{"id":1618,"date":"2018-04-17T17:34:06","date_gmt":"2018-04-17T16:34:06","guid":{"rendered":"https:\/\/www.doctors20.com\/?p=1618"},"modified":"2019-11-04T15:55:41","modified_gmt":"2019-11-04T15:55:41","slug":"interview-prof-mahesh-misra-famxparis","status":"publish","type":"post","link":"https:\/\/www.doctors20.com\/fr\/interview-prof-mahesh-misra-famxparis\/","title":{"rendered":"Interview du Prof. Mahesh Misra sur l’innovation invers\u00e9e en sant\u00e9 et l’Inde #FAMxParis"},"content":{"rendered":"
\n
\"\"

Prof. Mahesh Misra<\/p><\/div>\n<\/div>\n

\n
\u00ab\u00a0Avec ces innovations sanitaires peu co\u00fbteuses ou frugales, nous pouvons faire aussi bien, voire mieux que ce qui se fait actuellement en Europe.<\/span> <\/i><\/b>Si les technologies que nous d\u00e9veloppons en partenariat sont bonnes pour des \u00eatres humains en Inde, elles sont \u00e9galement bonnes pour les pays d\u00e9velopp\u00e9s<\/i><\/b>.\u00a0\u00bb<\/span>\u00a0Pr Misra<\/i><\/b><\/div>\n<\/blockquote>\n
\n
J\u2019ai eu le grand plaisir d\u2019interviewer le Professeur Mahesh Misra, conf\u00e9rencier \u00e0\u00a0FAMx Paris<\/a>\u00a0 gr\u00e2ce \u00e0 la\u00a0coop\u00e9ration entre la Fondation de l\u2019Acad\u00e9mie de M\u00e9decine et Doctors 2.0 & You<\/a>.\u00a0 L\u2019Unesco accueillera, les 31 mai et 1er juin 2018, FAMx Paris, organis\u00e9 par la Fondation de l\u2019Acad\u00e9mie de M\u00e9decine.\u00a0Ce forum international r\u00e9unira 400 participants de tous les continents.<\/span> Le programme est centr\u00e9 sur les \u00ab innovations invers\u00e9es \u00bb en sant\u00e9, innovations venues d\u2019\u00e9conomies \u00e9mergentes dont les institutions sanitaires ont \u00e9tabli un partenariat avec la Fondation.<\/span>\u00a0L\u2019inscription est gratuite<\/a>. J’esp\u00e8re que vous profiterez de cette occasion.<\/em><\/div>\n
<\/div>\n<\/div>\n
Le professeur Misra est actuellement pr\u00e9sident de l’Universit\u00e9 Mahatma Gandhi de sciences et de technologie\u00a0<\/span>m\u00e9dicales, \u00e0 Jaipur, Rajasthan, o\u00f9 il est \u00e9galement Directeur des disciplines chirurgicales et Professeur de chirurgie g\u00e9n\u00e9rale et mini-invasive. Le professeur Misra est conseiller du minist\u00e8re de la Sant\u00e9 sur le futur All India Institute of Medical Sciences*, \u00e0 Nagpur.\u00a0Il \u00e9tait \u00e9tait auparavant directeur du All India Institute of Medical Sciences \u00e0 New Delhi.<\/span> Il a obtenu son dipl\u00f4me de m\u00e9decine \u00e0 l’Universit\u00e9 de Kanpur, et sa ma\u00eetrise en chirurgie \u00e0 l’Universit\u00e9 d’Allahabad.<\/span><\/div>\n
* Le All India Institutes of Medical Sciences (AIIMS) est un groupement de facult\u00e9s de m\u00e9decine publiques en Inde.<\/div>\n
<\/div>\n
DS. Professor Misra, quel sera votre message principal aux participants de FAMx Paris ?<\/b><\/div>\n
<\/div>\n
MM.\u00a0Alors que la sant\u00e9 mondiale devient un village plan\u00e9taire, il est de notre responsabilit\u00e9 d’innover \u00e0 la fois en mati\u00e8re de diagnostic et de th\u00e9rapeutique, et ainsi de venir en aide \u00e0 de vastes populations du monde, en particulier en Asie.<\/span> Lorsque nous parlons de sant\u00e9 universelle au XXIe si\u00e8cle, nous nous r\u00e9f\u00e9rons \u00e0 la fourniture de soins pour tous.<\/span> Nous devons donc rationaliser le co\u00fbt de la sant\u00e9, ce qui n\u00e9cessite des partenariats.\u00a0<\/span><\/div>\n
<\/div>\n
Nous avons \u00e9galement \u00e0 \u00e9laborer une strat\u00e9gie de pr\u00e9vention de diverses maladies \u00e9vitables et \u00e0 mettre l’accent sur les \u00ab innovations \u00e0<\/span><\/span><\/span><\/p>\n
\"\"

