{"id":15912,"date":"2024-03-01T17:03:44","date_gmt":"2024-03-01T16:03:44","guid":{"rendered":"https:\/\/francelyme.fr\/site\/?p=15912"},"modified":"2025-10-06T10:04:11","modified_gmt":"2025-10-06T08:04:11","slug":"aux-usa-le-gouvernement-declare-la-guerre-aux-maladies-vectorielles","status":"publish","type":"post","link":"https:\/\/francelyme.fr\/site\/aux-usa-le-gouvernement-declare-la-guerre-aux-maladies-vectorielles\/","title":{"rendered":"Aux USA, le gouvernement d\u00e9clare la guerre aux maladies vectorielles"},"content":{"rendered":"
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D\u00e9cid\u00e9ment \u00e7a bouge aux Etats-Unis !  C\u2019est une premi\u00e8re mondiale en effet : le gouvernement am\u00e9ricain vient de lancer un plan strat\u00e9gique de sant\u00e9 publique de tr\u00e8s grande ampleur pour lutter contre les maladies \u00e0 transmission vectorielle.<\/p>\n\n\n\n

Autrement dit, contre toutes celles qui peuvent \u00eatre transmises par tous les insectes et arachnides qui piquent l\u2019homme, comme les tiques, les moustiques, les mouches et les araign\u00e9es. Parmi ces maladies vectorielles, on retrouve bien s\u00fbr Lyme et les MVT (Maladies Vectorielles \u00e0 Tiques), mais aussi le zika, la dengue, la malaria, le chikungunya, etc.<\/p>\n\n\n\n

Ce plan a n\u00e9cessit\u00e9 4 ans de travail ; il a impliqu\u00e9 toutes les parties concern\u00e9es, et en particulier les associations de malades. Il a \u00e9t\u00e9 approuv\u00e9 par 17 agences f\u00e9d\u00e9rales r\u00e9parties dans 5 Minist\u00e8res. Dont les principales, que sont le HHS (Dpt of Human Health Services \u2013 le Minist\u00e8re f\u00e9d\u00e9ral de la Sant\u00e9), et les CDC (Centers for Disease Control and Prevention \u2013 \u00e9quivalents \u00e0 Sant\u00e9 Publique France).<\/p>\n\n\n\n

Le premier point int\u00e9ressant, c\u2019est d\u2019abord ces constats dress\u00e9s par ces institutions officielles : oui ces pathologies chroniques existent bel et bien, et oui nous sommes d\u00e9munis en termes de traitement pour les soigner.<\/p>\n\n\n\n

Extrait de la page 37 :<\/p>\n\n\n\n

\u00ab Les infections peuvent parfois laisser des sympt\u00f4mes qui durent des semaines, voire des mois, voire plus, m\u00eame apr\u00e8s un traitement appropri\u00e9. Ces maladies chroniques associ\u00e9es aux infections constituent un probl\u00e8me de sant\u00e9 publique croissant et peuvent entra\u00eener des invalidit\u00e9s et des d\u00e9c\u00e8s. Les maladies chroniques associ\u00e9es \u00e0 une infection ont \u00e9t\u00e9 bien document\u00e9es pour la maladie de Lyme, le virus du Nil occidental, le virus de la dengue (..), mais aucune directive clinique n’est disponible pour guider le traitement des cons\u00e9quences de ces maladies vectorielles \u00e0 un stade avanc\u00e9. \u00bb<\/em><\/p>\n\n\n\n

Ces maladies sont per\u00e7ues par les autorit\u00e9s comme un danger majeur pour la sant\u00e9 publique, car elles sont en constante augmentation (elles ont doubl\u00e9 dans les 15 derni\u00e8res ann\u00e9es aux USA), avec un impact jug\u00e9 d\u00e9vastateur pour les personnes atteintes, pour leurs familles, et pour la soci\u00e9t\u00e9. Autre motif d\u2019inqui\u00e9tude des autorit\u00e9s : les scientifiques d\u00e9couvrent r\u00e9guli\u00e8rement de nouvelles menaces dans ce domaine. Depuis 2004, pas moins de 7 nouveaux pathog\u00e8nes transmis par les tiques ont ainsi \u00e9t\u00e9 d\u00e9couverts.<\/p>\n\n\n\n

