{"id":27159,"date":"2023-01-30T09:16:53","date_gmt":"2023-01-30T08:16:53","guid":{"rendered":"https:\/\/congopubonline.com\/?p=27159"},"modified":"2023-02-14T11:50:00","modified_gmt":"2023-02-14T10:50:00","slug":"cote-divoire-la-lepre-une-maladie-encore-negligee","status":"publish","type":"post","link":"https:\/\/congopubonline.com\/?p=27159","title":{"rendered":"C\u00f4te d&rsquo;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e"},"content":{"rendered":"\n<p><strong>Plus de 10% des nouveaux malades de la l\u00e8pre d\u00e9tect\u00e9s chaque ann\u00e9e en C\u00f4te d&rsquo;Ivoire sont des enfants. La maladie reste fortement end\u00e9mique dans le pays, pr\u00e9vient Vagamon Bamba, directeur de l&rsquo;Institut Raoul Follereau \u00e0 Adzop\u00e9.<\/strong><\/p>\n\n\n\n<p>Lorsqu&rsquo;il s&rsquo;assoit dans la petite cour de sa maison et raconte son histoire, le chef du village de Duquesne-Cr\u00e9mone, en C\u00f4te d&rsquo;Ivoire, a la voix tremblante et les yeux remplis de larmes. Ses parents ont \u00e9t\u00e9 stigmatis\u00e9s jusqu&rsquo;\u00e0 leur mort parce qu&rsquo;ils avaient la l\u00e8pre.&nbsp;Trop \u00e9mu, Camille Kouassi Assi laisse rapidement la parole \u00e0 son adjoint, qui a connu une exp\u00e9rience similaire.<\/p>\n\n\n\n<p>\u00ab\u00a0<em>Une semaine avant que ma m\u00e8re ne d\u00e9c\u00e8de, sa maison a \u00e9t\u00e9 cass\u00e9e et br\u00fbl\u00e9e. Apr\u00e8s son enterrement, des femmes dansaient dans le village car selon elles, le mal \u00e9tait parti. Je suis marqu\u00e9 \u00e0 vie<\/em>\u00ab\u00a0, confie, boulevers\u00e9 lui aussi, Mathieu Okoma Agoa.<\/p>\n\n\n\n<p>Si les deux hommes vivent au m\u00eame endroit, c&rsquo;est parce que le village de Duquesne-Cr\u00e9mone (sud) &#8211; du nom d&rsquo;un pr\u00eatre fran\u00e7ais et d&rsquo;une ville italienne dont les habitants ont financ\u00e9 sa cr\u00e9ation &#8211; est depuis les ann\u00e9es 1960 le refuge de malades de la l\u00e8pre et de leurs proches, qui fuient l&rsquo;exclusion sociale.<\/p>\n\n\n\n<p>A premi\u00e8re vue, cette commune de 2 800 habitants, \u00e0 une centaine de kilom\u00e8tres d&rsquo;Abidjan, est un village ivoirien comme un autre.&nbsp;Mais Duquesne-Cr\u00e9mone, isol\u00e9 au bout d&rsquo;une longue piste qui fend une immense for\u00eat, est \u00e0 l&rsquo;abri du regard des autres. Le village compte encore 54 malades de la l\u00e8pre, dont c&rsquo;est la journ\u00e9e mondiale, dimanche.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Ici, nous nous sentons chez nous,\u00a0\u00bb<\/em>&nbsp;affirme&nbsp; le chef Kouassi Assi, p\u00e8re de quatre enfants et professeur de math\u00e9matiques.<\/p>\n\n\n\n<p>Un kilom\u00e8tre plus loin, en suivant la m\u00eame route, Gis\u00e8le Abena, jeune femme de 29 ans se fait soigner \u00e0 l&rsquo;<strong>institut Raoul Follereau<\/strong>.&nbsp;Ce centre hospitalier de la fondation fran\u00e7aise du m\u00eame nom lutte contre la l\u00e8pre et l&rsquo;ulc\u00e8re de buruli, une infection de la peau, depuis presqu&rsquo;un si\u00e8cle et accueille 157 patients.<\/p>\n\n\n\n<p>Assise en fauteuil car la l\u00e8pre a rong\u00e9 ses pieds, Gis\u00e8le Abena sort de l&rsquo;une des b\u00e2tisses de couleur pastel regroup\u00e9es sur 42 hectares, dont les fen\u00eatres ouvertes laissent entrer la chaleur tropicale. Des cicatrices d&rsquo;anciennes plaies pars\u00e8ment ses mains et ses pieds.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Je me sens bien ici, on est beaucoup et je me suis fait des amis\u00a0\u00bb<\/em>, explique timidement cette m\u00e8re de deux enfants.