Dans le cadre du dispositif \u00ab France Exp\u00e9rimentation \u00bb, le d\u00e9cret du Conseil d\u2019\u00c9tat n\u00b0 2026-162 du 4 mars 2026 autorise, \u00e0 titre d\u00e9rogatoire au Code de la sant\u00e9 publique, des projets pilotes portant sur la r\u00e9utilisation des emballages primaires de d\u00e9chets d\u2019activit\u00e9s de soins \u00e0 risques infectieux et assimil\u00e9s (DASRIA), ainsi que sur la valorisation ou le recyclage de ces d\u00e9chets. Un projet d\u2019arr\u00eat\u00e9 pris en application de l\u2019article 9 de ce d\u00e9cret a \u00e9t\u00e9 soumis pour avis au Haut Conseil de la sant\u00e9 publique (HCSP).<\/p>\n
Ce projet d\u2019arr\u00eat\u00e9 d\u00e9finit les modalit\u00e9s de suivi des exp\u00e9rimentations, le contenu des dossiers de demande d\u2019autorisation, les rapports annuels de suivi transmis pour les essais autoris\u00e9s et le rapport d\u2019\u00e9valuation globale remis par le titulaire de l\u2019autorisation. Ces exigences visent \u00e0 garantir la s\u00fbret\u00e9 et la s\u00e9curit\u00e9 des emballages r\u00e9utilis\u00e9s et des DASRIA valoris\u00e9s ou recycl\u00e9s.<\/p>\n
Apr\u00e8s examen, le HCSP formule des recommandations sur le dispositif de suivi pr\u00e9vu \u00e0 l\u2019article 3 du projet d\u2019arr\u00eat\u00e9. Il recommande que le suivi des projets pilotes comporte notamment : l\u2019enregistrement continu des param\u00e8tres de d\u00e9sinfection des emballages ou des DASRIA destin\u00e9s \u00e0 la valorisation ou au recyclage ; la tra\u00e7abilit\u00e9 des op\u00e9rations de r\u00e9utilisation des emballages et de valorisation ou de recyclage des DASRIA ; la v\u00e9rification de l\u2019efficacit\u00e9 de la d\u00e9sinfection par des contr\u00f4les microbiologiques r\u00e9alis\u00e9s sur les emballages r\u00e9utilis\u00e9s ou sur les DASRIA destin\u00e9s \u00e0 la valorisation ou au recyclage. La nature et la fr\u00e9quence de ce suivi devraient \u00eatre adapt\u00e9es aux caract\u00e9ristiques de chaque projet et pr\u00e9cis\u00e9es dans l\u2019arr\u00eat\u00e9 individuel d\u2019autorisation.<\/p>\n
Le HCSP estime que la fr\u00e9quence mensuelle de suivi propos\u00e9e dans l\u2019article 3 n\u2019est pas suffisante pour surveiller les param\u00e8tres op\u00e9rationnels de la d\u00e9sinfection, d\u00e9tecter d\u2019\u00e9ventuels \u00e9carts, assurer une tra\u00e7abilit\u00e9 ad\u00e9quate des op\u00e9rations et organiser les contr\u00f4les microbiologiques, dont la fr\u00e9quence d\u00e9pend des caract\u00e9ristiques et conditions propres \u00e0 chaque exp\u00e9rimentation. Selon le HCSP, la d\u00e9finition de ces modalit\u00e9s de suivi n\u00e9cessite une analyse d\u00e9taill\u00e9e de chaque dossier de demande d\u2019autorisation. Par ailleurs, il propose des modifications r\u00e9dactionnelles directement int\u00e9gr\u00e9es au projet d\u2019arr\u00eat\u00e9 (suppressions et ajouts signal\u00e9s dans le texte), sans en d\u00e9tailler le contenu dans le document de synth\u00e8se.\u00a0(contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" Dans le cadre du dispositif \u00ab France Exp\u00e9rimentation \u00bb, le d\u00e9cret du Conseil d\u2019\u00c9tat n\u00b0 2026-162 du 4 mars 2026 autorise, \u00e0 titre d\u00e9rogatoire au Code de la sant\u00e9 publique, […]<\/p>\n","protected":false},"author":1,"featured_media":4174,"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 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