Monitoring the elimination of human African trypanosomiasis at continental and country level: Update to 2018
In 2012 human African trypanosomiasis (HAT), also known as sleeping sickness, was targeted for elimination as a public health problem, set to be achieved by 2020. The World Health Organization (WHO) provides here the 2018 update on the progress made toward that objective. Global indicators are revie...
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| Veröffentlicht in: | PLoS neglected tropical diseases 2020-05, Vol.14 (5), p.e0008261-e0008261 |
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| creator | Franco, José R Cecchi, Giuliano Priotto, Gerardo Paone, Massimo Diarra, Abdoulaye Grout, Lise Simarro, Pere P Zhao, Weining Argaw, Daniel |
| description | In 2012 human African trypanosomiasis (HAT), also known as sleeping sickness, was targeted for elimination as a public health problem, set to be achieved by 2020. The World Health Organization (WHO) provides here the 2018 update on the progress made toward that objective. Global indicators are reviewed, in particular the number of reported cases and the areas at risk. Recently developed indicators for the validation of HAT elimination at the national level are also presented.
With 977 cases reported in 2018, down from 2,164 in 2016, the main global indicator of elimination is already well within the 2020 target (i.e. 2,000 cases). Areas at moderate or higher risk (i.e. ≥ 1 case/10,000 people/year) are also steadily shrinking (less than 200,000 km2 in the period 2014-2018), thus nearing the 2020 target [i.e. 90% reduction (638,000 km2) from the 2000-2004 baseline (709,000 km2)]. Health facilities providing diagnosis and treatment of gambiense HAT continued to increase (+7% since the previous survey), with a better coverage of at-risk populations. By contrast, rhodesiense HAT health facilities decreased in number (-10.5%) and coverage. At the national level, eight countries meet the requirements to request validation of gambiense HAT elimination as a public health problem (i.e. Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Ghana, Mali, Rwanda, and Togo), while for other endemic countries more efforts are needed in surveillance, control, or both.
The 2020 goal of HAT elimination as a public health problem is within grasp, and eligible countries are encouraged to request validation of their elimination status. Beyond 2020, the HAT community must gear up for the elimination of gambiense HAT transmission (2030 goal), by preparing for both the expected challenges (e.g. funding, coordination, integration of HAT control into regular health systems, development of more adapted tools, cryptic trypanosome reservoirs, etc.) and the unexpected ones. |
| doi_str_mv | 10.1371/journal.pntd.0008261 |
| format | Article |
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With 977 cases reported in 2018, down from 2,164 in 2016, the main global indicator of elimination is already well within the 2020 target (i.e. 2,000 cases). Areas at moderate or higher risk (i.e. ≥ 1 case/10,000 people/year) are also steadily shrinking (less than 200,000 km2 in the period 2014-2018), thus nearing the 2020 target [i.e. 90% reduction (638,000 km2) from the 2000-2004 baseline (709,000 km2)]. Health facilities providing diagnosis and treatment of gambiense HAT continued to increase (+7% since the previous survey), with a better coverage of at-risk populations. By contrast, rhodesiense HAT health facilities decreased in number (-10.5%) and coverage. At the national level, eight countries meet the requirements to request validation of gambiense HAT elimination as a public health problem (i.e. Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Ghana, Mali, Rwanda, and Togo), while for other endemic countries more efforts are needed in surveillance, control, or both.
The 2020 goal of HAT elimination as a public health problem is within grasp, and eligible countries are encouraged to request validation of their elimination status. Beyond 2020, the HAT community must gear up for the elimination of gambiense HAT transmission (2030 goal), by preparing for both the expected challenges (e.g. funding, coordination, integration of HAT control into regular health systems, development of more adapted tools, cryptic trypanosome reservoirs, etc.) and the unexpected ones.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0008261</identifier><identifier>PMID: 32437391</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>African trypanosomiasis ; Biology and Life Sciences ; Control ; Countries ; Disease ; Distribution ; Financing ; Forecasts and trends ; Funding ; Health care facilities ; Health surveillance ; Indicators ; Medicine and Health Sciences ; NGOs ; Nongovernmental organizations ; People and Places ; Public health ; Risk ; Surveying ; Transmission ; Tropical diseases ; Trypanosome ; Trypanosomiasis ; Vector-borne diseases</subject><ispartof>PLoS neglected tropical diseases, 2020-05, Vol.14 (5), p.e0008261-e0008261</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Franco et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Franco et al 2020 Franco et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c690t-12b02ebf8a74098e1faadb17a5981fc58b3b249985c1cd490380dbafd159c56a3</citedby><cites>FETCH-LOGICAL-c690t-12b02ebf8a74098e1faadb17a5981fc58b3b249985c1cd490380dbafd159c56a3</cites><orcidid>0000-0001-7498-6333</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241700/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241700/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32437391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Matovu, Enock</contributor><creatorcontrib>Franco, José R</creatorcontrib><creatorcontrib>Cecchi, Giuliano</creatorcontrib><creatorcontrib>Priotto, Gerardo</creatorcontrib><creatorcontrib>Paone, Massimo</creatorcontrib><creatorcontrib>Diarra, Abdoulaye</creatorcontrib><creatorcontrib>Grout, Lise</creatorcontrib><creatorcontrib>Simarro, Pere P</creatorcontrib><creatorcontrib>Zhao, Weining</creatorcontrib><creatorcontrib>Argaw, Daniel</creatorcontrib><title>Monitoring the elimination of human African trypanosomiasis at continental and country level: Update to 2018</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>In 2012 human African trypanosomiasis (HAT), also known as sleeping sickness, was targeted for elimination as a public health problem, set to be achieved by 2020. The World Health Organization (WHO) provides here the 2018 update on the progress made toward that objective. Global indicators are reviewed, in particular the number of reported cases and the areas at risk. Recently developed indicators for the validation of HAT elimination at the national level are also presented.
