Guérison)de)l’hépatite)C):)la)France)est)en)tête,)mais)elle)peut)et)doit)mieux)faire)!))
!
!
"#$%&'!()!**!+#,-%)$!./*0!!
"#! $%#&'(! #! )#! *(+))(,%(! -.)+/+0,(! 1(! 2#&/3!4+25654+2! 1(2! -#/+(&/2! #//(+&/2! 1783-#/+/(! 9:! -#%*+! )(2!
/%(&/(! -#;2! (,%.-3(&2! #&#);232! -#%! )(! <(#)/8! 9.&2,*(%! =.>(%8.,2(! (&! ?@A?BC! 9(//(! D.&&(!
&.,4())(!(2/!-.,%/#&/!/.,/(!%()#/+4(C!E)!%(2/(!(&!(FF(/!(&'.%(!!D(#,'.,-!1(!-#/+(&/2!&.&!13-+2/32!GH@!
@@@I!(/!6!-(,!-%J2!#,/#&/!1(!*#)#1(2!1+#K&.2/+0,32!&.&!(&'.%(!K,3%+2C!L,#&1!.&!2#+/!0,(!)(!&.*D%(!
1(!13'J2!G(&4+%.&!MN@@!-#%!#&I:!1,2!#,O!'.*-)+'#/+.&2!1(!)#!*#)#1+(!G'+%%8.2(!.,!'#&'(%!1,!F.+(I:!
%(2/(! 2,-3%+(,%! 6! '(),+! 1P! #,O! #''+1(&/2! 1(! )#!'+%',)#/+.&:! .&! '.*-%(&1! 0,(!)(! -%.D)J*(! 1(! 2#&/3!
-,D)+'!(2/!).+&!17Q/%(!%3K)3C!R/!-.,%/#&/:!1(-,+2!0,()0,(2!#&&3(2:!)(!/%#+/(*(&/!'.&&#S/!1(2!-%.K%J2!
%34.),/+.&&#+%(2C!T&!-(,/!#'/,())(*(&/!K,3%+%!)783-#/+/(!9!'8(U!-),2!1(!1(,O!-#/+(&/2!2,%!/%.+2:!(/!.&!
-.,%%#! 4%#+2(*D)#D)(*(&/! K,3%+%! /.,2! )(2! *#)#1(2! 6! *.;(&! /(%*(! K%V'(! 6! 1(! &.,4(#,O!
*31+'#*(&/2!#'/,())(*(&/!(&!'.,%2!1(!134().--(*(&/C!!
E)!(2/!%(K%(//#D)(!1(!'.&2/#/(%!'(!13'#)#K(!3&.%*(!(&/%(!)(2!-.22+D+)+/32!/83%#-(,/+0,(2!(/!)#!%3#)+/3!
1(2!-%+2(2!(&!'8#%K(!1#&2!&./%(!-#;2C!9.**(!)73'%+/!)(!<(#)/8!9.&2,*(%!=.>(%8.,2(:!W!1%),!23)!&)&!
$4&3(5#5&!&6%),5!5$7&!16,&'!(#!8$#,9)!#!),96$)!:)!(#!;#$<)!=63$!#;4(%6$)$!()&!9>6&)&!?!X!
Une$prise$de$conscience$insuffisante$de$la$gravité$du$problème$
Y().&! '(//(! 3/,1(:! )#! $%#&'(! 1.+/:! (&/%(! #,/%(2:!2.&! #4#&'(! 6! 2(2! 30,+-(2!2.+K&#&/(2!'#%! '(! 2.&/!
'())(2! 0,+! .D/+(&&(&/! )(2! *(+))(,%2! %32,)/#/2! /83%#-(,/+0,(2C! Z).%2! 0,(! *#&0,(5/5+)! -.,%! #D.,/+%! 6!
,&(!2+/,#/+.&!D+(&!-),2!2#/+2F#+2#&/(![!9.**(!1#&2!)(2!#,/%(2!-#;2!(,%.-3(&2:!)(!K.,4(%&(*(&/!(/!
)7.-+&+.&!-,D)+0,(!&7.&/!-#2!,&(!'.&2'+(&'(!!#22(U!&(//(!1(!)#!K%#4+/3!1,!-%.D)J*(C!!
Personne$ne$peut$être$sûr$d’être$exempt$d’une$hépatite$C$$
"#! *#)#1+(! (2/! (&'.%(! '.&2+13%3(! '.**(! 3/#&/! 2-3'+F+0,(! 6! 1(2! K%.,-(2! 6! %+20,(C! T%! 2+! '7(2/! 4%#+!
