[Management of allergic children in rural and urban environments. Results of our experience in a health network setting in the High Pyrenes].

The allergic children management at school seems to be more and more difficult, especially in rural areas. Far from the Universitary Hospital centres how to achieve the right diagnosis? In the country side school, inaccessible for the Emergency services, how to manage an efficient interventional group? The "Hauts Pyrénéens" practitioners have decided to set up a Health care Network to answer this requirement. A managing team includes the DDASS Inspector Physician (MISP), the Academy Inspector technical advisor Physician (MRDCT) and an Allergologist Practitioner. Two commissions have been set up within the network: An administrative Commission, managed by the both MISP and MRDCT, is devoted to the maternal and elementary school on one side and to the secondary schools on the other side. It is in contact with the local collectivities, the veterinary services and the centralised kitchens. A medical Commission including the Allergologist practitioners, the school health and "PMI" physicians of the Hautes-Pyrénées department works to specify a diagnosis and therapeutic consensual methodology. The necessary valuation focuses first the whole net work management as well as the Welcome Individualised Project itself, each time it is carried out at a school level.