{"id":2163,"date":"2024-11-21T21:09:21","date_gmt":"2024-11-21T21:09:21","guid":{"rendered":"https:\/\/capahc.com\/?p=2163"},"modified":"2024-11-22T19:41:07","modified_gmt":"2024-11-22T19:41:07","slug":"eradication-du-vhc-en-2030-un-objectif-menace-par-la-covid-19","status":"publish","type":"post","link":"https:\/\/capahc.com\/en\/eradication-du-vhc-en-2030-un-objectif-menace-par-la-covid-19\/","title":{"rendered":"HCV eradication by 2030, a goal threatened by COVID-19?"},"content":{"rendered":"<h1 class=\"wp-block-heading\">HCV eradication by 2030, a goal threatened by COVID-19?<\/h1>\n\n\n\n<p data-block-type=\"core\"><em>(Article publi\u00e9 dans le Journal international de m\u00e9decine le 17 f\u00e9vrier 2021. Pour avoir l\u2019article complet, vous pouvez vous abonner au&nbsp;<a href=\"http:\/\/jim.fr\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.jim.fr<\/a>. Des donne\u00e9s europ\u00e9ennes qui pourraient \u00e9trangement ressembler \u00e0 celles du Canada et du Qu\u00e9bec? C\u2019est ce que nous croyons au CAPAHC.)<\/em><\/p>\n\n\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-66280fa\" data-block-id=\"66280fa\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-66280fa-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-1b511f7\" data-v=\"4\" data-block-id=\"1b511f7\"><style>@media screen and (min-width: 768px){.stk-1b511f7 {flex:var(--stk-flex-grow, 1) 1 calc(44.1% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-1b511f7-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-1b511f7-inner-blocks\">\n<div class=\"wp-block-stackable-image stk-block-image stk-block stk-0324055\" data-block-id=\"0324055\"><style>.stk-0324055 .stk-img-wrapper{width:100% !important;height:200px !important;--stk-gradient-overlay:0.1 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-0324055 .stk-img-wrapper img{transform:scale(1.1) !important;}.stk-0324055 .stk-img-wrapper img{object-fit:contain !important;}.stk-0324055 .stk-img-wrapper::after{background-color:#070803 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-0324055 .stk-img-wrapper::after{background-color:#000000 !important;}.stk-0324055 .stk-img-wrapper::before{--stk-gradient-overlay:0.7 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-0324055 .stk-img-wrapper{--stk-gradient-overlay:0.7 !important;}<\/style><figure><span class=\"stk-img-wrapper stk-image--shape-stretch\"><img loading=\"lazy\" decoding=\"async\" class=\"stk-img wp-image-2086\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/Illustrations-03-e1682119872827.png\" width=\"591\" height=\"581\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/Illustrations-03-e1682119872827.png 591w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/Illustrations-03-e1682119872827-300x295.png 300w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/Illustrations-03-e1682119872827-12x12.png 12w\" sizes=\"auto, (max-width: 591px) 100vw, 591px\" \/><\/span><\/figure><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-aff1cf4\" data-v=\"4\" data-block-id=\"aff1cf4\"><style>@media screen and (min-width: 768px){.stk-aff1cf4 {flex:var(--stk-flex-grow, 1) 1 calc(55.9% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-aff1cf4-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-aff1cf4-inner-blocks\">\n<p data-block-type=\"core\">La pand\u00e9mie li\u00e9e au SARS-CoV-2, qui a d\u00e9but\u00e9 \u00e0 la fin de 2019, a \u00e9t\u00e9 d\u00e9clar\u00e9e urgence mondiale par l\u2019OMS et a exerc\u00e9 une pression consid\u00e9rable sur les syst\u00e8mes de sant\u00e9 du monde entier. La n\u00e9cessaire redistribution des ressources et du personnel li\u00e9e \u00e0 cette situation est susceptible d\u2019avoir eu des cons\u00e9quences dans diff\u00e9rents domaines de la sant\u00e9 qui ne se limitent pas au d\u00e9pistage des cancers.