{"id":5149,"date":"2024-02-29T11:13:39","date_gmt":"2024-02-29T11:13:39","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=5149"},"modified":"2024-02-29T11:27:24","modified_gmt":"2024-02-29T11:27:24","slug":"zambie-medecins-sans-frontieres-msf-participe-a-la-lutte-contre-la-plus-grande-epidemie-de-cholera-jamais-enregistree-dans-le-pays","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/actualite\/zambie-medecins-sans-frontieres-msf-participe-a-la-lutte-contre-la-plus-grande-epidemie-de-cholera-jamais-enregistree-dans-le-pays\/","title":{"rendered":"Zambie : M\u00e9decins sans fronti\u00e8res (MSF) participe \u00e0 la lutte contre la plus grande \u00e9pid\u00e9mie de chol\u00e9ra jamais enregistr\u00e9e dans le pays"},"content":{"rendered":"
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\n \t<\/i> Read Time:<\/span>4 Minute, 1 Second <\/div>\n\n <\/div>\n

\u00c0 la suite de la r\u00e9surgence de cas de chol\u00e9ra depuis mi-d\u00e9cembre en Zambie, M\u00e9decins Sans Fronti\u00e8res participe aux c\u00f4t\u00e9s du minist\u00e8re de la Sant\u00e9 \u00e0 la r\u00e9ponse d\u2019urgence pour soutenir la prise en charge des patients et la lutte contre la propagation de l\u2019\u00e9pid\u00e9mie \u00e0 Lusaka et Ndola, les deux plus grandes villes du pays. Il s\u2019agit de la plus grande \u00e9pid\u00e9mie de chol\u00e9ra enregistr\u00e9e dans le pays.
Apparue en octobre 2023 \u00e0 Lusaka, la capitale de la Zambie, dans un contexte de flamb\u00e9e de cette maladie diarrh\u00e9ique en Afrique australe, l’\u00e9pid\u00e9mie s\u2019est d\u00e9sormais propag\u00e9e \u00e0 toutes les provinces du pays.

\u00ab Le chol\u00e9ra est une maladie dont l\u2019on ne devrait plus mourir aujourd\u2019hui. Pourtant, alors qu\u2019elle \u00e9tait en voie d\u2019\u00e9limination, elle conna\u00eet ces derni\u00e8res ann\u00e9es une r\u00e9surgence dans le monde. \u00c0 l\u2019heure o\u00f9 les \u00e9pid\u00e9mies de chol\u00e9ra se multiplient en Afrique australe, il est crucial d\u2019agir vite pour soigner les malades \u00bb, explique Carla Melki, coordinatrice d\u2019urgence pour MSF en Zambie.

Le traitement, principalement une r\u00e9hydratation du patient, est simple et efficace, mais on peut mourir du chol\u00e9ra en quelques heures en l\u2019absence de soins. De plus, le chol\u00e9ra \u00e9tant li\u00e9 \u00e0 l\u2019absorption d\u2019eau ou d\u2019aliments contamin\u00e9s, l\u2019acc\u00e8s \u00e0 une eau propre et potable est indispensable pour endiguer sa propagation.

\u00ab Les activit\u00e9s de sensibilisation, de pr\u00e9vention et de surveillance active des cas par l\u2019interm\u00e9diaire d\u2019un r\u00e9seau de relais communautaires et de comit\u00e9s de quartier sont tout aussi essentielles que la prise en charge m\u00e9dicale \u00bb, continue Carla Melki.

Jusqu\u2019\u00e0 pr\u00e9sent, la Zambie a enregistr\u00e9 plus de 19 000 cas et pr\u00e8s de 700 d\u00e9c\u00e8s li\u00e9s \u00e0 la maladie. Une \u00e9volution inqui\u00e9tante qui exige une redirection des ressources de sant\u00e9 du pays pour renforcer les structures m\u00e9dicales d\u00e8s que possible.

Dans ce contexte, MSF collabore avec les autorit\u00e9s sanitaires zambiennes pour apporter aux services de sant\u00e9 un soutien technique dans la prise en charge m\u00e9dicale, logistique et \u00e9pid\u00e9miologique dans les deux centres urbains les plus touch\u00e9s par l\u2019\u00e9pid\u00e9mie : la capitale Lusaka et la ville de Ndola dans la r\u00e9gion du Copperbelt, dans le nord du pays, \u00e0 la fronti\u00e8re avec la R\u00e9publique D\u00e9mocratique du Congo. Plus de 60 membres des \u00e9quipes de MSF se trouvent actuellement dans le pays aux c\u00f4t\u00e9s de 340 volontaires affili\u00e9s au minist\u00e8re de la Sant\u00e9 pour r\u00e9pondre \u00e0 cette urgence.<\/p>\n\n\n\n

