Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).

<h4>Background</h4>Sleeping sickness, or human African trypanosomiasis (HAT), is transmitted by tsetse flies in endemic foci in sub-Saharan Africa. Because of international travel and population movements, cases are also occasionally diagnosed in non-endemic countries.<h4>Methodolo...

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Main Authors: Jose R Franco, Giuliano Cecchi, Gerardo Priotto, Massimo Paone, Augustin Kadima Ebeja, Pere P Simarro, Abdoulaye Diarra, Dieudonné Sankara, Weining Zhao, Daniel Argaw Dagne
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-11-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0010885
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author Jose R Franco
Giuliano Cecchi
Gerardo Priotto
Massimo Paone
Augustin Kadima Ebeja
Pere P Simarro
Abdoulaye Diarra
Dieudonné Sankara
Weining Zhao
Daniel Argaw Dagne
author_facet Jose R Franco
Giuliano Cecchi
Gerardo Priotto
Massimo Paone
Augustin Kadima Ebeja
Pere P Simarro
Abdoulaye Diarra
Dieudonné Sankara
Weining Zhao
Daniel Argaw Dagne
author_sort Jose R Franco
collection DOAJ
description <h4>Background</h4>Sleeping sickness, or human African trypanosomiasis (HAT), is transmitted by tsetse flies in endemic foci in sub-Saharan Africa. Because of international travel and population movements, cases are also occasionally diagnosed in non-endemic countries.<h4>Methodology/principal findings</h4>Antitrypanosomal medicines to treat the disease are available gratis through the World Health Organization (WHO) thanks to a public-private partnership, and exclusive distribution of the majority of them enables WHO to gather information on all exported cases. Data collected by WHO are complemented by case reports and scientific publications. During 2011-2020, 49 cases of HAT were diagnosed in 16 non-endemic countries across five continents: 35 cases were caused by Trypanosoma brucei rhodesiense, mainly in tourists visiting wildlife areas in eastern and southern Africa, and 14 cases were due to T. b. gambiense, mainly in African migrants originating from or visiting endemic areas in western and central Africa.<h4>Conclusions/significance</h4>HAT diagnosis in non-endemic countries is rare and can be challenging, but alertness and surveillance must be maintained to contribute to WHO's elimination goals. Early detection is particularly important as it considerably improves the prognosis.
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spelling doaj.art-031b605970a04a65b31448353e1a67c32022-12-22T02:30:38ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352022-11-011611e001088510.1371/journal.pntd.0010885Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).Jose R FrancoGiuliano CecchiGerardo PriottoMassimo PaoneAugustin Kadima EbejaPere P SimarroAbdoulaye DiarraDieudonné SankaraWeining ZhaoDaniel Argaw Dagne<h4>Background</h4>Sleeping sickness, or human African trypanosomiasis (HAT), is transmitted by tsetse flies in endemic foci in sub-Saharan Africa. Because of international travel and population movements, cases are also occasionally diagnosed in non-endemic countries.<h4>Methodology/principal findings</h4>Antitrypanosomal medicines to treat the disease are available gratis through the World Health Organization (WHO) thanks to a public-private partnership, and exclusive distribution of the majority of them enables WHO to gather information on all exported cases. Data collected by WHO are complemented by case reports and scientific publications. During 2011-2020, 49 cases of HAT were diagnosed in 16 non-endemic countries across five continents: 35 cases were caused by Trypanosoma brucei rhodesiense, mainly in tourists visiting wildlife areas in eastern and southern Africa, and 14 cases were due to T. b. gambiense, mainly in African migrants originating from or visiting endemic areas in western and central Africa.<h4>Conclusions/significance</h4>HAT diagnosis in non-endemic countries is rare and can be challenging, but alertness and surveillance must be maintained to contribute to WHO's elimination goals. Early detection is particularly important as it considerably improves the prognosis.https://doi.org/10.1371/journal.pntd.0010885
spellingShingle Jose R Franco
Giuliano Cecchi
Gerardo Priotto
Massimo Paone
Augustin Kadima Ebeja
Pere P Simarro
Abdoulaye Diarra
Dieudonné Sankara
Weining Zhao
Daniel Argaw Dagne
Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
PLoS Neglected Tropical Diseases
title Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
title_full Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
title_fullStr Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
title_full_unstemmed Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
title_short Human African trypanosomiasis cases diagnosed in non-endemic countries (2011-2020).
title_sort human african trypanosomiasis cases diagnosed in non endemic countries 2011 2020
url https://doi.org/10.1371/journal.pntd.0010885
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