{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:34:13Z","timestamp":1760866453138,"version":"3.30.1"},"reference-count":32,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,7]]},"abstract":"<jats:p>Introduction\u00a0: En Guin\u00e9e, des analyses s\u00e9rologiques ont montr\u00e9 une absence d\u2019anticorps chez des personnes d\u00e9clar\u00e9es gu\u00e9ries de la maladie \u00e0 virus Ebola (MVE), r\u00e9futant ainsi leur diagnostic ant\u00e9rieur, ainsi que la pr\u00e9sence d\u2019anticorps chez des cas contacts qui n\u2019avaient pas \u00e9t\u00e9 diagnostiqu\u00e9s. Ces r\u00e9sultats ont entra\u00een\u00e9 des r\u00e9flexions sur les implications que pourrait avoir leur annonce aux personnes concern\u00e9es. But de l\u2019\u00e9tude\u00a0: Les objectifs de cette \u00e9tude sont d\u2019identifier les enjeux de l\u2019annonce de ces r\u00e9sultats dans le contexte sanitaire guin\u00e9en. Vingt-quatre personnes, gu\u00e9ries d\u2019Ebola ou ayant une expertise en \u00e9thique ou en sant\u00e9 ont \u00e9t\u00e9 sollicit\u00e9es lors d\u2019une s\u00e9rie d\u2019entretiens men\u00e9s entre novembre 2019 et f\u00e9vrier 2020 \u00e0 Conakry (Guin\u00e9e). Elles ont pr\u00e9sent\u00e9 leur exp\u00e9rience en mati\u00e8re d\u2019annonce m\u00e9dicale et leur avis quant \u00e0 la pertinence de l\u2019annonce de ces r\u00e9sultats s\u00e9rologiques discordants. R\u00e9sultats\u00a0: Bien qu\u2019elle soit une \u00e9tape importante de la relation de soins, l\u2019annonce m\u00e9dicale semble parfois n\u00e9glig\u00e9e en Guin\u00e9e. En outre, les opinions des interlocuteurs sont plut\u00f4t homog\u00e8nes et favorables \u00e0 l\u2019annonce de leur maladie aux personnes s\u00e9ropositives au virus Ebola qui n\u2019avaient pas \u00e9t\u00e9 diagnostiqu\u00e9es. Mais leurs avis sont diversifi\u00e9s quant \u00e0 l\u2019annonce d\u2019une s\u00e9rologie n\u00e9gative \u00e0 des personnes d\u00e9clar\u00e9es gu\u00e9ries de la MVE. Ils suivent deux tendances, entre les survivants d\u2019Ebola qui d\u00e9clarent que l\u2019annonce n\u2019est pas souhaitable, et les sp\u00e9cialistes de l\u2019\u00e9thique et les professionnels de sant\u00e9, pour qui elle est pr\u00e9f\u00e9rable. Conclusions\u00a0: Cette enqu\u00eate montre que certains r\u00e9sultats biologiques m\u00e9ritent une r\u00e9flexion critique avant d\u2019\u00eatre annonc\u00e9s, notamment lorsqu\u2019ils indiquent un nouveau diagnostic. Afin de d\u00e9cider d\u2019une conduite \u00e0 tenir face aux situations expos\u00e9es, une deuxi\u00e8me expertise s\u2019av\u00e9rerait utile, en prenant en compte nos r\u00e9sultats et de nouvelles connaissances sur le virus.<\/jats:p>","DOI":"10.3917\/spub.231.0065","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T07:38:11Z","timestamp":1686901091000},"page":"65-73","source":"Crossref","is-referenced-by-count":1,"title":["Quand la s\u00e9rologie contredit le v\u00e9cu de la maladie\u00a0: \u00c9thique, recherche et annonce \u00e0 propos d\u2019Ebola en Guin\u00e9e"],"prefix":"10.3917","volume":"Vol. 35","author":[{"given":"Eva","family":"Barranca","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1 Danion-Grilliat A. Conflits \u00e9thiques autour du diagnostic et du consentement\u00a0: \u00e0 propos de la psychiatrie et du diagnostic pr\u00e9natal. Inf Psychiatr. 