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Human African Trypanosomiasis

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Human African Trypanosomiasis Draft document under revision Human African Trypanosomiasis Disease distribution and population at risk World Health Organisation Control of Neglected Tropical Diseases Innovative and Intensified Disease Management Human African Trypanosomiasis Surveillance and Control Programme WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME Last update November 2006 ANGOLA AO Estimated total population for mid 20061 15, 800,000 1 Population Reference Bureau – 2006 population data sheet http://www.prb.org/pdf06/06WorldDataSheet.pdf ■ 2, 3 Estimated population at risk for sleeping sickness 3,000,000 (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ Capital: Luanda Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Soyo 11. Bengo 2. Noquia 12. Banga 3. M’banza-Kongo 13. Luinga 4. Béu 14. Golungo-Alto 5. Quimbele 15. Samba-Caju 6. Alto-zaza 16. Lukala 7. Bembe 17. Cambambe 8. Bungo 18. Malange 9. Uige 19. Cuando-Cubango 10. Luanda 4 Present situation 4 Human African Trypanosomiasis (sleeping sickness): epidemiological update. Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. Transmission is occurring in seven provinces in the north Angola reported cases 1995-2005 and the 10 years tendency curve east, namely Bengo, Kuanza-Norte, Kuanza-Sud, Luanda, Malanje, Uige and Zaire. The Instituto de Combate e 9000 Controlo das Tripanossomiases (ICCT) is leading and 8000 coordinating all control activities in collaboration with 7000 MSF, Caritas, Instituto Portugues de Medicina Preventiva, 6000 Fundanga and projects of the Belgian and French bilateral 5000 co-operation. The ICCT receives an important financial support from 4000 New Cases New the Angolan Government and has managed to establish 3000 13 mobile teams. This, however, remains insufficient in 2000 the light of the geographical extent and population size 1000 of the endemic areas. Staff presently involved in control 0 operations is well trained and highly dedicated. 5 6 7 8 9 0 1 2 3 4 5 9 9 9 9 9 0 0 0 0 0 0 9 9 9 9 9 0 0 0 0 0 0 1 1 1 1 1 2 2 2 2 2 2 WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME Last update November 2006 BENIN BJ Estimated total population for mid 20061 8,700,000 1 Population Reference Bureau – 2006 population data sheet http://www.prb.org/pdf06/06WorldDataSheet.pdf Estimated population at risk for sleeping sickness2, 3 3,000,000 (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ Capital: Porto Novo Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Atacora 2. Donga 4 Present situation 4Human African Trypanosomiasis (sleeping sickness): epidemiological update. Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. Benin cases 1995-2005 and 10 years tendency curve Cases were sporadically diagnosed in the Département of Atakora and Donga. The SSNCP, funded by the 90 Government under the national health regular budget, is 80 able to perform control activities in the endemic areas. The 70 last case finding survey was performed in May 2004 during 60 which no case was detected. 50 40 New cases 30 20 10 0 5 6 7 8 9 0 1 2 3 4 5 99 99 99 99 99 00 00 00 00 00 00 1 1 1 1 1 2 2 2 2 2 2 WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME Last update November 2006 BOTSWANA BW Estimated total population for mid 20061 1,800,000 1 Population Reference Bureau – 2006 population data sheet http://www.prb.org/pdf06/06WorldDataSheet.pdf Estimated population at risk for sleeping sickness2, 3 Undetermined (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ Capital: Gaborone Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Ngamiland 2. Chobe 4 Present situation 4Human African Trypanosomiasis (sleeping sickness): epidemiological update. Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. NO GRAPH In the past, transmission took place in the Okawongo Delta. However, trypanosomiasis cases have not been reported from that area for decades and it is believed that transmission no longer occurs. A large tsetse fly control programme has been implemented for many years in this area. The country has excellent health structures but no specific HAT surveillance system, for which there is apparently no need. WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME BURKINA FASO BF Estimated total population for mid 20061 XXXXXXX 1 Population Reference Bureau – 2006 population data sheet.pdf http://www.prb.org/pdf06/06World DataSheet.pdf 2, 3 Estimated population at risk for sleeping sickness 3,000,000 (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ Capital: Ouagadougou Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Ouahigouya 9. Koudougou 2. Ouagadougou 10. Sissili 3. Zorgho 11. Pô-Zabré 4. Manga 12. Boulougou 5. Tapoa 13. Bobo-Dioulasso 6. Kenedougou 14. Banfora 7. Kossi 15. Diébougou 8. Dedougou 16. Poni Present situation4 4Human African Trypanosomiasis (sleeping sickness): epidemiological update.Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. Burkina Faso cases 1995-2005 It is uncertain if transmission is presently occurring in the south and 10 years tendency curve and south east where all recent cases have been identified among returning migrants workers from Côte d’Ivoire. Interruption of 16 local of transmission is supported by the fact that last survey in 14 the area, carried out in February 2005, did not diagnose any 12 autochthonous case. The SSNCP is integrated in the Division of Disease Control and has no logistic means to implement control 10 operations on its own but borrows equipment and field staff from 8 others projects to perform field surveys. 6 4 2 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME Last update November 2006 BURUNDI BI Estimated total population for mid 20061 7,800,000 1 Population Reference Bureau – 2006 population data sheet http://www.prb.org/pdf06/06WorldDataSheet.pdf Estimated population at risk for sleeping sickness2, 3 5,000 (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ Capital: Bujumbura Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Bweru-north 4 Present situation 4Human African Trypanosomiasis (sleeping sickness): epidemiological update. Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. NO GRAPH Transmission previously occurred in north-east Burundi. Constant monitoring during 1979–1980 did not disclose any new trypanosomiasis cases. There is no specific structure for HAT surveillance in the country. WORLD HEALTH ORGANIZATION – HUMAN AFRICAN TRYPANOSOMIASIS SURVEILLANCE AND CONTROL PROGRAMME Updated November 2006 CAMEROON CM Estimated total population for mid 20061 16,380,000 1 Population Reference Bureau – 2006 population data sheet http://www.prb.org/pdf06/06WorldDataSheet.pdf 2, 3 Estimated population at risk for sleeping sickness 1,000,000 (2 From WHO TRS 881, 1998) XXXXX (3 update ongoing) Sleeping sickness affected areas (update ongoing) Last case reported prior to 2000. Area updated Last case reported prior to 2000. Area not updated Last case reported after to 2000. Area updated Last case reported after to 2000. Area not updated ■ ■ Capital: Yaounde Common names of sleeping sickness affected areas (WHO HAT Surveillance and Control Programme data set) (Click on the name of each area to access epidemiological information) 1. Mamfé 6. Yokadouma 2. Fontem-Sanchou 7. Wouri 3. Bafia-Bokito-Ombessa 8. Bipindi 4. Akonolinga-Ayos 9. Campo 5. Doumé Present situation4 4Human African Trypanosomiasis (sleeping sickness): epidemiological update. Weekly Epidemiological Record, 2006 Feb; 81(8):71-80. WHO, Human African Trypanosomiasis Surveillance and Control Programme. Transmission is occurring in the Région du Sud which Cameroon reported cases 1990-2005 and the 10 years exponential tendency curve includes Bipindi and Campo foci, in the Région du Sud- Ouest, Fontem and Manfé foci and in the Région de 60 l’Est, the Doumé focus.
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