La Haute Autorit\u00e9 de sant\u00e9 (HAS) a publi\u00e9 une recommandation sur l\u2019opportunit\u00e9 d\u2019instaurer une obligation vaccinale contre la grippe saisonni\u00e8re. Saisie par les ministres charg\u00e9s de la Sant\u00e9, elle devait se prononcer sur une \u00e9ventuelle obligation pour les personnes \u00e2g\u00e9es de 65 ans et plus r\u00e9sidant en Ehpad, pour les professionnels de sant\u00e9 lib\u00e9raux et pour les personnels des \u00e9tablissements de sant\u00e9 et m\u00e9dico-sociaux.<\/p>\n
Pour les personnes de 65 ans et plus vivant en collectivit\u00e9, notamment en Ehpad, la HAS estime que la vaccination antigrippale doit rester recommand\u00e9e et ne pas devenir obligatoire. En revanche, elle recommande la mise en place d\u2019une obligation vaccinale antigrippale pour l\u2019ensemble des professionnels de sant\u00e9 ainsi que pour les autres professionnels travaillant dans les \u00e9tablissements de sant\u00e9 ou m\u00e9dico-sociaux h\u00e9bergeant des personnes \u00e2g\u00e9es, d\u00e8s lors qu\u2019ils sont en contact avec des personnes \u00e0 risque de grippe s\u00e9v\u00e8re. Elle pr\u00e9conise un d\u00e9ploiement prioritaire de cette obligation dans les Ehpad et les unit\u00e9s de soins de longue dur\u00e9e (USLD).<\/p>\n
La recommandation s\u2019appuie sur le fardeau important de la grippe saisonni\u00e8re chez les personnes \u00e2g\u00e9es. La grippe a entra\u00een\u00e9 environ 53 000 hospitalisations en 2023-2024, dont 26 500 chez les 65 ans et plus, puis 92 000 hospitalisations et un exc\u00e8s de mortalit\u00e9 d\u2019environ 17 000 d\u00e9c\u00e8s en 2024-2025. Neuf d\u00e9c\u00e8s sur dix concernent des personnes de 65 ans et plus, en majorit\u00e9 des 75 ans et plus. La HAS souligne que ce fardeau a longtemps \u00e9t\u00e9 sous-estim\u00e9 en raison d\u2019un recours limit\u00e9 aux tests diagnostiques avant la pand\u00e9mie de Covid-19 et de la reconnaissance r\u00e9cente du r\u00f4le de la grippe dans la d\u00e9compensation de maladies chroniques, notamment cardiaques.<\/p>\n
La HAS rappelle que la saison grippale, concentr\u00e9e sur 10 \u00e0 12 semaines, g\u00e9n\u00e8re des tensions importantes sur le syst\u00e8me de soins, conduisant parfois \u00e0 des mesures exceptionnelles (d\u00e9programmations, plans blancs). Elle met \u00e9galement en avant les risques de transmission intrahospitali\u00e8re et en \u00e9tablissements m\u00e9dico-sociaux, longtemps sous-estim\u00e9s avant la pand\u00e9mie, en particulier pour les personnes vuln\u00e9rables susceptibles de d\u00e9velopper des formes s\u00e9v\u00e8res de grippe. En 2022, les personnes de 65 ans et plus repr\u00e9sentaient 58 % des hospitalisations et les personnes immunod\u00e9prim\u00e9es 11 %, ce qui traduit une forte pr\u00e9sence de publics \u00e0 risque dans l\u2019ensemble des services hospitaliers. Dans ce contexte, la recommandation de rendre la vaccination obligatoire pour les professionnels vise \u00e0 limiter les transmissions aux populations les plus vuln\u00e9rables au sein des \u00e9tablissements.\u00a0(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" La Haute Autorit\u00e9 de sant\u00e9 (HAS) a publi\u00e9 une recommandation sur l\u2019opportunit\u00e9 d\u2019instaurer une obligation vaccinale contre la grippe saisonni\u00e8re. Saisie par les ministres charg\u00e9s de la Sant\u00e9, elle devait […]<\/p>\n","protected":false},"author":1,"featured_media":4388,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[70],"class_list":["post-13880","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-mentale-et-psychiatrie","tag-santementale-fr"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13880","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13880"}],"version-history":[{"count":1,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13880\/revisions"}],"predecessor-version":[{"id":14304,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/13880\/revisions\/14304"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4388"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13880"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13880"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}