{"id":7171,"date":"2025-05-19T15:40:13","date_gmt":"2025-05-19T15:40:13","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=7171"},"modified":"2025-05-19T15:40:13","modified_gmt":"2025-05-19T15:40:13","slug":"la-sierra-leone-lutte-contre-la-variole-du-singe-monkeypox","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/actualite\/la-sierra-leone-lutte-contre-la-variole-du-singe-monkeypox\/","title":{"rendered":"La Sierra Leone lutte contre la variole du singe (Monkeypox)"},"content":{"rendered":"
\n
\n \t<\/i> Read Time:<\/span>4 Minute, 33 Second <\/div>\n\n <\/div>

En avril de cette ann\u00e9e, l’\u00e9quipe de gestion des incidents (IMST) a men\u00e9 une mission en Sierra Leone et a constat\u00e9 que le syst\u00e8me de sant\u00e9 du pays \u00e9tait surcharg\u00e9 et surpeupl\u00e9, avec une capacit\u00e9 en lits gravement insuffisante pour accueillir plus de 1 000 patients dans les centres de traitement de la variole du singe (mpox).<\/p>\n

La Sierra Leone est le dernier pays \u00e0 figurer sur la liste de l\u2019\u00c9quipe de soutien \u00e0 la gestion des incidents (IMST) comme l\u2019un des plus touch\u00e9s par la variole du singe (mpox). L\u2019explosion des cas suscite l\u2019inqui\u00e9tude \u00e0 travers l\u2019Afrique.<\/p>\n

Le pays a enregistr\u00e9 son premier cas le 10 janvier 2025. Imm\u00e9diatement apr\u00e8s, le ministre de la Sant\u00e9, le Dr Austin Demby, a d\u00e9clar\u00e9 l\u2019\u00e9tat d\u2019urgence sanitaire publique, estimant que cette mesure \u00e9tait n\u00e9cessaire pour emp\u00eacher la propagation du virus.<\/p>\n

Lors d\u2019un r\u00e9cent point de presse hebdomadaire en ligne, le Dr Ngashi Ngongo, responsable de l\u2019IMST mpox du CDC Afrique, a indiqu\u00e9 que les cas diminuaient dans les principaux foyers de l\u2019\u00e9pid\u00e9mie dans la r\u00e9gion, comme le Burundi, l\u2019Ouganda et la R\u00e9publique d\u00e9mocratique du Congo (RDC). \u00ab Nous commen\u00e7ons \u00e0 voir une lueur d\u2019espoir \u00bb, a-t-il d\u00e9clar\u00e9.<\/p>\n

Mais en Sierra Leone, le nombre de cas confirm\u00e9s continue d\u2019augmenter : plus de 200 nouveaux cas ont \u00e9t\u00e9 enregistr\u00e9s en avril, t\u00e9moignant d\u2019une transmission accrue dans le pays. D\u00e9but mai, la Sierra Leone comptait \u00e0 elle seule la moiti\u00e9 des cas confirm\u00e9s sur le continent africain. L\u2019\u00e9pid\u00e9mie s\u2019est acc\u00e9l\u00e9r\u00e9e au cours des six derni\u00e8res semaines, avec une hausse de 71 % des cas par rapport \u00e0 la semaine pr\u00e9c\u00e9dente. Le pays enregistrait en moyenne une centaine de nouveaux cas par jour.<\/p>\n

\u00ab Ce qui est tr\u00e8s pr\u00e9occupant, c\u2019est que rien qu\u2019en une semaine, le nombre de cas signal\u00e9s a augment\u00e9 de 71 %, et le nombre de cas confirm\u00e9s de 61 %. Cela montre bien qu\u2019il s\u2019agit d\u2019une \u00e9pid\u00e9mie en pleine croissance \u00bb<\/strong>, a soulign\u00e9 le Dr Ngongo. \u00ab Nous restons tr\u00e8s pr\u00e9occup\u00e9s par la croissance exponentielle en Sierra Leone. \u00bb<\/strong><\/p>\n

Selon lui, 68 % des patients sont des hommes, \u00e2g\u00e9s pour la plupart de 30 \u00e0 35 ans. Sept pour cent des cas concernent des personnes vivant avec le VIH, un groupe \u00e0 haut risque \u00e9galement observ\u00e9 dans d\u2019autres pays africains touch\u00e9s par l\u2019\u00e9pid\u00e9mie.<\/p>\n

En avril, l\u2019IMST a men\u00e9 une mission en Sierra Leone et constat\u00e9 que le syst\u00e8me de sant\u00e9 du pays \u00e9tait d\u00e9bord\u00e9 et surcharg\u00e9, avec une capacit\u00e9 en lits tr\u00e8s insuffisante pour accueillir plus de 1 000 patients dans les centres de traitement de la variole du singe.<\/p>\n

