{"id":18026,"date":"2018-05-18T13:24:49","date_gmt":"2018-05-18T11:24:49","guid":{"rendered":"https:\/\/www.redanalysis.org\/?p=18026"},"modified":"2019-03-13T17:04:38","modified_gmt":"2019-03-13T16:04:38","slug":"avertissement-%c3%a9bola-%c3%a9pid%c3%a9mie-en-drc-se-propager-%c3%a0-mettre-sous-surveiller","status":"publish","type":"post","link":"https:\/\/redanalysis.org\/fr\/2018\/05\/18\/warning-ebola-outbreak-in-the-drc-spreading-to-put-under-watch\/","title":{"rendered":"Avertissement - L'\u00e9pid\u00e9mie d'Ebola en RDC se propage - \u00e0 mettre sous surveillance"},"content":{"rendered":"<div style=\"text-align: justify; background-color: #f6f5f5; border-top: 3px solid #ce0022; border-bottom: 3px solid #ce0022; padding: 0.5em; padding-bottom: 0em; margin-bottom: 20px;\">\n<h2><span style=\"color: #000000;\">Niveau de risque et incertitudes<\/span><\/h2>\n<p><span style=\"color: #ff0000;\">\u279a<\/span> Niveau de risque<br \/>\n<span style=\"color: #ff0000;\">\u2783<\/span> tr\u00e8s \u00e9lev\u00e9 au niveau national (\u00e9valu\u00e9 par l'OMS)<br \/>\n<span style=\"color: #ff6600;\">\u2782<\/span>\u00a0\u00e9lev\u00e9 au niveau r\u00e9gional (\u00e9valuation de l'OMS).<br \/>\n<span style=\"color: #ffcc00;\">\u2780\u00a0<\/span>faible au niveau mondial (\u00e9valuation de l'OMS)<\/p>\n<p><span style=\"color: #ff0000;\"><span style=\"color: #0000ff;\"><span style=\"color: #2b2b2b;\"><span style=\"color: #ff0000;\">\u279a\u00a0<span style=\"color: #ffcc00;\">\u2780<\/span><\/span><\/span><span style=\"color: #ff0000;\"><span style=\"color: #ffcc00;\">\u00a0<\/span>\u00a0<span style=\"color: #333333;\">Risque pour les acteurs sans activit\u00e9s en RDC - Mettre le risque sous surveillance<\/span><\/span><span style=\"color: #2b2b2b;\"><br \/>\n<\/span><\/span><\/span><\/p>\n<p>Principaux acteurs concern\u00e9s : voyages et tourisme, ONG, soci\u00e9t\u00e9s mini\u00e8res (notamment de cobalt et de cuivre) - risque \u00e0 \u00e9valuer en fonction du lieu et des activit\u00e9s sp\u00e9cifiques.<\/p>\n<\/div>\n<h2>Faits et analyses<\/h2>\n<blockquote class=\"pull alignright\"><p>Chiffres de l'OMS - Du 4 avril au 17 mai 2018 :<\/p>\n<ul>\n<li>45 cas suspects, probables et confirm\u00e9s (14) d'Ebola signal\u00e9s<\/li>\n<li>25 d\u00e9c\u00e8s (+2 \/ 15 mai)<\/li>\n<li>527 contacts ont \u00e9t\u00e9 identifi\u00e9s et font l'objet d'un suivi et d'un contr\u00f4le.<\/li>\n<\/ul>\n<\/blockquote>\n<p style=\"text-align: justify;\">Une nouvelle \u00e9pid\u00e9mie de maladie \u00e0 virus Ebola (MVE) est en cours en R\u00e9publique d\u00e9mocratique du Congo.<\/p>\n<p style=\"text-align: justify;\">Le 8 mai 2018, la RDC a notifi\u00e9 \u00e0 l'OMS \" deux cas confirm\u00e9s de maladie \u00e0 virus Ebola survenant dans la zone de sant\u00e9 de Bikoro, province de l'\u00c9quateur \". Depuis lors, nous suivons de pr\u00e8s l'\u00e9volution de la maladie.<\/p>\n<figure id=\"attachment_18028\" aria-describedby=\"caption-attachment-18028\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/redanalysis.org\/wp-content\/uploads\/2018\/05\/Map-Ebola-Outbreak-DRC-15-May-WHO.