Human African trypanosomiasis: an emerging public health crisis
DH Smith, J Pepin, AHR Stich - British medical bulletin, 1998 - academic.oup.com
DH Smith, J Pepin, AHR Stich
British medical bulletin, 1998•academic.oup.comThere is a dramatic resurgence of human African trypanosomiasis (HAT) in sub-Saharan
Africa. Tb gambiense is spreading epidemically in large areas of Central Africa, especially
the Southern Sudan, Congo-Zaire, Angola, Uganda and the Central African Republic.
Devastating epidemics of Tb rhodesiense have occurred in south-eastern Uganda. The
causes of the re-emergence of sleeping sickness as a public health problem include
widespread civil disturbance and war, declining economies, reduced health financing and …
Africa. Tb gambiense is spreading epidemically in large areas of Central Africa, especially
the Southern Sudan, Congo-Zaire, Angola, Uganda and the Central African Republic.
Devastating epidemics of Tb rhodesiense have occurred in south-eastern Uganda. The
causes of the re-emergence of sleeping sickness as a public health problem include
widespread civil disturbance and war, declining economies, reduced health financing and …
Abstract
There is a dramatic resurgence of human African trypanosomiasis (HAT) in sub-Saharan Africa. T.b. gambiense is spreading epidemically in large areas of Central Africa, especially the Southern Sudan, Congo-Zaire, Angola, Uganda and the Central African Republic. Devastating epidemics of T.b. rhodesiense have occurred in south-eastern Uganda.
The causes of the re-emergence of sleeping sickness as a public health problem include widespread civil disturbance and war, declining economies, reduced health financing and the dismantling of disease control programmes. Despite the inevitably fatal outcome without treatment, HAT is often given low priority by donors and national governments. The advances made in diagnosis, treatment and vector control have not been sufficiently implemented.
To limit the human impact in some of the poorest communities in Africa, endemic countries will require external support to implement strategies for disease control. Donor agencies, NGOs and mission organisations could play an important role in supporting control efforts. National authorities will need to control and co-ordinate these efforts with assistance from WHO and the international community.
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