Photo: Bernard DUPONT from FRANCE · CC BY-SA 2.0Age for age, more people die in Macouria than in almost any other French commune of 1,000+
558 residents of Macouria died between 2016 and 2025, where France’s death rates at each age and sex would have given 430: 30% more. Macouria grades D− for health: #9 of 15 in French Guiana, once care homes are allowed for.
What stands out about health in Macouria
More deaths at each age than most towns
Allowing for its age, sex and care homes, Macouria had 48% more deaths over ten years than the median compared commune. That is what the Health Grade measures. Health Grade ↓
More stroke deaths in the intercommunality
Santé publique France counts 94 stroke deaths a year per 100,000 residents in the Communauté d'agglomération du Centre Littoral (2020–2022, age-standardized), against 59 for the median intercommunality. These are the intercommunality’s figures, not the town’s. Heart, stroke and life expectancy ↓
Short of GPs
GPs within reach of Macouria can offer 1.9 consultations a year per resident, against 3.5 for the median compared commune. Under 2.5 is the level the health ministry treats as under-served. Doctors and nurses ↓
Many nurses within reach
DREES counts 733 full-time equivalents per 100,000 residents for Macouria, against 138 for the median compared commune. Doctors and nurses ↓
Against compared French towns (those with an overall grade). Only the death ratio is graded; care access and the area’s figures are shown for context.
Macouria grades D− for health
One measure: deaths at each age over ten years, after care homes, ranked against 10,053 French communes of 1,000+.
Deaths per 100 expected · 2016–2025
Macouria has no care home for older people in the BPE, so the care-home step leaves its figure at 130. Most towns have one, and their figures come down, so the comparison is with the median of 88. The care-home adjustment is a TownRatings modeling step, not an official statistic.
A firm grade. Built on 558 deaths over ten years. Deaths vary by chance, more so in a small town; redrawing them 1,000 times puts Macouria between the 1st and 4th percentile nine times in ten: D− to D−.
How the grade works
For each year from 2016 to 2025 we take the town’s residents by age and sex, apply France’s death rate for each, and add up the deaths that would give. The town’s actual deaths divided by that total is its death ratio: 100 means deaths at France’s rates. We then take out the care-home effect and rank the result against every French commune of 1,000 residents or more; lower is better. One measure, so the rank is the grade. Care access, heart and stroke figures and life expectancy on this page are not graded.
Macouria is short of GPs: 1.9 consultations a year per resident
Access to five professions (DREES APL 2024), and who practices in the town (BPE 2025).
Within reach, against the median commune · median commune in France = 100
| In Macouria | Number | Per 10,000 residents |
|---|---|---|
| GPs | 6 | 3 |
| Pharmacies | 3 | 1.5 |
| Dentists | 6 | 3 |
| Nurses | 45 | 22.6 |
| Physiotherapists | 8 | 4 |
| Midwives | 4 | 2 |
| Health centers | 1 | 0.5 |
APL (accessibilité potentielle localisée) is the health ministry’s measure of how much care is within reach: the professionals in the commune and nearby, weighted by distance and by how much each works, against the residents’ needs by age. It counts where professionals practice, not whether they take new patients. Under 2.5 GP consultations a year is the ministry’s line for an under-served commune; the median compared commune has 3.5.
GPs: consultations a year per resident, standardized for age. Others: full-time equivalents per 100,000 residents. Not graded.
The intercommunality and the département
France publishes these for the intercommunality (EPCI) and the département, not the town: Macouria shares them with its neighbors. Shown for context, not graded.
Intercommunality (EPCI): Communauté d'agglomération du Centre Littoral
Deaths a year per 100,000 · 2020–2022
All the figures
| Deaths per 100,000 | Hospital stays per 100,000 | Adults treated, % | |
|---|---|---|---|
| Coronary heart disease | 42 61 | 363 459 | 3.8 5.4 |
| Stroke | 94 59 | 360 223 | 3.3 1.9 |
| Heart failure | 35 50 | 326 351 | 2.7 2.5 |
Small figures: the median intercommunality. Age-standardized. Santé publique France, Odissé: deaths 2020–2022, hospital stays 2021–2023, adults treated 2022.
Life expectancy in French Guiana
At 60, women in French Guiana can expect 26.4 more years and men 23.6. INSEE publishes life expectancy for départements, not towns.
Life expectancy: INSEE, 2025, provisional.
Deaths against expected, year by year
Each year’s deaths among Macouria’s residents per 100 expected at France’s death rates that year.
No clear trend: the two five-year averages are within a few points. The expected count already follows France’s own bad years (Covid in 2020–22), so a bump here means the town did worse than France that year. A single year moves by chance; the grade uses all ten. These figures are before the care-home adjustment.
Source: INSEE, deaths by commune of residence 2016–2025; INSEE censuses 2012, 2017, 2023; Eurostat death rates by age and sex.
Getting care in Macouria
Distances are in a straight line from the town center to the nearest site in INSEE’s amenity directory (BPE 2025).
Road time: DREES, access to emergency care at 31 December 2019, the latest published; a site opened or closed since is not in it. Not graded.