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18028 size-full\" src=\"https:\/\/redanalysis.org\/wp-content\/uploads\/2018\/05\/Map-Ebola-Outbreak-DRC-15-May-WHO.jpg\" alt=\"\" width=\"600\" height=\"432\" srcset=\"https:\/\/redanalysis.org\/wp-content\/uploads\/2018\/05\/Map-Ebola-Outbreak-DRC-15-May-WHO.jpg 600w, https:\/\/redanalysis.org\/wp-content\/uploads\/2018\/05\/Map-Ebola-Outbreak-DRC-15-May-WHO-250x180.jpg 250w, https:\/\/redanalysis.org\/wp-content\/uploads\/2018\/05\/Map-Ebola-Outbreak-DRC-15-May-WHO-300x216.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><figcaption id=\"caption-attachment-18028\" class=\"wp-caption-text\">Carte de l'OMS - Nouvelles des flamb\u00e9es de maladies 17 mai 2018<\/figcaption><\/figure>\n<p style=\"text-align: justify;\">Le 17 mai 2018, l'OMS a relev\u00e9 le niveau de risque car un nouveau \"cas confirm\u00e9 en laboratoire dans la ville de Mbandaka\", a \u00e9t\u00e9 \"notifi\u00e9 par le minist\u00e8re de la Sant\u00e9 du pays\". Mbandaka compte 1,2 million d'habitants. Au 18 mai 2018, 3 cas seraient donc confirm\u00e9s \u00e0 Mbandaka. La ville est un port qui \"se trouve sur la rive orientale du fleuve Congo, le 2e plus long d'Afrique apr\u00e8s le Nil. Des dizaines de millions de personnes vivent le long du fleuve, et les capitales du Congo, de la R\u00e9publique centrafricaine et de la R\u00e9publique du Congo se trouvent le long de celui-ci et de ses affluents. Cela cr\u00e9e une situation beaucoup plus pr\u00e9caire pour la propagation de l'EV que Bikoro, l'\u00e9picentre de l'\u00e9pid\u00e9mie (ProMed, 17 avril)\".<\/p>\n<p style=\"text-align: justify;\">En cons\u00e9quence, le 18 mai 2018, l'OMS a convoqu\u00e9 un comit\u00e9 d'urgence pour \u00e9valuer la derni\u00e8re \u00e9pid\u00e9mie d'Ebola. Il a d\u00e9cid\u00e9 qu'\u00e0 ce jour, cette flamb\u00e9e devait <strong>pas<\/strong> \u00eatre consid\u00e9r\u00e9e comme une urgence de sant\u00e9 publique de port\u00e9e internationale - une PHEIC. Le comit\u00e9 se r\u00e9unira \u00e0 nouveau si l'\u00e9pid\u00e9mie s'\u00e9tend et r\u00e9\u00e9valuera alors la situation. Outre des mesures de \"r\u00e9ponse vigoureuse\" et de renforcement de la pr\u00e9paration et de la surveillance des pays voisins, les principaux conseils sont les suivants :<\/p>\n<blockquote>\n<p style=\"text-align: justify;\">\"Le contr\u00f4le \u00e0 la sortie, y compris dans les a\u00e9roports et les ports du fleuve Congo, est consid\u00e9r\u00e9 comme tr\u00e8s important ; en revanche, le contr\u00f4le \u00e0 l'entr\u00e9e, en particulier dans les a\u00e9roports \u00e9loign\u00e9s, n'est pas consid\u00e9r\u00e9 comme ayant une quelconque valeur en termes de sant\u00e9 publique ou de co\u00fbt-b\u00e9n\u00e9fice\".<\/p>\n<\/blockquote>\n<p style=\"text-align: justify;\">D'apr\u00e8s le rapport de situation de l'OMS du 17 mai 2018, Le niveau de risque pour la sant\u00e9 publique \u00e9valu\u00e9 par l'OMS est pass\u00e9 \u00e0 .<\/p>\n<ul>\n<li>tr\u00e8s \u00e9lev\u00e9 au niveau national<\/li>\n<li>\u00e9lev\u00e9 au niveau r\u00e9gional.<\/li>\n<li>faible au niveau mondial<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Compte tenu des trois principaux facteurs identifi\u00e9s lors de l'\u00e9pid\u00e9mie d'Ebola en Afrique de l'Ouest (2014-2015), l'existence de vaccins disponibles contre Ebola rVSVDG-ZEBOV-GP, dont l'efficacit\u00e9 a \u00e9t\u00e9 d\u00e9montr\u00e9e, et qui sont d\u00e9j\u00e0 envoy\u00e9s en RDC est un facteur favorable pour voir l'\u00e9pid\u00e9mie contr\u00f4l\u00e9e. \"L'OMS envoie 7540 doses de vaccin Ebola rVSVG-ZEBOV, ce qui est suffisant pour 50 cercles de 150 personnes. 