmigrants with similar characteristics. Second, the lower fertility rates among prospective return migrants indicate an anticipation of disruption effects. Finally, reduced fertility while residing in metropolitan France translates into lower completed fertility rates for return migrants.

503 The Onconephrological Phenotype of French Guiana: Case of the Western Guiana Hospital Center

503 The Onconephrological Phenotype of French Guiana: Case of the Western Guiana Hospital Center

Melissopalynological Analysis of Honey from French Guiana.

Beekeeping directly depends on the floral biodiversity available to honey bees. In tropical regions, where nectar and pollen resources are numerous, the botanical origin of some honey is still under discussion. A precise knowledge of plants foraged by honey bees is useful to understand and certify the botanical origin of honey. In this study, attention was paid to honey samples from the French Guiana Atlantic coast where beekeepers generally place their hives in four types of biotopes: seaside vegetation, mangrove, savannah, and secondary forest. Pollen analysis of 87 honey samples enabled the identification of major plants visited by Africanized honey bees during the dry season (approximately from July to January). Through melissopalynologic analysis, 51 pollen types were identified and classified according to their relative presence. Frequently observed pollens (with relative presence > 50%) in French Guiana kinds of honey were those from Mimosa pudica, Cocos sp., Rhyncospora sp., Avicennia germinans, Paspalum sp., Spermacoce verticillata, Tapirira guianensis, Cecropia sp., Myrtaceae sp., Mauritia flexuosa sp., Solanum sp., and Protium sp. In many honeys, only M. pudica was over-represented (relative frequency > 90%). Color and electrical conductivity in French Guiana honeys exhibit significant variations, with color ranging from 27 mm to 110 mm Pfund, and electrical conductivity ranging from 0.35 to 1.22 mS/cm.

Mercury biomagnification in the food web of Agami Pond, Kaw-Roura Nature Reserve, French Guiana

Freshwater ecosystems are among the most important ecosystems worldwide, however, over the last centuries, anthropogenic pressures have had catastrophic effects on them. Mercury (Hg) is one of the main environmental contaminants which globally affect ecosystems and particularly freshwater wildlife. While Hg originates from natural sources, anthropogenic activities such as agriculture, biomass combustion, and gold mining increase its concentrations.Gold mining activities are the main drivers of Hg emission in tropical ecosystems and are responsible for up to 38% of global emissions. Once in its methylated form (MeHg), mercury biomagnifies through the trophic chain and accumulates in top predators. Due to the toxicity of MeHg, long-lived predators are even more subjected to chronic effects as they accumulate Hg over time.In the present study we quantified Hg contamination in two top predators, the Black caiman Melanosuchus niger and the Agami heron Agamia agami, and in their prey in the Kaw-Roura Nature Reserve in French Guiana and evaluated the biomagnification rate in the trophic chain.Our results show that despite a TMF in the range of others in the region (4.38 in our study), top predators of the ecosystem present elevated concentrations of Hg. We have found elevated Hg concentrations in the blood of adult Black caiman (2.10 ± 0.652 μg g−1 dw) and chicks of Agami heron (1.089 ± 0.406 μg g−1 dw). These findings highlight the need to better evaluate the potential impact of Hg in freshwater top predators, especially regarding reprotoxic effects.

Molecular epidemiology identifies the expansion of the DENV2 epidemic lineage from the French Caribbean Islands to French Guiana and mainland France, 2023 to 2024.

In 2023, dengue virus serotype 2 (DENV2) affected most French overseas territories. In the French Caribbean Islands, viral circulation continues with > 30,000 suspected infections by March 2024. Genome sequence analysis reveals that the epidemic lineage in the French Caribbean islands has also become established in French Guiana but not Réunion. It has moreover seeded autochthonous circulation events in mainland France. To guide prevention of further inter-territorial spread and DENV introduction in non-endemic settings, continued molecular surveillance and mosquito control are essential.

