Le Centre europ\u00e9en de pr\u00e9vention et de contr\u00f4le des maladies (ECDC), agence de l\u2019Union europ\u00e9enne, a publi\u00e9 un avis scientifique rapide sur la conduite \u00e0 tenir vis-\u00e0-vis des contacts de cas sporadiques import\u00e9s d\u2019infection par le virus Andes (Andes orthohantavirus, ANDV) dans l\u2019Union europ\u00e9enne et l\u2019Espace \u00e9conomique europ\u00e9en (UE\/EEE). Cet avis concerne la gestion des contacts autour de cas humains acquis en dehors de l\u2019UE\/EEE puis diagnostiqu\u00e9s \u00e0 leur retour, et ne traite pas de transmission autochtone.<\/p>\n
L\u2019avis pr\u00e9cise les caract\u00e9ristiques \u00e9pid\u00e9miologiques pertinentes pour la gestion des risques : l\u2019ANDV est un hantavirus responsable d\u2019un syndrome cardiopulmonaire, pour lequel une transmission interhumaine a \u00e9t\u00e9 d\u00e9crite dans certaines situations, principalement en Am\u00e9rique du Sud. Sur cette base, l\u2019ECDC fournit des recommandations op\u00e9rationnelles pour l\u2019identification, la cat\u00e9gorisation et le suivi des contacts lorsqu\u2019un cas import\u00e9 est d\u00e9tect\u00e9 dans un pays de l\u2019UE\/EEE.<\/p>\n
Les autorit\u00e9s de sant\u00e9 nationales sont invit\u00e9es \u00e0 mettre en place un dispositif proportionn\u00e9 de recherche et de suivi des personnes ayant eu un contact \u00e9troit avec le cas confirm\u00e9 pendant la p\u00e9riode de contagiosit\u00e9 pr\u00e9sum\u00e9e. L\u2019avis pr\u00e9cise les types de contacts consid\u00e9r\u00e9s comme \u00e0 risque plus \u00e9lev\u00e9 (par exemple certaines expositions proches et prolong\u00e9es) et ceux consid\u00e9r\u00e9s comme \u00e0 risque faible, afin d\u2019ajuster le niveau de surveillance et d\u2019information sans recourir \u00e0 des mesures excessives. L\u2019ECDC insiste sur l\u2019importance d\u2019informer les contacts sur les signes cliniques \u00e9vocateurs et sur la conduite \u00e0 tenir en cas d\u2019apparition de sympt\u00f4mes.<\/p>\n
L\u2019avis souligne plusieurs incertitudes, notamment sur les modalit\u00e9s exactes et la probabilit\u00e9 de transmission interhumaine dans des contextes europ\u00e9ens. En cons\u00e9quence, il propose une approche prudente, adaptable, laissant une marge d\u2019interpr\u00e9tation aux autorit\u00e9s nationales en fonction de l\u2019\u00e9volution des connaissances et du contexte \u00e9pid\u00e9miologique. Aucune mesure syst\u00e9matique de quarantaine g\u00e9n\u00e9ralis\u00e9e des contacts en UE\/EEE n\u2019est pr\u00e9conis\u00e9e \u00e0 ce stade, mais un suivi cibl\u00e9 et une notification rapide demeurent essentiels pour limiter le risque d\u2019\u00e9v\u00e9nements secondaires.<\/p>\n
Ce document s\u2019inscrit dans le cadre plus large de la pr\u00e9paration et de la r\u00e9ponse de l\u2019UE\/EEE aux menaces transfrontali\u00e8res pour la sant\u00e9. Il fournit un r\u00e9f\u00e9rentiel commun pour les \u00c9tats membres, en appui \u00e0 l\u2019harmonisation des pratiques de gestion des cas import\u00e9s et de leurs contacts, avec un int\u00e9r\u00eat direct pour l\u2019organisation des syst\u00e8mes de surveillance, la coordination entre autorit\u00e9s sanitaires nationales et europ\u00e9ennes, et l\u2019actualisation des proc\u00e9dures nationales en mati\u00e8re de gestion des risques infectieux \u00e9mergents. (contenu r\u00e9sum\u00e9 en fran\u00e7ais par l’IA)\u00a0Lire la Suite<\/a><\/p>","protected":false},"excerpt":{"rendered":" Le Centre europ\u00e9en de pr\u00e9vention et de contr\u00f4le des maladies (ECDC), agence de l\u2019Union europ\u00e9enne, a publi\u00e9 un avis scientifique rapide sur la conduite \u00e0 tenir vis-\u00e0-vis des contacts de […]<\/p>\n","protected":false},"author":1,"featured_media":10372,"comment_status":"","ping_status":"","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":[2],"tags":[230,227,226],"class_list":["post-17262","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-publique-et-systeme-de-soins","tag-ecdc","tag-ia","tag-sources-etrangeres"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17262","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=17262"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17262\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/10372"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}