La maladie de Lyme figure en bonne place dans ce document de 84 pages, car c\u2019est de tr\u00e8s loin la maladie \u00e0 transmission vectorielle n\u00b01 aux Etats-Unis : les MVT repr\u00e9sentent 90 % de l\u2019ensemble des maladies vectorielles recens\u00e9es dans ce pays, et la Borr\u00e9liose de Lyme en repr\u00e9sente \u00e0 elle seule 72 %.<\/p>\n\n\n\n

Bon nombre des recommandations de ce plan sont d\u2019ailleurs issues du rapport que le Tick-Borne Disease Working Group (groupe de travail sur les MVT) a remis au Congr\u00e8s l\u2019ann\u00e9e derni\u00e8re.<\/p>\n\n\n\n

Concr\u00e8tement, le plan d\u2019action strat\u00e9gique est d\u00e9coup\u00e9 en 5 axes :<\/p>\n\n\n\n

1 – Mieux comprendre o\u00f9, quand, et comment les personnes sont expos\u00e9es aux maladies vectorielles, et tombent malades, voire en meurent,<\/p>\n\n\n\n

2 – D\u00e9velopper, \u00e9valuer et am\u00e9liorer les outils et les m\u00e9thodes pour diagnostiquer ces maladies et leurs agents pathog\u00e8nes,<\/p>\n\n\n\n

3 – D\u00e9velopper, \u00e9valuer et am\u00e9liorer les outils et les m\u00e9thodes pour pr\u00e9venir et contr\u00f4ler ces maladies,<\/p>\n\n\n\n

4 – D\u00e9velopper et \u00e9valuer des m\u00e9dicaments et des strat\u00e9gies de traitement,<\/p>\n\n\n\n

5 – Diffuser et mettre en \u0153uvre des outils, des programmes et des collaborations de sant\u00e9 publique pour pr\u00e9venir, d\u00e9tecter, diagnostiquer et r\u00e9pondre aux menaces des maladies vectorielles.<\/p>\n\n\n\n

Ces 5 axes sont ensuite d\u00e9clin\u00e9s en objectifs et sous-objectifs, avec au total plus de 120 programmes et plans de travail cibl\u00e9s, chacun pilot\u00e9 par une entit\u00e9 responsable de l\u2019atteinte de l\u2019objectif. Voil\u00e0 un vrai plan d\u2019action ambitieux, construit, d\u00e9taill\u00e9, pilot\u00e9 par des acteurs responsables, et financ\u00e9 par des donneurs d\u2019ordre qui ont les moyens.<\/p>\n\n\n\n

Ce plan est un r\u00e9el espoir pour les malades : apr\u00e8s toutes ces ann\u00e9es de relatif pi\u00e9tinement et de controverse, on peut enfin esp\u00e9rer \u00e0 terme des r\u00e9sultats tangibles sur ces maladies vectorielles, et en premier lieu sur Lyme et les autres MVT.<\/p>\n\n\n\n

Enfin, dans ce rapport, les auteurs rappellent que leurs travaux r\u00e9pondent directement \u00e0 la demande de la loi Kay Hagan. Cette loi, vot\u00e9e en 2019 par le Congr\u00e8s US, demandait explicitement au HHS de d\u00e9velopper une strat\u00e9gie nationale pour lutter contre les maladies vectorielles. Cette loi porte pr\u00e9cis\u00e9ment ce nom parce qu\u2019en 2019 une s\u00e9natrice, la s\u00e9natrice Kay Hagan, est d\u00e9c\u00e9d\u00e9e \u00e0 la suite d\u2019une maladie transmise par les tiques.<\/p>\n\n\n\n

Faudra-t-il attendre qu\u2019en France, un membre du S\u00e9nat d\u00e9c\u00e8de \u00e0 la suite d\u2019une MVT pour qu\u2019on se d\u00e9cide enfin \u00e0 prendre \u00e0 bras-le-corps ce probl\u00e8me de sant\u00e9 publique ?<\/p>\n\n\n\n

National Public Health Strategy to Prevent and Control Vector-Borne Diseases in People<\/a><\/p>\n\n\n\n

2024 Vector-borne diseases National Strategy to Protect People du CDC<\/a><\/p>\n\n\n\n

https:\/\/www.hhs.gov\/about\/news\/2024\/02\/06\/hhs-releases-national-public-health-strategy-prevent-and-control-vector-borne-diseases-people.html<\/a><\/p>\n\n\n\n

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