YANN MEUNIER

Editorial on malpractice, medical errors and reporting in the international literature.

This book outlines risk assessments for 28 diseases and medical conditions including the following aspects: genetics, biochemistry, serology, past medical history, family history, co-morbidities, age, gender, ethnicity, nutrition and lifestyle. Recommendations are made for how to avoid, eliminate or mitigate risks. Preventing measures concerning chemical compound intake, lifestyle and nutrition are proposed.
The unique content and approach of the book to chronic disease management make it a… Show more

This book outlines risk assessments for 28 diseases and medical conditions including the following aspects: genetics, biochemistry, serology, past medical history, family history, co-morbidities, age, gender, ethnicity, nutrition and lifestyle. Recommendations are made for how to avoid, eliminate or mitigate risks. Preventing measures concerning chemical compound intake, lifestyle and nutrition are proposed.
The unique content and approach of the book to chronic disease management make it a state-of-the-art reference work, addressing a missing component of medical care and reflecting the cutting edge of preventive medicine.
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Description of the risks encountered by physicians, nurses and everyone in an infectious disease crisis.

Tropical Diseases outlines the diagnosis, prevention, and treatment of diseases encountered in developing regions---areas where the unexpected can occur and where Western medical capabilities are often unavailable. Taking a pragmatic approach, it is an invaluable reference and resource for medical professionals and students travelling abroad or working in unfamiliar terrain.
Diseases profiled here include a brief historical background, main signs and symptoms, and practical methods of… Show more

Tropical Diseases outlines the diagnosis, prevention, and treatment of diseases encountered in developing regions---areas where the unexpected can occur and where Western medical capabilities are often unavailable. Taking a pragmatic approach, it is an invaluable reference and resource for medical professionals and students travelling abroad or working in unfamiliar terrain.
Diseases profiled here include a brief historical background, main signs and symptoms, and practical methods of individual prevention and treatment. Additional features include:
- Over 60 maps depicting the geographic origins and modern distribution of tropical diseases
- A classification scheme for parasitic diseases according to the location of the final parasitic stage in the human body
- Clinical case studies
For the new or experienced health care provider, Tropical Diseases is a handy, practical guide to treating and avoiding disease in any environment.
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Novel infectious agents recently emerged overseas, grabbing headlines in America. They triggered concern because they do not respect traditional barriers such as national borders, the poverty line, and healthy behavior. With globalization, the likelihood of importing new germs into the country is increasing.

Blog on healthcare budget priorities in developing countries.

This book is a compilation of Dr. Meunier’s tropical disease cases which were published in the international medical literature. It spans the clinical experience he accumulated (1) as a Primary Care Physician mainly at the Pitie-Salpetriere Hospital in Paris, France but also at the George Washington University Hospital in Washington DC, a branch of the St. Francis Hospital in Lagos, Nigeria, the Ridge Hospital in Papua New Guinea and Gleneagles Hospital in Singapore, (2) as a General… Show more

This book is a compilation of Dr. Meunier’s tropical disease cases which were published in the international medical literature. It spans the clinical experience he accumulated (1) as a Primary Care Physician mainly at the Pitie-Salpetriere Hospital in Paris, France but also at the George Washington University Hospital in Washington DC, a branch of the St. Francis Hospital in Lagos, Nigeria, the Ridge Hospital in Papua New Guinea and Gleneagles Hospital in Singapore, (2) as a General Practitioner in Cameroon, Congo, Gambia, Egypt, China, Thailand and New Caledonia and (3) as a medical student at the Moncorvo Filho Hospital in Rio de Janeiro, Brazil. Show less

We report the case of a 28-year-old French female referred for diffuse pruritus. One month prior to consultation, the patient presented with intense itching in her lower back and bilateral buttocks and thighs. Symptoms were worse at night. Blood differential revealed eosinophilia, and filarial serology was positive. An ophthalmic exam was performed and was negative. Skin snips showed microfilariae of Onchocerca volvulus. The patient was admitted and treatment with diethylcarbamazine (DEC)… Show more

We report the case of a 28-year-old French female referred for diffuse pruritus. One month prior to consultation, the patient presented with intense itching in her lower back and bilateral buttocks and thighs. Symptoms were worse at night. Blood differential revealed eosinophilia, and filarial serology was positive. An ophthalmic exam was performed and was negative. Skin snips showed microfilariae of Onchocerca volvulus. The patient was admitted and treatment with diethylcarbamazine (DEC) was clinically and biologically successful. Show less

Lesson for the doctor: Frustration and despair can reach an apex when a government does not provide the necessary health care to its population in times of crisis. Getting a true assessment of the situation may involve doing your own investigation among the people who live there.

We report the case of a six-year-old Brazilian girl referred for splenomegaly who first presented with fever, asthenia, and weight loss. Geographical location, clinical exam, and blood laboratories suggested kala-azar. Serology confirmed kala-azar diagnosis, but direct evidence of the parasites was not made. A treatment by meglumine antimoniate is given under hospital surveillance for two weeks. Thereupon, the patient is asymptomatic and all tests are norm

Lesson for the doctor: Maintaining a private space can be difficult when patients share trying times with you. Hard choices must be made, but the patient’s best interests should always prevail.