&nbsp;Originaire de Bondoukou (nord-est), elle ne souhaite pas retourner dans son village natal o\u00f9 elle est encore stigmatis\u00e9e.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">D\u00e9socialisation et d\u00e9pression<\/h4>\n\n\n\n<p><em>\u00ab\u00a0Le microbe de la l\u00e8pre d\u00e9socialise les malades. Il d\u00e9forme le visage, les empreintes. Le malade ne se reconna\u00eet plus lui-m\u00eame, et celui en face de lui ne le reconna\u00eet pas non plus. C&rsquo;est comme s&rsquo;il n&rsquo;existait plus vraiment. Je trouve cela d&rsquo;autant plus terrible que le patient garde toutes ses facult\u00e9s mentales\u00a0\u00bb<\/em>, d\u00e9taille le professeur Bamba Vagamon, directeur g\u00e9n\u00e9ral de l&rsquo;institut Raoul Follereau.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Entre 70 et 80% des malades ont un sympt\u00f4me d\u00e9pressif\u00a0\u00bb<\/em>, ajoute-t-il.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\">La C\u00f4te d&rsquo;Ivoire concentre 12 des 20 maladies tropicales n\u00e9glig\u00e9es (MTN) r\u00e9pertori\u00e9es par l&rsquo;OMS, dont fait partie la l\u00e8pre.&nbsp;En 2022, 514 nouveaux cas ont \u00e9t\u00e9 enregistr\u00e9s dans le pays, mais il est complexe de d\u00e9finir le nombre de malades total car les traitements \u00e0 base d&rsquo;antibiotiques sont longs et la gu\u00e9rison difficile \u00e0 \u00e9tablir.<\/h5>\n\n\n\n<p>Si la vie \u00e0 Duquesne-Cremone se pr\u00e9sente comme une alternative rassurante \u00e0 la sortie du centre, le personnel soignant et celui de la fondation souhaitent le retour des anciens malades dans leur famille, souvent m\u00e9fiante car mal inform\u00e9e.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Jusqu&rsquo;en 2015, m\u00eame les universit\u00e9s de m\u00e9decine de C\u00f4te d&rsquo;Ivoire ne proposaient pas d&rsquo;enseignement sur la l\u00e8pre\u00a0\u00bb,<\/em>&nbsp;ajoute le professeur Vagamon, \u00e0 l&rsquo;initiative de ce changement, il y a 8 ans.<\/p>\n\n\n\n<p>La l\u00e8pre se transmet au terme d&rsquo;un contact prolong\u00e9. Le microbe se multiplie tr\u00e8s lentement, pouvant faire durer la p\u00e9riode d&rsquo;incubation jusqu&rsquo;\u00e0 5 ans. Les premiers sympt\u00f4mes font appara\u00eetre des t\u00e2ches, puis rongent progressivement des membres d\u00e9sensibilis\u00e9s.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Il n&rsquo;existe aucun test qui permette de d\u00e9tecter un cas de l\u00e8pre avant l&rsquo;apparition de sympt\u00f4mes physiques\u00a0\u00bb<\/em>, indique Bamba Vagamon. Son institut va devenir prochainement un centre de recherche sp\u00e9cialis\u00e9 dans les MTN, en vue de mettre au point un moyen de d\u00e9pistage.<\/p>\n\n\n\n<p>Selon le professeur Vagamon, l&rsquo;objectif&nbsp;<strong>\u00ab\u00a0z\u00e9ro l\u00e8pre d&rsquo;ici 2030\u00a0\u00bb<\/strong>&nbsp;lanc\u00e9 par le minist\u00e8re de la Sant\u00e9 ivoirien en 2022 est atteignable, notamment gr\u00e2ce \u00e0 la sensibilisation des enfants dans les \u00e9coles.<\/p>\n\n\n\n<p>Repr\u00e9sentant 10% des cas de l\u00e8pre, les enfants des zones rurales sont r\u00e9guli\u00e8rement touch\u00e9s par diverses maladies de peau. Ils sont les cibles de d\u00e9pistages organis\u00e9s par l&rsquo;Etat et financ\u00e9s par la fondation Raoul Follereau, afin qu&rsquo;ils comprennent les dangers de la maladie.