January 11th, 2012, 11:47 AM
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Join Date: Aug 2009
Djibouti - 4 cas de dengue de sérotype DEN-3
Bulletin Hebdomadaire International N°329
4 janvier au 10 janvier 2012
Ce bulletin a pour objectif de signaler les nouveaux évènements sanitaires survenant à l’étranger et susceptibles d’avoir des implications pour les populations
Entre le 8 et le 23 décembre 2011, 4 nouveaux cas de dengue ont été diagnostiqués chez des expatriés français et leurs familles à Djibouti, sans notion de voyage récent
(hors Djibouti) (cf. cartes 1 et 2).
Les dates de début des signes s’échelonnent entre le 04 et le 22 décembre 2011.
Tous les cas ont été confirmés par PCR par le Centre National de Référence des arboviroses (l’IRBA* de Marseille).
Il s’agit de cas de dengue de sérotype DEN-3.
Cependant, aucune augmentation notoire de syndromes évocateurs de dengue n’a été rapportée dans la population locale.
Carte 1 : Djibouti situation Carte 2 : carte de Djibouti
Depuis l’épidémie majeure de dengue décrite en 1992 avec près de 12000 cas suspects identifiés, seuls des cas sporadiques sont régulièrement rapportés à Djibouti.
Situation en 2011 dans la région :
A Djibouti le sérotype DEN-1 a été confirmé en juillet chez un cas, puis en décembre par l’IRBA chez 2 expatriés français.
Il n’est pas rare d’observer un nombre de cas plus important chez des expatriés que dans des populations autochtones en raison de leur faible immunité.
Le sérotype DEN-3 n’avait pas encore été rapporté à Djibouti.
Une épidémie de DEN-3 a eu lieu en octobre, avec près de 3 000 cas suspects au Kenya, dans le district de Mandera, frontalier avec la Somalie et l’Ethiopie.
La circulation de la dengue y est néanmoins difficile à évaluer étant donné l’absence de système de surveillance des arboviroses dans la région. Une circulation concomitante des 2 sérotypes (DEN 1 et 3) beaucoup plus étendue ne peut être exclue.
*IRBA : Institut de recherche biomédicale des armées
Bulletin hebdomadaire international du 4 au 10 janvier 2012. N°329.
(pdf- 51,78 Ko)
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