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Do cryptic reservoirs threaten Gambiense-sleeping sickness elimination ?

Philippe Büscher 1, * Jean-Mathieu Bart 2, 3 Marleen Boelaert 1 Bruno Bucheton 2 Giuliano Cecchi 4 Nakul Chitnis 5, 6 David Courtin 7 Luisa Figueiredo 8 José-Ramon Franco 9 Pascal Grébaut 2 Epco Hasker 1 Hamidou Ilboudo 10 Vincent Jamonneau 2 Mathurin Koffi 11 Veerle Lejon 2 Annette Macleod 12 Justin Masumu 13 Enock Matovu 14 Raffaele Mattioli 15 Harry Noyes 16 Albert Picado 17 Kat Rock 18 Brice Rotureau 19 Gustave Simo 20 Sophie Thevenon 2 Sandra Trindade 8 Philippe Truc 2 Nick van Reet 1
Abstract : Trypanosoma brucei gambiense causes human African trypanosomiasis (HAT). Between 1990 and 2015, almost 440000 cases were reported. Large-scale screening of populations at risk, drug donations, and efforts by national and international stakeholders have brought the epidemic under control with <2200 cases in 2016. The World Health Organization (WHO) has set the goals of gambiense-HAT elimination as a public health problem for 2020, and of interruption of transmission to humans for 2030. Latent human infections and possible animal reservoirs may challenge these goals. It remains largely unknown whether, and to what extend, they have an impact on gambiense-HAT transmission. We argue that a better understanding of the contribution of human and putative animal reservoirs to gambiense-HAT epidemiology is mandatory to inform elimination strategies.
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Philippe Büscher, Jean-Mathieu Bart, Marleen Boelaert, Bruno Bucheton, Giuliano Cecchi, et al.. Do cryptic reservoirs threaten Gambiense-sleeping sickness elimination ?. Trends in Parasitology, Elsevier, 2018, 34 (3), pp.197 - 207. ⟨10.1016/j.pt.2017.11.008⟩. ⟨pasteur-01849812⟩

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