Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2005 Sep;11(9):1382-8.
doi: 10.3201/eid1109.041020.

Trypanosomiasis control, Democratic Republic of Congo, 1993-2003

Pascal Lutumba  1 , Jo Robays, Constantin Miaka mia Bilenge, Victor Kande Betu Ku Mesu, Didier Molisho, Johan Declercq, Wim Van der Veken, Filip Meheus, Jean Jannin, Marleen Boelaert
Affiliations

Trypanosomiasis control, Democratic Republic of Congo, 1993-2003

Pascal Lutumba et al. Emerg Infect Dis. 2005 Sep.

Abstract

In the Democratic Republic of Congo (DRC), human African trypanosomiasis (HAT) reached unprecedented levels in the 1990s. To assess recent trends and evaluate control efforts, we analyzed epidemiologic and financial data collected by all agencies involved in HAT control in DRC from 1993 to 2003. Funds allocated to control populations, as well as to the population screened, doubled from 1993 to 1997 and from 1998 to 2003. The number of cases detected decreased from 26,000 new cases per year in 1998 to 11,000 in 2003. Our analysis shows that HAT control in DRC is almost completely dependent on international aid and that sudden withdrawal of such aid in 1990 had a long-lasting effect. Since 1998, control efforts intensified because of renewed donor interest, including a public-private partnership, and this effort led to a major reduction in HAT incidence. To avoid reemergence of this disease, such efforts should be sustained.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Disease-endemic regions (indicated by shaded areas) in the Democratic Republic of Congo, as managed by human African trypanosomiasis program.
Figure 2
Figure 2
Number of new human African trypanosomiasis new cases in the Democratic Republic of Congo, 1926–2003.
Figure 3
Figure 3
Population screened per year and number of mobile teams operating in the Democratic Republic of Congo, 1990–2003.
Figure 4
Figure 4
Number of new human African trypanosomiasis cases and active detection rate (ADR), by region, Democratic Republic of Congo,1993–2003.
See this image and copyright information in PMC

References

    1. Burri C, Brun R. Human African trypanosomiasis. In: Cook GC, Zumla AI, editors. Manson's tropical diseases, 21st ed. London: WB Saunders; 2003. p. 1303–23.
    1. Stanghellini A. La trypanosomiase à T.b. gambiense: méthodes de lutte. Bull Soc Pathol Exot. 1988;81:637–44. - PubMed
    1. Van Nieuwenhove S. Trypanosomiase: efficacité et efficience des dépistages répétés. In: Habbema J, De Muynck A, editors. Rapport final du séminaire de modélisation. Rotterdam: Université Erasmus; 1991. p. 131–7.
    1. Paquet C, Castilla J, Mbulamberi D, Beaulieu MF, Gastellu Etchegorry MG, Moren A. Trypanosomiasis from Trypanosoma brucei gambiense in the center of North-West Uganda. Evaluation of 5 years of control (1987–1991). Bull Soc Pathol Exot. 1995;88:38–41. - PubMed
    1. Simarro PP, Sima FO, Mateo MJ, Roche J. Control of human African trypanosomiasis in Luba in Equatorial Guinea: evaluation of three methods. Bull World Health Organ. 1991;69:451–7. - PMC - PubMed

MeSH terms

Substances

LinkOut - more resources