{"id":9222,"date":"2026-05-25T20:55:00","date_gmt":"2026-05-25T20:55:00","guid":{"rendered":"https:\/\/cdafound.org\/?p=9222"},"modified":"2026-06-03T21:05:41","modified_gmt":"2026-06-03T21:05:41","slug":"from-targets-to-real-world-impact-a-review-of-models-of-care-for-chronic-hbv-and-hcv-in-europe","status":"publish","type":"post","link":"https:\/\/cdafound.org\/fr\/from-targets-to-real-world-impact-a-review-of-models-of-care-for-chronic-hbv-and-hcv-in-europe\/","title":{"rendered":"Des objectifs \u00e0 l&#039;impact concret : un examen des mod\u00e8les de soins pour l&#039;h\u00e9patite B et C chroniques en Europe"},"content":{"rendered":"<p>Les virus de l\u2019h\u00e9patite B (VHB) et de l\u2019h\u00e9patite C (VHC) demeurent des menaces pour la sant\u00e9 publique dans la r\u00e9gion europ\u00e9enne de l\u2019OMS, o\u00f9 l\u2019on estime \u00e0 29 millions le nombre de personnes vivant avec une infection chronique et o\u00f9 les d\u00e9c\u00e8s li\u00e9s \u00e0 l\u2019h\u00e9patite virale d\u00e9passent d\u00e9sormais ceux dus au VIH\/sida et \u00e0 la tuberculose r\u00e9unis. Malgr\u00e9 l\u2019efficacit\u00e9 des outils de pr\u00e9vention et des traitements antiviraux qui r\u00e9duisent le risque de complications, la mortalit\u00e9 globale n\u2019a pas diminu\u00e9. Ce document de la s\u00e9rie examine les mod\u00e8les de prise en charge mis en \u0153uvre entre 2015 et 2025, en s\u2019appuyant sur la litt\u00e9rature scientifique et les documents de politique g\u00e9n\u00e9rale pour \u00e9valuer les progr\u00e8s r\u00e9gionaux. La simplification du d\u00e9pistage et du traitement, la vaccination des enfants et des adultes contre le VHB, les programmes de r\u00e9duction des risques et les interventions en milieu carc\u00e9ral ont contribu\u00e9 aux efforts d\u2019\u00e9limination. Les approches pragmatiques, telles que le d\u00e9pistage au point de soins, la d\u00e9centralisation des services et les mod\u00e8les int\u00e9gr\u00e9s adapt\u00e9s aux populations cl\u00e9s, pr\u00e9sentent des avantages ind\u00e9niables. Toutefois, des d\u00e9fis majeurs persistent\u00a0: un grand nombre de personnes non diagnostiqu\u00e9es, des disparit\u00e9s r\u00e9gionales, des connaissances insuffisantes du personnel de sant\u00e9 et des in\u00e9galit\u00e9s affectent les groupes \u00e0 risque. Pour parvenir \u00e0 l\u2019\u00e9limination d\u2019ici 2030, il faudra acc\u00e9l\u00e9rer le d\u00e9pistage des cas, \u00e9largir l\u2019acc\u00e8s \u00e0 des traitements simplifi\u00e9s, renforcer les strat\u00e9gies de vaccination et d\u2019adaptation aux risques, am\u00e9liorer les syst\u00e8mes de donn\u00e9es et renouveler l\u2019engagement.<\/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\/2026\/06\/Picchio-2026-CLD-Europe.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Lire le rapport complet<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Hepatitis B virus (HBV) and hepatitis C virus (HCV) remain public health threats in the WHO European region, where an estimated 29 million people live with chronic infection and viral hepatitis-related deaths now surpass those from HIV\/AIDS and tuberculosis combined. Although effective prevention tools and antiviral treatments reduce the risk of complications, overall mortality has [&hellip;]<\/p>\n","protected":false},"author":939,"featured_media":3227,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9],"tags":[31,21,2762,2765,2766,2763,2764,2767],"publication-author":[2752,226,2758,2706,80,2756,2757,296,2737,2761,2755,2753,2760,245,2754,2759],"class_list":["post-9222","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publication","tag-elimination","tag-hbv","tag-infectious-disease-control","tag-linkage-to-care","tag-models-of-care","tag-monitoring","tag-prevention","tag-testing","publication-author-aina-nicolas","publication-author-alessio-aghemo","publication-author-axelle-vanderlinden","publication-author-camila-a-picchio","publication-author-devin-razavi-shearer","publication-author-elisa-martro","publication-author-erika-duffell","publication-author-joaquin-cabezas","publication-author-peter-vickerman","publication-author-philippa-c-matthews","publication-author-rachel-halford","publication-author-sabela-lens","publication-author-sandra-dudareva","publication-author-thomas-vanwolleghem","publication-author-upkar-s-gill","publication-author-xavier-forns"],"acf":[],"_links":{"self":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/9222","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=9222"}],"version-history":[{"count":1,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/9222\/revisions"}],"predecessor-version":[{"id":9224,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/posts\/9222\/revisions\/9224"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media\/3227"}],"wp:attachment":[{"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/media?parent=9222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/categories?post=9222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/tags?post=9222"},{"taxonomy":"publication-author","embeddable":true,"href":"https:\/\/cdafound.org\/fr\/wp-json\/wp\/v2\/publication-author?post=9222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}