Tuberculosis in prison: What about after release? The example of French Guiana

ABSTRACT Introduction Tuberculosis is a major cause of mortality worldwide. Prisoners in Guiana have multiple risk factors. The primary objective of this study was to describe tuberculosis occurring in prison and after release in French Guiana between 2008 and 2020. Secondary objectives were to identify tuberculosis risk factors and determine annual incidences. Methods: A retrospective cohort study of tuberculosis cases was carried out at the Guiana prison between 2008 and 2020. Data were collected from prison registers and cross-referenced with the list of tuberculosis notifications in French Guiana. Results: A total of 36 cases of tuberculosis were studied. Incidence was high, at 263/100,000 per year, higher than elsewhere in France and comparable to that in Brazil. Despite visibly effective screening on entry, with little evidence of intra-prison circulation of tuberculosis, 39% of patients were diagnosed within two years of leaving prison (76% were symptomatic). This could be explained by the high prevalence of latent forms (LTI). Discussion Continued screening on entry, in combination with annual radiological and clinical screening, and reinforced follow-up on release seem indicated to improve patient management and the search for possible LTI.

A Late Pleistocene coastal ecosystem in French Guiana was hyperdiverse relative to today

Warmer temperatures and higher sea level than today characterized the Last Interglacial interval [Pleistocene, 128 to 116 thousand years ago (ka)]. This period is a remarkable deep-time analog for temperature and sea-level conditions as projected for 2100 AD, yet there has been no evidence of fossil assemblages in the equatorial Atlantic. Here, we report foraminifer, metazoan (mollusks, bony fish, bryozoans, decapods, and sharks among others), and plant communities of coastal tropical marine and mangrove affinities, dating precisely from a ca. 130 to 115 ka time interval near the Equator, at Kourou, in French Guiana. These communities include ca. 230 recent species, some being endangered today and/or first recorded as fossils. The hyperdiverse Kourou mollusk assemblage suggests stronger affinities between Guianese and Caribbean coastal waters by the Last Interglacial than today, questioning the structuring role of the Amazon Plume on tropical Western Atlantic communities at the time. Grassland-dominated pollen, phytoliths, and charcoals from younger deposits in the same sections attest to a marine retreat and dryer conditions during the onset of the last glacial (ca. 110 to 50 ka), with a savanna-dominated landscape and episodes of fire. Charcoals from the last millennia suggest human presence in a mosaic of modern-like continental habitats. Our results provide key information about the ecology and biogeography of pristine Pleistocene tropical coastal ecosystems, especially relevant regarding the-widely anthropogenic-ongoing global warming.

Cayenniola albaserrata n. sp., a geographical relict from a Brazilian hotspot of subterranean biodiversity and the first troglobitic Priodesmini (Polydesmida: Chelodesmidae: Chelodesminae)

A new troglobitic species of Chelodesmidae, Cayenniola albaserrata n. sp., from the Água Clara cave system, Caatinga Domain, Bahia, Brazil is described. The new species is only the sixth known troglobitic chelodesmid, the first troglobitic species in the Priodesmini, and the first member of the tribe recorded from the state of Bahia. Unique among the Priodesmini, male C. albaserrata n. sp. possess greatly elongated pre-gonopodal tarsal claws and differ from the only congener, Cayenniola styliger (Jeekel, 1963), by a combination of gonopodal and somatic characters including classical troglomorphic traits such as a nearly unpigmented body and remarkably long antennae, legs, and tarsal claws. Cayenniola styliger is only known from the type locality in the Amazon rainforest of coastal French Guiana, suggesting that C. albaserrata n. sp. may represent a relictual species from the Caatinga Domain of Brazil. We provide ecological notes and evaluate the potential threats to the habitat of C. albaserrata n. sp., considering both the subterranean environment and the surrounding areas.  

Epidemiologic analysis and mortality outcome of firearm injuries in French Guiana (2016-2019).

