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La lutte antivectorielle en France

Didier Fontenille
Christophe Lagneau
Sylvie Lecollinet
et al.

General recommendations. Eight great priorities

Priority recommendation n° 1

Create a National Centre of Expertise on Vectors and vector risk (CNEV)

Texte intégral

1The creation of a multidisciplinary organization of expertise that would provide a means for rapid efficient mobilization of the range of skills and knowledge in operational and strategic fields, and serve as a centre for reflection and making proposals on vector control, appears necessary. Here the term “expertise” must be taken in its broadest sense to mean a making available of knowledge and skills. These skills are at present dispersed in various research establishments (CIRAD, CNRS, Institut Pasteur, INRA, IRD), universities, agencies or public administrative establishments (AFSSA, AFSSET, INPES, InVS), and in operational structures (département council services, EIDs, ADEGE). This new organization could take the form of a National centre of expertise on vectors and human and animal disease vector risk (CNEV), placed under the aegis of the DGS (Department of Health) and the DGAL (Department of food). It would be constructed on a model akin to the National Reference Centres (CNR) and the National Reference Laboratories (LNR).

2The CNEV should become tool for steering vector control in France, playing the role of receiver of knowledge and information issued by the relevant actors (of research, operational bodies, agencies and others), then analysing, before communicating knowledge and recommendations on vector risk and the means for containing it. The CNEV will have a predominant role to play in specialist expertise provision, assessment, decision-making assistance, training, consulting, information exchange and stimulating research, not only in the French context but also at European level and around the Mediterranean rim. It should be a principal official contact for the European Centre for Disease Prevention and Control (ECDC) and international organizations (see Appendix: Order proposal and specifications).

3Skills and knowledge in the field are currently highly dispersed in France. The CNEV can only be built on the basis of a network. However, this cannot be an informal network as it must be possible for ministries, local authorities and operators to draw on the CNEV’s services. The relationships, rights and obligations between commissioning entities and partners in the network must be contractualized. This type of structure does not currently exist in France.

4This centre could be based on a central laboratory recognized in several of the component fields of vector control, depending on a research establishment or a university, and on a group of laboratories having complementary competences that are recognized, placed into association with the CNEV by convention. The head of the central laboratory, having unquestionable competence in the field of vectors, will be the head of the CNEV. This model is slightly different from the CNRs owing to the wider scope of the themes it covers, requiring the rallying of knowledge and skills in medical entomology on a range of arthropod groups, vector control, environment, public health and veterinary health, economics, sociology and anthropology, risk analysis and so on.

5As for its designated status, the GIS (scientific interest group) or GIP (public interest group) type does not seem appropriate. A mode of attachment of the CNR type would be more relevant. It is proposed, for this purpose, that the CNEV’s supervisory bodies, the Ministry of Health and the Ministry of Agriculture, identify the central laboratory or issue a national tender for the constitution of the CNEV, according to a precise set of specifications, which is the procedure used for the CNRs.

6In an Appendix a preliminary version of a possible Order relative to the setting-up of the CNEV, and a draft set of specifications, are put forward for consideration and discussion.

© IRD Éditions, 2009

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