Le Dr Ngongo a pr\u00e9cis\u00e9 que les centres de traitement ne disposaient que de 60 lits d\u2019isolement pour la mpox et que la majorit\u00e9 des patients recevaient des soins \u00e0 domicile, rendant difficile le respect des mesures d\u2019isolement.<\/p>\n

\u00ab C\u2019est pourquoi environ 800 cas actifs sont actuellement pris en charge \u00e0 domicile \u00bb, a-t-il expliqu\u00e9. \u00ab Mais cela pose aussi un \u00e9norme d\u00e9fi, car l\u2019adh\u00e9sion aux mesures d\u2019isolement est tr\u00e8s faible. Il est tr\u00e8s difficile de garder les gens \u00e0 la maison. Ils ont tendance, malgr\u00e9 leur isolement, \u00e0 continuer \u00e0 participer \u00e0 des activit\u00e9s sociales, exposant ainsi davantage de membres de la communaut\u00e9 au virus. \u00bb<\/strong><\/p>\n

L\u2019\u00e9valuation a \u00e9galement r\u00e9v\u00e9l\u00e9 que la surveillance en Sierra Leone est principalement passive. \u00ab C\u2019est pourquoi le taux de positivit\u00e9 d\u00e9passe les 50 %. Cela signifie que les gens ne consultent que lorsqu\u2019ils sont d\u00e9j\u00e0 tr\u00e8s avanc\u00e9s dans la maladie. Ils viennent d\u2019eux-m\u00eames chercher des soins, au lieu d\u2019\u00eatre identifi\u00e9s pr\u00e9cocement gr\u00e2ce \u00e0 une surveillance active, qui permettrait de r\u00e9duire l\u2019exposition de la population \u00bb, a ajout\u00e9 le Dr Ngongo.<\/p>\n

Bien que la Sierra Leone dispose d\u2019une bonne couverture et d\u2019un bon taux de tests mpox, son taux de tra\u00e7age des contacts reste faible. Selon le Dr Ngongo, moins d\u2019un cas confirm\u00e9 sur six b\u00e9n\u00e9ficie d\u2019une identification de ses contacts. Par ailleurs, le taux de s\u00e9quen\u00e7age g\u00e9nomique, qui devrait avoisiner les 5 %, est actuellement bien inf\u00e9rieur \u00e0 1 %. Pr\u00e8s de 24 000 personnes ont \u00e9t\u00e9 vaccin\u00e9es jusqu\u2019\u00e0 pr\u00e9sent, dont pr\u00e8s de 60 % sont des professionnels de sant\u00e9.<\/p>\n

Depuis le d\u00e9but de l\u2019ann\u00e9e derni\u00e8re, 24 pays africains touch\u00e9s par la mpox ont signal\u00e9 129 711 cas, dont 29 609 confirm\u00e9s et environ 1 751 d\u00e9c\u00e8s associ\u00e9s.<\/p>\n

L\u2019Agence nationale de sant\u00e9 publique (NPHA) indique que les 16 districts de Sierra Leone sont d\u00e9sormais affect\u00e9s par la variole du singe. Les autorit\u00e9s se disent pr\u00e9occup\u00e9es par l\u2019escalade du nombre de cas, mais aussi par la gravit\u00e9 des infections, notamment chez les personnes vivant avec le VIH.<\/p>\n

La Sierra Leone fait partie des 10 pays ayant re\u00e7u des doses de vaccin gr\u00e2ce au soutien de partenaires tels que Gavi, l\u2019UNICEF et le CDC Afrique. Toutefois, avec une population de 8 millions d\u2019habitants et un peu plus de 61 000 doses disponibles, les autorit\u00e9s affirment que la priorit\u00e9 sera donn\u00e9e aux personnes les plus \u00e0 risque.<\/p>\n

Au-del\u00e0 de la Sierra Leone, la p\u00e9nurie de vaccins reste un d\u00e9fi majeur \u00e0 relever. Le CDC Afrique continuera de plaider pour une disponibilit\u00e9 accrue des vaccins \u00e0 court terme, ainsi que pour la production locale et la constitution de stocks strat\u00e9giques \u00e0 moyen et long terme, dans le cadre de l\u2019h\u00e9ritage de cette \u00e9pid\u00e9mie de variole du singe.<\/p>\n

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En avril de cette ann\u00e9e, l’\u00e9quipe de gestion des incidents (IMST) a men\u00e9 une mission…<\/p>\n","protected":false},"author":5,"featured_media":7172,"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":[12,42],"tags":[1900,1911,62,1692,1751,91,34,171],"class_list":["post-7171","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualite","category-epidemie","tag-acces-aux-soins","tag-maladies-infectieuses","tag-sante-en-afrique","tag-securite-sanitaire","tag-sierra-leone","tag-systeme-de-sante","tag-vaccination","tag-variole-du-singe"],"yoast_head":"\nLa Sierra Leone lutte contre la variole du singe (Monkeypox) -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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