ABSTRACTS OF THE ANNUAL MEETING ON BURULI ULCER 14–17 March 2005 WHO headquarters Geneva, Switzerland 1 ABSTRACTS OF THE ANNUAL MEETING ON BURULI ULCER 14–17 March 2005 WHO headquarters Geneva, Switzerland i © World Health Organization 2006 All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The named authors alone are responsible for the views expressed in this publication. ii CONTENTS General Information .....................................................................................................................................1 Buruli ulcer prevalence survey in the northern departments of Benin (Presenter: Dr C. Johnson).......3 Preliminary findings of the national survey on Buruli ulcer in the Democratic Republic of the Congo: lessons learnt (Presenter: Dr A. Kibadi Kapay) .........................................................................................7 Preliminary results of a national survey on Buruli ulcer in Cameroon (Presenter: Dr A. Um Boock) ..8 Mycobacterium ulcerans infection in French Guyana, 2004 (Presenter: Dr P. Couppié) ....................11 Noteworthy action by ANESVAD in 2004 as part of the Buruli ulcer control effort (Presenter: Ms Verónica Malda) ..................................................................................................................................13 Surgical and POD training supported by American Leprosy Missions in Ashanti Region, Ghana: conclusions from a recent evaluation (Presenter: Dr P. Saunderson)...................................................16 The Association Française Raoul Follereau: 10 years’ partnership in Buruli ulcer control, 1995–2005 (Presenter: Mr J.-M. Rondot) ....................................................................................................................17 Contribution made by the Swiss Leprosy Relief Association to the Buruli ulcer control effort in Cameroon since 2002 (Presenter: Dr A. Um Boock)..............................................................................19 Implementation of experimental hyperbaric oxygen therapy as treatment for Buruli ulcer at the Allada hospital in Benin (Presenter: Dr F. Poggio) .............................................................................................22 Health-seeking determinants of patients with Buruli ulcer in Benin (Presenter: Ms A. A. Mulder)......23 Buruli ulcer: village follow-up of treated patients in rural Benin (Presenter: Prof. F. Portaels) ............24 Treatment of Buruli ulcer with the combination of rifampicin and streptomycin in Benin (Presenter: Dr A. Chauty) ..............................................................................................................................................25 Economic burden of Buruli ulcer In Ghana, 2001-2003 (Presenter: Mr G. Mumma) ...........................26 Buruli ulcer laboratory network: How a diagnostic system operates in Ghana (Presenter: Dr G. Bretzel)..............................................................................................................................................28 The ecology of Mycobacterium ulcerans: aquatic food webs and water quality relationships (Presenter: Prof. R. Merritt).......................................................................................................................31 The complete genome sequence of Mycobacterium ulcerans strain Agy99 (Presenter: Dr T. Stinear) .....................................................................................................................................................................32 Report on Buruli ulcer control activities for the year 2004 and outlook for 2005 in Benin (Presenter: Dr C. Johnson) ...........................................................................................................................................34 The Buruli ulcer situation in Burkina Faso (Presenter: Dr C. Kafando).................................................42 The Buruli ulcer control situation in Cameroon (Presenter: Dr C. Nsom Mba) .....................................44 The Buruli ulcer situation in the Republic of the Congo (Presenter: Dr D. Obvala)..............................46 Buruli ulcer control in Côte d’Ivoire (Presenter: Dr M. Diabaté) .............................................................49 Epidemiological situation in the Democratic Republic of the Congo (Presenter: Dr A. Kibadi Kapay) .....................................................................................................................................................................53 The Buruli ulcer situation in Gabon (Presenter: Dr L. Bayonne Manou) ...............................................55 iii Report on Buruli ulcer control activities in Ghana in 2004 (Presenter: Dr E. Ampadu)........................58 Overview of Buruli ulcer control in Guinea in 2004 (Presenter: Dr A. M. Bangoura)............................60 Mycobacterium ulcerans in Papua New Guinea in 2004 (Presenter: Sister Joseph)...........................67 Summary of Buruli ulcer planned activities in South Sudan (Presenter: Dr I. Sindani)........................71 Prevalence of Buruli ulcer disease in Adjumani District, Uganda, in 2004 (Presenter: Dr H. Wabinga) .....................................................................................................................................................................73 How to evaluate the efficacy of hyperbaric oxygen therapy (HOT) in Mycobacterium ulcerans disease: The HOT project in the CDTUB of Allada, Benin (Presenter: Dr G. Leigheb) .......................75 Telepathology: support for the HOT (hyperbaric oxygen therapy) project in the Allada Hospital of Benin (Presenter: Dr C. Clemente)...........................................................................................................76 Vacutex™: a capillary dressing to improve the treatment of Buruli ulcer patients (Presenter: Mrs A. Doran) .............................................................................................................................................77 The role of surgical missions in the management of Buruli ulcer in Côte d'Ivoire (Presenter: Prof. H. Assé) .............................................................................................................................................78 The role of volunteer surgeons in Buruli ulcer control (Presenter: Dr R. Zilliox)...................................82 Basic plastic surgery skills for district/community doctors to manage Buruli ulcer patients in Ghana (Presenter: Dr P. Agbernorku) ..................................................................................................................85 WHO essential surgical care rraining tools linked to Buruli ulcer (Presenter: Dr M. Nathan Cherian) .....................................................................................................................................................................86 Training modules on the management of Buruli ulcer control programme at the health district level..... (Presenter: Dr A. Tiendrebeogo) .............................................................................................................87 Interactive web-based learning courses on Mycobacterium ulcerans infection (Presenter: Dr S. Deepak) .............................................................................................................................................90 Training of doctors from endemic countries in basic plastic surgery to manage Buruli ulcer (Presenter: Prof. H. Assé) .........................................................................................................................91 The role of training in the prevention of disabilities from Buruli ulcer (Presenter: Ms V. Simonet) .....92 Prevention of disability in people with Buruli ulcer: the development of a manual for field use (Presenter: Mrs L. Lehman) ......................................................................................................................93 Presentation of a handbook illustrated by photographs on Buruli ulcer prevention and rehabilitation techniques (Presenter: Mr F. Bonifacio)...................................................................................................95 Willingness-to-pay for a hypothetical drug for treating Buruli ulcer, Ghana, 2003 (Presenter: Dr G. Mumma)............................................................................................................................................97