{"id":5856,"date":"2023-01-17T14:52:00","date_gmt":"2023-01-17T14:52:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=5856"},"modified":"2025-01-15T03:05:21","modified_gmt":"2025-01-15T03:05:21","slug":"hepatitis-c-prevalence-and-elimination-planning-in-pakistan-a-bottom-up-approach-accounting-for-provincial-variation","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/hepatitis-c-prevalence-and-elimination-planning-in-pakistan-a-bottom-up-approach-accounting-for-provincial-variation\/","title":{"rendered":"Planification de la pr\u00e9valence et de l&#039;\u00e9limination de l&#039;h\u00e9patite C au Pakistan, une approche ascendante tenant compte des variations provinciales"},"content":{"rendered":"<h2 class=\"wp-block-heading\" id=\"summary\">R\u00e9sum\u00e9<\/h2>\n\n\n\n<p>Au Pakistan, des changements substantiels ont \u00e9t\u00e9 apport\u00e9s \u00e0 la programmation et au traitement du virus de l&#039;h\u00e9patite C (VHC) depuis que l&#039;enqu\u00eate s\u00e9rologique nationale de 2008 a estim\u00e9 une pr\u00e9valence anti-VHC de 4,81 TP3T. En l&#039;absence d&#039;une \u00e9tude nationale mise \u00e0 jour, cette analyse utilise des donn\u00e9es provinciales pour estimer une pr\u00e9valence nationale et les interventions n\u00e9cessaires pour parvenir \u00e0 l&#039;\u00e9limination. \u00c0 l&#039;aide d&#039;un processus Delphi, les donn\u00e9es \u00e9pid\u00e9miologiques sur le VHC pour les quatre provinces du Pakistan (repr\u00e9sentant 97% de la population) ont \u00e9t\u00e9 examin\u00e9es avec 21 experts en la mati\u00e8re au Pakistan. Les estimations au niveau de la province ont \u00e9t\u00e9 saisies dans un mod\u00e8le math\u00e9matique pour estimer la charge nationale de morbidit\u00e9 li\u00e9e au VHC en l&#039;absence d&#039;intervention (base) et si les objectifs d&#039;\u00e9limination de l&#039;Organisation mondiale de la sant\u00e9 (OMS) sont atteints d&#039;ici 2030 (r\u00e9duction 80% des nouvelles infections, diagnostic 90% couverture, couverture du traitement 80% et r\u00e9duction de la mortalit\u00e9 65%\u00a0: \u00e9limination par l&#039;OMS). On estime que 9 746 000 (7 573 000 \u00e0 10 006 000) Pakistanais vivaient avec le VHC vir\u00e9mique au 1er janvier 2021 ; une pr\u00e9valence vir\u00e9mique de 4,3% (3,3\u20134,4). OMS L&#039;\u00e9limination n\u00e9cessiterait une moyenne annuelle de 18,8 millions de d\u00e9pistages, 1,1 million de traitements et 46 700 nouvelles infections \u00e9vit\u00e9es annuellement entre 2022 et 2030. L&#039;\u00e9limination r\u00e9duirait le nombre total d&#039;infections de 7 045 000, sauverait 152 000 vies et pr\u00e9viendrait 104 000 cas incidents de carcinome h\u00e9patocellulaire de 2015 \u00e0 2030. Les enqu\u00eates sanguines, les donn\u00e9es programmatiques et les contributions du groupe d&#039;experts ont r\u00e9v\u00e9l\u00e9 plus d&#039;infections par le VHC et un nombre de traitements inf\u00e9rieur dans les provinces que pr\u00e9vu \u00e0 l&#039;aide d&#039;extrapolations nationales, d\u00e9montrant les avantages d&#039;une approche ascendante. Le d\u00e9pistage et le traitement doivent respectivement \u00eatre multipli\u00e9s par 20 et 5 pour freiner l&#039;\u00e9pid\u00e9mie de VHC au Pakistan et parvenir \u00e0 son \u00e9limination d&#039;ici 2030.<\/p>\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:\/\/cdafound.org\/wp-content\/uploads\/2023\/06\/Mooneyhan-2023-HCV-elimination-planning-Pakistan.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Lire le rapport complet<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Summary In Pakistan, substantial changes to hepatitis C virus (HCV) programming and treatment have occurred since the 2008 nationwide serosurvey estimated a 4.8% anti-HCV prevalence. In the absence of an updated national study, this analysis uses provincial data to estimate a national prevalence and the interventions needed to achieve elimination. Using a Delphi process, epidemiologic [&hellip;]<\/p>\n","protected":false},"author":939,"featured_media":3193,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[32,31,10,28],"publication-author":[143,154,150,153,90,146,157,138,97,140,147,139,145,141,142,137,152,148,144,156,93,155,149,151],"class_list":["post-5856","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-economic-impact","tag-elimination","tag-hcv","tag-policy-analysis","publication-author-aamir-ghafoor-khan","publication-author-ahmad-nawaz","publication-author-ambreen-khan","publication-author-ayub-rose","publication-author-ellen-mooneyhan","publication-author-farooq-azam","publication-author-gul-sabeen-azam-ghorezai","publication-author-hassan-mahmood","publication-author-homie-razavi","publication-author-huma-qureshi","publication-author-khalid-mahmood","publication-author-masood-anwar","publication-author-mohammad-khalil-akhter","publication-author-muhammad-tariq","publication-author-mujahid-aslam","publication-author-nabeel-ahmed-maqbool","publication-author-sabeen-shah","publication-author-saeed-hamid","publication-author-saira-khowaja","publication-author-samra-mazhar","publication-author-sarah-blach","publication-author-syeda-zahida-sarwar","publication-author-tanweer-hussain","publication-author-uzma-khan"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/5856","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\/939"}],"replies":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/comments?post=5856"}],"version-history":[{"count":4,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/5856\/revisions"}],"predecessor-version":[{"id":7520,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/5856\/revisions\/7520"}],"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=5856"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=5856"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=5856"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=5856"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}