Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis.
BACKGROUND:Over the last few years, momentum has gathered around the feasibility and opportunity of eliminating gambiense human African trypanosomiasis (g-HAT). Under the leadership of the World Health Organization (WHO), a large coalition of stakeholders is now committed to achieving this goal. A r...
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ftdoajarticles:oai:doaj.org/article:e049a57c914e4254a0efabdfbb773834 2023-05-15T15:13:19+02:00 Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. Pere P Simarro Giuliano Cecchi José R Franco Massimo Paone Abdoulaye Diarra Gerardo Priotto Raffaele C Mattioli Jean G Jannin 2015-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0003785 https://doaj.org/article/e049a57c914e4254a0efabdfbb773834 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4461311?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003785 https://doaj.org/article/e049a57c914e4254a0efabdfbb773834 PLoS Neglected Tropical Diseases, Vol 9, Iss 6, p e0003785 (2015) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2015 ftdoajarticles https://doi.org/10.1371/journal.pntd.0003785 2022-12-31T01:28:57Z BACKGROUND:Over the last few years, momentum has gathered around the feasibility and opportunity of eliminating gambiense human African trypanosomiasis (g-HAT). Under the leadership of the World Health Organization (WHO), a large coalition of stakeholders is now committed to achieving this goal. A roadmap has been laid out, and indicators and milestones have been defined to monitor the progress of the elimination of g-HAT as a public health problem by 2020. Subsequently, a more ambitious objective was set for 2030: to stop disease transmission. This paper provides a situational update to 2012 for a number of indicators of elimination: number of cases annually reported, geographic distribution of the disease and areas and populations at different levels of risk. RESULTS:Comparing the 5-year periods 2003-2007 and 2008-2012, the area at high or very high risk of g-HAT shrank by 60%, while the area at moderate risk decreased by 22%. These are the areas where g-HAT is still to be considered a public health problem (i.e. > 1 HAT reported case per 10,000 people per annum). This contraction of at-risk areas corresponds to a reduction of 57% for the population at high or very high risk (from 4.1 to 1.8 million), and 20% for moderate risk (from 14.0 to 11.3 million). DISCUSSION:Improved data completeness and accuracy of the Atlas of HAT enhanced our capacity to monitor the progress towards the elimination of g-HAT. The trends in the selected indicators suggest that, in recent years, progress has been steady and in line with the elimination goal laid out in the WHO roadmap on neglected tropical diseases. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 9 6 e0003785 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Pere P Simarro Giuliano Cecchi José R Franco Massimo Paone Abdoulaye Diarra Gerardo Priotto Raffaele C Mattioli Jean G Jannin Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:Over the last few years, momentum has gathered around the feasibility and opportunity of eliminating gambiense human African trypanosomiasis (g-HAT). Under the leadership of the World Health Organization (WHO), a large coalition of stakeholders is now committed to achieving this goal. A roadmap has been laid out, and indicators and milestones have been defined to monitor the progress of the elimination of g-HAT as a public health problem by 2020. Subsequently, a more ambitious objective was set for 2030: to stop disease transmission. This paper provides a situational update to 2012 for a number of indicators of elimination: number of cases annually reported, geographic distribution of the disease and areas and populations at different levels of risk. RESULTS:Comparing the 5-year periods 2003-2007 and 2008-2012, the area at high or very high risk of g-HAT shrank by 60%, while the area at moderate risk decreased by 22%. These are the areas where g-HAT is still to be considered a public health problem (i.e. > 1 HAT reported case per 10,000 people per annum). This contraction of at-risk areas corresponds to a reduction of 57% for the population at high or very high risk (from 4.1 to 1.8 million), and 20% for moderate risk (from 14.0 to 11.3 million). DISCUSSION:Improved data completeness and accuracy of the Atlas of HAT enhanced our capacity to monitor the progress towards the elimination of g-HAT. The trends in the selected indicators suggest that, in recent years, progress has been steady and in line with the elimination goal laid out in the WHO roadmap on neglected tropical diseases. |
format |
Article in Journal/Newspaper |
author |
Pere P Simarro Giuliano Cecchi José R Franco Massimo Paone Abdoulaye Diarra Gerardo Priotto Raffaele C Mattioli Jean G Jannin |
author_facet |
Pere P Simarro Giuliano Cecchi José R Franco Massimo Paone Abdoulaye Diarra Gerardo Priotto Raffaele C Mattioli Jean G Jannin |
author_sort |
Pere P Simarro |
title |
Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
title_short |
Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
title_full |
Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
title_fullStr |
Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
title_full_unstemmed |
Monitoring the Progress towards the Elimination of Gambiense Human African Trypanosomiasis. |
title_sort |
monitoring the progress towards the elimination of gambiense human african trypanosomiasis. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2015 |
url |
https://doi.org/10.1371/journal.pntd.0003785 https://doaj.org/article/e049a57c914e4254a0efabdfbb773834 |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 9, Iss 6, p e0003785 (2015) |
op_relation |
http://europepmc.org/articles/PMC4461311?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0003785 https://doaj.org/article/e049a57c914e4254a0efabdfbb773834 |
op_doi |
https://doi.org/10.1371/journal.pntd.0003785 |
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PLOS Neglected Tropical Diseases |
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9 |
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6 |
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e0003785 |
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