{"id":6658,"date":"2025-03-07T20:58:47","date_gmt":"2025-03-07T20:58:47","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=6658"},"modified":"2025-03-07T21:00:11","modified_gmt":"2025-03-07T21:00:11","slug":"urgence-de-sante-publique-de-portee-internationale-liee-a-la-recrudescence-de-la-mpox-variole-simienne","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/actualite\/urgence-de-sante-publique-de-portee-internationale-liee-a-la-recrudescence-de-la-mpox-variole-simienne\/","title":{"rendered":"Urgence de sant\u00e9 publique de port\u00e9e internationale li\u00e9e \u00e0 la recrudescence de la mpox (variole simienne)"},"content":{"rendered":"<div class='booster-block booster-read-block'>\n                <div class=\"twp-read-time\">\n                \t<i class=\"booster-icon twp-clock\"><\/i> <span>Read Time:<\/span>6 Minute, 3 Second                <\/div>\n\n            <\/div><p>A la suite de la troisi\u00e8me r\u00e9union du Comit\u00e9 d\u2019urgence du R\u00e8glement sanitaire international (2005) (RSI) concernant la recrudescence de la mpox en 2024, laquelle s\u2019est tenue le 25 f\u00e9vrier 2025 de 12 heures \u00e0 17 heures (HNEC), le Directeur g\u00e9n\u00e9ral de l\u2019Organisation mondiale de la Sant\u00e9 (OMS) souscrit \u00e0 l\u2019avis exprim\u00e9 par le Comit\u00e9 selon lequel l\u2019\u00e9v\u00e9nement continue de r\u00e9pondre aux crit\u00e8res d\u2019une urgence de sant\u00e9 publique de port\u00e9e internationale (USPPI) et, compte tenu de cet avis, \u00e9met par la pr\u00e9sente des recommandations temporaires r\u00e9vis\u00e9es.<\/p>\n<p>&nbsp;<\/p>\n<p>Le Directeur g\u00e9n\u00e9ral de l\u2019OMS exprime ses plus sinc\u00e8res remerciements au Pr\u00e9sident, aux membres et aux conseillers du Comit\u00e9. Le compte rendu de la troisi\u00e8me r\u00e9union du Comit\u00e9 sera transmis aux \u00c9tats Parties au RSI et publi\u00e9 prochainement.<\/p>\n<p>&nbsp;<\/p>\n<p>Recommandations temporaires<\/p>\n<p>Ces recommandations temporaires sont \u00e9mises \u00e0 l\u2019intention des \u00c9tats Parties qui font face \u00e0 une transmission du virus de la mpox (MPXV), y compris, sans que cette liste soit exhaustive, ceux touch\u00e9s par une transmission communautaire persistante et ceux o\u00f9 l\u2019on observe des groupes de cas ou des cas sporadiques d\u2019infection par le clade Ib du MPXV li\u00e9s \u00e0 des voyages.<\/p>\n<p>&nbsp;<\/p>\n<p>Elles sont destin\u00e9es \u00e0 \u00eatre mises en \u0153uvre par ces \u00c9tats Parties en plus des actuelles recommandations permanentes relatives \u00e0 la mpox, qui seront prolong\u00e9es jusqu\u2019au 20 ao\u00fbt 2025.<\/p>\n<p>&nbsp;<\/p>\n<p>Dans le cadre des efforts mondiaux visant \u00e0 pr\u00e9venir et \u00e0 endiguer la propagation de la mpox, tels que d\u00e9crits dans le document intitul\u00e9 WHO Strategic framework for enhancing prevention and control of mpox- 2024-2027, les recommandations permanentes susmentionn\u00e9es s\u2019appliquent \u00e0 tous les \u00c9tats Parties.<\/p>\n<p>&nbsp;<\/p>\n<p>Toutes les orientations techniques provisoires actuelles de l\u2019OMS sont disponibles sur cette page du site Web de l\u2019OMS. Les orientations de l\u2019OMS fond\u00e9es sur des donn\u00e9es probantes sont et continueront d\u2019\u00eatre mises \u00e0 jour en fonction de l\u2019\u00e9volution de la situation, des nouvelles preuves scientifiques disponibles et de l\u2019\u00e9valuation des risques par l\u2019OMS, afin d\u2019aider les \u00c9tats Parties \u00e0 mettre en \u0153uvre le cadre strat\u00e9gique de l\u2019OMS visant \u00e0 renforcer la pr\u00e9vention de la mpox et la lutte en la mati\u00e8re.