Pr. Misra avec la ministre de la Sant\u00e9 en Inde et le PM de l’Australie<\/p><\/div>\n

faible co\u00fbt \u00bb qui peuvent \u00eatre appliqu\u00e9es \u00e0 de grandes populations dans des zones g\u00e9ographiques mal desservies du monde.<\/span> Celles-ci comprennent l’Inde, l’Asie du Sud-Est, le Bangladesh, le Sri Lanka, le Pakistan, l’Afghanistan et d’autres pays asiatiques.<\/span><\/span><\/div>\n

<\/div>\n
Avec ces innovations sanitaires peu co\u00fbteuses ou frugales, nous pouvons faire aussi bien, voire mieux que ce qui se fait actuellement en Europe.<\/span> Et si les technologies que nous d\u00e9veloppons en partenariat sont bonnes pour des \u00eatres humains en Inde, elles sont \u00e9galement bonnes pour les pays d\u00e9velopp\u00e9s.<\/span> Le co\u00fbt de la sant\u00e9 est un probl\u00e8me pour des pays comme l’Inde, mais aussi pour l\u2019Europe occidentale et les \u00c9tats-Unis.<\/span> Comment pouvons-nous avoir des soins accessibles et abordables pour tout le monde ?<\/span><\/span><\/div>\n
<\/div>\n
DS.\u00a0En Europe et aux \u00c9tats-Unis, on parle de plus en plus d’une m\u00e9decine personnalis\u00e9e.<\/span> Que pensez-vous de ce concept ?<\/span><\/b><\/div>\n
<\/div>\n
MM. Eh bien, peut-on \u00e0 la fois rationaliser et personnaliser ?<\/span> Ce sont deux questions divergentes ;<\/span> la personnalisation implique des co\u00fbts.<\/span> Je pense que nous avons besoin de soins de sant\u00e9 raisonnables, acceptables et abordables pour la majorit\u00e9 de la population.<\/span> En Inde, nous allons personnaliser pour un segment de population<\/span><\/span>\u00a0plus petit\u00a0qu’en Europe.<\/span> Qui paye ? Le contribuable, l’individu, la compagnie d’assurance? Quelqu’un doit supporter le co\u00fbt.<\/div>\n
<\/div>\n
DS.\u00a0Vous \u00eates un ardent d\u00e9fenseur de la sant\u00e9 publique.<\/span> Pouvez-vous d\u00e9velopper ?<\/span><\/b><\/div>\n
<\/div>\n
MM. Nous \u00e9tudions les projections de l’OMS pour les maladies qui seront responsables des co\u00fbts de sant\u00e9 majeurs dans les d\u00e9cennies \u00e0 venir. Ce sont : les affections cardiovasculaires, la sant\u00e9 mentale, les blessures et les traumatismes, en termes de perte d\u2019ann\u00e9es de vie en fonction de l\u2019incapacit\u00e9 – Les blessures sont une maladie de la population jeune. Les blessures chez les hommes \u00a0de 15 \u00e0 24 ans sont plus fr\u00e9quentes que le cancer et les maladies cardiaques. Dans les pays en d\u00e9veloppement, le nombre de patients qui meurent en raison d’une blessure est plus \u00e9lev\u00e9 que pour le cancer et les maladies cardiaques. Nous avons besoin de strat\u00e9gies de pr\u00e9vention pour r\u00e9duire la mortalit\u00e9 des blessures et le nombre de blessures lui-m\u00eame.<\/div>\n
<\/div>\n
