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VIH Et Covid-19 : Que Sait-On #111 >> Printemps / Avril 2020 >> PrintempsAvril / VIH et Covid - 19 : Que sait-on ? Crise sanitaire : La démocratie sanitaire malmenée REMAIDES Connaissez-vous 111 Remaides Québec ? Découvrez-le cahier produit par nos collègues québecois en allant sur : https://cocqsida.com/ressources/remaides.html 06 04 23 30 Edito Dossier Actus « La démocratie sanitaire en crise... Le confinement, un outil VIH et Covid-19 : que sait-on ? de confiance » contre le VIH ? Seconde partie Par Aurélien Beaucamp, président de AIDES I 33 Cahier Gingembre Interview 08 Nicolas Martin, journaliste Actus scientifique : VIH et Covid-19 : que sait-on ? « Il faudra former les journalistes Première partie d’information générale à l’information scientifique » 12 Actus 38 VIH : quel impact de la Covid-19 au Dossier niveau mondial ? Covid-19 et VIH : le vent se (re) lève ? 16 Interview François Dabis, directeur de l'ANRS : « Nous n'avons pas de données ou de signaux spécifiques d'un lien particulier entre Covid-19 et VIH » 49 47 36 2 Directeur de la publication : Aurélien Beaucamp. Comité de rédaction : Franck Barbier, REMAIDES Mathieu Brancourt, Muriel Briffault, Agnès Certain, Nicolas Charpentier, Jean-François Laforgerie, Marie-Élaine LaRochelle, René 111 Légaré, Jacqueline L’Hénaff, Marianne L’Hénaff, Fabien Sordet, Fred Lebreton. Le cahier Gingembre est réalisé en collaboration avec le Comité de pilotage du RAAC-Sida : Caroline Andoum, Ariel Jean- Urbain Djessima-Taba, Mathy Kenya, Joseph Koffi, Augustin Mba-Biyoghe, Coline Mey, Albertine Pabingui. Déclaration de conflit d’intérêt : Par souci 14 17 de transparence, Remaides, comme le font les publications scientifiques, déclare les appartenances professionnelles des membres du comité de rédaction : le Dr Fabien Sordet, pharmacien, est salarié d’un laboratoire pharmaceutique impliqué dans le VIH/sida. 42 Remaides n’est pas financé par l’industrie pharmaceutique, mais par des dons privés.­­ Interview Depuis, le 1er janvier 2011, Remaides n’est plus Emmanuel Rusch, président de financé par la Direction Générale de la Santé. la Société française de santé A la mémoire des membres du comité de publique : « La représentation de rédaction disparus : Philippe Beiso, Richard David, René Froidevaux, Yvon Lemoux, l'épidémie centrée sur le modèle Christian Martin, Christiane Marty-Double, biomédical efface une lecture Alain Pujol, Christine Weinberger. et une analyse de l'épidémie et Coordination éditoriale et reporter : de ses conséquences selon des Jean-François Laforgerie, T. : 01 41 83 46 12, critères sociaux et économiques » courriel : [email protected] Reporter, diffusion, abonnements : Fred Lebreton. T. : 01 41 83 46 10 Courriel : [email protected] 45 20 Direction artistique : Réflexion Anthony Leprince pour Yul Studio Covid-19 et infection à VIH/sida : Maquette : Anthony Leprince pour Yul Studio « C’est la même chanson… » (ou pas), par Stéphane Korsia-Meffre Photos et illustrations avec nos remerciements : Yul Studio, Mathieu Brancourt, Rash Brax, F. Guenet/ANRS, Christophe Abramowitz/Radio France, Jiri Benovsky/Université de Genève, 48 Stéphane Korsia-Meffre. Remerciements spéciaux au docteur Jean Réflexion Deleuze (pour ses conseils), Marie-Elaine Covid-19, quelle démocratie LaRochelle de la COCQ-SIDA, Maroussia Melia et Barbara Seck et Anne Courvoisier-Fontaine sanitaire en période de gestion de du Groupe sida Genève (pour la relecture). crise ?, par Nicolas Charpentier L'ENIPSE (Equipe Nationale d'Intervention en Prévention et Santé pour les Entreprises) assure la diffusion de Remaides dans les établissements gays en France 25 Impression : Corlet Roto, 53300 Ambrières-les-Vallées. Trimestriel. Tirage : 24 250 ex. 11620544. CPPAP N°1222 H 82735. Les articles publiés dans Remaides peuvent être reproduits avec mention de la source. 31 28 La reproduction des photos, des illustrations et des témoignages est interdite, sauf accord de l’auteur. Remaides Tour Essor, 14, rue Scandicci, 93508 Pantin Cedex. Télécopie : 01 41 83 46 19. Remaides sur internet : www.aides.org 3 REMAIDES La démocratie sanitaire 111 en crise… de confiance a France était « extrêmement bien préparée » De ce point de vue, le bilan est contrasté. Nos militants-es ont pu pour faire face à l’épidémie de Covid-19, apparue travailler étroitement avec les autorités de santé et les décideurs- un mois plus tôt en Chine, expliquait, le 23 janvier euses politiques sur certains sujets, avec succès. Nos demandes, L (1) dernier, la ministre de la Santé de l’époque . On a coordonnées avec d’autres associations investies dans le vu - vécu même ! - que ce n’était pas du tout le cas ! système de santé, dans les champs de la réduction des risques, Il ne s’agit pas ici de décerner les bons et mauvais de la lutte contre la précarité ou de la défense des personnes points de la gestion d’une crise que manifestement migrantes, ont permis des avancées importantes. Collectivement, personne