{"id":69112,"date":"2025-06-11T12:00:00","date_gmt":"2025-06-11T12:00:00","guid":{"rendered":"https:\/\/www.africa-press.net\/senegal\/politique\/mayotte-redoute-intensification-epidemie-chikungunya"},"modified":"2025-06-11T23:44:43","modified_gmt":"2025-06-11T23:44:43","slug":"mayotte-redoute-intensification-epidemie-chikungunya","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/senegal\/toutes-les-actualites\/mayotte-redoute-intensification-epidemie-chikungunya","title":{"rendered":"Mayotte Redoute Intensification \u00c9pid\u00e9mie Chikungunya"},"content":{"rendered":"

Africa-Press – Senegal. <\/strong><\/span>Le virus du chikungunya circule activement a\u0300 Mayotte. Depuis le de\u0301but de l\u2019anne\u0301e 2025, 746 cas ont e\u0301te\u0301 signale\u0301s dans le de\u0301partement franc\u0327ais. Ce dernier, entre\u0301 en phase e\u0301pide\u0301mique, enregistre une baisse du nombre de cas en trompe-l\u2019\u0153il, pre\u0301vient l\u2019ANRS. 161 nouveaux cas confirme\u0301s du 26 mai au 1er juin, contre 228 cas dans la semaine ante\u0301rieure. L\u2019arre\u0302t de confirmation par test PCR et le faible recours de la population aux services de sante\u0301 entrai\u0302neraient une sous-estimation de l\u2019ampleur re\u0301elle de la situation.<\/p>\n

Le chikungunya a commence\u0301 par se propager sur l\u2019i\u0302le voisine de la Re\u0301union a\u0300 partir d\u2019aou\u0302t 2024, avant que la situation e\u0301pide\u0301mique ne flambe en mars 2025. \u00ab Avec un lien entre les deux territoires, a\u0300 savoir deux liaisons ae\u0301riennes quotidiennes, on savait que le risque d\u2019importation e\u0301tait e\u0301leve\u0301 \u00bb, explique Hassani Youssouf, e\u0301pide\u0301miologiste a\u0300 la cellule locale de Sante\u0301 publique France.<\/p>\n

Apre\u0300s un premier cas importe\u0301 enregistre\u0301 le 4 mars, un premier cas autochtone \u2013 donc du\u0302 a\u0300 une transmission sur le territoire \u2013 est survenu 3 semaines plus tard. La situation s\u2019est intensifie\u0301e au courant du mois d\u2019avril, avec un doublement des cas. Depuis le 27 mai, l\u2019i\u0302le est entre\u0301e en phase e\u0301pide\u0301mique, avec une \u00ab transmission intense et ge\u0301ne\u0301ralise\u0301e \u00bb, selon l\u2019ANRS.<\/p>\n

Pas de test PCR pour confirmer les cas<\/b><\/p>\n

Si les moustiques peuvent transmettre la maladie via leurs piqu\u0302res sur tout le territoire, 70% des cas ont e\u0301te\u0301 recense\u0301s dans trois communes: Mamoudzou, Dzaoudzi et Pamandzi. \u00ab Toutes les classes d\u2019a\u0302ges sont touche\u0301es mais on constate beaucoup de cas chez les 25 \/ 34 ans qui repre\u0301sentent environ un quart des cas enregistre\u0301s. \u00bb<\/p>\n

Depuis la de\u0301tection du premier cas confirme\u0301 dans l\u2019archipel, 19 personnes ont e\u0301te\u0301 hospitalise\u0301es, dont onze femmes enceintes pour surveillance et sept enfants de moins d\u2019un an. La premie\u0300re admission en re\u0301animation ne\u0301onatale a e\u0301galement e\u0301te\u0301 enregistre\u0301e fin mai. Aucun de\u0301ce\u0300s n\u2019a e\u0301te\u0301 signale\u0301.<\/p>\n

\u00ab Nous pensons que la circulation a e\u0301te\u0301 sous-estime\u0301e pour le moment, pre\u0301vient Hassani Youssouf. En raison des difficulte\u0301s a\u0300 l\u2019ho\u0302pital, il a e\u0301te\u0301 demande\u0301 aux me\u0301decins de ne pas prescrire de confirmation des cas afin de ne pas emboliser les laboratoires de biologie me\u0301dicale. Tre\u0300s peu de confirmations biologiques sont re\u0301alise\u0301es aux urgences. En paralle\u0300le, certains me\u0301decins affirment ne pas prescrire de ve\u0301rification en ville non plus. \u00bb<\/p>\n

Sans test PCR, impossible de savoir exactement combien de personnes sont touche\u0301es et de connai\u0302tre la dynamique exacte de la maladie. Ajoute\u0301 a\u0300 cela, de nombreux patients ne se de\u0301placeraient pas jusqu\u2019aux structures de sante\u0301. \u00ab A Mayotte, on sait que les gens renoncent souvent aux soins \u00bb, pre\u0301cise l\u2019e\u0301pide\u0301miologiste.<\/p>\n