\u00a0Nous avons un paradoxe en Inde.<\/span> La tuberculose et le paludisme continuent de peser lourdement sur nos vies ;<\/span> nous voyons beaucoup de maladies bact\u00e9riennes et virales ;<\/span> des infections\u00a0<\/span>nouvelles, telles que la dengue, sont apparues.<\/span> De plus, nous avons une \u00e9pid\u00e9mie de maladies non transmissibles, telles que l’hypertension art\u00e9rielle, les maladies respiratoires (li\u00e9es \u00e0 la pollution), le diab\u00e8te.\u00a0<\/span>Le probl\u00e8me de l’ob\u00e9sit\u00e9 morbide est en augmentation significative mais nous n’avons pas encore gagn\u00e9 contre la malnutrition.<\/span> Nous ne pouvons pas ignorer ces probl\u00e8mes majeurs de sant\u00e9 publique. Nous avons donc besoin d’innovations frugales de fa\u00e7on \u00e0 pouvoir relever simultan\u00e9ment tous ces d\u00e9fis.<\/span><\/div>\n
<\/div>\n
DS. Comment vous \u00eates-vous int\u00e9ress\u00e9 aux\u00a0\u00ab\u00a0blessures\u00a0\u00bb ?<\/b><\/div>\n
<\/div>\n
MM.\u00a0En 1988, j’ai b\u00e9n\u00e9fici\u00e9 d\u2019une bourse m\u00e9dicale du Commonwealth \u00e0 l’Universit\u00e9 de Manchester, au Royaume-Uni. J’ai choisi d’\u00e9tudier les services de traumatologie alors que personne ne parlait du traumatisme comme d’un probl\u00e8me.<\/span> Beaucoup de coll\u00e8gues riaient de mon choix. Ils ne se rendaient pas compte que c’\u00e9tait un probl\u00e8me s\u00e9rieux.<\/span> Soixante mille jeunes vies avaient \u00e9t\u00e9 perdues sur les routes en Inde.<\/span>\u00a0La seule diff\u00e9rence est que ce nombre a augment\u00e9 de fa\u00e7on exponentielle. Regardez la mortalit\u00e9 routi\u00e8re seule.<\/span> Il y en a plus de 150 000 par an (augmentation de 5 \u00e0 8 % chaque ann\u00e9e).<\/span> En ce qui concerne les d\u00e9c\u00e8s accidentels, il y en a plus de 400 000 en Inde. <\/span>L’incidence des blessures est d’environ 30\/100 000, soit le double de celle du cancer du sein (incidence variant de 14 \u00e0 29\/100 000 dans diff\u00e9rents registres du cancer).<\/div>\n
<\/div>\n
DS.\u00a0Vous avez \u00e9galement une exp\u00e9rience int\u00e9ressante \u00e0 partager concernant les \u00e9tudiants.<\/span>
\n<\/span><\/b><\/div>\n
<\/div>\n
MM.\u00a0Oui, j’aimerais partager l’exp\u00e9rience de l’i-fraternit\u00e9 en technologie de l’information. Nous avons\u00a0<\/span>en tant que Fellows\u00a0de jeunes ing\u00e9nieurs qui s’int\u00e9ressent \u00e0 la m\u00e9decine.<\/span> Ils viennent et se plongent dans l’environnement hospitalier et font de l’ombre \u00e0 certains m\u00e9decins et chirurgiens par leur vision des probl\u00e8mes et des solutions potentielles.<\/span>\u00a0Nous faisons cela \u00e0 l\u2019International Institute of International Biodesign, (Erstwhile Stanford Inde Biodesign).\u00a0Il y a environ dix ans que nous avons commenc\u00e9 cette bourse internationale de deux ans \u00e0 temps plein.<\/span><\/div>\n
<\/div>\n
\u00a0Denise Silber<\/div>\n


\n<\/em><\/p>\n

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\u00ab\u00a0Avec ces innovations sanitaires peu co\u00fbteuses ou frugales, nous pouvons faire aussi bien, voire mieux que ce qui se fait actuellement en Europe. 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