La lutte antivectorielle en France
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Foreword
Texte intégral
1By a joint commission request issued on 18 January 2008, four French Ministries – Health, Research, Agriculture and Environment – with which the Ministry of the Interior also became associated, asked the Institut de recherche pour le développement (IRD) to conduct a wide-ranging examination of the imperative changes to be made in the field of vector control. On the basis of a state-of-the art study of the existing system, the expected recommendations would show ways towards devising a thorough reform of policy on vector control.
2It seemed possible to accept this inter-ministerial commission with keen interest. First and foremost, because, within its own resources and through the interaction of its strong relations with its partners in France and in the tropical regions, the IRD is equipped with the necessary scientific and methodological competence for successfully accomplishing a task of such great size and scope. The strong resurgence recently observed of insect vector-borne diseases infecting humans and animals (chikungunya, dengue, bluetongue disease and so on), repeatedly confirmed or found to be even more intense, made it imperative to call for a review of the issue by involving a range of different disciplines. Further, the system of vector control, borne by the State and conducted in liaison with local authorities and the operational organizations, is an intricate response to a major public health problem. It was therefore well worth investigating with searching scientific questioning taking into account the most recent results of research.
3In this context, the IRD responded to this commission request by launching a procedure that its Department of Expertise and Valorization masters well: the expert group review or “collegiate expertise”. The whole expert group exercise finds its full vocation and gives its true added value when the task is to assemble widely dispersed elements of knowledge that are relevant for enlightening and providing bases for political decision-making and reorienting public policies. Such an expert review had after all been conducted by the IRD in 2003 on Dengue dans les Départements français d’Amérique (“Dengue in the French Departments of America”).
4In line with the initial theme and the IRD’s well-established methodological model, a multidisciplinary group was constituted bringing together researchers and specialists hailing not only from scientific communities primarily distant from each other, but also from all the public organizations involved in the study and surveillance of vectors, risk and anti-vector substance assessment and operational activities (research establishments, universities, agencies, vector control operators). I must emphasize the remarkable work of this expert group which, under the chairmanship of Didier FONTENILLE, director of research, successfully accomplished the task in a very short time. Finally the exercise would not have been possible without the finance allocated by the Ministry of Health, Young People and Sport.
5I now therefore have the pleasure of handing over to the reader the final report of this expert group review. This consists of a part presenting a summarized overview, developed according to the initial list of questions submitted for review, complemented by the contributions in full of the report authors compiled on the accompanying CD-ROM. The reader who wishes to gain rapid access to the main conclusions of this work will find the eight priority recommendations formulated by the expert group, at the end of the summarized report. Readers keen to find more detail need not hesitate to refer to the full contributions.
6This review report is the tenth of its kind that the IRD has produced and published in its Expertise collégiale report series. This anniversary will, I hope, give the opportunity to ensure that the results of this work are transformed into real beneficial consequences.
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