%0 Journal Article
%T La m¨¦ningite   prise en grippe   ? Meningitis versus Swine flu?An Ethnography of Decision-making at the Niger National Committee of Epidemic Management.
%A Oumy Thiongane
%J Anthropologie & Sant¨¦ : Revue Internationale Francophone d'Anthropologie de la Sant¨¦
%D 2012
%I Association Amades
%R 10.4000/anthropologiesante.910
%X La ma trise des probl¨¨mes de sant¨¦ publique au Niger est conditionn¨¦e aux exigences des institutions internationales comp¨¦tentes dans le domaine sanitaire. Alors qu¡¯on pourrait s¡¯attendre ¨¤ ce que ces exigences soient d¡¯ordre pratique, elles fa onnent ¨¦galement la repr¨¦sentation du risque ¨¦pid¨¦mique. A travers l¡¯ethnographie de prise de d¨¦cision au sein d¡¯un comit¨¦ d¡¯experts nig¨¦riens et europ¨¦ens au moment de la pand¨¦mie annonc¨¦e de grippe AH1N1, et pendant l¡¯¨¦pid¨¦mie de m¨¦ningite la plus importante connue au Niger depuis plus d¡¯une d¨¦cennie, cet article met en lumi¨¨re les repr¨¦sentations diff¨¦rentes du risque. Il montre que des logiques conflictuelles pr¨¦sident ¨¤ la gestion des ¨¦pid¨¦mies et que l¡¯enjeu fondamental r¨¦side dans l¡¯existence et la mise ¨¤ disposition des ressources permettant de ma triser les maladies infectieuses. Cette ¨¦tape d¨¦pend fortement de la mani¨¨re dont les institutions internationales se repr¨¦sentent le risque sanitaire. En outre, la question du paradigme de la pr¨¦paration ¨¤ l¡¯¨¦pid¨¦mie de m¨¦ningite est confront¨¦e ¨¤ des contingences souvent construites. The control of public health issues in Niger requires obeying the requirements of the international institutions for health. While we might expect that such requirements are practical, they also construct the representation of epidemic risk. Through an ethnography of decision-making within a Nigerian and European expert committee during the onset of the AH1N1 influenza pandemic and the most important meningitis epidemic in Niger for over a decade, this paper highlights the differences between the representations of risk. It shows that different and conflicting logics govern the management of epidemic and that the most important issue concerns the availability of resources and their provision that allow the control of infectious diseases. This step depends strongly on how international institutions represent the risk. Moreover, this paper shows that the preparedness paradigm related to the meningitis epidemic is often faced with constructed contingencies.
%K meningitis
%K swine flu
%K emerging diseases
%K preparedness
%K epidemic
%K surveillance
%K m¨¦ningite
%K grippe
%K maladies ¨¦mergentes
%K ¨¦pid¨¦mie
%K pr¨¦paration
%K surveillance
%U http://anthropologiesante.revues.org/910