-.,%! )(2! &.,4(#,O! '#2! 1(! '.&/#*+&#/+.&:! )#! K%#&1(! *#\.%+/3! 1(2! *#)#1(2! 2,+4+2! #'/,())(*(&/!
&7#--#%/+(&/!6!#,',&!1(!'(2!K%.,-(2!6!%+20,(C!Y.,4(&/:!#,',&(!'#,2(! &7(2/!%(/%.,43(C!R&!.,/%(:!)#!
*#)#1+(!34.),(!2+)(&'+(,2(*(&/!-(&1#&/!1(2!1+U#+&(2!17#&&3(2:!)(!/(*-2!17.,D)+(%!,&!3-+2.1(!1(!4+(!
6!)7.%+K+&(!17,&(!+&F('/+.&!-.22+D)(C!]J2!).%2!+)!(2/!%#+2.&&#D)(!1(!-(&2(%!6!3)#%K+%!)(!13-+2/#K(!#,!1()6!
(/!1(!%32,*(%!#+&2+!)#!2+/,#/+.&!^!6!-%+.%+!-(%2.&&(!&7(2/!6!)7#D%+!17,&(!83-#/+/(!9C!
R&!?@@_:!)#!-%34#)(&'(!1(!)#!*#)#1+(!3/#+/!(2/+*3(!6!?_`!@@@!-(%2.&&(2C!](-,+2:!2(,)(*(&/!A_N!@@@!
17(&/%(!())(2!.&/!3/3!1+#K&.2/+0,3(2!(/!NA!@@@!K,3%+(2C!Y.+/!,&!-(,!-),2!17,&!-#/+(&/!13-+2/3!2,%!'+&0!
(/!17,&!-#/+(&/!1+#K&.2/+0,3!2,%!/%.+2C!aQ*(!2+!'7(2/!*+(,O!0,(!1#&2!D(#,'.,-!1(!-#;2!(,%.-3(&2:!
'()#!%(2/(!)#%K(*(&/!+&2,FF+2#&/C!
$
$
Il$est$indispensable$de$renforcer$les$équipes$soignantes$$
b&(! 1(2! %#+2.&2! 1(! )7#D2(&'(! 1(! /%#+/(*(&/! /+(&/! 6!)7#//+/,1(! 1(! '(%/#+&2! -#/+(&/2!13-+2/32! ^! &(!
%(22(&/#&/!#,',&!2;*-/c*(:!+)2!-%3FJ%(&/!-(&1#&/!).&K/(*-2!%(/#%1(%!,&!/%#+/(*(&/!\,20,(!)6!).&K!
(/!-3&+D)(C!a#+2! )#!-%+&'+-#)(!%#+2.&! %(2/(!)7+&2,FF+2#&'(!1(2!*.;(&2!1+2-.&+D)(2C!Z4('!)7#%%+43(!1(2!
/%#+/(*(&/2! %3'(&/2:!,&(! 83-#/+/(! &(! -(,/! Q/%(! -%+2(! (&! '8#%K(! 0,(! -#%! ,&(! 30,+-(! 2-3'+#)+23(! (/!
-),%+1+2'+-)+&#+%(! (O(%d#&/! (&! *+)+(,! 8.2-+/#)+(%C!R))(! 1.+/! '.*-.%/(%! .,/%(! D+(&! 2P%! )(2! *31('+&2!
2-3'+#)+2/(2:!1(2!30,+-(2!-),%+1+2'+-)+&#+%(2!!17+&F+%*+J%(2!F.%*3(2!6!)#!*#)#1+(!(/!1(!-2;'8.).K,(2!(/!!
,&!)#D.%#/.+%(!0,#)+F+3!-.,%!#--%3'+(%!)#!'8#%K(!4+%#)(C!"(!2,+4+!(2/!(&!(FF(/!'.*-)(O(:!#,22+!D+(&!-.,%!
34#),(%! )7+*-#'/! 1(! )7+&F('/+.&! 4+%#)(:! 2.&! 34.),/+.&! 2.,2!/%#+/(*(&/:! 0,(! -.,%! K3%(%!)(2! (FF(/2!
2('.&1#+%(2! 1(! '(),+5'+:! 0,+! 2.&/! 2.,4(&/! +*-.%/#&/2C! "(! *#)#1(! 1.+/! Q/%(! 2.,/(&,! 1#&2! ,&(!
13*#%'8(!0,+!)7(&K#K(!-.,%!-),2+(,%2!*.+2! (/! D.,)(4(%2(! 2.&! *.1(! 1(! 4+(C!9(!2,+4+! &3'(22+/(!1(2!
