{"id":8065,"date":"2025-07-16T12:29:22","date_gmt":"2025-07-16T12:29:22","guid":{"rendered":"https:\/\/menamigranthealth.org\/migrants-in-mena-face-higher-tuberculosis-burden-and-lower-treatment-success\/"},"modified":"2025-07-16T12:49:48","modified_gmt":"2025-07-16T12:49:48","slug":"migrants-in-mena-face-higher-tuberculosis-burden-and-lower-treatment-success","status":"publish","type":"post","link":"https:\/\/menamigranthealth.org\/fr\/migrants-in-mena-face-higher-tuberculosis-burden-and-lower-treatment-success\/","title":{"rendered":"Les migrants dans la r\u00c3\u00a9gion MENA font face \u00c3\u00a0 un fardeau accru de tuberculose et \u00c3\u00a0 un succ\u00c3\u00a8s th\u00c3\u00a9rapeutique moindre"},"content":{"rendered":"
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Photo:<\/p><\/div>\n

Une revue syst\u00c3\u00a9matique men\u00c3\u00a9e par le projet <\/span>MENA Migrant Health<\/span><\/i> et publi\u00c3\u00a9e dans la revue <\/span>Travel Medicine and Infectious Disease<\/span><\/i> r\u00c3\u00a9v\u00c3\u00a8le que les migrants au Moyen-Orient et en Afrique du Nord (MENA) pr\u00c3\u00a9sentent des taux de tuberculose (TB) nettement plus \u00c3\u00a9lev\u00c3\u00a9s que les non-migrants, ainsi qu\u2019un succ\u00c3\u00a8s th\u00c3\u00a9rapeutique inf\u00c3\u00a9rieur et une plus grande vuln\u00c3\u00a9rabilit\u00c3\u00a9 aux formes pharmacor\u00c3\u00a9sistantes de la maladie.<\/span><\/p>\n

L\u2019analyse a port\u00c3\u00a9 sur 57 \u00c3\u00a9tudes<\/strong> men\u00c3\u00a9es dans 12 pays de la r\u00c3\u00a9gion MENA<\/strong>, incluant des donn\u00c3\u00a9es provenant de plus de 95 000 cas de tuberculose<\/strong> et de plus de 3,5 millions de migrants<\/strong>. L\u2019incidence de la tuberculose chez les migrants variait de 26,7 \u00c3\u00a0 69,8 pour 100 000, contre 11,5 \u00c3\u00a0 16,8 pour 100 000 chez les non-migrants. Bien que la mortalit\u00c3\u00a9 li\u00c3\u00a9e \u00c3\u00a0 la tuberculose soit environ 20 % plus faible chez les migrants, les taux de r\u00c3\u00a9ussite du traitement restaient inf\u00c3\u00a9rieurs au seuil de 90%<\/strong> recommand\u00c3\u00a9 par l\u2019Organisation mondiale de la sant\u00c3\u00a9 (OMS).<\/span><\/p>\n

L\u2019\u00c3\u00a9tude a \u00c3\u00a9galement r\u00c3\u00a9v\u00c3\u00a9l\u00c3\u00a9 une pr\u00c3\u00a9valence plus \u00c3\u00a9lev\u00c3\u00a9e de la tuberculose pharmacor\u00c3\u00a9sistante<\/strong> parmi les migrants. Toutefois, les d\u00c3\u00a9finitions du terme “migrant” variaient consid\u00c3\u00a9rablement, et la majorit\u00c3\u00a9 des \u00c3\u00a9tudes ne faisaient pas de distinction en fonction du statut l\u00c3\u00a9gal ou du pays d\u2019origine, soulignant la n\u00c3\u00a9cessit\u00c3\u00a9 d\u2019une harmonisation de la collecte des donn\u00c3\u00a9es dans la r\u00c3\u00a9gion.<\/span><\/p>\n

“Sans strat\u00c3\u00a9gies cibl\u00c3\u00a9es et une meilleure surveillance \u00e2\u20ac\u201d en particulier dans les zones sous-repr\u00c3\u00a9sent\u00c3\u00a9es comme l\u2019Afrique du Nord \u00e2\u20ac\u201d les efforts actuels d\u2019\u00c3\u00a9limination de la tuberculose risquent de laisser de c\u00c3\u00b4t\u00c3\u00a9 les populations migrantes”, a d\u00c3\u00a9clar\u00c3\u00a9 Taha Maatoug,<\/strong> doctorant au sein du projet <\/span>MENA Migrant Health<\/span><\/i> et premier auteur de l\u2019\u00c3\u00a9tude.<\/span><\/p>\n

