{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:33:06Z","timestamp":1790501586866,"version":"4.1.0"},"reference-count":23,"publisher":"CAIRN","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,2]]},"abstract":"<jats:p>L\u2019\u00e9pid\u00e9mie de Covid-19 est l\u2019occasion de rappeler en quoi la sant\u00e9 en prison sur le continent africain reste un parent pauvre du syst\u00e8me carc\u00e9ral. Au-del\u00e0 des difficult\u00e9s de prise en charge pos\u00e9es par la Covid-19 en d\u00e9tention, les infirmeries des \u00e9tablissements p\u00e9nitentiaires, quand elles existent, sont rarement int\u00e9gr\u00e9es dans les faits au syst\u00e8me sanitaire. Les administrations pourvoient peu aux besoins vitaux des d\u00e9tenus. Les carences alimentaires sont fr\u00e9quentes, les maladies de peau r\u00e9currentes et les d\u00e9tenus d\u00e9pendent le plus souvent des moyens financiers de leurs familles ou d\u2019ONG lorsqu\u2019il s\u2019agit d\u2019acc\u00e9der aux soins. L\u2019ill\u00e9gitimit\u00e9 sociale de la population des d\u00e9tenus et la r\u00e9ticence des \u00c9tats \u00e0 proposer aux condamn\u00e9s ce qu\u2019ils ne garantissent pas \u00e0 la population g\u00e9n\u00e9rale sont deux arguments mis en avant\u00a0pour justifier ce qui s\u2019apparente \u00e0 une n\u00e9cropolitique. Parall\u00e8lement, les acteurs internationaux intervenants en prison ciblent essentiellement les pathologies \u00e0 potentiel \u00e9pid\u00e9mique, contraints par des sources de financement (UNAIDS, Fonds Mondial) soutenant des strat\u00e9gies de sant\u00e9 \u00e0 l\u2019\u00e9chelle populationnelle. On voudrait ici revenir sur ces deux logiques et d\u00e9velopper un argument pour une approche d\u00e9cloisonn\u00e9e de la sant\u00e9 en prison. Au-del\u00e0 de la reconnaissance de l\u2019exp\u00e9rience sanitaire individuelle et du souci \u00e9pid\u00e9miologique, traiter globalement de la sant\u00e9 en prison participe du r\u00e9tablissement de la dignit\u00e9 et des\u00a0droits du d\u00e9tenu par l\u2019\u00c9tat, condition n\u00e9cessaire \u00e0 l\u2019entretien de la citoyennet\u00e9 par-del\u00e0 l\u2019enfermement.<\/jats:p>","DOI":"10.3917\/spub.205.0583","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T14:11:07Z","timestamp":1615471867000},"page":"583-587","source":"Crossref","is-referenced-by-count":7,"title":["\u00c9pid\u00e9mies et Covid-19 dans les prisons africaines\u00a0: l\u2019occasion\u00a0d\u2019une approche de la sant\u00e9 vraiment globale"],"prefix":"10.3917","volume":"Vol. 32","author":[{"given":"Fr\u00e9d\u00e9ric","family":"Le Marcis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1 Venters H, Life and Death in Rikers Island. Baltimore, MD, John Hopkins University Press. 2019. ISBN-13:\u00a0978-1421427355.","DOI":"10.1353\/book.66166"},{"key":"rb2","unstructured":"2 http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&amp;pid=S0102-311X2020000500502&amp;lng=en&amp;nrm=iso https:\/\/doi.org\/10.1590\/0102-311x00083520 S\u00e0nchez A, Simas L., Diuana V, et al. COVID-19 in prisons: an impossible challenge for public health? Cad. Sa\u00fade P\u00fablica\u00a0[online]. 2020;36(5):e00083520. [Visit\u00e9 le 07\/04\/2020]. En ligne\u00a0: &lt;&gt;. Epub\u00a0May\u00a008, 2020. ISSN 1678-4464. ."},{"key":"rb3","unstructured":"3 http:\/\/libeafrica4.blogs.liberation.fr\/2020\/04\/07\/penser-la-prison-lheure-de-la-pandemie-de-coronavirus-en-afrique\/ Morelle M, Le Marcis F et Faye SLB. Penser la prison \u00e0 l\u2019heure de la pand\u00e9mie de Coronavirus en Afrique. Africa4 \u2013 Lib\u00e9ration.fr (carnet)\u00a0; 2020, [Visit\u00e9 le 10\/05\/2020]. 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Int J Dermatology. 2012;51:178-181. doi\u00a0: 10.1111\/ j.1365-4632.2011.05016.x.","DOI":"10.1111\/j.1365-4632.2011.05016.x"},{"key":"rb7","doi-asserted-by":"crossref","unstructured":"7 Le Marcis F. A imposs\u00edvel governan\u00e7a da sa\u00fade em pris\u00e3o\u00a0? Reflex\u00f5es a partir da MACA (Costa do Marfim) [=\u00a0L\u2019impossible gouvernement de la sant\u00e9 en prison\u00a0? R\u00e9flexions \u00e0 partir de la MACA (C\u00f4te d\u2019Ivoire)]. Ci\u00eancia and Sa\u00fade Coletiva. 2016;21(7):2011-20. doi\u00a0: 10.1590\/1413-81232015217.10402016.","DOI":"10.1590\/1413-81232015217.10402016"},{"key":"rb8","doi-asserted-by":"crossref","unstructured":"8 Le Marcis F. Life in a Space of Necropolitics. Toward an Economy of\u00a0Value in Prisons. Ethnos. 2019;84(1):74-95. doi\u00a0: 10.1080\/ 00141844.2018.1428207.","DOI":"10.1080\/00141844.2018.1428207"},{"key":"rb9","unstructured":"9 Zady C. Responsabilit\u00e9 familiale et r\u00e9cidive d\u00e9linquante. 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Mise en travail, prison et enfermement. Perspectives africaines. Politique africaine. 2019;155(3):83-103. doi\u00a0:\u00a010.3917\/polaf.155.0083.","DOI":"10.3917\/polaf.155.0083"},{"key":"rb16","doi-asserted-by":"crossref","unstructured":"16 Gomez-Temesio V, Le Marcis F. La mise en camp de la Guin\u00e9e. Ebola et l\u2019exp\u00e9rience postcoloniale. L\u2019Homme. 2017;222:57-90.","DOI":"10.4000\/lhomme.30147"},{"key":"rb17","doi-asserted-by":"crossref","unstructured":"17 Gomez-Temesio V, Outliving Death: Ebola, Zombies, and the Politics of Saving Lives. American Anthropologist.\u00a02018;(120):738-51. doi\u00a0:\u00a010.1111\/aman.13126.","DOI":"10.1111\/aman.13126"},{"key":"rb18","unstructured":"18 https:\/\/apps.who.int\/iris\/handle\/10665\/128116 Schwitters A. WHO 2014 Health interventions for prisoners: update of the literature since 2007. 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Lancet.\u00a02016 Sep 10;388(10049):1033-5. doi\u00a0: 10.1016\/S0140-6736(16)30829-7. Epub 2016 Jul 14. PMID: 27427447.","DOI":"10.1016\/S0140-6736(16)30829-7"},{"key":"rb24","doi-asserted-by":"crossref","unstructured":"24 Bouagga Y. Une mondialisation du \u00ab\u00a0bien punir\u00a0\u00bb\u00a0? La prison dans les programmes de d\u00e9veloppement. 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