n’avait anticipée, même si certains- nous avons obtenu la prolongation des allocations sociales es l’avaient imaginée. Et ce, d’autant qu’elle qui arrivaient à échéance pendant la crise, comme les minima n’est pas achevée. D’autres sociaux, l’allocation adulte handicapé ou le RSA. s’en chargent au Parlement (2) ; Décrochée aussi, la prolongation des droits à et même au gouvernement, qui une couverture santé, y compris l’aide médicale conduit son enquête à lui sur… sa d’État, la complémentaire santé solidaire et l'aide propre action ! au paiement d'une assurance complémentaire Non, il s’agit plutôt de voir ce que de santé. Obtenues également la possibilité pour cette crise sanitaire a révélé ; les personnes de poursuivre leurs traitements, y notamment chez nous et tout compris un traitement de substitution aux opiacés, particulièrement chez les groupes ou encore la prolongation de la durée des titres que nous connaissons le mieux et de séjour. Ces avancées ont été cruciales, palliant dont, nombre d’entre nous, sont les conséquences administratives et sociales d’un issus-es. confinement strict décrété par le gouvernement, Comme d’autres, nous avons qui a abouti au blocage des services de l’État. été surpris par la montée rapide de l’épidémie de Covid-19, son Nous aurions pu aller plus loin, et ce n’est pas faute nombre exponentiel de morts, la d’avoir essayé. Mais une des leçons de cette crise : fermeture du pays, celle de la quasi- c’est que le pouvoir a ses têtes. Face à la crise, tout totalité des lieux publics, dont ceux de AIDES, puis le monde n’a pas bénéficié de manière égale de la protection et l’état d’urgence sanitaire qui a été décrété et qui du soutien de l’État. Il n’a pas été possible, durant de nombreuses n’a pris fin que le 10 juillet dernier (3). Rapidement, semaines, de mettre à disposition de tous-tes le matériel de comme d’autres, AIDES a mis en place les mesures protection contre la Covid-19. Il n’a pas été possible d’obtenir la nécessaires pour maintenir sa mission de prévention simplification des démarches d’ouverture et de renouvellement et de protection des populations les plus exposées des droits à la protection maladie, ni de vider les centres de au VIH et aux hépatites. Nous l’avons fait sans jamais rétention administratifs alors même qu’il y était impossible de transiger sur la sécurité des personnes qui avaient mettre en œuvre les gestes barrières. Refusée aussi la garantie de besoin de nous, ni sur celle des militants-es qui les ressources pour toutes les personnes qui perdraient leurs revenus ont accueillies. Nos objectifs étaient d’accompagner du fait de la crise, y compris les personnes relevant de l’économie et de protéger toutes les personnes concernées ou informelle : les personnes à la rue, les travailleurs-euses du sexe. vulnérables au VIH et aux hépatites, de défendre leurs Trop frileuse aussi, la mise à l’abri de toutes les personnes à la droits. Nous sommes bien placés pour savoir qu’une rue ou en habitat précaire. Si ce n’est de les parquer dans des épidémie se nourrit de la précarité, de la fragilité et gymnases ou des centres fermés, sans respect possible des des discriminations, autant qu’elle les entretient. gestes barrières et de la protection sanitaire. L’histoire, ancienne, du sida nous l’a appris. Celle, Refusée encore la régularisation des personnes sans titre de balbutiante, de la Covid-19, nous l’a, de nouveau, séjour alors que cette mesure est protectrice. C’est d’ailleurs démontré. De fait, la crise actuelle a encore plus pour cette raison que le Portugal l’a adoptée durant la crise de fragilisé les personnes qui l’étaient déjà ; parmi la Covid-19. celles-ci : les personnes séropositives, les migrants- À l’occasion du 17 mai, Journée internationale de lutte contre les es, les usagers-ères de drogues, les détenus-es, les LGBTI-phobies, nous avons mis en avant le fait que ces violences travailleurs-ses du sexe, les personnes LGBTQI+. ont été exacerbées dans la situation de crise sanitaire liée à la (1) : Agnès Buzyn, partie le 16 février 2020 pour se lancer dans la campagne municipale à Paris. (2) : Deux commissions d’enquête vont avoir lieu : une à l’Assemblée nationale, l’autre au Sénat. 4 (3) : D’une certaine façon car l’état d’urgence a été maintenu dans certains territoires comme la Guyane et s’arrête de façon très progressive, sur plusieurs semaines, ailleurs. Covid-19, et le confinement décrété pour y faire face. Nous avons particulièrement sensibles ? Parce que le système REMAIDES adressé un courrier au gouvernement à ce sujet, proposant actuel conduit à ça. La crise semble avoir produit différentes mesures (4). Les réponses gouvernementales qui y un déclic. Ce déclic salutaire aura-t-il lieu aussi dans 111 ont été apportées ont démontré « sinon le mépris, le manque l’accès aux traitements et à un vaccin pour tous-tes, de clairvoyance du gouvernement sur les réalités que nous dans le monde ? Avec d’autres, nous y veillons.
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