A Lusaka, les \u00e9quipes MSF soutiennent le personnel de sant\u00e9 dans la gestion des cas au sein des centres de traitement du chol\u00e9ra (CTC), et aupr\u00e8s de la communaut\u00e9 dans les sous-districts de Kanyama et de Chawama. Dans pr\u00e8s de 200 sites m\u00e9dicaux de la ville de Lusaka, les autorit\u00e9s sanitaires nationales et leurs partenaires fournissent aux patients des sels de r\u00e9hydratation orale et les premiers soins jusqu’\u00e0 ce qu’ils soient orient\u00e9s vers un \u00e9tablissement mieux \u00e9quip\u00e9 si les sympt\u00f4mes persistent.\u00a0<\/p>\n\n\n\n

Pour garantir l’acc\u00e8s aux soins et l’arriv\u00e9e rapide des cas dans les structures m\u00e9dicales, les \u00e9quipes MSF aident les autorit\u00e9s sanitaires \u00e0 renforcer leur syst\u00e8me de r\u00e9f\u00e9rence en fournissant deux voitures \u00e0 Kanyama et deux autres \u00e0 Chawama. Autour de la capitale, un syst\u00e8me de 12 centres de soins interm\u00e9diaires connus sous le nom de \u00ab points de r\u00e9hydratation orale \u00bb a \u00e9t\u00e9 mis en place pour d\u00e9sengorger les h\u00f4pitaux.<\/p>\n\n\n\n

En compl\u00e9ment, des \u00e9quipes de sp\u00e9cialistes en assainissement des eaux supervisent quotidiennement un r\u00e9seau de 178 points d’eau chlor\u00e9e autour de Lusaka, et distribuent des kits contenant du savon, du chlore et des jerrycans aux foyers o\u00f9 de nouveaux cas de chol\u00e9ra sont constat\u00e9s, afin de fournir aux populations de l’eau propre et potable.<\/p>\n\n\n\n

Enfin, des activit\u00e9s de sensibilisation \u00e0 l’hygi\u00e8ne sont men\u00e9es dans ces zones autour de la capitale,  gr\u00e2ce \u00e0 un r\u00e9seau de plusieurs centaines de volontaires dont le r\u00f4le consiste \u00e0 impliquer les familles en leur permettant de s\u2019approprier la mise en \u0153uvre des mesures de pr\u00e9vention. La promotion de la sant\u00e9 permet ainsi de limiter la propagation de la maladie \u00e0 travers les conseils donn\u00e9s aux familles sur la meilleure fa\u00e7on de s\u2019en pr\u00e9munir.<\/p>\n\n\n\n

Dans la province du Copperbelt, MSF a soutenu l\u2019ouverture d\u2019un nouveau CTC de 46 lits dans la ville de Ndola, permettant ainsi une meilleure prise en charge des patients. Sa capacit\u00e9 peut \u00e9voluer en fonction des diff\u00e9rentes progressions de l\u2019\u00e9pid\u00e9mie. L\u2019association appuie aussi les \u00e9quipes du minist\u00e8re dans cinq autres structures de sant\u00e9 pour une prise en charge de premi\u00e8re ligne, ainsi que le syst\u00e8me de r\u00e9f\u00e9rencement permettant une prise en charge hospitali\u00e8re. Les \u00e9pid\u00e9mies de chol\u00e9ra exigent une r\u00e9ponse m\u00e9dicale localis\u00e9e et rapide, \u00e0 laquelle doivent \u00eatre associ\u00e9s un acc\u00e8s \u00e0 l’eau potable et une approche communautaire permettant l\u2019identification pr\u00e9coce des cas.<\/p>\n\n\n\n

Distribu\u00e9 par APO Group pour M\u00e9decins sans fronti\u00e8res (MSF).<\/em><\/p>\n\n\n\n

Afiya<\/p>\n

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\u00c0 la suite de la r\u00e9surgence de cas de chol\u00e9ra depuis mi-d\u00e9cembre en Zambie, M\u00e9decins…<\/p>\n","protected":false},"author":4,"featured_media":5148,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[12],"tags":[1188,1071,1214,1013,1337,31,60,210],"class_list":["post-5149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","tag-actualites","tag-actumed","tag-afiya","tag-afiya-revue-medicale-africaine","tag-afiyafrica","tag-afrique","tag-afrique-sante","tag-zambie"],"yoast_head":"\nZambie : M\u00e9decins sans fronti\u00e8res (MSF) participe \u00e0 la lutte contre la plus grande \u00e9pid\u00e9mie de chol\u00e9ra jamais enregistr\u00e9e dans le pays -<\/title>\n<meta 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