Les chercheurs ont identifi\u00c3\u00a9 trois lacunes majeures dans les donn\u00c3\u00a9es : une p\u00c3\u00a9nurie d\u2019informations en provenance des pays d\u2019Afrique du Nord<\/strong>, une d\u00c3\u00a9pendance aux chiffres absolus de cas plut\u00c3\u00b4t qu\u2019aux taux d\u2019incidence ou de pr\u00c3\u00a9valence<\/strong>, et l\u2019utilisation fr\u00c3\u00a9quente de la citoyennet\u00c3\u00a9 au lieu du statut migratoire<\/strong> pour classifier les individus. Ces limitations entravent la capacit\u00c3\u00a9 des programmes de sant\u00c3\u00a9 publique \u00c3\u00a0 mettre en place des r\u00c3\u00a9ponses efficaces et adapt\u00c3\u00a9es \u00c3\u00a0 la tuberculose chez les populations migrantes.<\/span><\/p>\n

Les auteurs insistent \u00c3\u00a9galement sur le r\u00c3\u00b4le des obstacles structurels<\/strong> \u00e2\u20ac\u201d comme l\u2019acc\u00c3\u00a8s limit\u00c3\u00a9 aux soins, la peur de l\u2019expulsion et les politiques restrictives \u00e2\u20ac\u201d dans la r\u00c3\u00a9duction de l\u2019adh\u00c3\u00a9sion au traitement et l\u2019aggravation du risque de tuberculose chez les migrants. Ces r\u00c3\u00a9sultats renforcent la n\u00c3\u00a9cessit\u00c3\u00a9 d\u2019une coordination transfrontali\u00c3\u00a8re<\/strong>, de politiques de sant\u00c3\u00a9 inclusives<\/strong> et de services mobiles de proximit\u00c3\u00a9<\/strong> pour am\u00c3\u00a9liorer le d\u00c3\u00a9pistage pr\u00c3\u00a9coce, garantir la continuit\u00c3\u00a9 des soins et combler les \u00c3\u00a9carts persistants en mati\u00c3\u00a8re d\u2019\u00c3\u00a9quit\u00c3\u00a9 dans les r\u00c3\u00a9sultats li\u00c3\u00a9s \u00c3\u00a0 la tuberculose.<\/span><\/p>\n

Reference<\/b><\/p>\n

Maatoug, T., Seedat, F., Elafef, E. <\/span>et al<\/span><\/i>. <\/span>Burden, clinical outcomes, and characteristics of tuberculosis in migrant populations in the middle East and North African region: A systematic review and meta-analyses<\/span><\/a>. <\/span>Travel Medicine and Infectious Disease<\/span><\/a>. July-August 2025. <\/span>https:\/\/doi.org\/10.1016\/j.tmaid.2025.102872<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Une revue syst\u00c3\u00a9matique men\u00c3\u00a9e par le projet MENA Migrant Health et publi\u00c3\u00a9e dans la revue Travel Medicine and Infectious Disease r\u00c3\u00a9v\u00c3\u00a8le que les migrants au Moyen-Orient et en Afrique du Nord (MENA) pr\u00c3\u00a9sentent des taux de tuberculose (TB) nettement plus \u00c3\u00a9lev\u00c3\u00a9s que les non-migrants, ainsi qu\u2019un succ\u00c3\u00a8s th\u00c3\u00a9rapeutique inf\u00c3\u00a9rieur et une plus grande vuln\u00c3\u00a9rabilit\u00c3\u00a9 aux<\/p>\n","protected":false},"author":3,"featured_media":8062,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[170],"tags":[165,141,166,142,192,186],"class_list":["post-8065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-informations","tag-mena-2-fr","tag-mena","tag-migrant-health-2-fr","tag-migrant-health","tag-migrants-fr","tag-tb-fr"],"_links":{"self":[{"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/posts\/8065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/comments?post=8065"}],"version-history":[{"count":5,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/posts\/8065\/revisions"}],"predecessor-version":[{"id":8078,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/posts\/8065\/revisions\/8078"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/media\/8062"}],"wp:attachment":[{"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/media?parent=8065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/categories?post=8065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/menamigranthealth.org\/fr\/wp-json\/wp\/v2\/tags?post=8065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}