2011; 87(7):557-66.","DOI":"10.1684\/ipe.2011.0828"},{"key":"rb2","doi-asserted-by":"publisher","first-page":"36-43","DOI":"10.1080\/23294515.2018.1543218","article-title":"Assessing Patient Perspectives on Receiving Bad News: A Survey of 1337 Patients With Life-Changing Diagnoses","volume":"10","author":"Mirza Reza D.","year":"2019","journal-title":"AJOB Empirical Bioethics","ISSN":"https:\/\/id.crossref.org\/issn\/2329-4515","issn-type":"print"},{"key":"rb3","doi-asserted-by":"publisher","first-page":"560-564","DOI":"10.1080\/09540120701867206","article-title":"When good news is bad news: psychological impact of false positive diagnosis of HIV","volume":"20","author":"Bhattacharya Rahul","year":"2008","journal-title":"AIDS Care","ISSN":"https:\/\/id.crossref.org\/issn\/0954-0121","issn-type":"print"},{"key":"rb4","unstructured":"4 Gill MJ, Rachlis A, Anand C. Five cases of erroneously diagnosed HIV infection. CMAJ. 1991;145(12):1593-5."},{"key":"rb5","doi-asserted-by":"publisher","first-page":"null","DOI":"10.4314\/aipm.v9i1.72434","article-title":"Social problems of indeterminate and false positive HIV test results among clients attending a Nigerian HIV treatment clinic","volume":"9","author":"Olowookere SA","year":"2011","journal-title":"Annals of Ibadan Postgraduate Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/1597-1627","issn-type":"print"},{"key":"rb6","doi-asserted-by":"publisher","first-page":"e59906","DOI":"10.1371\/journal.pone.0059906","article-title":"False Positive HIV Diagnoses in Resource Limited Settings: Operational Lessons Learned for HIV Programmes","volume":"8","author":"Shanks Leslie","year":"2013","journal-title":"PLoS ONE","ISSN":"https:\/\/id.crossref.org\/issn\/1932-6203","issn-type":"print"},{"key":"rb8","doi-asserted-by":"publisher","first-page":"e0007654","DOI":"10.1371\/journal.pntd.0007654","article-title":"Serological analysis of Ebola virus survivors and close contacts in Sierra Leone: A cross-sectional study","volume":"13","author":"Halfmann Peter J.","year":"2019","journal-title":"PLOS Neglected Tropical Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1935-2735","issn-type":"print"},{"key":"rb9","doi-asserted-by":"publisher","first-page":"545-552","DOI":"10.1016\/S1473-3099(16)30516-3","article-title":"Multidisciplinary assessment of post-Ebola sequelae in Guinea (Postebogui): an observational cohort study","volume":"17","author":"Etard Jean-Fran\u00e7ois","year":"2017","journal-title":"The Lancet Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1473-3099","issn-type":"print"},{"key":"rb10","doi-asserted-by":"publisher","first-page":"2166-2174","DOI":"10.1093\/cid\/ciab168","article-title":"Understanding Long-term Evolution and Predictors of Sequelae of Ebola Virus Disease Survivors in Guinea: A 48-Month Prospective, Longitudinal Cohort Study (PostEboGui)","volume":"73","author":"Diallo Mamadou Saliou Kalifa","year":"2021","journal-title":"Clinical Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1058-4838","issn-type":"print"},{"key":"rb11","doi-asserted-by":"publisher","first-page":"308-316","DOI":"10.1016\/S1473-3099(18)30649-2","article-title":"Prevalence of infection among asymptomatic and paucisymptomatic contact persons exposed to Ebola virus in Guinea: a retrospective, cross-sectional observational study","volume":"19","author":"Diallo Mamadou Saliou Kalifa","year":"2019","journal-title":"The Lancet Infectious Diseases","ISSN":"https:\/\/id.crossref.org\/issn\/1473-3099","issn-type":"print"},{"key":"rb12","doi-asserted-by":"publisher","first-page":"null","DOI":"10.11604\/pamj.2020.36.201.24379","article-title":"Unrecognized ebola virus