{"id":47456,"date":"2026-02-10T17:47:59","date_gmt":"2026-02-10T17:47:59","guid":{"rendered":"https:\/\/www.africa-press.net\/togo\/politique\/kala-azar-maladie-mortelle-des-zones-arides"},"modified":"2026-02-10T18:15:18","modified_gmt":"2026-02-10T18:15:18","slug":"kala-azar-maladie-mortelle-des-zones-arides","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/togo\/toutes-les-actualites\/kala-azar-maladie-mortelle-des-zones-arides","title":{"rendered":"Kala-Azar: Maladie Mortelle des Zones Arides"},"content":{"rendered":"

Africa-Press – Togo. <\/strong> <\/span>Autre nom de la leishmaniose visce\u0301rale, le kala-azar – qui signifie \u00ab\u00a0fie\u0300vre noire\u00a0\u00bb en hindi – est du\u0302 a\u0300 un parasite transmis par des moucherons, qui provoque fie\u0300vre, perte de poids et hypertrophie de la rate et du foie. C’est, apre\u0300s le paludisme, une des maladies parasitaires les plus meurtrie\u0300res au monde. En l’absence de traitement, 95% des malades succombent.<\/p>\n

Harada Hussein Abdirahman, une grand-me\u0300re de 60 ans, pense avoir e\u0301te\u0301 pique\u0301e pendant qu’elle gardait du be\u0301tail dans le comte\u0301 de Mandera, dans le nord-est du Kenya. Ce territoire presque aussi grand que la Belgique, frontalier de la Somalie et de l’Ethiopie, est un important foyer du parasite. Mais il ne compte que trois e\u0301tablissements capables de traiter le kala-azar.<\/p>\n

50 a\u0300 90.000 cas de kala-azar dans le monde chaque anne\u0301e<\/b><\/p>\n

La sexage\u0301naire a donc d’abord du\u0302 s’en remettre a\u0300 un pharmacien local qui, pendant un an, l’a traite\u0301e contre la dengue et paludisme. \u00ab\u00a0Je pensais que j\u2019allais mourir\u00a0\u00bb, confie-t-elle a\u0300 l’AFP. \u00ab\u00a0C\u2019est pire que toutes les maladies qu’ils pensaient que j\u2019avais.\u00a0\u00bb<\/p>\n

Apre\u0300s cette longue e\u0301preuve, Mme Abdirahman s’est finalement vue diagnostiquer le kala-azar. Elle a perdu une partie de son audition du fait des puissants traitements qu’elle a ensuite du\u0302 prendre pour s’en de\u0301barrasser. L’Organisation mondiale de la sante\u0301 (OMS) recense chaque anne\u0301e 50 a\u0300 90.000 cas de kala-azar dans le monde, un chiffre minore\u0301 car elle estime qu’a\u0300 peine 25 a\u0300 45% des cas lui sont communique\u0301s. Plus des deux tiers des malades sont en Afrique de l’Est.<\/p>\n

Le kala-azar s\u2019e\u0301tend a\u0300 des zones du Kenya jusqu’ici e\u0301pargne\u0301es et y devient ende\u0301mique, sous l’effet notamment du re\u0301chauffement climatique.<\/p>\n

Des ouvriers travaillent le 22 janvier 2026 pre\u0300s de Mandera, dans le nord-est du Kenya, dans une carrie\u0300re re\u0301cemment touche\u0301e par une flambe\u0301e de cas de kala-azar nCasual labourers at a quarry pile large stones hewn from bedrock for the construction industry in the hills outside Mandera town, where the highest infection rates of the parasitic disease Kala-Azar have been recorded, in Mandera, on January 22, 2026. Kala-azar is spread by sandflies and is the world’s second-deadliest parasitic disease with a fatality rate of 95 percent if untreated, causing fever, weight loss, and enlargement of the spleen and liver. Cases of kala-azar, also known as visceral leishmaniasis, have spiked in Kenya, from 1,575 in 2024 to 3,577 in 2025, according to the health ministry. It is spreading to previously untouched regions and becoming endemic, driven by changing climatic conditions and expanding human settlements, say health officials, with millions potentially at risk of infection. (AFP – Tony KARUMBA)<\/p>\n

\u00ab\u00a0Nous ne connaissions pas cette e\u0301trange maladie qui faisait mourir nos colle\u0300gues\u00a0\u00bb<\/b><\/p>\n

D’apre\u0300s le ministe\u0300re ke\u0301nyan de la Sante\u0301, 3.577 cas de kala-azar ont e\u0301te\u0301 recense\u0301s dans le pays en 2025, plus du double de l’anne\u0301e pre\u0301ce\u0301dente (1.575 malades). Jusqu’a\u0300 six millions de personnes y sont expose\u0301es au Kenya, estiment les autorite\u0301s ke\u0301nyanes. \u00ab\u00a0Le changement climatique e\u0301tend l’aire de re\u0301partition des phle\u0301botomes (les moucherons transportant la maladie, ndlr) et accroi\u0302t le risque de flambe\u0301es dans de nouvelles zones\u00a0\u00bb, s’inquie\u0300te a\u0300 Nairobi le Dr Cherinet Adera, chercheur a\u0300 l\u2019Initiative Me\u0301dicaments pour les maladies ne\u0301glige\u0301es, une ONG.<\/p>\n

