{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T05:38:30Z","timestamp":1791610710496,"version":"4.3.4"},"reference-count":13,"publisher":"CAIRN.INFO","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,26]]},"abstract":"<jats:p>Introduction : La Fi\u00e8vre H\u00e9morragique de Crim\u00e9e-Congo (FHCC) est une maladie virale s\u00e9v\u00e8re caus\u00e9e par un virus du genre Nairovirus, principalement transmise par les tiques et, dans certains cas, par contact avec du sang ou des fluides corporels infect\u00e9s. La FHCC est end\u00e9mique dans plusieurs r\u00e9gions d\u2019Afrique. Cette \u00e9tude se concentre sur les cas de FHCC au S\u00e9n\u00e9gal en 2023 et sur les r\u00e9ponses d\u00e9ploy\u00e9es pour g\u00e9rer l\u2019\u00e9pid\u00e9mie. M\u00e9thodologie : Une \u00e9tude r\u00e9trospective a \u00e9t\u00e9 r\u00e9alis\u00e9e pour analyser l\u2019\u00e9pid\u00e9mie de FHCC au S\u00e9n\u00e9gal en 2023. Le R\u00e9seau de Surveillance Sentinelle Syndromique (R\u00e9seau 4S), a permis de d\u00e9tecter les cas. Le laboratoire de r\u00e9f\u00e9rence a appliqu\u00e9 des tests ELISA et PCR pour confirmer les diagnostics, tandis que le centre des op\u00e9rations d\u2019urgence sanitaire a coordonn\u00e9 la r\u00e9ponse gr\u00e2ce avec un syst\u00e8me de gestion des incidents (SGI) mis en place au niveau national et r\u00e9gional. R\u00e9sultats : En 2023, le S\u00e9n\u00e9gal a rapport\u00e9 11 cas confirm\u00e9s de FHCC dans 7 r\u00e9gions, avec un taux de l\u00e9talit\u00e9 de 36,6 %. La dur\u00e9e moyenne entre l\u2019apparition des sympt\u00f4mes et le diagnostic de laboratoire \u00e9tait de 10 jours, ce qui a parfois entra\u00een\u00e9 des retards dans la prise en charge. Le suivi de 413 contacts a \u00e9t\u00e9 effectu\u00e9 sans identifier de cas secondaire. Des actions de pr\u00e9vention, incluant des campagnes de sensibilisation dans les zones \u00e0 haut risque, ont aussi \u00e9t\u00e9 men\u00e9es. Conclusion : La FHCC repr\u00e9sente une menace persistante pour la sant\u00e9 publique au S\u00e9n\u00e9gal. Les efforts de surveillance, la rapidit\u00e9 de d\u00e9tection, et les mesures de contr\u00f4le mises en place se sont r\u00e9v\u00e9l\u00e9s essentiels pour limiter la transmission. Les retards diagnostiques observ\u00e9s mettent en avant la n\u00e9cessit\u00e9 de renforcer les capacit\u00e9s de diagnostic et d\u2019am\u00e9liorer la r\u00e9activit\u00e9 du syst\u00e8me de sant\u00e9, notamment \u00e0 travers la mise en place du cadre 7-1-7. Une collaboration intersectorielle accrue est cruciale pour mieux contenir cette zoonose \u00e9mergente.<\/jats:p>","DOI":"10.3917\/spub.252.0239","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T10:56:02Z","timestamp":1748256962000},"page":"239-244","source":"Crossref","is-referenced-by-count":3,"title":["Fi\u00e8vre H\u00e9morragique Crim\u00e9e Congo au S\u00e9n\u00e9gal en 2023 : situation \u00e9pid\u00e9miologique et riposte"],"prefix":"10.3917","volume":"vol. 37","author":[{"given":"Papa Samba","family":"Dieye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssou Bamar","family":"Gueye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boly","family":"Diop","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibra","family":"Diagne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diambogne","family":"Ndour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoro","family":"Sall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariei","family":"Ndiaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"publisher","DOI":"10.1007\/s00705-019-04253-6"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2018-001114"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(06)70435-2"},{"key":"rb4","unstructured":"4. Organisation mondiale de la sant\u00e9 (OMS). Fi\u00e8vre h\u00e9morragique de Crim\u00e9e-Congo [En ligne] [Cit\u00e9 le 6 mars 2024] 2022. Disponible sur : https:\/\/www.who.int\/fr\/news-room\/fact-sheets\/detail\/crimean-congo-haemorrhagic-fever"},{"key":"rb5","unstructured":"5. World Health Organisation. Prioritizing diseases for research and development in emergency contexts [En ligne]. 2018 [Cit\u00e9 le 1 septembre 2023]. Disponible en ligne : https:\/\/www.who.int\/news-room\/events\/detail\/2018\/02\/06\/default-calendar\/2018-annual-review-of-diseases-prioritized-under-the-research-anddevelopment-blueprint"},{"key":"rb6","doi-asserted-by":"crossref","unstructured":"6. Temur AI, Kuhn JH, Pecor DB, Apanaskevich DA et Keshtkar-Jahromi M. \u00c9pid\u00e9miologie de la fi\u00e8vre h\u00e9morragique de Crim\u00e9e-Congo (FHCC) en Afrique \u2013 sous-estim\u00e9e depuis des d\u00e9cennies Am J Trop Med Hyg. 2021;104(6):1978-1990.","DOI":"10.4269\/ajtmh.20-1413"},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.3390\/microorganisms10050928"},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2023.03.016"},{"key":"rb9","doi-asserted-by":"crossref","unstructured":"9. Dieng I, Barry MA, Diagne MM, Diop B, Ndiaye M, Faye M, et al. Detection of Crimean Congo haemorrhagic fever virus in North-eastern Senegal, Bokidiaw\u00e9 2019. Emerging Microbes & Infections. 2020;9(1), 2485-2487.","DOI":"10.1080\/22221751.2020.1847605"},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.4314\/ijbcs.v14i3.5"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmi.2015.11.024"},{"key":"rb12","unstructured":"12. Singaravelu S, Shadid J, Anoko J, Falero F, Baggio O, Fwelo MC, et al. Risk communication, community engagement and social mobilization during the outbreak of Ebola virus disease in Equateur Province, Democratic Republic of the Congo, in 2018. Weekly Epidemiological Record. 2019;94(3):32-36."},{"key":"rb13","unstructured":"13. Organisation mondiale de la sant\u00e9 (OMS). Consid\u00e9rations relatives \u00e0 la communication des risques et \u00e0 l\u2019engagement communautaire (CREC) : r\u00e9ponse d\u2019Ebola en R\u00e9publique d\u00e9mocratique du Congo. 2018."}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:36:35Z","timestamp":1774535795000},"score":1,"resource":{"primary":{"URL":"https:\/\/stm.cairn.info\/revue-sante-publique-2025-2-page-239?lang=fr&ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2025,5,26]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,5,26]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.252.0239","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,26]]}}}