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-b04cb5c\" data-block-id=\"b04cb5c\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-b04cb5c-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-45c162d\" data-v=\"4\" data-block-id=\"45c162d\"><style>@media screen and (min-width: 768px){.stk-45c162d {flex:var(--stk-flex-grow, 1) 1 calc(70% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-45c162d-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-45c162d-inner-blocks\">\n<p data-block-type=\"core\">Ainsi y-a-t-il pu avoir interf\u00e9rence avec la poursuite de certains objectifs : tel est le cas de l\u2019\u00e9limination de l\u2019h\u00e9patite C qui devait \u00eatre, selon les pr\u00e9visions de l\u2019OMS, obtenue en 2030. Or le d\u00e9pistage des h\u00e9patites virales a \u00e9t\u00e9 perturb\u00e9, comme cela est d\u00e9j\u00e0 document\u00e9 en \u00c9gypte et en Italie et d\u2019autres annulations de programmes d\u2019\u00e9radication sont attendues dans de nombreux autres pays.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7275dc6\" data-v=\"4\" data-block-id=\"7275dc6\"><style>@media screen and (min-width: 768px){.stk-7275dc6 {flex:var(--stk-flex-grow, 1) 1 calc(30% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7275dc6-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-7275dc6-inner-blocks\">\n<div class=\"wp-block-stackable-image stk-block-image stk-block stk-094e765\" data-block-id=\"094e765\"><style>.stk-094e765 .stk-img-wrapper{height:100% !important;--stk-gradient-overlay:0.1 !important;}.stk-094e765 .stk-img-wrapper img{transform:scale(0.9) !important;object-fit:contain !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-094e765 .stk-img-wrapper img{transform:scale(1.1) !important;}.stk-094e765 .stk-img-wrapper::after{background-color:#070803 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-094e765 .stk-img-wrapper::after{background-color:#000000 !important;}.stk-094e765 .stk-img-wrapper::before{--stk-gradient-overlay:0.7 !important;}:where(.stk-hover-parent:hover,  .stk-hover-parent.stk--is-hovered) .stk-094e765 .stk-img-wrapper{--stk-gradient-overlay:0.7 !important;}<\/style><figure><span class=\"stk-img-wrapper stk-image--shape-stretch\"><img loading=\"lazy\" decoding=\"async\" class=\"stk-img wp-image-2197\" src=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/logo-footer.webp\" width=\"144\" height=\"95\" srcset=\"https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/logo-footer.webp 144w, https:\/\/capahc.com\/wp-content\/uploads\/2024\/11\/logo-footer-18x12.webp 18w\" sizes=\"auto, (max-width: 144px) 100vw, 144px\" \/><\/span><\/figure><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<p data-block-type=\"core\"><strong>Surmorbidit\u00e9 et surmortalit\u00e9 par h\u00e9patopathies li\u00e9es au retard de d\u00e9pistage du VHC<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\">Des mod\u00e8les math\u00e9matiques permettent d\u2019\u00e9valuer l\u2019impact possible sur l\u2019h\u00e9patite C et sa mortalit\u00e9 des retards pris dans le d\u00e9roulement des programmes de d\u00e9pistage. Une premi\u00e8re \u00e9tude europ\u00e9enne a concern\u00e9 l\u2019\u00e9volution progressive des d\u00e9c\u00e8s li\u00e9s au VHC et au cancer du foie (CHC), apr\u00e8s une interruption des programmes d\u2019\u00e9limination de l\u2019h\u00e9patite durant 3 mois, 6 mois ou 1 an. Le sc\u00e9nario retenu \u00ab&nbsp;<em>d\u00e9lai d\u2019un an<\/em>&nbsp;\u00bb serait susceptible d\u2019entra\u00eener 44 800 (intervalle de confiance \u00e0 95 % IC \u00e0 95% : 43 800 \u00e0 49 300) cas exc\u00e9dentaires de CHC et 72 300 (IC \u00e0 95% : 70 600 \u00e0 79 400) d\u00e9c\u00e8s li\u00e9s \u00e0 une pathologie h\u00e9patique, de 2020 \u00e0 2030. La plupart des traitements manqu\u00e9s concerneraient les pays \u00e0 revenu interm\u00e9diaire, tandis que la plupart des exc\u00e8s de CHC et de d\u00e9c\u00e8s li\u00e9s \u00e0 l\u2019\u00e9volution cirrhog\u00e8ne se produiraient dans les pays \u00e0 revenu \u00e9lev\u00e9. Le nombre exc\u00e9dentaire d\u2019infections \u00e0 VHC n\u2019inclut pas l\u2019impact des comportements \u00e0 risque accrus (par exemple, l\u2019impact de la crise \u00e9conomique sur la consommation de drogues ou d\u2019alcool) susceptibles de majorer ces chiffres.