Organizational Challenges and Emergency Response to a Massive Bee Attack on an Isolated Island in French Guiana

Introduction: In 2023, close to Cayenne, French Guiana, a significant attack by africanized honey bees struck a group of 35 tourists on an isolated island, with no available means of rescue. Event Description: The incident resulted in 1 death, 2 critical emergencies, 6 moderate emergencies, and a total of 11 emergency room admissions, involving both adults and children. Discussion: Analysis of challenges encountered that day, particularly in aerial and nautical operations, will help improve our emergency response and healthcare systems in our overseas territories.