4300 doses de vaccin sont d\u00e9j\u00e0 arriv\u00e9es \u00e0 Kinshasa. La logistique et les \u00e9quipes de vaccination sont en train d'\u00eatre mises en place pour commencer la vaccination le plus rapidement possible\"(OMS).<\/p>\n<p style=\"text-align: justify;\">La difficult\u00e9 de stocker puis d'acheminer le vaccin dans les zones touch\u00e9es est toutefois pr\u00e9occupante, tout comme l'\u00e9tat des soins de sant\u00e9 dans la r\u00e9gion. M\u00e9decins Sans Fronti\u00e8res (MSF) prend d\u00e9j\u00e0 des mesures pour \"intensifier sa r\u00e9ponse dans la zone affect\u00e9e\".<\/p>\n<p style=\"text-align: justify;\">Pour les acteurs mondiaux sans activit\u00e9 directe en RDC, la question est donc \u00e0 surveiller mais reste relativement peu pr\u00e9occupante.<\/p>\n<h2>Signaux et sources<\/h2>\n<blockquote class=\"embedly-card\" data-card-controls=\"0\">\n<h4><a href=\"https:\/\/www.theguardian.com\/world\/2018\/may\/18\/more-ebola-cases-confirmed-in-congolese-city-of-mbandaka\">Ebola : deux nouveaux cas confirm\u00e9s \u00e0 Mbandaka en RDC - The Guardian<\/a><\/h4>\n<p>Deux nouveaux cas d'Ebola ont \u00e9t\u00e9 confirm\u00e9s dans la ville de Mbandaka, au nord-ouest de la R\u00e9publique d\u00e9mocratique du Congo, ont d\u00e9clar\u00e9 les autorit\u00e9s sanitaires. Ce rapport porte \u00e0 trois le nombre de cas confirm\u00e9s dans cette ville d'un million d'habitants, ce qui laisse pr\u00e9sager une \u00e9pid\u00e9mie plus \u00e9tendue que pr\u00e9vu.<\/p><\/blockquote>\n<p><script async=\"\" src=\"\/\/cdn.embedly.com\/widgets\/platform.js\" charset=\"UTF-8\"><\/script><\/p>\n<blockquote class=\"embedly-card\" data-card-controls=\"0\">\n<h4><a href=\"http:\/\/www.who.int\/news-room\/detail\/18-05-2018-statement-on-the-1st-meeting-of-the-ihr-emergency-committee-regarding-the-ebola-outbreak-in-2018\">D\u00e9claration sur la 1\u00e8re r\u00e9union du Comit\u00e9 d'urgence du RSI concernant la flamb\u00e9e d'Ebola en 2018 - OMS<\/a><\/h4>\n<p>La 1\u00e8re r\u00e9union du Comit\u00e9 d'urgence convoqu\u00e9e par le Directeur g\u00e9n\u00e9ral de l'OMS en vertu du R\u00e8glement sanitaire international (RSI) (2005) concernant la flamb\u00e9e de maladie \u00e0 virus Ebola (MVE) en R\u00e9publique d\u00e9mocratique du Congo a eu lieu le vendredi 18 mai 2018, de 11h00 \u00e0 14h00, heure de Gen\u00e8ve (HEC).<\/p><\/blockquote>\n<p><script async=\"\" src=\"\/\/cdn.embedly.com\/widgets\/platform.js\" charset=\"UTF-8\"><\/script><\/p>\n<p><a href=\"http:\/\/www.who.int\/csr\/don\/17-may-2018-ebola-drc\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Maladie \u00e0 virus Ebola - R\u00e9publique d\u00e9mocratique du Congo - Nouvelles des flamb\u00e9es de maladies - OMS -17 mai 2018.<\/a><\/p>\n<blockquote class=\"embedly-card\">\n<h4><a href=\"http:\/\/www.who.int\/csr\/don\/17-may-2018-ebola-drc\/en\/\">Maladie \u00e0 virus Ebola - R\u00e9publique d\u00e9mocratique du Congo<\/a><\/h4>\n<p>Nouvelles des \u00e9pid\u00e9mies pour Ebola en RDC.<\/p><\/blockquote>\n<p><script async=\"\" src=\"\/\/cdn.embedly.com\/widgets\/platform.js\" charset=\"UTF-8\"><\/script><\/p>\n<p><a href=\"http:\/\/www.msf.org\/en\/article\/drc-ninth-ebola-outbreak-40-years-hits-urban-area\" target=\"_blank\" rel=\"noopener noreferrer\">RDC : La neuvi\u00e8me \u00e9pid\u00e9mie d'Ebola en 40 ans frappe une zone urbaine - MSF - 17 mai 2018.