{"id":4358,"date":"2020-09-01T21:07:00","date_gmt":"2020-09-01T21:07:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=4358"},"modified":"2025-01-14T21:59:00","modified_gmt":"2025-01-14T21:59:00","slug":"the-case-for-simplifying-and-using-absolute-targets-for-viral-hepatitis-elimination-goals","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/the-case-for-simplifying-and-using-absolute-targets-for-viral-hepatitis-elimination-goals\/","title":{"rendered":"Les arguments en faveur de la simplification et de l&#039;utilisation de cibles absolues pour les objectifs d&#039;\u00e9limination de l&#039;h\u00e9patite virale"},"content":{"rendered":"<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9<\/h2>\n\n\n\n<p>La 69e Assembl\u00e9e mondiale de la Sant\u00e9 a approuv\u00e9 la Strat\u00e9gie mondiale du secteur de la sant\u00e9 pour l&#039;h\u00e9patite virale, embrassant un objectif d&#039;\u00e9liminer l&#039;infection par l&#039;h\u00e9patite en tant que menace pour la sant\u00e9 publique d&#039;ici 2030. Cela a \u00e9t\u00e9 suivi par les objectifs mondiaux de l&#039;Organisation mondiale de la sant\u00e9 (OMS) pour les soins et la gestion de l&#039;h\u00e9patite Infections par le virus B (VHB) et le virus de l&#039;h\u00e9patite C (VHC). Ces annonces et objectifs \u00e9taient importants pour sensibiliser et appeler \u00e0 l&#039;action\u00a0; cependant, le suivi des progr\u00e8s des pays vers ces objectifs d&#039;\u00e9limination a permis de mieux comprendre les limites de ces objectifs. Les cibles existantes comparent les progr\u00e8s d&#039;un pays par rapport \u00e0 ses valeurs de 2015, en p\u00e9nalisant les pays qui ont commenc\u00e9 leurs programmes avant 2015, les pays \u00e0 population jeune ou les pays \u00e0 faible pr\u00e9valence. Nous recommandons que (1) l&#039;OMS simplifie les cibles d&#039;\u00e9limination de l&#039;h\u00e9patite, (2) passe \u00e0 des cibles absolues et (3) permette aux pays d&#039;atteindre ces cibles de maladie avec leurs propres initiatives de couverture des services qui auront le maximum d&#039;impact. Les cibles recommand\u00e9es sont les suivantes\u00a0: r\u00e9duire les nouveaux cas chroniques de VHC \u00e0 \u22645 pour 100\u00a0000, r\u00e9duire la pr\u00e9valence du VHB chez les enfants de 1 an \u00e0 \u22640,1%, r\u00e9duire la mortalit\u00e9 due au VHB et au VHC \u00e0 \u22645 pour 100\u00a0000, et d\u00e9montrer le VHB et le VHC diminution d&#039;ann\u00e9e en ann\u00e9e des nouveaux cas de CHC li\u00e9s au VHC et au VHB. L&#039;objectif de nos recommandations n&#039;est pas de r\u00e9duire les attentes ou de diminuer les normes d&#039;\u00e9limination de l&#039;h\u00e9patite, mais de fournir des objectifs plus clairs qui reconnaissent les efforts d&#039;\u00e9limination pass\u00e9s et actuels des pays, aident \u00e0 mesurer les progr\u00e8s vers une v\u00e9ritable \u00e9limination et motivent les autres pays \u00e0 embo\u00eeter le pas.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/onlinelibrary.wiley.com\/doi\/epdf\/10.1111\/jvh.13412\" style=\"border-radius:6px;color:#951b23\" target=\"_blank\" rel=\"noreferrer noopener\">Lire le rapport complet<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary The 69th World Health Assembly endorsed the Global Health Sector Strategy for Viral Hepatitis, embracing a goal to eliminate hepatitis infection as a public health threat by 2030. This was followed by the World Health Organization&#8217;s (WHO) global targets for the care and management of hepatitis B virus (HBV) and hepatitis C virus (HCV) [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":3193,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[31,13,21,10],"publication-author":[89],"class_list":["post-4358","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-elimination","tag-global","tag-hbv","tag-hcv","publication-author-the-polaris-observatory-collaborators"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/comments?post=4358"}],"version-history":[{"count":2,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4358\/revisions"}],"predecessor-version":[{"id":7459,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4358\/revisions\/7459"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media\/3193"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media?parent=4358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=4358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=4358"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=4358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}