Vaccination en berne et saison des pluies qui guette<\/b><\/p>\n

Pour le moment, tre\u0300s peu d\u2019habitants ont e\u0301te\u0301 vaccine\u0301s contre la maladie. Le vaccin Ixchiq, autorise\u0301 en 2024, est pris en charge par l\u2019agence re\u0301gionale de sante\u0301. Il est gratuit pour les personnes cible\u0301es prioritairement par la campagne: les personnes a\u0302ge\u0301es de 18 a\u0300 64 ans pre\u0301sentant des comorbidite\u0301s (hypertension arte\u0301rielle, diabe\u0300te, maladies cardiovasculaires, maladies respiratoires et maladies neurovasculaires) et n\u2019ayant pas de\u0301ja\u0300 contracte\u0301 le chikungunya par le passe\u0301.<\/p>\n

Mais la campagne de vaccination, de\u0301bute\u0301e fin mai, n\u2019a entrai\u0302ne\u0301 qu\u2019un tre\u0300s faible nombre de doses administre\u0301es, moins de 10 doses selon Hassani Youssouf. \u00ab Beaucoup de gens n\u2019ont pas acce\u0300s aux soins ici. Ils viennent a\u0300 l\u2019ho\u0302pital lorsque leur e\u0301tat est de\u0301ja\u0300 tre\u0300s de\u0301grade\u0301. La\u0300 encore, le faible niveau de vaccination va entretenir la circulation de la maladie. \u00bb Concernant les personnes de 65 ans et plus, la vaccination est suspendue suite aux signalements d\u2019effets inde\u0301sirables graves dont un de\u0301ce\u0300s sur le territoire de la Re\u0301union. \u00ab Si l\u2019e\u0301pide\u0301mie s\u2019intensifie a\u0300 Mayotte, contrairement a\u0300 l\u2019i\u0302le de La Re\u0301union, celle-ci touche principalement les personnes de moins de 65 ans pour lesquelles le besoin est couvert par le vaccin Ixchiq \u00bb, explique la Haute autorite\u0301 de sante\u0301 (HAS).<\/p>\n

Dans le de\u0301partement le plus pauvre de France, les perspectives dans les mois a\u0300 venir ne sont pas re\u0301jouissantes. Les conditions me\u0301te\u0301orologiques laissent craindre une hausse des cas. \u00ab Nous entrons dans l\u2019hiver austral. Avec la saison se\u0300che, nous pouvons espe\u0301rer une vraie baisse de l\u2019intensite\u0301 de la circulation \u00bb, de\u0301taille Hassani Youssouf. Reste a\u0300 savoir si elle s\u2019arre\u0302tera totalement ou si des foyers re\u0301siduels persisteront avec des cas sporadiques. Mais les experts s\u2019attendent a\u0300 une recrudescence des cas avec la saison des pluies, qui doit de\u0301marrer en novembre.<\/p>\n

\u00ab C\u2019est ce qu\u2019il s\u2019e\u0301tait de\u0301ja\u0300 passe\u0301 en 2005. L\u2019e\u0301pide\u0301mie e\u0301tait partie d\u2019Afrique et e\u0301tait arrive\u0301e par les Comores. La saison humide de 2006 avait alors engendre\u0301 une importante e\u0301pide\u0301mie \u00bb, se souvient l\u2019e\u0301pide\u0301miologiste. Si la maladie n\u2019est pas stoppe\u0301e de fac\u0327on nette durant la saison se\u0300che, la prochaine saison des pluies promet d\u2019intensifier d\u2019autant plus l\u2019e\u0301pide\u0301mie. L\u2019anne\u0301e dernie\u0300re, Mayotte a de\u0301ja\u0300 fait face a\u0300 une e\u0301pide\u0301mie de chole\u0301ra ainsi que le passage du cyclone Chido.<\/p>\n

Pour plus d’informations et d’analyses sur la Senegal<\/span>, suivez Africa-Press<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Senegal. Le virus du chikungunya circule activement a\u0300 Mayotte. Depuis le de\u0301but de l\u2019anne\u0301e 2025, 746 cas ont e\u0301te\u0301 signale\u0301s dans le de\u0301partement franc\u0327ais. Ce dernier, entre\u0301 en phase e\u0301pide\u0301mique, enregistre une baisse du nombre de cas en trompe-l\u2019\u0153il, pre\u0301vient l\u2019ANRS. 161 nouveaux cas confirme\u0301s du 26 mai au 1er juin, contre 228 […]<\/p>\n","protected":false},"author":82,"featured_media":69111,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[44],"class_list":["post-69112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-senegal-2"],"yoast_head":"\nMayotte Redoute Intensification \u00c9pid\u00e9mie Chikungunya - Senegal<\/title>\n<meta name=\"description\" content=\"Le virus du chikungunya circule activement a\u0300 Mayotte. 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