<br><br>La deuxi\u00e8me \u00e9tude int\u00e9resse l\u2019Espagne o\u00f9 la Covid-19 a \u00e9t\u00e9 tr\u00e8s active. La premi\u00e8re vague de mars \u00e0 juin a donn\u00e9 lieu \u00e0 un confinement \u00e0 l\u2019\u00e9chelle du pays et la deuxi\u00e8me vague se poursuit depuis septembre. Pendant toute cette p\u00e9riode, il y a eu une baisse des tests de d\u00e9pistage du VHC et de l\u2019acc\u00e8s aux soins ainsi qu\u2019aux programmes de r\u00e9duction des risques et de micro-\u00e9limination. Une cohorte de 15 859 patients a \u00e9t\u00e9 analys\u00e9e en comparant deux sc\u00e9narios : le sc\u00e9nario non Covid-19, o\u00f9 tous les patients seraient diagnostiqu\u00e9s et trait\u00e9s au cours de la premi\u00e8re ann\u00e9e et le sc\u00e9nario Covid-19 o\u00f9 il y aurait un d\u00e9lai de 18 mois \u00e0 partir de d\u00e9but 2020 jusqu\u2019\u00e0 fin juin 2021 (o\u00f9 la vaccination produirait ses effets). La simulation math\u00e9matique a utilis\u00e9 les donn\u00e9es cliniques de patients VHC trait\u00e9s avec des antiviraux \u00e0 action directe en Espagne (janvier 2019 \u00e0 ao\u00fbt 2020). Dans le sc\u00e9nario Covid-19, le nombre de traitements mensuels contre le VHC est r\u00e9duit de 19 % \u00e0 84 % entre d\u00e9but 2020 et juin 2021. On a suppos\u00e9 que les patients seraient trait\u00e9s au cours des 18 mois suivants (50 % \u00e0 partir de juillet 2021 et 50 % en 2022), sur la base de la r\u00e9partition 2019 des patients. Les patients avec un retard au diagnostic et au traitement devraient suivre l\u2019\u00e9volution naturelle de la maladie. Les caract\u00e9ristiques de cette cohorte (\u00e2ge moyen et fibrose h\u00e9patique) ainsi que la r\u00e9ponse virologique soutenue ont \u00e9t\u00e9 tir\u00e9es de donn\u00e9es r\u00e9elles publi\u00e9es en Espagne. Un retard de 18 mois dans le diagnostic et le traitement du VHC du fait de la Covid-19 dans cette cohorte augmenterait le nombre de d\u00e9c\u00e8s d\u2019origine h\u00e9patique, par CHC et cirrhose d\u00e9compens\u00e9e respectivement de 117, 73 et 118 cas. En termes \u00e9conomiques, cela se traduirait par une augmentation d\u20191 M \u20ac due \u00e0 la prise en charge d\u2019une cirrhose d\u00e9compens\u00e9e, de 1,3 M \u20ac due au CHC sans compter les 2,5 M \u20ac dus \u00e0 une transplantation h\u00e9patique.<br><br>Les donn\u00e9es obtenues ici sont bas\u00e9es sur une simulation portant sur 15 859 patients, mais on estime que 76 839 personnes ont encore une infection par le VHC active en Espagne, majorant ainsi l\u2019impact m\u00e9dico-\u00e9conomique. Ces donn\u00e9es ont \u00e9t\u00e9 estim\u00e9es avec une m\u00e9thodologie diff\u00e9rente de celle utilis\u00e9e par Blach&nbsp;<em>et Coll<\/em>&nbsp;dans son \u00e9tude sur l\u2019impact global de la Covid 19 sur l\u2019\u00e9limination de l\u2019h\u00e9patite C. N\u00e9anmoins, les r\u00e9sultats sont similaires : le report des programmes d\u2019\u00e9limination du VHC sera associ\u00e9 \u00e0 une augmentation de la morbidit\u00e9 et de la mortalit\u00e9 li\u00e9es au VHC au cours des 10 prochaines ann\u00e9es.