{"id":5684,"date":"2024-08-19T07:41:30","date_gmt":"2024-08-19T07:41:30","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=5684"},"modified":"2024-08-19T07:41:30","modified_gmt":"2024-08-19T07:41:30","slug":"focus-afrique-que-connait-on-de-la-situation-durgence-declaree-pour-le-mpox","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/actualite\/focus-afrique-que-connait-on-de-la-situation-durgence-declaree-pour-le-mpox\/","title":{"rendered":"Focus : Afrique : Que connait-on de la situation d’urgence d\u00e9clar\u00e9e pour le Mpox?"},"content":{"rendered":"
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\n \t<\/i> Read Time:<\/span>2 Minute, 54 Second <\/div>\n\n <\/div>

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Le comit\u00e9 d’urgence de l’Organisation Mondiale de la Sant\u00e9 (OMS), s’est r\u00e9uni mercredi 14 ao\u00fbt 2024, pour analyser la situation sanitaire due \u00e0 la variole du singe encore appel\u00e9 variole simienne (Mpox). Au vue de la recrudescence des cas en Afrique et de l’apparition de cas potentiellement mortels hors du continent en Asie et en Europe, cette r\u00e9union du comit\u00e9 d’urgence \u00e9tait une n\u00e9cessit\u00e9. Compos\u00e9 par des experts ind\u00e9pendants avec \u00e0 leur t\u00eate le Pr Dimie Ogoina, le comit\u00e9 a unanimement convenu de l’urgence de la situation.<\/p>\n

 <\/p>\n

Alors que Africa CDC avait d\u00e9j\u00e0 tir\u00e9 la sonnette d’alarme, c’est au tour de l’OMS de d\u00e9clarer la situation d’urgence. Lors de la r\u00e9union du comit\u00e9 d’urgence, l’\u00e9pid\u00e9mie de Mpox a \u00e9t\u00e9 d\u00e9clar\u00e9 comme une Urgence de Sant\u00e9 Publique de Port\u00e9e Internationale ( USPPI) : il s’agit du plus haut niveau d’alerte de l’OMS.<\/p>\n

 <\/p>\n

Vu le contexte sanitaire actuel du continent et la recrudescence des cas surtout en R\u00e9publique D\u00e9mocratique du Congo ainsi que dans les pays avoisinants d’une part et la rapidit\u00e9 de propagation coupl\u00e9 au potentiel de mortalit\u00e9 plus \u00e9lev\u00e9 de la nouvelle variante du virus d’autre part, cette d\u00e9cision devient une \u00e9vidence. Une \u00e9vidence en vue de prendre des mesures urgentes pour \u00e9viter une autre crise sanitaire mondiale du genre COVID.<\/p>\n

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D\u00e9couvert en septembre 2023, en R\u00e9publique D\u00e9mocratique du Congo, la nouvelle variante du virus de la variole simienne baptis\u00e9 \u00a0\u00bb Clade Ib\u00a0\u00bb, s’av\u00e8re plus mortelle et de transmission plus rapide. En une ann\u00e9e, il a \u00e9t\u00e9 not\u00e9 une augmentation des cas et des d\u00e9c\u00e8s alors que la dynamique de transmission ainsi que les facteurs de risques et les populations \u00e0 risques de cette nouvelle variante sont encore mal connus.<\/p>\n

 <\/p>\n

Il \u00e9tait connu que le virus de la variole simienne \u00e9tait transmis par rapport sexuel et \u00e9tait plus pr\u00e9sent chez les personnes homosexuelles. Cependant ces donn\u00e9es s’av\u00e8rent obsol\u00e8tes car la transmission serait \u00e0 pr\u00e9sent plus large par les fluides corporels ( par un simple touch\u00e9 ) et tous les groupes de la population pourraient \u00eatre atteints. Les enfants sont en effet de plus en plus touch\u00e9s. Cette nouvelle variante pr\u00e9sente une l\u00e9talit\u00e9 de 5% chez l’adulte et de 10% chez l’enfant.<\/p>\n

 <\/p>\n

Le virus serait \u00e9galement tr\u00e8s pr\u00e9sent dans les communaut\u00e9s immunod\u00e9prim\u00e9s surtout dans les cas de personnes vivant avec le VIH. Il a \u00e9t\u00e9 observ\u00e9 que les personnes immunod\u00e9prim\u00e9s pr\u00e9sentaient des formes plus graves de la maladie. Une \u00e9tude a retrouv\u00e9 une forme grave de la maladie \u00a0\u00bb Mpox fulminant\u00a0\u00bb chez cette population de patients.<\/p>\n

 <\/p>\n

N’oublions pas qu’en 2022, une \u00e9pid\u00e9mie mondiale avec la variante Mpox Clade2 du virus, avait \u00e9t\u00e9 d\u00e9clar\u00e9e. Cette variante touchait surtout les hommes homosexuels et bisexuels. Une alerte avait \u00e9t\u00e9 d\u00e9clar\u00e9e en juillet 2022 et lev\u00e9e en mai 2023.<\/p>\n

 <\/p>\n

Le directeur de l’OMS a appel\u00e9 \u00e0 une action collective. Face \u00e0 cette situation, le recours \u00e0 la vaccination se pr\u00e9cise comme le premier moyen pour endiguer la propagation du virus. Le vaccin contre la variole simienne, Mpox existant d\u00e9j\u00e0, la probl\u00e9matique sera sa disponibilisation \u00e0 l’\u00e9chelle mondiale et l’acc\u00e8s \u00e0 des stocks de vaccins pour les pays africains. L’Afrique et ses dirigeants sanitaires auront comme d\u00e9fis, la mise en place d’un plan strat\u00e9gique efficace pour la disponibilit\u00e9 de tests diagnostic et des vaccins pour contenir la propagation de l’\u00e9pid\u00e9mie. Il sera \u00e9galement n\u00e9cessaire d’am\u00e9liorer les connaissances et les comp\u00e9tences cliniques des praticiens et la capacit\u00e9 des laboratoires en Afrique.<\/p>\n

 <\/p>\n

Dr Samira KILANYOSSI<\/p>\n

R\u00e9dactrice en Chef<\/p>\n

Afiya<\/p>\n

 <\/p>\n

Ressources : OMS, ONU Infos, Africa CDC<\/p>\n

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