<\/a><\/p>\n<blockquote class=\"embedly-card\">\n<h4><a href=\"http:\/\/www.msf.org\/en\/article\/drc-ninth-ebola-outbreak-40-years-hits-urban-area\">RDC : La neuvi\u00e8me \u00e9pid\u00e9mie d'Ebola en 40 ans frappe une zone urbaine<\/a><\/h4>\n<p>Une \u00e9pid\u00e9mie d'Ebola a \u00e9t\u00e9 d\u00e9clar\u00e9e dans la province de l'\u00c9quateur, en R\u00e9publique d\u00e9mocratique du Congo (RDC). L'\u00e9pid\u00e9mie, dans le nord-est du pays, a touch\u00e9 44 personnes qui ont pr\u00e9sent\u00e9 des sympt\u00f4mes de fi\u00e8vre h\u00e9morragique dans la r\u00e9gion ; 3 ont \u00e9t\u00e9 confirm\u00e9es comme \u00e9tant des cas d'Ebola, et 23 d\u00e9c\u00e8s ont \u00e9t\u00e9 notifi\u00e9s par les autorit\u00e9s sanitaires nationales.<\/p><\/blockquote>\n<p><script async=\"\" src=\"\/\/cdn.embedly.com\/widgets\/platform.js\" charset=\"UTF-8\"><\/script><\/p>","protected":false},"excerpt":{"rendered":"<p>Niveau de risque et incertitudes \u279a Niveau de risque \u2783 tr\u00e8s \u00e9lev\u00e9 au niveau national (\u00e9valu\u00e9 par l'OMS) \u2782 \u00e9lev\u00e9 au niveau r\u00e9gional (\u00e9valu\u00e9 par l'OMS) \u2780 faible au niveau mondial (\u00e9valu\u00e9 par l'OMS) \u279a \u2780 Risque pour les acteurs n'ayant pas d'activit\u00e9s en RDC - Mettre le risque sous surveillance Principaux acteurs concern\u00e9s : voyages et tourisme, ONG, soci\u00e9t\u00e9s mini\u00e8res (notamment Cobalt, Cuivre) - ... <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/redanalysis.org\/fr\/2018\/05\/18\/warning-ebola-outbreak-in-the-drc-spreading-to-put-under-watch\/\" class=\"more-link\">Continuer la lecture <span class=\"screen-reader-text\"> \" Avertissement - L'\u00e9pid\u00e9mie d'Ebola en RDC se propage - \u00e0 mettre sous surveillance \"<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":21183,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[2544,2500],"tags":[1859,1789,2560,2549],"class_list":["post-18026","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-horizon-scanning-board","category-sub-saharan-africa","tag-ebola","tag-featured","tag-open-access","tag-signal","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Warning - Ebola Outbreak in the DRC Spreading - to Put under Watch &#8226; The Red Team Analysis Society<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/redanalysis.org\/fr\/2018\/05\/18\/avertissement-\u00e9bola-\u00e9pid\u00e9mie-en-drc-se-propager-\u00e0-mettre-sous-surveiller\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Warning - Ebola Outbreak in the DRC Spreading - to Put under Watch &#8226; The Red Team Analysis Society\" \/>\n<meta property=\"og:description\" content=\"Risk level and Uncertainties \u279a Risk level \u2783 very high at the national level (WHO assess.) \u2782\u00a0high at the regional level\u00a0(WHO assess.) \u2780\u00a0weak at the global level\u00a0(WHO assess.) \u279a\u00a0\u2780\u00a0\u00a0Risk for actors without activities within the DRC &#8211; Put the risk under watch Main concerned actors: travel and tourism, NGOs, Mining companies (notably Cobalt, Copper) &#8211; 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