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Canadian Journal of Public Health

, Volume 91, Supplement 1, pp S19–S23 | Cite as

L’hépatite C et la santé publique

  • David M. PatrickEmail author
  • Jane A. Buxton
  • Mark Bigham
  • Richard G. Mathias
Article

Résumé

La présente communication passe en revue les principaux aspects de la santé publique liés à la surveillance, à la transmission et à la prévention primaire de l’hépatite C. Aujourd’hui, au Canada, cette infection doit être déclarée dans toutes les provinces et dans tous les territoires. Bien que sa prévalence dans notre pays soit évaluée à moins de 1 %, celle qui est associée à l’utilisation de drogues injectables (UDI) est proche de 90 %. L’épidémiologie des nouvelles infections par le VHC au Canada se définit maintenant surtout par le comportement des UDI et les taux annuels d’incidence parmi les nouveaux utilisateurs de drogues injectables sont supérieurs à 25 %. Le VHC se transmet moins efficacement par d’autres voies d’exposition. La mise au point d’un vaccin efficace contre le VHC paraît impossible à l’heure actuelle. Certaines provinces vaccinent les personnes atteintes du VHC contre l’hépatite A et l’hépatite B. Plusieurs stratégies de réduction des préjudices attribuables à l’UDI ont été instituées au Canada, mais leur portée n’est pas suffisante et elles n’ont pas permis, jusqu’à présent, d’enrayer l’épidémie du VHC. On envisage actuellement des solutions sur le plan de la politique publique, notamment la légalisation et la réglementation des drogues injectables. Il est urgent de trouver de meilleures stratégies de prévention du VHC et de les évaluer soigneusement.

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Copyright information

© The Canadian Public Health Association 2000

Authors and Affiliations

  • David M. Patrick
    • 1
    Email author
  • Jane A. Buxton
    • 1
  • Mark Bigham
    • 1
  • Richard G. Mathias
    • 1
  1. 1.Communicable Disease Epidemiology ServicesUBC Centre for Disease ControlVancouverCanada

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