'.&2,)/#/+.&2!%3K,)+J%(2!-),2!%#--%.'83(2!1.&'!-),2!&.*D%(,2(2!#4('!)(2!&.,4())(2!/83%#-+(2C$
Une$perte$de$chance$pour$de$nombreux$malades$
Z,\.,%178,+:!)(2!30,+-(2!F%#&d#+2(2!2.&/!'.&F%.&/3(2!0,./+1+(&&(*(&/!6!1(2!'8.+O!1%#'.&+(&2C!]#&2!
)7+*-.22+D+)+/3!1(!/%#+/(%!/.,2!)(2!-#/+(&/2!0,+!2(!-%32(&/(&/:!G(/!(&'.%(!*.+&2!'(,O!0,+!1(4%#+(&/!2(!
-%32(&/(%I:! ())(2! 2.&/! .D)+K3(2! 1(! -%+4+)3K+(%! )(2! -#/+(&/2! )(2! -),2! 23%+(,2(*(&/! #//(+&/2C! "#!
'.&230,(&'(!(&!(2/!)(!%+20,(!17,&(!-(%/(!1(!'8#&'(!-.,%!)(2!#,/%(2:!1#&2!,&!-#;2!1.&/!)7(O'())(&'(!
(2/! %('.&&,(! 1#&2! )(! *.&1(! (&/+(%! #,22+! D+(&! -.,%! )7#''(22+D+)+/3! F+&#&'+J%(! #,O! /%#+/(*(&/2! 0,(!
-.,%!)#!0,#)+/3!1(!2(2!30,+-(2!1(!2.+&C!!
"(! '.P/! (&!/(%*(! 1(!-(%2.&&()2!1(! 2#&/3! '.**(! (&!13-(&2(2! 1(! *31+'#*(&/2:! '(%/(2! 3)(43:! &(!
-(,/!-#2!Q/%(!,&!#%K,*(&/!.--.2#D)(!^!)(!/%#+/(*(&/! 17,&(! '+%%8.2(:!17,&!'#&'(%!1,!F.+(!.,!17,&(!
/%#&2-)#&/#/+.&!83-#/+0,(!(2/!2#&2!'.**,&(!*(2,%(!#4('!'(),+!17,&!/%#+/(*(&/!1(2/+&3!6!)(2!34+/(%C!
]7#,/#&/!0,(!'(!/%#+/(*(&/!#!,&(!1,%3(!)+*+/3(!-,+20,7+)!'.&1,+/!6!)#!K,3%+2.&:!(/!0,(!)(2!-%.K%J2!1(!
)#!%('8(%'8(!)(!%(&1(&/!1(!-),2!(&!-),2!'.,%/C!
Des$dépenses$à$engager$aujourd’hui$pour$des$économies$demain$
R&!%32,*3:!,&(!%34.),/+.&!/83%#-(,/+0,(!(2/!(&!*#%'8(!^!1(*#+&:!&.,2!1+2-.2(%.&2!1(!/%#+/(*(&/2!
1(! )783-#/+/(! 9! /%J2! (FF+'#'(2:! D+(&! /.)3%32:! 1+2-(&232! 2,%! 1(2! -3%+.1(2! D+(&! -),2! D%J4(2!
0,7#,\.,%178,+C! 9()#! +*-.2(! #,\.,%178,+! 1(2! (FF.%/2! 6! 13-).;(%! (&! *#/+J%(! 17+&F.%*#/+.&:! 1(!
13-+2/#K(:!(/!1(2!*.;(&2!#''%,2!-.,%!)#!-%+2(!(&!'8#%K(!1(2!-#/+(&/2!1+#K&.2/+0,32!#,\.,%178,+C!"#!
$%#&'(!#!,&(!#4#&'(:!*.1(2/(:!2,%!)(2!#,/%(2!-#;2!(,%.-3(&2:!1.&/!)#!2+/,#/+.&!4+2!6!4+2!1(!)#!*#)#1+(!
(2/!K).D#)(*(&/!*31+.'%(!GA?N!@@@!13'J2!-#%!#&:!*.+&2!1(!_@!e!1(2!83-#/+/(2!13/('/3(2IC!!
Z,!*.*(&/!.f!27.,4%(!)#!gJ*(!9.&F3%(&'(!1(!=#%+2!2,%!)783-#/+/(:!0,+!%3,&+%#!A@@@!2-3'+#)+2/(2!1,!
*.&1(! (&/+(%! )(2! A_! (/! AN! \#&4+(%:! )(2! 2.'+3/32! 2#4#&/(2! (/! )(2! #22.'+#/+.&2! 1(! -#/+(&/2! /+(&&(&/! 6!
%#--()(%!)7,%K(&'(!1(2!*(2,%(2!6!-%(&1%(C!!
!