infection in Guinea: complexity of surveillance in a health crisis situation: case report","volume":"36","author":"Camara Ibrahima","year":"2020","journal-title":"Pan African Medical Journal","ISSN":"https:\/\/id.crossref.org\/issn\/1937-8688","issn-type":"print"},{"key":"rb13","doi-asserted-by":"publisher","first-page":"361-376","DOI":"10.3917\/ethn.202.0361","article-title":"Des \u00ab\u00a0vrais\u00a0\u00bb et \u00ab\u00a0faux\u00a0\u00bb survivants d\u2019Ebola\u00a0? Traces biologiques et conflits de preuves en Guin\u00e9e","volume":"Vol. 50","author":"Desclaux Alice","year":"2020","journal-title":"Ethnologie fran\u00e7aise","ISSN":"https:\/\/id.crossref.org\/issn\/0046-2616","issn-type":"print"},{"key":"rb14","unstructured":"14 e Beauchamp TL, Childress JF. Principles of biomedical ethics. 8\u00a0ed. New York: Oxford University Press; 2019."},{"key":"rb15","unstructured":"15 Commission nationale pour la Protection des sujets humains dans le cadre de la recherche biom\u00e9dicale et b\u00e9havioriste. Rapport Belmont\u00a0: Principes \u00e9thiques et directives concernant la protection des sujets humains dans le cadre de la recherche. 1974."},{"key":"rb16","unstructured":"16 Primature de la R\u00e9publique de Guin\u00e9e. Code de la sant\u00e9 publique. Conakry\u00a0: Primature R\u00e9publique de Guin\u00e9e\u00a0; 1997."},{"key":"rb17","doi-asserted-by":"publisher","first-page":"193-210","DOI":"10.7202\/1039345ar","article-title":"La politique et les pratiques de sant\u00e9 en Guin\u00e9e \u00e0 l\u2019\u00e9preuve de l\u2019\u00e9pid\u00e9mie d\u2019Ebola\u00a0: le cas de la ville de Conakry","author":"Sompar\u00e9 Abdoulaye Wotem","year":"2017","journal-title":"Lien social et Politiques","ISSN":"https:\/\/id.crossref.org\/issn\/1703-9665","issn-type":"print"},{"key":"rb18","unstructured":"18 Sompar\u00e9 AW. L\u2019\u00e9nigme d\u2019Ebola en Guin\u00e9e\u00a0: Une \u00e9tude socio-anthropologique des r\u00e9ticences. Paris\u00a0: L\u2019Harmattan\u00a0; 2020."},{"key":"rb19","unstructured":"19 Farmer P. Fevers, feuds, and diamonds: Ebola and the ravages of history. s.l.: Picador; 2021."},{"key":"rb20","doi-asserted-by":"publisher","first-page":"111-131","DOI":"10.7202\/1090983ar","article-title":"\u00ab\u00a0C\u2019est l\u2019\u00c9tat qui nous a tu\u00e9s\u00a0!\u00a0\u00bb","author":"Le Coq Rubis","year":"2022","journal-title":"Lien social et Politiques","ISSN":"https:\/\/id.crossref.org\/issn\/1703-9665","issn-type":"print"},{"key":"rb21","doi-asserted-by":"publisher","first-page":"309-313","DOI":"10.1007\/s13149-016-0510-5","article-title":"Ebola en Guin\u00e9e : formes de la stigmatisation des acteurs de sant\u00e9 survivants","volume":"109","author":"","year":"2016","journal-title":"Bulletin de la Soci\u00e9t\u00e9 de pathologie exotique","ISSN":"https:\/\/id.crossref.org\/issn\/0037-9085","issn-type":"print"},{"key":"rb22","doi-asserted-by":"publisher","first-page":"738-751","DOI":"10.1111\/aman.13126","article-title":"Outliving Death: Ebola, Zombies, and the Politics of Saving Lives","volume":"120","author":"Gomez\u2010Temesio Veronica","year":"2018","journal-title":"American Anthropologist","ISSN":"https:\/\/id.crossref.org\/issn\/0002-7294","issn-type":"print"},{"key":"rb23","unstructured":"23 Sylla TY, Taverne B. Les survivantes\u00a0: Paroles de femmes gu\u00e9ries de la maladie Ebola en Guin\u00e9e. Paris\u00a0: L\u2019Harmattan\u00a0; 2019."