37 research outputs found
Additional file 1: of An atlas of tsetse and bovine trypanosomosis in Sudan
List of sources analysed to generate distribution maps of tsetse and bovine trypanosomosis in Sudan. (DOCX 34 kb
Monitoring the elimination of human African trypanosomiasis: Update to 2014
<div><p>Background</p><p>The World Health Organization (WHO) has targeted the elimination of Human African trypanosomiasis (HAT) ‘as a public health problem’ by 2020. The selected indicators of elimination should be monitored every two years, and we provide here a comprehensive update to 2014. The monitoring system is underpinned by the Atlas of HAT.</p><p>Results</p><p>With 3,797 reported cases in 2014, the corresponding milestone (5,000 cases) was surpassed, and the 2020 global target of ‘fewer than 2,000 reported cases per year’ seems within reach. The areas where HAT is still a public health problem (i.e. > 1 HAT reported case per 10,000 people per year) have halved in less than a decade, and in 2014 they corresponded to 350 thousand km<sup>2</sup>. The number and potential coverage of fixed health facilities offering diagnosis and treatment for HAT has expanded, and approximately 1,000 are now operating in 23 endemic countries. The observed trends are supported by sustained surveillance and improved reporting.</p><p>Discussion</p><p>HAT elimination appears to be on track. For gambiense HAT, still accounting for the vast majority of reported cases, progress continues unabated in a context of sustained intensity of screening activities. For rhodesiense HAT, a slow-down was observed in the last few years. Looking beyond the 2020 target, innovative tools and approaches will be increasingly needed. Coordination, through the WHO network for HAT elimination, will remain crucial to overcome the foreseeable and unforeseeable challenges that an elimination process will inevitably pose.</p></div
Number of people screened by active case-finding surveys, in countries endemic for <i>T</i>. <i>b</i>. <i>gambiense</i> (2000–2014).
<p>Number of people screened by active case-finding surveys, in countries endemic for <i>T</i>. <i>b</i>. <i>gambiense</i> (2000–2014).</p
Fixed health facilities for rhodesiense HAT: survey 2016 (Survey September 2015—April 2016).
<p>Fixed health facilities for rhodesiense HAT: survey 2016 (Survey September 2015—April 2016).</p
<i>T</i>. <i>b</i>. <i>rhodesiense</i> HAT: New cases reported between 2000 and 2014.
<p><i>T</i>. <i>b</i>. <i>rhodesiense</i> HAT: New cases reported between 2000 and 2014.</p
Areas at risk of <i>T</i>. <i>b</i>. <i>gambiense</i> infection (km<sup>2</sup>).
<p>Periods 2005–2009 and 2010–2014.</p
Areas at risk of <i>T</i>. <i>b</i>. <i>rhodesiense</i> infection (km<sup>2</sup>).
<p>Periods 2005–2009 and 2010–2014.</p
Trends in population at risk of gambiense HAT (a) and rhodesiense HAT (b) from 2000–2004 to 2010–2014.
<p>Trends in population at risk of gambiense HAT (a) and rhodesiense HAT (b) from 2000–2004 to 2010–2014.</p
Geographic distribution of fixed health facilities offering diagnosis and treatment of gambiense and rhodesiense HAT.
<p>Data were collected by WHO from National Sleeping Sickness Control Programmes between September 2015 and April 2016.</p