Macouria’s health against the 40 graded communes nearest its size: 40th of 41
French communes of 19,285 to 20,566 residents with a Health Grade, ranked by it.
| # | Town | People | Deaths per 100 expected* | Emergency | Health |
|---|---|---|---|---|---|
| 1 | Bruges Gironde | 20,020 | 69 | 2.4 km | A |
| 2 | La Celle-Saint-Cloud Yvelines | 20,460 | 72 | 2 km | A |
| 3 | Paris 2e Paris | 19,847 | 73 | 1.4 km | A |
| … | |||||
| 37 | Mitry-Mory Seine-et-Marne | 20,456 | 101 | 3.5 km | C− |
| 38 | Sarreguemines Moselle | 20,143 | 109 | 2.4 km | D |
| 39 | Forbach Moselle | 20,493 | 120 | 1.3 km | D− |
| 40 | Macouria French Guiana | 19,899 | 130 | 20 km | D− |
| 41 | Grande-Synthe Nord | 20,239 | 133 | 1.1 km | D− |
* 2016–2025, after the care-home adjustment (median compared town: 88).
Health in Macouria’s neighbors
Towns of 2,500+ within 18 miles, colored by Health Grade. Tap one to open its health page.
| Town | Deaths per 100 expected* | Emergency | Health |
|---|---|---|---|
| Macouria | 130 | 20 km | D− |
| Montsinéry-Tonnegrande 3,626 · 14 km | 87 | 19 km | B− |
| Cayenne 62,675 · 18 km | 129 | 2.4 km | D− |
| Matoury 36,512 · 24 km | 132 | 8 km | D− |
| Kourou 24,824 · 25 km | 141 | 0.6 km | D− |
| Remire-Montjoly 27,723 · 25 km | 82 | 5.3 km | B+ |
* 2016–2025, after the care-home adjustment.
What this data can and can’t tell you
- Deaths at each age. A town of retired people has more deaths than a town of students, whatever its health. So we compare each town’s deaths with the number France’s death rates for each age and sex would give its residents. 100 means deaths at France’s rates; 110 means 10% more.
- Care homes. The care-home step is a TownRatings modeling step, not an official statistic: one factor for the whole country, fitted on how death ratios rise with care-home places per resident aged 80+. It makes the comparison fairer, but it is a model, and a town’s own care homes may differ from the average.
- How sure. Small towns have few deaths, so chance moves their ratio. The range under the grade shows where the town would rank nine times in ten if deaths were drawn again. When it spans more than 40 points, the grade is marked less sure (≈).
- Where people die. Deaths count where the person lived, not where they died, so a hospital town isn’t penalized for its hospital.
- Not graded. Distances, APL, the intercommunality’s heart and stroke figures and the département’s life expectancy are shown for context; they don’t change the grade.
- What France doesn’t publish. Unlike the UK, France publishes no life expectancy by town or neighborhood, no waiting times by hospital, no patient survey by GP practice and no census question on health.
Questions about health in Macouria
How is Macouria’s Health Grade worked out?
Macouria gets D−: behind almost every French commune of 1,000+ (#9 of 15 in French Guiana), on deaths at each age from 2016 to 2025 after allowing for care homes. 558 residents died, against 430 expected at France’s rates.
Why adjust for care homes?
Care-home residents are counted in the care home’s commune and are frailer than others their age, so towns with many places would look less healthy than they are. The adjustment is a TownRatings modeling step, not an official statistic.
Where is the nearest emergency department to Macouria?
At Site de Cayenne, 20 km away in a straight line. The nearest maternity unit is at Site de Cayenne, 20 km away. In an emergency, call 15 (SAMU) or 112.
Is it easy to find a GP in Macouria?
Macouria has 6 GPs and 3 pharmacies. GPs within reach offer 1.9 consultations a year per resident (median compared commune 3.5); under 2.5 counts as under-served. Whether a doctor takes new patients isn’t published.
What is life expectancy in Macouria?
INSEE doesn’t publish it by town. In French Guiana, it is 82.2 years for women and 77.1 for men (2025, provisional); France 85.9 and 80.3.
Sources: INSEE, deaths by commune of residence 2016–2025 · INSEE, population censuses 2012, 2017, 2023 · Eurostat, deaths and population by age and sex (© European Union) · INSEE, permanent amenity directory (BPE) 2025 · DREES, APL 2024 and access to emergency care 2019 · Santé publique France, Odissé · INSEE, life expectancy by département 2025 · INSEE, Filosofi 2023 · TownRatings grades and the care-home adjustment: our own modeling, ranking French towns against each other only, updated October 30, 2026. Licence Ouverte / Open Licence 2.0 (Etalab) unless stated.
Contains public sector information under the Licence Ouverte / Open Licence 2.0 (Etalab): INSEE, DGFiP, the Interior Ministry’s statistics service (SSMSI), the Ministry of Education (DEPP), the Health Ministry’s statistics service (DREES) and the Housing Ministry (Carte des loyers). Commune boundaries: IGN Admin Express.