},{"key":"rb24","doi-asserted-by":"publisher","first-page":"null","DOI":"10.1186\/s12888-017-1280-8","article-title":"Depressive symptoms among survivors of Ebola virus disease in Conakry (Guinea): preliminary results of the PostEboGui cohort","volume":"17","author":"","year":"2017","journal-title":"BMC Psychiatry","ISSN":"https:\/\/id.crossref.org\/issn\/1471-244X","issn-type":"print"},{"key":"rb25","doi-asserted-by":"publisher","first-page":"57-90","DOI":"10.4000\/lhomme.30147","article-title":"La mise en camp de la Guin\u00e9e","author":"Gomez-Temesio Veronica","year":"2017","journal-title":"L'Homme","ISSN":"https:\/\/id.crossref.org\/issn\/0439-4216","issn-type":"print"},{"key":"rb26","doi-asserted-by":"publisher","first-page":"95-110","DOI":"10.3917\/autr.028.0094","article-title":"Le souci de l'autre: audit, \u00e9thique professionnelle et r\u00e9flexivit\u00e9 des soignants en Guin\u00e9e","volume":"n\u00b0 28","author":"Jaffr\u00e9 Yannick","year":"2003","journal-title":"Autrepart","ISSN":"https:\/\/id.crossref.org\/issn\/1278-3986","issn-type":"print"},{"key":"rb27","unstructured":"27 https:\/\/apps.who.int\/iris\/rest\/bitstreams\/1085882\/retrieve Word Health Organization (WHO). WHO guidelines on ethical issues in public health surveillance. Geneva: WHO; 2017. [Visit\u00e9 le 28\/02\/2023]. En ligne\u00a0: ."},{"key":"rb28","doi-asserted-by":"publisher","first-page":"38-44","DOI":"10.2105\/AJPH.2011.300297","article-title":"Ethical Justification for Conducting Public Health Surveillance Without Patient Consent","volume":"102","author":"Lee Lisa M.","year":"2012","journal-title":"American Journal of Public Health","ISSN":"https:\/\/id.crossref.org\/issn\/0090-0036","issn-type":"print"},{"key":"rb29","unstructured":"29 Caux C. Le mariage entre la surveillance biologique et l\u2019\u00e9thique. 2005;40:131-3."},{"key":"rb30","doi-asserted-by":"publisher","first-page":"539-543","DOI":"10.1038\/s41586-021-03901-9","article-title":"Resurgence of Ebola virus in 2021 in Guinea suggests a new paradigm for outbreaks","volume":"597","author":"Keita Alpha Kabinet","year":"2021","journal-title":"Nature","ISSN":"https:\/\/id.crossref.org\/issn\/0028-0836","issn-type":"print"},{"key":"rb31","doi-asserted-by":"publisher","first-page":"685-687","DOI":"10.1016\/S2213-2600(21)00234-4","article-title":"SARS-CoV-2 antigen testing: weighing the false positives against the costs of failing to control transmission","volume":"9","author":"Fearon Elizabeth","year":"2021","journal-title":"The Lancet Respiratory Medicine","ISSN":"https:\/\/id.crossref.org\/issn\/2213-2600","issn-type":"print"},{"key":"rb32","unstructured":"32 Street A, Kelly AH. Counting coronavirus: delivering diagnostic certainty in a global emergency. Somatosphere. 2020"},{"key":"rb33","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1016\/S0140-6736(20)32064-X","article-title":"Offline: Science and the breakdown of trust","volume":"396","author":"Horton Richard","year":"2020","journal-title":"The Lancet","ISSN":"https:\/\/id.crossref.org\/issn\/0140-6736","issn-type":"print"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T01:33:26Z","timestamp":1695346406000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2023-1-page-65.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2023,6,7]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,6,7]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.231.0065","relation":{},"ISSN":["0995-3914"],"issn-type":[{"type":"print","value":"0995-3914"}],"subject":[],"published":{"date-parts":[[2023,6,7]]}}}