French Guiana (FG) is a French territory located in South America with the highest rate of armed assaults. FG presents a poorly developed road system and a young and precarious population that makes the geographical and socio-demographic characteristics specific. No data concerning the firearm injury management are available in this country. Studying thesis trauma could permit to improve the management of victims. The objective of this study is to investigate the epidemiology of firearm injuries in FG, to define characteristics of the victims, and to assess factors associated with death. These identified factors could enable target primary prevention and intensification of medical management. From January 2016 to December 2019, we conducted a retrospective study at the Cayenne General Hospital (CGH), including all patients admitted for firearm injuries in the emergency department, the medical emergency and resuscitation service, and the forensic service. A bivariate analysis was performed to assess relevant clinical data that were entered into a logistic regression model to assess factors associated with death. A total of 871 files were analyzed concerning 340 patients included after cross-checking. Victims were mainly males (90%) and young (30 ± 11years old). The injury occurred mainly at night (60%), in a context of assaults (83%) and with long-barreled guns (82%). Among the 290 patients managed at the CGH, 60% were hospitalized including 12% that were in the intensive care unit, 41% that required surgical treatment, and 7% that died in hospital. The overall average length of stay was 10 ± 18days. Overall mortality (n = 71, 21%) is statistically associated with male gender (p = 0.007) and suicide context (p < 0.001). In multivariate analysis, the sites of wounds (head and neck, thorax; p < 0.001) as well as induced organ injuries (neurological, respiratory, and vascular; p < 0.005) were independent factors associated to mortality. This work underlines the high incidence of ballistic trauma in FG. This mainly involves a young and male population linked to the use of long arms and assaults. Despite the geographical difficulties of the territory and the technical platform deficits (no neurosurgery, no cardiothoracic surgery, no interventional radiology), the mortality is comparable to other studies, but remains more than twice as high as in mainland France. Finally, despite a change in legislation restricting access to firearms, our results show that gunshot firearm injuries remain a major public health concern requiring greater political actions.

Spatial and Temporal Variation of Urban Heat Islands in French Guiana.

A surface urban heat island (SUHI) is a phenomenon whereby temperatures in urban areas are significantly higher than that of surrounding rural and natural areas due to replacing natural and semi-natural areas with impervious surfaces. The phenomenon is evaluated through the SUHI intensity, which is the difference in temperatures between urban and non-urban areas. In this study, we assessed the spatial and temporal dynamics of SUHI in two urban areas of the French Guiana, namely Ile de Cayenne and Saint-Laurent du Maroni, for the year 2020 using MODIS-based gap-filled LST data. Our results show that the north and southwest of Ile de Cayenne, where there is a high concentration of build-up areas, were experiencing SUHI compared to the rest of the region. Furthermore, the northeast and west of Saint-Laurent du Maroni were also hotspots of the SUHI phenomenon. We further observed that the peak of high SUHI intensity could reach 5 °C for both Ile de Cayenne and Saint-Laurent du Maroni during the dry season when the temperature is high with limited rainfall. This study sets the stage for future SUHI studies in French Guiana and aims to contribute to the knowledge needed by decision-makers to achieve sustainable urbanization.

Environmental drivers modelling the mangrove Kinorhyncha community along an urban-to-natural gradient in French Guiana (western Atlantic Ocean)

Meiofaunal communities are dominated by free-living nematodes and harpacticoid copepods. Most of the studies defining the environmental drivers that influence meiofauna focus on these profuse groups. The ‘rare’ meiofaunal organisms (densities &amp;lt;5%) are frequently overlooked, making it difficult to know which abiotic variables influence their populations, or their ecological role in the benthic ecosystems. In this study, we explore the ecological factors that characterize a low human-polluted mangrove in French Guiana (western Atlantic Ocean) along an urban-to-natural gradient, focusing on the ‘rare’ phylum Kinorhyncha. This taxon seems to be mainly influenced by sediment size, being more abundant in silty sediments. The presence of microorganisms also enhances the community, likely due to a higher food availability. Oppositely, some trace metals of both lithogenic and anthropogenic origin, as well as predominance of coarser sediment particles, seem to negatively affect their populations. The importance of including the lesser abundant groups of meiofauna in ecological studies is evident, since it allows to have a better idea of the ecological state of marine benthic environments.