<\/p>\n<p>&nbsp;<\/p>\n<p>Conform\u00e9ment aux principes \u00e9nonc\u00e9s \u00e0 l\u2019article 3 du R\u00e8glement sanitaire international (RSI), la mise en \u0153uvre de ces recommandations temporaires, ainsi que des recommandations permanentes relatives \u00e0 la mpox, par les \u00c9tats Parties, se fait dans le plein respect de la dignit\u00e9 des personnes, des droits humains et des libert\u00e9s fondamentales.<\/p>\n<p>&nbsp;<\/p>\n<p>Coordination des mesures d\u2019urgence<\/p>\n<p>&nbsp;<\/p>\n<p>Obtenir un engagement politique, une mobilisation et une allocation appropri\u00e9e de ressources afin d\u2019intensifier les initiatives de pr\u00e9vention et de riposte face \u00e0 la mpox aux niveaux administratifs et op\u00e9rationnels inf\u00e9rieurs signalant des cas de mpox dans les 4 semaines pr\u00e9c\u00e9dentes (appel\u00e9s \u00ab points chauds \u00bb).<\/p>\n<p>\u00c9tablir des m\u00e9canismes nationaux et locaux de coordination des mesures d\u2019urgence en mati\u00e8re de pr\u00e9vention et de riposte, ou renforcer les m\u00e9canismes existants, comme il est recommand\u00e9 dans le Plan strat\u00e9gique mondial de pr\u00e9paration et de riposte face \u00e0 la mpox (2024), et la version \u00e0 venir, et conform\u00e9ment au cadre strat\u00e9gique de l\u2019OMS visant \u00e0 renforcer la pr\u00e9vention de la mpox et la lutte en la mati\u00e8re (2024-2027) qu\u2019il convient de maintenir.<\/p>\n<p>Assurer ou am\u00e9liorer la coordination entre l\u2019ensemble des partenaires et parties prenantes qui participent aux activit\u00e9s de pr\u00e9vention et de riposte ou qui les appuient dans le cadre d\u2019une coop\u00e9ration, notamment en instaurant des m\u00e9canismes de responsabilisation.<\/p>\n<p>Mettre en place un m\u00e9canisme permettant de suivre l\u2019efficacit\u00e9 des mesures de pr\u00e9vention et de riposte face \u00e0 la mpox mises en \u0153uvre aux niveaux administratifs inf\u00e9rieurs, afin que ces mesures puissent \u00eatre corrig\u00e9es au besoin ;<\/p>\n<p>Renforcer les m\u00e9canismes de coordination et de riposte, en particulier dans les zones de crise humanitaire ou touch\u00e9es par des conflits, en mobilisant les autorit\u00e9s locales et nationales et les partenaires d\u2019ex\u00e9cution pour assurer une surveillance int\u00e9gr\u00e9e de la mpox et la prestation des soins \u00e0 l\u2019intention des populations vuln\u00e9rables, en particulier dans les zones de d\u00e9placement de populations et o\u00f9 l\u2019acc\u00e8s aux services essentiels est insuffisant.<\/p>\n<p>Surveillance collaborative<\/p>\n<p>Renforcer la surveillance de la mpox, en am\u00e9liorant la sensibilit\u00e9 des approches adopt\u00e9es et en assurant une couverture g\u00e9ographique compl\u00e8te.<\/p>\n<p>Elargir l\u2019acc\u00e8s \u00e0 des outils de diagnostic pr\u00e9cis, abordables et disponibles pour diagnostiquer la mpox, notamment en renfor\u00e7ant le syst\u00e8me de transport des \u00e9chantillons, la d\u00e9centralisation du diagnostic et les modalit\u00e9s de diff\u00e9renciation des clades du MPXV et de s\u00e9quen\u00e7age g\u00e9nomique.<\/p>\n<p>Identifier et surveiller les contacts des personnes qui sont des cas suspects de mpox, diagnostiqu\u00e9s cliniquement ou confirm\u00e9s en laboratoire, afin de pr\u00e9venir toute transmission ult\u00e9rieure, et de leur apporter un appui ;<\/p>\n<p>Redoubler d\u2019efforts pour enqu\u00eater minutieusement sur les cas et les \u00e9pid\u00e9mies de mpox afin de mieux d\u00e9terminer les modes de transmission et le risque de transmission, et de pr\u00e9venir toute transmission ult\u00e9rieure aux contacts et au sein des communaut\u00e9s ;<\/p>\n<p>Chaque semaine, signaler \u00e0 l\u2019OMS les cas suspects, probables et confirm\u00e9s de mpox en temps voulu.