{"id":4365,"date":"2021-05-29T21:30:00","date_gmt":"2021-05-29T21:30:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=4365"},"modified":"2025-01-14T21:41:04","modified_gmt":"2025-01-14T21:41:04","slug":"hepatitis-c-elimination-in-sweden-progress-challenges-and-opportunities-for-growth-in-the-time-of-covid%e2%80%9019","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/hepatitis-c-elimination-in-sweden-progress-challenges-and-opportunities-for-growth-in-the-time-of-covid%e2%80%9019\/","title":{"rendered":"\u00c9limination de l&#039;h\u00e9patite C en Su\u00e8de\u00a0: progr\u00e8s, d\u00e9fis et opportunit\u00e9s de croissance \u00e0 l&#039;\u00e9poque de COVID\u201019"},"content":{"rendered":"<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Contexte et objectifs<\/h3>\n\n\n\n<p>En 2014, le fardeau du virus de l&#039;h\u00e9patite C (VHC) en Su\u00e8de a \u00e9t\u00e9 \u00e9valu\u00e9, afin d&#039;\u00e9tablir une base de r\u00e9f\u00e9rence et d&#039;\u00e9clairer les interventions de sant\u00e9 publique. Compte tenu de l&#039;\u00e9volution du paysage du traitement, de la pr\u00e9vention et des soins du VHC, et \u00e0 la lumi\u00e8re de la pand\u00e9mie de COVID-19, cette analyse vise \u00e0 \u00e9valuer les progr\u00e8s de la Su\u00e8de vers les objectifs d&#039;\u00e9limination de l&#039;Organisation mondiale de la sant\u00e9 (OMS) et \u00e0 identifier les obstacles restants.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><br>M\u00e9thodes<\/h3>\n\n\n\n<p>Les donn\u00e9es utilis\u00e9es pour mod\u00e9liser la transmission du VHC et la charge de morbidit\u00e9 en Su\u00e8de ont \u00e9t\u00e9 obtenues gr\u00e2ce \u00e0 une revue de la litt\u00e9rature, des sources non publi\u00e9es et des contributions d&#039;experts. Un mod\u00e8le dynamique de Markov a \u00e9t\u00e9 utilis\u00e9 pour pr\u00e9voir la taille des populations et l&#039;incidence du VHC jusqu&#039;en 2030. Deux sc\u00e9narios (\u00ab\u00a0Base 2019\u00a0\u00bb et \u00ab\u00a0Cibles de l&#039;OMS\u00a0\u00bb) ont \u00e9t\u00e9 \u00e9labor\u00e9s pour \u00e9valuer les progr\u00e8s de la Su\u00e8de vers l&#039;\u00e9limination du VHC.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><br>R\u00e9sultats<\/h3>\n\n\n\n<p>D\u00e9but 2019, il y avait 29 700 (intervalle d&#039;incertitude 95% : 19 300-33 700) infections vir\u00e9miques en Su\u00e8de. Dans le sc\u00e9nario de base, la Su\u00e8de atteindrait et d\u00e9passerait les objectifs de l&#039;OMS en mati\u00e8re de diagnostic, de traitement et de d\u00e9c\u00e8s li\u00e9s au foie. Cependant, les nouvelles infections diminueraient de moins de 10%, par rapport \u00e0 2015. Pour atteindre tous les objectifs de l&#039;OMS d&#039;ici 2030, il faudrait (i) \u00e9tendre les programmes de r\u00e9duction des risques pour atteindre plus de 90% de personnes qui s&#039;injectent des drogues (PWID) et (ii) traiter 90% de personnes qui s&#039;injectent des drogues. VHC + PWID engag\u00e9s dans des programmes de r\u00e9duction des m\u00e9faits et \u22657% de PWID non impliqu\u00e9s dans des programmes de r\u00e9duction des m\u00e9faits, chaque ann\u00e9e d&#039;ici 2025.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><br>Conclusions<\/h3>\n\n\n\n<p>Il est de la plus haute importance que la Su\u00e8de, et tous les pays, trouvent la p\u00e9rennit\u00e9 des programmes VHC en \u00e9largissant le cadre et la base des prestataires pour assurer la stabilit\u00e9 et la continuit\u00e9 des soins en p\u00e9riode de turbulences.<\/p>\n\n\n\n<p><strong>Des pays:<\/strong> Su\u00e8de<\/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:\/\/pubmed.ncbi.nlm.nih.gov\/34051065\/\" 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 Background &amp; Aims In 2014, the burden of hepatitis C virus (HCV) in Sweden was evaluated, to establish a baseline and inform public health interventions. Considering the changing landscape of HCV treatment, prevention, and care, and in light of the COVID-19 pandemic, this analysis seeks to evaluate Sweden&#8217;s progress towards the World Health Organization [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":3486,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[31,10],"publication-author":[586,488,582,583,585,584,581,580,494,497],"class_list":["post-4365","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-elimination","tag-hcv","publication-author-aleman-s","publication-author-blach-s","publication-author-blome-m","publication-author-duberg-as","publication-author-jerkeman-a","publication-author-kaberg-m","publication-author-klasa-pe","publication-author-lagging-m","publication-author-razavi-h","publication-author-razavi-shearer-d"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4365","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=4365"}],"version-history":[{"count":2,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4365\/revisions"}],"predecessor-version":[{"id":7444,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/4365\/revisions\/7444"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media\/3486"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media?parent=4365"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=4365"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=4365"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=4365"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}