{"id":27817,"date":"2025-05-21T09:40:34","date_gmt":"2025-05-21T09:40:34","guid":{"rendered":"https:\/\/lequotidien.mr\/?p=27817"},"modified":"2026-05-08T10:24:08","modified_gmt":"2026-05-08T10:24:08","slug":"paludisme-en-mauritanie-un-risque-maitrisable-et-une-opportunite-historique-delimination-dici-2030","status":"publish","type":"post","link":"https:\/\/lequotidien.mr\/?p=27817&lang=fr","title":{"rendered":"Paludisme en Mauritanie : un risque ma\u00eetrisable et une opportunit\u00e9 historique d\u2019\u00e9limination d\u2019ici 2030"},"content":{"rendered":"<p>Alors que le paludisme continue de faire des ravages dans de nombreux pays africains, la Mauritanie pourrait bien repr\u00e9senter un tournant d\u00e9cisif dans la lutte contre cette maladie. Gr\u00e2ce \u00e0 une situation \u00e9pid\u00e9miologique singuli\u00e8re, une volont\u00e9 politique affirm\u00e9e, et un appui financier cons\u00e9quent des partenaires internationaux, le pays dispose aujourd\u2019hui de tous les leviers pour viser l\u2019\u00e9limination du paludisme d\u2019ici \u00e0 2030.<\/p>\n<p><strong>Une transmission g\u00e9ographiquement et saisonni\u00e8rement limit\u00e9e\u00a0:<\/strong><\/p>\n<p>La Mauritanie pr\u00e9sente une situation \u00e9pid\u00e9miologique favorable \u00e0 l\u2019\u00e9limination du paludisme. La transmission est saisonni\u00e8re, concentr\u00e9e sur une p\u00e9riode de moins de trois mois, principalement entre ao\u00fbt et octobre et g\u00e9ographiquement restreinte \u00e0 trois \u00e0 quatre r\u00e9gions de l\u2019est et du sud-est du pays \u00e0 savoir les deux Hodhs, l\u2019Assaba et le Taguant. Alors que dans les autres r\u00e9gions, la transmission soit absente, soit extr\u00eamement faible. Cette faible end\u00e9micit\u00e9 s\u2019explique en grande partie par les caract\u00e9ristiques bioclimatiques du territoire, dont pr\u00e8s de 80 % est constitu\u00e9 de zones d\u00e9sertiques peu propices \u00e0 la prolif\u00e9ration des moustiques vecteurs.<\/p>\n<p><strong>Des ressources mobilis\u00e9es et une volont\u00e9 politique affirm\u00e9e\u00a0:<\/strong><\/p>\n<p>Le Fonds mondial de lutte contre le sida, la tuberculose et le paludisme, principal partenaire technique et financier de la Mauritanie, a allou\u00e9 d\u2019importantes ressources pour intensifier les interventions antipaludiques (12.5 million de Dollars USA). Ces efforts s\u2019accompagnent d\u2019un engagement politique fort et d\u2019une coordination efficace assur\u00e9e par un nouveau coordinateur du Programme national de lutte contre le paludisme (PNLP). Cette dynamique cr\u00e9e une opportunit\u00e9 historique de passer d\u2019une phase de contr\u00f4le \u00e0 une phase d\u2019\u00e9limination, en s\u2019appuyant sur un syst\u00e8me de surveillance renforc\u00e9 et des strat\u00e9gies cibl\u00e9es.<\/p>\n<p><strong>Des strat\u00e9gies diff\u00e9renci\u00e9es selon les zones \u00e9co-\u00e9pid\u00e9miologiques\u00a0: <\/strong>Pour atteindre l\u2019objectif d\u2019\u00e9limination, des interventions adapt\u00e9es aux sp\u00e9cificit\u00e9s r\u00e9gionales sont indispensables :<\/p>\n<ol>\n<li><strong>En zone<\/strong> <strong>saharienne (Nouakchott et les r\u00e9gions du nord) caract\u00e9ris\u00e9e par la pr\u00e9sence de <em>vivax\u00a0:<\/em><\/strong><\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Utilisation de tests de diagnostic rapide (TDR) capables de d\u00e9tecter <em>P. vivax<\/em> et <em>P. falciparum<\/em>, ainsi que de TDR pour le d\u00e9pistage du d\u00e9ficit en G6PD,<\/li>\n<li>Traitement des cas \u00e0 <em>P. vivax<\/em> par chloroquine + primaquine, sous r\u00e9serve d\u2019un taux de G6PD normal,<\/li>\n<li>Traitement des cas \u00e0 <em>P. falciparum<\/em> par CTA (art\u00e9sunate-amodiaquine ou art\u00e9m\u00e9ther-lum\u00e9fantrine).<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol start=\"2\">\n<li><strong>En zone sah\u00e9lo-saharienne (les deux Hodhs, Assaba, Tagant) caract\u00e9ris\u00e9e par une transmission saisonni\u00e8re forte \u00e0\u00a0<em>falciparum<\/em>:<\/strong><\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Renforcement des mesures de pr\u00e9vention et de prise en charge avec les CTA (art\u00e9sunate-amodiaquine ou art\u00e9m\u00e9ther-lum\u00e9fantrine),<\/li>\n<li>Mise en \u0153uvre de la Chimiopr\u00e9vention Saisonni\u00e8re (CPS) chez les enfants de moins de cinq ans durant les trois mois de transmission (ao\u00fbt, septembre et octobre).<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol start=\"3\">\n<li><strong>En zone sah\u00e9lienne (vall\u00e9e du fleuve S\u00e9n\u00e9gal) caract\u00e9ris\u00e9e par transmission faible\u00a0:<\/strong><\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>R\u00e9duction progressive des interventions curatives, tout en gardant une vigilance accrue,<\/li>\n<li>Maintien d\u2019un syst\u00e8me de surveillance active,<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<ol start=\"4\">\n<li><strong>Dans toutes les zones du pays\u00a0:<\/strong><\/li>\n<\/ol>\n<ol>\n<li style=\"list-style-type: none;\">\n<ol>\n<li>Renforcer la surveillance entomologique et \u00e9pid\u00e9miologique,<\/li>\n<li>Mettre en \u0153uvre des \u00e9tudes r\u00e9guli\u00e8res sur la chimior\u00e9sistance et la sensibilit\u00e9 des vecteurs aux insecticides,<\/li>\n<li>Cr\u00e9ation des sites sentinelles pour la surveillance entomologique et la r\u00e9alisation des \u00e9tudes longitudinales,<\/li>\n<li>D\u00e9velopper un r\u00e9seau de collaboration sous r\u00e9gional (Mali et S\u00e9n\u00e9gal) pour l\u2019\u00e9change de donn\u00e9es et la mutualisation des efforts de lutte contre le paludisme.