Wastewater sequencing as a powerful tool to reveal SARS-CoV-2 variant introduction and spread in French Guiana, South America

The origin of introduction of a new pathogen in a country, the evolutionary dynamics of an epidemic within a country, and the role of cross-border areas on pathogen dynamics remain complex to disentangle and are often poorly understood. For instance, cross-border areas represent the ideal location for the sharing of viral variants between countries, with international air travel, land travel and waterways playing an important role in the cross-border spread of infectious diseases. Unfortunately, monitoring the point of entry and the evolutionary dynamics of viruses in space and time within local populations remain challenging. Here we tested the efficiency of wastewater-based epidemiology and genotyping in monitoring Covid-19 epidemiology and SARS-CoV-2 variant dynamics in French Guiana, a tropical country located in South America. Our results suggest that wastewater-based epidemiology and genotyping are powerful tools to monitor variant introduction and disease evolution within a tropical country but the inclusion of both clinical and wastewater samples could still improve our understanding of genetic diversity co-circulating. Wastewater sequencing also revealed the cryptic transmission of SARS-CoV-2 variants within the country. Interestingly, we found some amino acid changes specific to the variants co-circulating in French Guiana, suggesting a local evolution of the SARS-CoV-2 variants after their introduction. More importantly, our results showed that the proximity to bordering countries was not the origin of the emergence of the French Guianese B.1.160.25 variant, but rather that this variant emerged from an ancestor B.1.160 variant introduced by European air plane travelers, suggesting thus that air travel remains a significant risk for cross-border spread of infectious diseases. Overall, we suggest that wastewater-based epidemiology and genotyping provides a cost effective and non-invasive approach for pathogen monitoring and an early-warning tool for disease emergence and spread within a tropical country.

Systematics of Pilielmis Hinton, 1971 (Coleoptera: Dryopoidea: Elmidae).

Pilielmis is a small genus of Neotropical Elmidae found in the Amazon basin and French Guiana, with distribution in five countries: Brazil, Colombia, French Guiana, Peru, and Venezuela. Currently, seven species of Pilielmis are known, six of which were described in the original description of the genus by Hinton (1971), and the most recent one was described by Polizei & Barclay (2019). In this paper, we review the genus Pilielmis based on the analysis of type-specimens and material collected in different regions of northern South America. A phylogenetic study was performed to hypothesize the relationship between all species of Pilielmis and to test the monophyly of this genus. For this purpose, 42 morphological characters of adults were investigated, among them some structures that were not illustrated and described in the original descriptions. As result, all seven previously known species were redescribed with standardized morphological information. Three new species were discovered in the examined material: Pilielmis baniwa sp. nov., Pilielmis muricula sp. nov., Pilielmis nheengatu sp. nov. A key for identification of the adults of Pilielmis is proposed and new records for Suriname, Peru, and some Brazilian states are presented. The phylogenetic analysis corroborated the monophyly of Pilielmis and presented phylogenetic information from characteristics not used before in the taxonomy of the genus, such as mouth parts and female ovipositor.

Clinical and Epidemiological Characteristics of Severe Acute Adult Poisonings in French Amazonia: Urgent Need for a Toxicovigilance Monitoring Framework.

Acute poisonings (AP) are a significant public health problem, accounting for a high number of emergency department visits and thousands of deaths worldwide. This study aimed to assess the epidemiology of AP in an adult population admitted to Cayenne Hospital (French Guiana) and to investigate the clinical and sociodemographic characteristics. We conducted a monocentric retrospective study from January 2010 to December 2022, including patients over eighteen years of age who had been admitted to the emergency department of Cayenne Hospital for acute poisoning. We included 425 patients. The median age was 34 years (IQR: 25-47). The sex ratio (M/F) was 0.52. A psychiatric disorder was found in 41.9% of patients. The Poisoning Severity Score (PSS) on admission was 1 or 2 for 84% of patients, and the mortality rate was 3.9%. The main involved toxicants were psychotropic drugs (43.1%), benzodiazepines (34.8%), and paracetamol (25.6%). The most lethal toxic was paraquat (5.2%). Intoxication was due to intentional self-poisoning in 84.2% of cases. Independent factors associated with severe poisoning (PSS 3 or 4) were chloroquine, neuroleptics, or paraquat poisoning; metabolic acidosis; and hyperglycemia (>5.5 mmol/L). The mortality rate was 3.9%, and the most involved toxic in death was paraquat. This study shows the frequent and deadly use of paraquat in APs in French Guiana. Urgent attention should be given to establishing a toxicovigilance monitoring framework and an antipoison center in the region.