2011 Healthcare Benchmarks Yearbook: Metrics, Measurements and Innovations

Apyretic gastrointestinal disorders due to giardiasis contracted in Morocco

This book presents a unique collection of experiences and clinical vignettes that transports the contemporary medical practitioner with his or her sophisticated diagnostic and therapeutic modalities into a completely different world of health care delivery. It is not only a portrayal of health care delivery in disadvantaged and poverty-plagued regions of the world, but it also provides important lessons that facilitate patient-physician interaction and care despite severe lack of resources… Show more

This book presents a unique collection of experiences and clinical vignettes that transports the contemporary medical practitioner with his or her sophisticated diagnostic and therapeutic modalities into a completely different world of health care delivery. It is not only a portrayal of health care delivery in disadvantaged and poverty-plagued regions of the world, but it also provides important lessons that facilitate patient-physician interaction and care despite severe lack of resources. This is effectively done by the author who has a very rare, greater-than-25-year experience in global health extending to 25 different countries on 6 different continents. His medical practice had an unusual blend of humanism, knowledge, skill, compassion, empathy, dedication, and absolute commitment. And it is the combination of these factors that provides an essentially unparalleled insight into what it takes to improve the health care of some of our world’s most destitute patient populations. Very simply, Dr. Meunier has shown that it begins with treating patients as the human beings that they are, deserving of respect, no matter what their ethnic, cultural, language, political, or socio-economic backgrounds might be.
The “Lessons for the Doctor” after each patient vignette were essential to Dr. Meunier’s successful management of his patients and certainly form the foundation for trust and meaningful patient-physician interaction. But the caring and compassionate, skilled physician who has dedicated his or her career to providing medical care where it may not exist, yet is most needed, is well personified by Dr. Meunier’s accomplishments in improving the human condition.
This book will serve to inspire anyone in any walk of life!
Oscar Salvatierra, M.D.
Advising Dean
Stanford University Medical Center
and Stanford University School of Medicine











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Guide to Health Risk Assessment and Stratification

We present the case of a 32 year old man from Cameroon who was referred for “isolated eosinophilia”. The diagnosis of intestinal schistosomiasis was suspected upon epidemiological factors and a positive serology. It was confirmed by a rectum mucosa biopsy. Treatment with praziquantel was successful and post therapeutic controls tests were within normal limits.

Slides of a webinar on "Seasonal Flu" given at Stanford University.

Lesson for the doctor: Regardless of where you practice medicine, human behavior is very similar. Meeting people from different backgrounds who deal with the same medical issues gives us a heightened sense of belonging to the same species.

Slides of a webinar on "Improving Cholesterol Profile Without Drugs" given at Stanford University.

We present the case of a 50 year old Caucasian man with the only complaint of asthenia. His clinical examination is
unremarkable and the diagnosis of hepatitis E is made by elevated transaminases and a positive serology. The presence of
IgM antibodies indicates a recent contamination probably in Cambodia. The patient’s recovery is complete within a month
after symptomatic treatment. We review the disease and discuss the case.

Lesson for the doctor: Foreign assistance can be a blessing to developing countries, but only if the receiving nations can effectively take advantage of the aid over the long term.

Slides of a webinar on "The Lowdown on Low Back Pain" given at Stanford University.

Blog on the comprehensive physician discussion: a simple step to improve employee wellness.

Slides of a webinar on "Questions for you to Ask your Doctor" given at Stanford University.

Slides of a webinar on "Health Risk Assessments and Return on Investment" given at Stanford University.

Presentation of one case of oozing sub-cutaneous masses due to histoplasmosis in a patient from Mali.

Some Perspectives on Haiti.

2010 Performance Benchmarks in HRA Use

Cholesterol and Lifestyle: The Stanford Health Improvement Program (HIP) Experience

Blog regarding healthcare costs incurred by heavy technology using government vs. free market approach.

If the United States were to subsidize medical education, I believe it would level the field in terms of socioeconomic discrepancies among those who want to become physicians and make it easier for doctors to choose primary-care fields by reducing their debt load, among other things. The drawback is that it would likely increase taxes and may hamper the innovation seen at individual medical schools.

Blog on why there are no medical bankruptcies in France.

Slides of a seminar on the H1N1 pandemic given at Stanford University.

Foreword to the proceedings of the 2009 International Online Medical Conference

The HIV/AIDS pandemic is still progressing, I have identified deficiencies in the fight against the pandemic at 3 levels in 18 areas with many questions.

We report the case of a 28 year old Greek sailor who presented first with a fever of unknown origin and
then with the classical symptoms of trypanosomiasis in Ivory Coast, Greece, the USA and France but who was
diagnosed late in the evolution of his disease and suffered incapacitating neurological sequelae despite appropriate treatment.