<\/p>\n\n\n\n<p data-block-type=\"core\"><strong>D\u00e9pister l\u2019infection par VHC en m\u00eame temps que celle li\u00e9e au SARS-CoV-2<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\">Comment am\u00e9liorer le d\u00e9pistage d\u2019ici l\u00e0 ? Les patients qui b\u00e9n\u00e9ficient d\u2019un d\u00e9pistage s\u00e9rologique de masse du SARS-CoV-2 pourraient \u00e9galement \u00eatre d\u00e9pist\u00e9s pour le VHC et le VHB, en une seule visite et avec un co\u00fbt \u00e9conomique tr\u00e8s faible. En outre, ces tests pourraient \u00eatre facilement r\u00e9alis\u00e9s simultan\u00e9ment en utilisant des analyses de salive ou des tests rapides d\u2019orientation diagnostique (TROD), \u00e9vitant ainsi d\u2019autres explorations redondantes. Cette exp\u00e9rience a d\u00e9j\u00e0 \u00e9t\u00e9 tent\u00e9e avec succ\u00e8s dans 3 petites villes italiennes chez 5 152 personnes. Pr\u00e8s de la moiti\u00e9 d\u2019entre elles ont \u00e9galement accept\u00e9 un d\u00e9pistage du VHC, dont 79,3 % des personnes \u00e2g\u00e9es &gt; 50 ans ; 72 sujets \u00e9taient positifs pour les anticorps anti-VHC et moins de la moiti\u00e9 (46,1 %) d\u2019entre eux connaissaient leur statut s\u00e9rologique.<br><br>En conclusion, la sur-morbidit\u00e9 et la mortalit\u00e9 dues au retard au diagnostic de l\u2019infection par VHC n\u00e9cessiteront un renforcement des programmes de d\u00e9pistage cibl\u00e9, en particulier dans les populations vuln\u00e9rables et celles qui ont un acc\u00e8s plus difficile aux m\u00e9decins de premier recours. Le d\u00e9pistage de masse du SARS-CoV-2, r\u00e9alis\u00e9 dans certaines villes fran\u00e7aises, aurait pu \u00eatre une occasion unique de rechercher \u00e9galement le VHC et probablement le VHB. Une occasion en or manqu\u00e9e, car l\u2019arriv\u00e9e des vaccins anti-Covid-19 ne permettra pas de renouveler cette opportunit\u00e9 particuli\u00e8re de \u00ab&nbsp;<em>d\u00e9pistage universel<\/em>&nbsp;\u00bb qui n\u2019avait pas \u00e9t\u00e9 retenue, \u00e0 l\u2019\u00e9chelon national, par la HAS pour le VHC en novembre 2019 et pour le coronavirus en 2020.<\/p>\n\n\n\n<p data-block-type=\"core\"><strong>Dr Sylvain Beorchia<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\"><strong>R\u00c9F\u00c9RENCES<\/strong><\/p>\n\n\n\n<p data-block-type=\"core\">Blach S, Kondili LA, Aghemo A et coll. : Impact of COVID-19 on global HCV elimination efforts. J Hepatol., 2021; 74 : 31\u201336. doi.org\/10.1016\/j.jhep.2020.07.042.<br>Buti M, Dom\u00ednguez-Hern\u00e1ndez R, Casado MA : Impact of the COVID 19 Pandemic on HCV Elimination in Spain. J Hepatol., 2020; publication avanc\u00e9e en ligne le 20 d\u00e9cembre. doi.org\/10.1016\/ j.jhep.2020.12.018.<br>Giacomelli A, Pagani G, Conti F, Bassoli C, Galli M : Detecting HCV infection by means of mass population SARS-CoV-2 screening: a pilot experience in Northern Italy, J Hepatol., 2021; publication avanc\u00e9e en ligne le 13 janvier. doi.org\/10.1016\/j.jhep.2020.12.026.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\">\n\n\n\n<p data-block-type=\"core\">Post\u00e9 : 1 mars 2021<\/p>","protected":false},"excerpt":{"rendered":"<p>\u00c9radication du VHC en 2030, un objectif menac\u00e9 par la COVID-19 ? (Article publi\u00e9 dans le Journal international de m\u00e9decine le 17 f\u00e9vrier 2021. Pour avoir l\u2019article complet, vous pouvez vous abonner au&nbsp;www.jim.fr. Des donne\u00e9s europ\u00e9ennes qui pourraient \u00e9trangement ressembler \u00e0 celles du Canada et du Qu\u00e9bec? C\u2019est ce que nous croyons au CAPAHC.) La [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2163","post","type-post","status-publish","format-standard","hentry","category-nouvelles-articles"],"blocksy_meta":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.0 (Yoast SEO v26.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>\u00c9radication du VHC en 2030, un objectif menac\u00e9 par la COVID-19 ? - CAPAHC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/capahc.com\/en\/eradication-du-vhc-en-2030-un-objectif-menace-par-la-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9radication du VHC en 2030, un objectif menac\u00e9 par la COVID-19 ?\" \/>\n<meta property=\"og:description\" content=\"\u00c9radication du VHC en 2030, un objectif menac\u00e9 par la COVID-19 ? 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