<\/p>\n\n\n\n<p><em>\u00ab\u00a0Ils arrivent souvent fatigu\u00e9s en classe et ont du mal \u00e0 se concentrer parce qu&rsquo;ils se grattent beaucoup. \u00c7a ralentit l&rsquo;apprentissage<\/em>\u00ab\u00a0, d\u00e9plore Pierre Bazi\u00e9, directeur adjoint de l&rsquo;\u00e9cole du village de Djougbosso, dans la r\u00e9gion d&rsquo;Adzop\u00e9 (sud).<\/p>\n\n\n\n<p><strong>Africanews via CONGO PUB Online <\/strong><\/p>\n<div class='epvc-post-count'><span class='epvc-eye'><\/span>  <span class=\"epvc-count\"> 222<\/span><span class='epvc-label'> Vues<\/span><\/div>","protected":false},"excerpt":{"rendered":"<p>Plus de 10% des nouveaux malades de la l\u00e8pre d\u00e9tect\u00e9s chaque ann\u00e9e en C\u00f4te d&rsquo;Ivoire sont des enfants. La maladie reste fortement end\u00e9mique dans le pays, pr\u00e9vient Vagamon Bamba, directeur&hellip;<\/p>\n","protected":false},"author":1,"featured_media":27160,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[60],"tags":[],"class_list":["post-27159","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.4 (Yoast SEO v25.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00f4te d&#039;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e - Congo Pub Online<\/title>\n<meta name=\"description\" content=\"C\u00f4te d&#039;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/congopubonline.com\/?p=27159\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00f4te d&#039;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e\" \/>\n<meta property=\"og:description\" content=\"C\u00f4te d&#039;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e\" \/>\n<meta property=\"og:url\" content=\"https:\/\/congopubonline.com\/?p=27159\" \/>\n<meta property=\"og:site_name\" content=\"Congo Pub Online\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/web.facebook.com\/Congopubonline\" \/>\n<meta property=\"article:published_time\" content=\"2023-01-30T08:16:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-14T10:50:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/congopubonline.com\/wp-content\/uploads\/2023\/01\/Lepre.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"538\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin9775\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@CONGOPUBOnline\" \/>\n<meta name=\"twitter:site\" content=\"@CONGOPUBOnline\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin9775\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/congopubonline.com\/?p=27159#article\",\"isPartOf\":{\"@id\":\"https:\/\/congopubonline.com\/?p=27159\"},\"author\":{\"name\":\"admin9775\",\"@id\":\"https:\/\/congopubonline.com\/#\/schema\/person\/d2f3a940be2e9c1a0e4f8831e203f3cc\"},\"headline\":\"C\u00f4te d&rsquo;Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e\",\"datePublished\":\"2023-01-30T08:16:53+00:00\",\"dateModified\":\"2023-02-14T10:50:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/congopubonline.com\/?p=27159\"},\"wordCount\":948,\"publisher\":{\"@id\":\"https:\/\/congopubonline.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/congopubonline.com\/?p=27159#primaryimage\"},\"thumbnailUrl\":\"https:\/\/congopubonline.com\/wp-content\/uploads\/2023\/01\/Lepre.jpg\",\"articleSection\":[\"Sant\u00e9\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/congopubonline.com\/?p=27159\",\"url\":\"https:\/\/congopubonline.com\/?p=27159\",\"name\":\"C\u00f4te d'Ivoire : la l\u00e8pre, une maladie encore n\u00e9glig\u00e9e - 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