Aging Well: Staying Healthy for Life. The Stanford University BeWell Bulletin

Health Promotion in Silicon Valley: A Study of 11 Corporations

Television watching: impact on children.
Le programme S.M.A.R.T. à l’origine du Défi, par Yann Meunier
Yann A. Meunier, MD, est Directeur du Stanford Health Improvement Program, Stanford School of Medicine - Hoover pavilion, N151 - 211 Quarry Road - Stanford, CA 94305-5705 (USA). Tél. (650) 721 2802 - [email protected]
Le programme SMART (« Student Media Awareness to Reduce Television ») a inspiré le « DÉFI de la Dizaine sans télé ni jeux vidéo » du Québec. SMART a été mis au… Show more

Television watching: impact on children.
Le programme S.M.A.R.T. à l’origine du Défi, par Yann Meunier
Yann A. Meunier, MD, est Directeur du Stanford Health Improvement Program, Stanford School of Medicine - Hoover pavilion, N151 - 211 Quarry Road - Stanford, CA 94305-5705 (USA). Tél. (650) 721 2802 - [email protected]
Le programme SMART (« Student Media Awareness to Reduce Television ») a inspiré le « DÉFI de la Dizaine sans télé ni jeux vidéo » du Québec. SMART a été mis au point et testé en 1999 par Thomas Robinson dans deux écoles primaires de San José, en Californie (Etats-Unis). L’auteur a montré que la réduction du temps de télévision chez les enfants entraînait une nette diminution de la violence verbale et physique, ainsi qu’une baisse de l’obésité, ce média étant source de sédentarité et de mauvaise alimentation. Show less

Leg edema and painful gait in a Western African due to dracunculiasis: A case report

The cost of health care is ballooning in the U.S.A. with no end in sight to the trend despite the fact that we know how to limit and decrease it through preventive medicine. To reverse this non-sensible and soon-to-be unsustainable situation, this paper re-iterates why preventive medicine is the best solution to control expenditure and improve mortality and morbidity across the board. It analyses different medical conditions and corporate interventions to make the case de novo at a crucial time… Show more

The cost of health care is ballooning in the U.S.A. with no end in sight to the trend despite the fact that we know how to limit and decrease it through preventive medicine. To reverse this non-sensible and soon-to-be unsustainable situation, this paper re-iterates why preventive medicine is the best solution to control expenditure and improve mortality and morbidity across the board. It analyses different medical conditions and corporate interventions to make the case de novo at a crucial time and outlines some major obstacles to change. The author calls for prompt and drastic action in the form of a prevention Marshal-like national plan with information mass campaigns Show less

We report the case of a 19 year old male who presented with an ulcerated skin lesion on his right forearm. Given his past history and the clinical picture, the diagnosis of cutaneous leishmaniasis was established. An oral antibiotic therapy was prescribed and cure was achieved within one month.

This book, based on a webinar, is aimed at CEOs, medical directors, wellness professionals, human resources professionals, disease management directors, managers and coordinators, health plan executives, care management nurses, business development executives and strategic planning directors.

After briefly reviewing the historical background of health risk assessments (HRAs) and showing their recent renewed interest, the article discusses conditions for their effectiveness and exemplifies the return on investment they can yield. Finally, it outlines some future trends in the possible place of HRAs in preventive medicine at the individual and collective levels.

Increase in global activity and the ever-intense global competitive
environment imply that international companies operating in overseas markets are compelled to pursue any competitive advantage that they can gain. Among the key advantages they seek is a well-trained workforce that can develop and
execute their strategies. The management of human resource or human capital has been shown essential to their success. Part of the human resource management is the management of expatriates who… Show more

Increase in global activity and the ever-intense global competitive
environment imply that international companies operating in overseas markets are compelled to pursue any competitive advantage that they can gain. Among the key advantages they seek is a well-trained workforce that can develop and
execute their strategies. The management of human resource or human capital has been shown essential to their success. Part of the human resource management is the management of expatriates who are relied upon to implement global strategic action plans. Their deployment is warranted for fulfilling corporate goals.
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After discussing the links between cancer and tropical diseases, this article identifies some obstacles to closer and broader co-operation between cancer and tropical disease research, shows some common therapeutic uses and contributions and makes general recommendations on how to improve the quantity and quality of work in both specialties.

Presentation of one case of infectious mononucleosis-like syndrome and gastrointestinal disorders in acute acquired cytomegalovirus infection.

Wrote Chagas Disease in the 4th edition of the book in 1986.

Malaria: A document for nurses, social workers, teachers

Description and discussion of a case of amebic liver abscess in a patient who has never left France. Sem. Hop. Paris, 1984, 60, #41, 2911-2913

Presentation of 2 cases of colonic amebiasis due to venereal transmission.

Presentation of 2 cases of muscular hydatidosis.

Urbanism and Public Health in the Tropics

Assessment of 35972 RP (oltipraz) a new antischistosomal drug against Schistosoma haematobium, Schistosoma mansoni, and Schistosoma intercalatum.

Participated in the chapter "Principales Maladies Courantes et Tropicales"

Articles on my multiple and often unique experiences as healthcare professional in Africa, Asia, Europe, Central, North and South America and Oceania.