<\/p>\n<p>Soins cliniques s\u00fbrs et \u00e9volutifs<\/p>\n<p>&nbsp;<\/p>\n<p>Fournir un appui clinique, nutritionnel et psychosocial aux personnes atteintes de la mpox, y compris, selon qu\u2019il convient et dans la mesure du possible, l\u2019isolement dans des centres de soins et\/ou l\u2019acc\u00e8s au mat\u00e9riel et aux orientations pour les soins \u00e0 domicile ;<\/p>\n<p>Elaborer et mettre en \u0153uvre un plan visant \u00e0 \u00e9largir l\u2019acc\u00e8s \u00e0 des soins cliniques de soutien optimis\u00e9s pour l\u2019ensemble des patientes et patients atteints de la mpox, y compris les enfants, les personnes vivant avec le VIH et les femmes enceintes. Il s\u2019agira notamment d\u2019identifier rapidement et de prendre en charge les co-infections end\u00e9miques, telles que le paludisme, la varicelle ou la rougeole ; de proposer des tests de d\u00e9pistage du VIH aux patientes et patients adultes qui ne connaissent pas leur statut s\u00e9rologique et aux enfants, selon qu\u2019il convient, et d\u2019assurer le d\u00e9pistage et la prise en charge d\u2019autres infections sexuellement transmissibles (IST) parmi les cas li\u00e9s \u00e0 des contacts sexuels, et leur orientation vers des services de soins et de traitement du VIH\/des IST le cas \u00e9ch\u00e9ant ;<\/p>\n<p>Renforcer les capacit\u00e9s, les connaissances et les comp\u00e9tences des personnels de sant\u00e9 et d\u2019aide \u00e0 la personne tout au long du parcours clinique et de la lutte anti-infectieuse \u2014 d\u00e9pistage, diagnostic, isolement, nettoyage de l\u2019environnement, sortie des patients, y compris le suivi apr\u00e8s sortie pour les cas suspects et confirm\u00e9s de mpox \u2014 et leur fournir des \u00e9quipements de protection individuelle (EPI) ;<\/p>\n<p>Renforcer les mesures de lutte anti-infectieuse et la disponibilit\u00e9 de services et d\u2019infrastructures d\u2019eau, d\u2019assainissement, d\u2019hygi\u00e8ne (WASH) et de gestion des d\u00e9chets dans les \u00e9tablissements de soins de sant\u00e9 et les centres de traitement et de soins afin de garantir la prestation de services de sant\u00e9 de qualit\u00e9 et la protection des personnels de sant\u00e9 et d\u2019aide \u00e0 la personne et des patients.<\/p>\n<p>&nbsp;<\/p>\n<p>Lire la suite sur : https:\/\/www.who.int\/fr\/news\/item\/27-02-2025-third-meeting-of-the-international-health-regulations-2005-emmergency-committee-regarding-the-upsurge-of-mpox-2024-temporary-recommendations<\/p>\n<p>&nbsp;<\/p>\n<p>Organisation Mondiale de la Sant\u00e9<\/p>\n        <div class=\"booster-block booster-reactions-block\">\n            <div class=\"twp-reactions-icons\">\n     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(2005)&#8230;<\/p>\n","protected":false},"author":4,"featured_media":6661,"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":[12,1041,1039],"tags":[1188,1071,1214,1337,31,60,1483,32,120,62],"class_list":["post-6658","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","category-oms","category-onu-news","tag-actualites","tag-actumed","tag-afiya","tag-afiyafrica","tag-afrique","tag-afrique-sante","tag-mpox","tag-oms","tag-oms-afrique","tag-sante-en-afrique"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Urgence de sant\u00e9 publique de port\u00e9e internationale li\u00e9e \u00e0 la recrudescence de la mpox (variole 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