<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<p><strong>Conclusion<\/strong><\/p>\n<p>La Mauritanie se trouve \u00e0 un moment charni\u00e8re de son histoire sanitaire. En misant sur des interventions strat\u00e9giques, une coordination efficace et une coop\u00e9ration renforc\u00e9e, le pays peut non seulement \u00e9liminer le paludisme de son territoire, mais aussi devenir un mod\u00e8le pour les autres nations en transition vers l\u2019\u00e9limination. L\u2019objectif 2030 est ambitieux, mais \u00e0 port\u00e9e de main.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Dr. Mohamed Abdallahi\u00a0MOUKAH<\/strong>,<\/p>\n<p>Enseignant chercheur de Parasitologie \u00e0 l\u2019Universit\u00e9 de Nouakchott<\/p>\n<p><strong>Pr\u00e9sident du CCM de Mauritanie<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Alors que le paludisme continue de faire des ravages dans de nombreux pays africains, la Mauritanie pourrait bien repr\u00e9senter un tournant d\u00e9cisif dans la lutte contre cette maladie. Gr\u00e2ce \u00e0 une situation \u00e9pid\u00e9miologique singuli\u00e8re, une volont\u00e9 politique affirm\u00e9e, et un appui financier cons\u00e9quent des partenaires internationaux, le pays dispose aujourd\u2019hui de tous les leviers pour&#8230;..<\/p>\n","protected":false},"author":4,"featured_media":27818,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[],"class_list":["post-27817","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-opinion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paludisme en Mauritanie : un risque ma\u00eetrisable et une opportunit\u00e9 historique d\u2019\u00e9limination d\u2019ici 2030 - Le Quotidien de Nouakchott<\/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:\/\/lequotidien.mr\/?p=27817&lang=fr\" \/>\n<meta property=\"og:locale\" content=\"ar_AR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Paludisme en Mauritanie : un risque ma\u00eetrisable et une opportunit\u00e9 historique d\u2019\u00e9limination d\u2019ici 2030 - Le Quotidien de Nouakchott\" \/>\n<meta property=\"og:description\" content=\"Alors que le paludisme continue de faire des ravages dans de nombreux pays africains, la Mauritanie pourrait bien repr\u00e9senter un tournant d\u00e9cisif dans la lutte contre cette maladie. Gr\u00e2ce \u00e0 une situation \u00e9pid\u00e9miologique singuli\u00e8re, une volont\u00e9 politique affirm\u00e9e, et un appui financier cons\u00e9quent des partenaires internationaux, le pays dispose aujourd\u2019hui de tous les leviers pour.....\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lequotidien.mr\/?p=27817&amp;lang=fr\" \/>\n<meta property=\"og:site_name\" content=\"Le Quotidien de Nouakchott\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/web.facebook.com\/lequotidienmr\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-21T09:40:34+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-08T10:24:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lequotidien.mr\/wp-content\/uploads\/2025\/05\/photo-MKH.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"514\" \/>\n\t<meta property=\"og:image:height\" content=\"553\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Le Quotidien\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@lequotidienmr\" \/>\n<meta name=\"twitter:site\" content=\"@lequotidienmr\" \/>\n<meta name=\"twitter:label1\" content=\"\u0643\u064f\u062a\u0628 \u0628\u0648\u0627\u0633\u0637\u0629\" \/>\n\t<meta name=\"twitter:data1\" content=\"Le Quotidien\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u0648\u0642\u062a \u0627\u0644\u0642\u0631\u0627\u0621\u0629 \u0627\u0644\u0645\u064f\u0642\u062f\u0651\u0631\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 \u062f\u0642\u0627\u0626\u0642\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr\"},\"author\":{\"name\":\"Le Quotidien\",\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/#\\\/schema\\\/person\\\/f90fcdaa970c60288de4ed2e64a56472\"},\"headline\":\"Paludisme en Mauritanie : un risque ma\u00eetrisable et une opportunit\u00e9 historique d\u2019\u00e9limination d\u2019ici 2030\",\"datePublished\":\"2025-05-21T09:40:34+00:00\",\"dateModified\":\"2026-05-08T10:24:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr\"},\"wordCount\":692,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/lequotidien.mr\\\/wp-content\\\/uploads\\\/2025\\\/05\\\/photo-MKH.jpeg\",\"articleSection\":[\"Opinion\"],\"inLanguage\":\"ar\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr\",\"url\":\"https:\\\/\\\/lequotidien.mr\\\/?p=27817&lang=fr\",\"name\":\"Paludisme en Mauritanie : un risque ma\u00eetrisable et une opportunit\u00e9 historique d\u2019\u00e9limination d\u2019ici 2030 - 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