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Nous analysons ensuite la pertinence de ce travail comme système d'alerte précoce permettant de prédire le seuil épidémique de mise en alerte des systèmes de veille et de surveillance des autorités sanitaires congolaises. Nous discutons, enfin, de l'amélioration des dispositifs de veille et de surveillance au fur et à mesure que des données nouvelles, accessibles et gratuites, favoriseront l'amélioration de ce type de modèles prédictifs et, en retour, En nous servant de la cartographie de séries temporelles de poussières et de particules solides supra-atmosphériques associées au cycle de déclenchement de cas de méningites, nous présentons nos premiers résultats, 2017. ,
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, Annexes Annexe 1 : Les autres catégories de regroupement mensuels de distribution d'aérosols (AOD) et poussières minérales (DUAOD)
, Professionnel de santé (Infirmier, médecin?)
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, Poster présenté à la MRF conference 5th-6th, vol.4, 2019.
, Streptococcus pneunomiae (Sp) et Haemophilus influenzae type b (Hib), le rhino-pharynx de l'homme étant la niche écologique des bactéries. La transmission est aérienne, directe, Résumé Les méningites bactériennes restent un problème de santé publique internationale avec un fardeau principalement localisé en Afrique. Elles sont principalement dues à trois bactéries : Neisseria meningitidis (Nm)
, Alors que la ceinture de la méningite qui s'étend du Sénégal jusqu'à l'Ethiopie, est largement étudiée, l'écologie des méningites en dehors de cette zone particulière est encore peu connue. L'objectif de cette thèse est d'explorer l'écologie des méningites bactériennes en République démocratique du Congo (RDC) à partir des données épidémiologiques, génétiques et socio-environnementales pour la période de, 2000.
, nous avons identifié des zones de santé à risque, regroupées en 8 clusters spatiaux. Ces clusters nous ont permis de mettre en évidence une saisonnalité des méningites bactériennes peu marquée et variable d'une région à une autre en RDC, ce qui contraste avec les dynamiques décrites dans la ceinture de la méningite, En dépit du faible taux de confirmation biologique des cas (14%)
, Les zones urbanisées où les populations montrent un indice économique de bien-être médiocre à bas, de latitude et de longitude élevées, d'altitude moyenne à faible, de végétation constituée de savanes ou de savanes arborées, à valeurs moyennes de température, constituent autant de facteurs de risque importants, seuls ou en synergie
, Ces résultats laissent préfigurer une possibilité de mise au point d'un système d'alerte précoce. Au final, nous proposons un modèle conceptuel explicatif des méningites en RDC, La distribution d'aérosols et de poussières sur le territoire congolais précède d'environ 2 à 3 semaines les démarrages épidémiques de méningites bactériennes
, La reconnaissance de méningites bactériennes comme priorités internationales notamment en dehors de la ceinture dont les caractéristiques restent encore à mieux comprendre, pourrait contribuer à l'atteinte des objectifs du développement durable, et plus particulièrement de ceux qui concernent l'ODD 3 « santé et bien-être pour toutes et tous