De nombreuses infections parmi des ouvriers d’une carrie\u0300re a\u0300 Mandera en 2025 ont conduit les autorite\u0301s a\u0300 restreindre les de\u0301placements au cre\u0301puscule et a\u0300 l’aube, lorsque les phle\u0301botomes sont les plus actifs. Au moins deux de ces ouvriers ont pe\u0301ri, selon leurs colle\u0300gues.<\/p>\n

Mais les autorite\u0301s ke\u0301nyanes ne sont pas en mesure de dire combien de personnes exactement ont perdu la vie durant cet e\u0301pisode infectieux, car la plupart des ouvriers n’e\u0301taient pas originaires de la zone. Beaucoup sont rentre\u0301s chez eux pour se faire soigner et vraisemblablement tre\u0301passer. \u00ab\u00a0Nous ne connaissions pas cette e\u0301trange maladie qui faisait mourir nos colle\u0300gues\u00a0\u00bb, te\u0301moigne Evans Omondi, 34 ans, venu de l’ouest du Kenya, a\u0300 des centaines de kilome\u0300tres de Mandera, pour travailler dans la carrie\u0300re.<\/p>\n

Le kala-azar \u00ab\u00a0touche surtout les plus pauvres\u00a0\u00bb<\/b><\/p>\n

\u00ab\u00a0Nous avions tre\u0300s peur\u00a0\u00bb, confie Peter Otieno, un autre ouvrier originaire de l’ouest du Kenya, qui se souvient comment ses colle\u0300gues infecte\u0301s de\u0301pe\u0301rissaient jour apre\u0300s jour. Treize pays \u2014 dont six en Afrique \u2014 concentrent 95 % des cas de kala-azar. En 2023, les pays d’Afrique les plus touche\u0301s ont adopte\u0301 a\u0300 Nairobi un cadre visant a\u0300 e\u0301liminer la maladie d\u2019ici 2030.<\/p>\n

Mais \u00ab\u00a0tre\u0300s peu d’e\u0301tablissements\u00a0\u00bb au Kenya \u00ab\u00a0ont les capacite\u0301s de diagnostiquer et traiter la maladie\u00a0\u00bb, observe l\u2019AFP le Dr Paul Kibati, de l’ONG me\u0301dicale Amref. Les agents de sante\u0301 doivent en outre e\u0302tre forme\u0301s au kala-azar, poursuit-il, car les erreurs de diagnostic et de traitement peuvent e\u0302tre graves, comme l’atteste l’exemple de Harada Hussein Abdirahman, voire fatales.<\/p>\n

Dernier proble\u0300me, de taille: un malade peut passer jusqu\u2019a\u0300 30 jours a\u0300 l’ho\u0302pital avant gue\u0301rison, pour une facture pouvant atteindre 100.000 shillings ke\u0301nyans (environ 650 euros) hors me\u0301dicaments. Une somme inaccessible pour bon nombre d’habitants de Mandera. Le kala-azar, dont les dommages sont aggrave\u0301s par la malnutrition et l’affaiblissement du syste\u0300me immunitaire, \u00ab\u00a0touche surtout les plus pauvres\u00a0\u00bb, estime le Dr Kibati.<\/p>\n

Bishar Maalim Mohammed, 60 ans, est assis le 21 janvier 2026 devant des carcasses de che\u0300vres mortes de la se\u0301cheresse, pre\u0300s de son village du nord-est du Kenya (AFP – Tony KARUMBA)<\/p>\n

Le phle\u0301botome se re\u0301fugie dans les fissures des maisons en terre mal cre\u0301pies, les termitie\u0300res et les crevasses du sol. L’insecte se multiplie pendant la saison des pluies apre\u0300s une se\u0301cheresse prolonge\u0301e.<\/p>\n

Or le nord-est du Kenya, ainsi que des re\u0301gions voisines d’Ethiopie et de Somalie, ont connu ces derniers mois une se\u0301cheresse de\u0301vastatrice. Le pire semble donc a\u0300 venir. \u00ab\u00a0Nous nous attendons a\u0300 davantage de cas lorsque les pluies commenceront\u00a0\u00bb, soupire Paul Kibati.<\/p>\n

Retrouvez plus d\u2019actualit\u00e9s et d\u2019analyses sur Togo<\/span> sur le site Africa Press<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Togo. Autre nom de la leishmaniose visce\u0301rale, le kala-azar – qui signifie \u00ab\u00a0fie\u0300vre noire\u00a0\u00bb en hindi – est du\u0302 a\u0300 un parasite transmis par des moucherons, qui provoque fie\u0300vre, perte de poids et hypertrophie de la rate et du foie. C’est, apre\u0300s le paludisme, une des maladies parasitaires les plus meurtrie\u0300res au monde. […]<\/p>\n","protected":false},"author":82,"featured_media":47455,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,10],"tags":[50],"class_list":["post-47456","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-divers","category-toutes-les-actualites","tag-togo"],"yoast_head":"\nKala-Azar: Maladie Mortelle des Zones Arides - Togo<\/title>\n<meta name=\"description\" content=\"-article-header-tag"> Africa-Press - Togo. 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