Retaking sleeping sickness control in Angola

Summary Africa is severely affected by a resurgence of human African trypanosomiasis (HAT) at epidemic proportions. We report the results of the first 5 years of a HAT control programme in northern Angola run by the non‐governmental organization (NGO) ANGOTRIP. In the period between 1996 and 2001, 1...

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Bibliographic Details
Published in:Tropical medicine & international health 2004-01, Vol.9 (1), p.141-148
Main Authors: Abel, Paulo M., Kiala, Godi, Lôa, Vanda, Behrend, Markus, Musolf, Jens, Fleischmann, Hanne, Théophile, Josénando, Krishna, Sanjeev, Stich, August
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Distribution
Aged
Angola
Angola - epidemiology
Animals
Biological and medical sciences
Child
Child, Preschool
Disease Outbreaks - prevention & control
Eflornithine - therapeutic use
Female
General aspects
human African trypanosomiasis
Human protozoal diseases
Humans
Infant
Infectious diseases
Insect Vectors
Male
Medical sciences
Melarsoprol - therapeutic use
Middle Aged
Parasitic diseases
Pentamidine - therapeutic use
Protozoal diseases
Sex Distribution
sleeping sickness
Trypanocidal Agents - therapeutic use
Trypanosoma brucei gambiense
Trypanosomiasis
Trypanosomiasis, African - epidemiology
Trypanosomiasis, African - mortality
Trypanosomiasis, African - prevention & control
Tsetse Flies
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Summary:Summary Africa is severely affected by a resurgence of human African trypanosomiasis (HAT) at epidemic proportions. We report the results of the first 5 years of a HAT control programme in northern Angola run by the non‐governmental organization (NGO) ANGOTRIP. In the period between 1996 and 2001, 13 426 patients were screened for HAT. The mortality rate of patients in stage II who were treated with melarsoprol fell from 7.5% to 2.9%, possibly as a result of training and the standardization of treatment protocols. A total of 191 578 people in three provinces of Angola were screened for HAT. Vector control activities were initiated using Lancien traps. Our experiences reflect the connection between war and the increasing incidence of disease, but also demonstrate that HAT control is possible by dedicated NGOs in close cooperation with national institutions even under extremely difficult circumstances.
ISSN:1360-2276
1365-3156
DOI:10.1046/j.1365-3156.2003.01152.x