Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination
PP Simarro,1 JR Franco,1 A Diarra,2 JA Ruiz Postigo,3 J Jannin11World Health Organization, Control of Neglected Tropical Diseases, Innovative and Intensified Disease Management, Geneva, Switzerland; 2World Health Organization, Regional Office for Africa, Brazzaville, Congo; 3World Health Organizatio...
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ftdoajarticles:oai:doaj.org/article:9b542b0858014b37aabec00fd1f1deba 2023-05-15T15:13:26+02:00 Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination Simarro PP Franco JR Diarra A Ruiz Postigo JA Jannin J 2013-02-01T00:00:00Z https://doaj.org/article/9b542b0858014b37aabec00fd1f1deba EN eng Dove Medical Press http://www.dovepress.com/diversity-of-human-african-trypanosomiasis-epidemiological-settings-re-a12138 https://doaj.org/toc/1179-7282 1179-7282 https://doaj.org/article/9b542b0858014b37aabec00fd1f1deba Research and Reports in Tropical Medicine, Vol 2013, Iss default, Pp 1-6 (2013) Arctic medicine. Tropical medicine RC955-962 article 2013 ftdoajarticles 2022-12-31T10:49:03Z PP Simarro,1 JR Franco,1 A Diarra,2 JA Ruiz Postigo,3 J Jannin11World Health Organization, Control of Neglected Tropical Diseases, Innovative and Intensified Disease Management, Geneva, Switzerland; 2World Health Organization, Regional Office for Africa, Brazzaville, Congo; 3World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, EgyptAbstract: In 2001, the World Health Organization (WHO) established a public–private partnership to fight human African trypanosomiasis (HAT). As a result of this continuous collaboration, and in addition to the coordination with nongovernmental organizations and bilateral cooperation agencies, the number of new cases of HAT annually reported by the WHO has strikingly decreased. In 2012, HAT was included in WHO’s roadmap on neglected tropical diseases with a 2020 target date for elimination. Although the prevalence of HAT is decreasing and its elimination is targeted, control approaches must be adapted to the different epidemiological patterns in order to adopt the most adequate strategies to maintain their cost-effectiveness. These strategies must be flexible and dynamic in order to be adapted to the disease progression, as well as to the changes affecting the existing health facilities in transmission areas, including their accessibility, their capabilities, and their involvement in the elimination process. Considering the different patterns of transmission (Trypanosoma brucei (T.b.) rhodesiense HAT) and transmission intensity (T.b. gambiense HAT), different settings have been defined. In the case of T.b. rhodesiense, this form exists primarily where wild animals are the main parasite reservoir, and where the main parasite reservoir is cattle. In T.b. gambiense, this form exists in areas with high intensity transmission, areas with moderate intensity transmission, and areas with low intensity transmission. Criteria and indicators must be established to monitor and evaluate the actions implemented toward the elimination of HAT.Keywords: human African ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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Arctic medicine. Tropical medicine RC955-962 |
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Arctic medicine. Tropical medicine RC955-962 Simarro PP Franco JR Diarra A Ruiz Postigo JA Jannin J Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
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Arctic medicine. Tropical medicine RC955-962 |
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PP Simarro,1 JR Franco,1 A Diarra,2 JA Ruiz Postigo,3 J Jannin11World Health Organization, Control of Neglected Tropical Diseases, Innovative and Intensified Disease Management, Geneva, Switzerland; 2World Health Organization, Regional Office for Africa, Brazzaville, Congo; 3World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, EgyptAbstract: In 2001, the World Health Organization (WHO) established a public–private partnership to fight human African trypanosomiasis (HAT). As a result of this continuous collaboration, and in addition to the coordination with nongovernmental organizations and bilateral cooperation agencies, the number of new cases of HAT annually reported by the WHO has strikingly decreased. In 2012, HAT was included in WHO’s roadmap on neglected tropical diseases with a 2020 target date for elimination. Although the prevalence of HAT is decreasing and its elimination is targeted, control approaches must be adapted to the different epidemiological patterns in order to adopt the most adequate strategies to maintain their cost-effectiveness. These strategies must be flexible and dynamic in order to be adapted to the disease progression, as well as to the changes affecting the existing health facilities in transmission areas, including their accessibility, their capabilities, and their involvement in the elimination process. Considering the different patterns of transmission (Trypanosoma brucei (T.b.) rhodesiense HAT) and transmission intensity (T.b. gambiense HAT), different settings have been defined. In the case of T.b. rhodesiense, this form exists primarily where wild animals are the main parasite reservoir, and where the main parasite reservoir is cattle. In T.b. gambiense, this form exists in areas with high intensity transmission, areas with moderate intensity transmission, and areas with low intensity transmission. Criteria and indicators must be established to monitor and evaluate the actions implemented toward the elimination of HAT.Keywords: human African ... |
format |
Article in Journal/Newspaper |
author |
Simarro PP Franco JR Diarra A Ruiz Postigo JA Jannin J |
author_facet |
Simarro PP Franco JR Diarra A Ruiz Postigo JA Jannin J |
author_sort |
Simarro PP |
title |
Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
title_short |
Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
title_full |
Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
title_fullStr |
Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
title_full_unstemmed |
Diversity of human African trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
title_sort |
diversity of human african trypanosomiasis epidemiological settings requires fine-tuning control strategies to facilitate disease elimination |
publisher |
Dove Medical Press |
publishDate |
2013 |
url |
https://doaj.org/article/9b542b0858014b37aabec00fd1f1deba |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Research and Reports in Tropical Medicine, Vol 2013, Iss default, Pp 1-6 (2013) |
op_relation |
http://www.dovepress.com/diversity-of-human-african-trypanosomiasis-epidemiological-settings-re-a12138 https://doaj.org/toc/1179-7282 1179-7282 https://doaj.org/article/9b542b0858014b37aabec00fd1f1deba |
_version_ |
1766343985895309312 |