Anticiper les flambées épidémiques à virus Ebola : pas sans les sciences sociales ! Article Swipe
Bernard Taverne
,
Francis Akindès
,
Abdramane Berthé
,
Blandine Bila
,
Jean-François Carémel
,
Alice Desclaux
,
Abdoua Elhadji Dagobi
,
Marc Egrot
,
Florence Fournet
,
Roch Houngnihin
,
Bernard Taverne
·
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1177/1757975915582299
YOU?
·
· 2015
· Open Access
·
· DOI: https://doi.org/10.1177/1757975915582299
L’utilite des sciences sociales pour faire face a l’epidemie a virus Ebola ne fait plus debat aujourd’hui. Dans les pays en situation epidemique, des chercheurs en sciences sociales (anthropologues et sociologues) ont ete precocement associes a la reponse pour adapter les messages d’information vers la population, favoriser l’acceptation des decisions de sante publique (surveillance communautaire des cas suspects, isolement des cas confirmes, enterrements securises, etc.), pour « humaniser » les pratiques de soins et les pratiques funeraires ; mais aussi pour evaluer les impacts sociaux de l’epidemie. Une experience de la contribution des sciences sociales a ete acquise dans l’action sur le terrain. Dans les pays voisins d’un foyer epidemique, les systemes de sante tentent de prevenir une flambee epidemique tout en s’y preparant. Ils anticipent l’organisation de la reponse medicale pour prendre en charge les malades et limiter les transmissions en disposant des equipements, en formant le personnel medical, en definissant des espaces de soins, etc. Les connaissances empiriques acquises dans les pays les plus touches permettent aux autres pays de se preparer mieux et plus vite, en ameliorant la strategie et les procedures. Les sciences sociales doivent etre associees a cette preparation des systemes de sante car desormais les epidemies « se precedent elles-memes », au sens ou la diffusion des interpretations et leurs effets sociaux precedent celle du virus. Une des consequences de l’acceleration et de la globalisation des echanges d’informations est qu’ avant meme qu’un cas ne soit avere dans une region ou un pays, des rumeurs, interpretations conspirationnistes (par exemple : c’est une maladie importee par les Occidentaux, c’est le vaccin qui inocule la maladie, etc.) ou des politiques (interferant avec les messages sanitaires destines a la population), reactions xenophobes, revendications de fermeture des frontieres ou refus des dispositifs de traitement sont deja en place. De plus, la vulnerabilite des pays a l’epidemie depend etroitement de determinants sociaux preexistants qu’il faut comprendre, pour ajuster la reponse, tels que les flux migratoires entre pays et le statut des frontieres par rapport aux decoupages identitaires, l’acceptabilite du dispositif de prevention et depistage de la maladie mis en place, les rapports de la population au systeme de sante, les tensions intercommunautaires, la memoire d’autres epidemies qui conditionne les attitudes, l’intervention de l’Etat sur un mode repressif ou inclusif vis-a-vis des societes civiles, les parti-pris des medias, etc. La propagation de l’epidemie a virus Ebola en Afrique de l’Ouest a revele la fragilite et les defaillances des systemes de sante des pays touches. Au-dela de la reponse immediate a l’epidemie, la contribution des sciences sociales doit, a present, se situer dans une perspective d’analyse des causes sociales et politiques, locales et globales, de cette epidemie. Il est egalement temps d’envisager des a present la situation post-Ebola, dans la perspective de la promotion de la sante, qui prenne en compte les aspects politiques (de gouvernance), sociaux (l’engagement de la societe civile), economiques et culturels.Comme toute discipline scientifique, les sciences sociales necessitent des ressources specifiques et du temps de travail, pour etudier ces aspects sociaux, et pouvoir accompagner les reponses aux defaillances des systemes sanitaires ou a la defiance des populations. Dans plusieurs pays a risque epidemique d’Afrique de l’Ouest, des equipes de sciences sociales ont engage des recherches sur la maladie a virus Ebola et participent aux dispositifs nationaux de reponse. Elles se sont regroupees au sein d’un reseau pour favoriser leurs echanges et pour developper une approche regionale de l’epidemie. Or, a ce jour, la plupart de ces equipes peinent encore a trouver les financements qui leur permettraient de developper des etudes pourtant indispensables.L’urgence est de soutenir financierement et institutionnellement les recherches en sciences sociales, a l’echelon regional, dans les pays a risque epidemique : les decideurs doivent en etre conscients et leur accorder les moyens de leur action.
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Metadata
- Type
- article
- Language
- fr
- Landing Page
- https://doi.org/10.1177/1757975915582299
- https://journals.sagepub.com/doi/pdf/10.1177/1757975915582299
- OA Status
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- Cited By
- 7
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- 10
- OpenAlex ID
- https://openalex.org/W2153211680
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W2153211680Canonical identifier for this work in OpenAlex
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https://doi.org/10.1177/1757975915582299Digital Object Identifier
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Anticiper les flambées épidémiques à virus Ebola : pas sans les sciences sociales !Work title
- Type
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articleOpenAlex work type
- Language
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frPrimary language
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2015Year of publication
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2015-05-13Full publication date if available
- Authors
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Bernard Taverne, Francis Akindès, Abdramane Berthé, Blandine Bila, Jean-François Carémel, Alice Desclaux, Abdoua Elhadji Dagobi, Marc Egrot, Florence Fournet, Roch Houngnihin, Bernard TaverneList of authors in order
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https://doi.org/10.1177/1757975915582299Publisher landing page
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https://journals.sagepub.com/doi/pdf/10.1177/1757975915582299Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://journals.sagepub.com/doi/pdf/10.1177/1757975915582299Direct OA link when available
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Humanities, Political science, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
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2022: 1, 2020: 2, 2017: 2, 2015: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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