Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo
Fifty years after the last report of Mycobacterium ulcerans infections (Buruli ulcer [BU]) in Kasongo Territory, Maniema Province, Democratic Republic of Congo (DRC), we conducted a small-scale cross-sectional survey to assess if this historical BU focus was still active and if so to explore the dis...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2009-11, Vol.81 (5), p.888-894 |
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| container_title | The American journal of tropical medicine and hygiene |
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| creator | Suykerbuyk, Patrick Wambacq, Julie Phanzu, Delphin M Haruna, Hemedi Nakazawa, Yoshinori Ooms, Kristien Kamango, Kalambo Stragier, Pieter Singa, Jackie N Ekwanzala, Florent De Herdt, Eric De Maeyer, Philippe Kestens, Luc Portaels, Francoise |
| description | Fifty years after the last report of Mycobacterium ulcerans infections (Buruli ulcer [BU]) in Kasongo Territory, Maniema Province, Democratic Republic of Congo (DRC), we conducted a small-scale cross-sectional survey to assess if this historical BU focus was still active and if so to explore the disease epidemiology. Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. There is a need in the DRC to decentralize and integrate surveillance and control activities at local level to increase the effectiveness of patient management. |
| doi_str_mv | 10.4269/ajtmh.2009.09-0049 |
| format | Article |
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Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. 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Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. There is a need in the DRC to decentralize and integrate surveillance and control activities at local level to increase the effectiveness of patient management.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Buruli Ulcer - epidemiology</subject><subject>Child</subject><subject>Democratic Republic of the Congo - epidemiology</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium ulcerans</subject><subject>Sex Characteristics</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFDEUhgdR7Fr9A15IbhQFZz352Hxc6tZasaJIex0y2TPdlJnJmsyw7G_wT5tpF3spHMiB85wXcp6qeklhKZg0H9zt2G-XDMAswdQAwjyqFlQoWVMpVo-rBQCw2kiuTqpnOd8CUM0ofVqdUKMllUwtqj8_MeWQRxw8ktiS7wcfG-dHTGHqydR5TG7I5CxkdBnJ209TmrpArufBOxIGMm6RXJSAmIJ3HTmPfspz0DeX43ATyRWmFMr08P4OPcM--uTG4Mkv3E1NV5pCr2f2efWkdV3GF8f3tLo-_3y1vqgvf3z5uv54WXvB5Vi3TGklhVSg-cbjBhWV3CFTgoNolEIuPWjDG16usIJGcWE4sA0yRlsAxU-rN_e5uxR_T5hH24fssevcgHHKVkopQEj-X5BRpiQ1poDsHvQp5pywtbsUepcOloKdXdk7V3Z2ZecqrsrSq2P61PS4eVg5yinA6yPgcrltW0z4kP9xjMvys5V-4LbhZrsPCW3uXdeVWGr3-72mdmW11vwvSrKqrQ</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Suykerbuyk, Patrick</creator><creator>Wambacq, Julie</creator><creator>Phanzu, Delphin M</creator><creator>Haruna, Hemedi</creator><creator>Nakazawa, Yoshinori</creator><creator>Ooms, Kristien</creator><creator>Kamango, Kalambo</creator><creator>Stragier, Pieter</creator><creator>Singa, Jackie N</creator><creator>Ekwanzala, Florent</creator><creator>De Herdt, Eric</creator><creator>De Maeyer, Philippe</creator><creator>Kestens, Luc</creator><creator>Portaels, Francoise</creator><general>ASTMH</general><general>American Society of Tropical Medecine and Hygiene</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo</title><author>Suykerbuyk, Patrick ; 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| subjects | Adolescent Adult Age Distribution Aged Bacterial diseases Biological and medical sciences Buruli Ulcer - epidemiology Child Democratic Republic of the Congo - epidemiology Female Human bacterial diseases Humans Infectious diseases Male Medical sciences Middle Aged Mycobacterium ulcerans Sex Characteristics Tuberculosis and atypical mycobacterial infections Young Adult |
| title | Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo |
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