Boutin J-P, Milleliri J-M
Gispe, 82, Bd Tellène,13007 Marseille, France.
Med Sante Trop. 2019 Feb 1;29(1):15-20. doi: 10.1684/mst.2019.0871.
While Eugène Jamot's name is associated with the combat against sleeping sickness, Pierre Richet is permanently linked to the battle against river blindness, which he first reported in 1936 in two neighboring households in Garango (Burkina Faso). Onchocerciasis remained a continuous interest, through his last article "The OCCGE and Onchocerciasis", written in 1983. Nonetheless over the course of these five decades, Richet's trajectory was far from that of a specialist dedicating his life to a single disease. After a decade essentially spent fighting trypanosomiasis, came a decade of war in which the specialist in endemism joined the Free French Army and put his organizational know-how at General Lerclerc's disposal, from Morocco to Indochina, via Germany. On his return to Africa in 1953, he extended the principle of mobile teams to the other major endemic diseases accessible to treatment and to vaccines. Richet organized first the combat against leprosy and launched vaccination programs. In 1955, he returned to the battle against onchocerciasis and deployed the first large-scale insecticide program in Chad. The intermediate term failure of this prototype fermented his scientific, interdisciplinary, and organizational thought, which flourished at Bobo-Dioulasso. At the dawn of the independence of French-speaking African countries, and against the political tides of the time, he obtained in 1960 the creation of a supranational organization, the OCCGE, common to 8 countries of West Africa, and he headed it for a decade. Drawing lessons from the past and in the absence of effective pharmaceutical treatment, Richet the physician played the entomological card with one hand, with technical support from Orstom (IRD); this detailed work enabled the development of a strategy. With the other hand, he played the multilateral card, which led in 1974 to the launching of the extraordinary Onchocerciasis Control Program (OCP). If it is Jamot who awakened Africa, Richet is the person who restored its view but also millions of hectares of cultivable land.
欧仁·雅莫的名字与昏睡病防治工作紧密相连,而皮埃尔·里歇则始终与盘尾丝虫病防治斗争联系在一起,他于1936年在加朗戈(布基纳法索)的两户相邻人家中首次报告了这种疾病。直至1983年他撰写最后一篇文章《西非国家消灭盘尾丝虫病和锥虫病组织与盘尾丝虫病》时,他一直对盘尾丝虫病保持着持续关注。然而在这五十年间,里歇的轨迹远非一个毕生致力于单一疾病研究的专家那样。在基本花费十年时间对抗锥虫病之后,紧接着是十年战争,这位地方病专家加入了自由法国军队,从摩洛哥到印度支那,途经德国,将自己的组织技能提供给勒克莱尔将军使用。1953年他回到非洲后,将流动医疗队的原则推广到其他可通过治疗和疫苗防治的主要地方病。里歇首先组织了麻风病防治工作并启动了疫苗接种计划。1955年,他重新投入盘尾丝虫病防治斗争,并在乍得开展了首个大规模杀虫剂项目。这个原型项目的中期失败促使他的科学、跨学科及组织思想得到发展,这些思想在博博迪乌拉索蓬勃发展。在法语非洲国家独立前夕,不顾当时的政治潮流,他于1960年促成了一个超国家组织——西非国家消灭盘尾丝虫病和锥虫病组织(OCCGE)的成立,该组织由西非8个国家共同组建,他领导该组织长达十年。从过去吸取经验教训,且在缺乏有效药物治疗的情况下,身为医生的里歇一方面在法国国家农业科学研究院(IRD)的技术支持下,利用昆虫学方法开展细致工作,进而制定出一项战略。另一方面,他打出多边合作这张牌,这使得1974年启动了非凡的盘尾丝虫病控制计划(OCP)。如果说唤醒非洲的是雅莫,那么恢复非洲视力以及数百万公顷可耕地的则是里歇。