With 977 cases reported in 2018, down from 2,164 in 2016, the main global indicator of elimination is already well within the 2020 target (i.e. 2,000 cases). Areas at moderate or higher risk (i.e. ≥ 1 case/10,000 people/year) are also steadily shrinking (less than 200,000 km2 in the period 2014-2018), thus nearing the 2020 target [i.e. 90% reduction (638,000 km2) from the 2000-2004 baseline (709,000 km2)]. Health facilities providing diagnosis and treatment of gambiense HAT continued to increase (+7% since the previous survey), with a better coverage of at-risk populations. By contrast, rhodesiense HAT health facilities decreased in number (-10.5%) and coverage. At the national level, eight countries meet the requirements to request validation of gambiense HAT elimination as a public health problem (i.e. Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Ghana, Mali, Rwanda, and Togo), while for other endemic countries more efforts are needed in surveillance, control, or both.
The 2020 goal of HAT elimination as a public health problem is within grasp, and eligible countries are encouraged to request validation of their elimination status. Beyond 2020, the HAT community must gear up for the elimination of gambiense HAT transmission (2030 goal), by preparing for both the expected challenges (e.g. funding, coordination, integration of HAT control into regular health systems, development of more adapted tools, cryptic trypanosome reservoirs, etc.) and the unexpected ones.</description><subject>African trypanosomiasis</subject><subject>Biology and Life Sciences</subject><subject>Control</subject><subject>Countries</subject><subject>Disease</subject><subject>Distribution</subject><subject>Financing</subject><subject>Forecasts and trends</subject><subject>Funding</subject><subject>Health care facilities</subject><subject>Health surveillance</subject><subject>Indicators</subject><subject>Medicine and Health Sciences</subject><subject>NGOs</subject><subject>Nongovernmental organizations</subject><subject>People and Places</subject><subject>Public health</subject><subject>Risk</subject><subject>Surveying</subject><subject>Transmission</subject><subject>Tropical diseases</subject><subject>Trypanosome</subject><subject>Trypanosomiasis</subject><subject>Vector-borne 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tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>14</volume><issue>5</issue><spage>e0008261</spage><epage>e0008261</epage><pages>e0008261-e0008261</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>In 2012 human African trypanosomiasis (HAT), also known as sleeping sickness, was targeted for elimination as a public health problem, set to be achieved by 2020. The World Health Organization (WHO) provides here the 2018 update on the progress made toward that objective. Global indicators are reviewed, in particular the number of reported cases and the areas at risk. Recently developed indicators for the validation of HAT elimination at the national level are also presented.
With 977 cases reported in 2018, down from 2,164 in 2016, the main global indicator of elimination is already well within the 2020 target (i.e. 2,000 cases). Areas at moderate or higher risk (i.e. ≥ 1 case/10,000 people/year) are also steadily shrinking (less than 200,000 km2 in the period 2014-2018), thus nearing the 2020 target [i.e. 90% reduction (638,000 km2) from the 2000-2004 baseline (709,000 km2)]. Health facilities providing diagnosis and treatment of gambiense HAT continued to increase (+7% since the previous survey), with a better coverage of at-risk populations. By contrast, rhodesiense HAT health facilities decreased in number (-10.5%) and coverage. At the national level, eight countries meet the requirements to request validation of gambiense HAT elimination as a public health problem (i.e. Benin, Burkina Faso, Cameroon, Côte d'Ivoire, Ghana, Mali, Rwanda, and Togo), while for other endemic countries more efforts are needed in surveillance, control, or both.
The 2020 goal of HAT elimination as a public health problem is within grasp, and eligible countries are encouraged to request validation of their elimination status. Beyond 2020, the HAT community must gear up for the elimination of gambiense HAT transmission (2030 goal), by preparing for both the expected challenges (e.g. funding, coordination, integration of HAT control into regular health systems, development of more adapted tools, cryptic trypanosome reservoirs, etc.) and the unexpected ones.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32437391</pmid><doi>10.1371/journal.pntd.0008261</doi><orcidid>https://orcid.org/0000-0001-7498-6333</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | African trypanosomiasis Biology and Life Sciences Control Countries Disease Distribution Financing Forecasts and trends Funding Health care facilities Health surveillance Indicators Medicine and Health Sciences NGOs Nongovernmental organizations People and Places Public health Risk Surveying Transmission Tropical diseases Trypanosome Trypanosomiasis Vector-borne diseases |
| title | Monitoring the elimination of human African trypanosomiasis at continental and country level: Update to 2018 |
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