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Evaluating the impact of targeting livestock for the prevention of human and animal trypanosomiasis,at village level,in districts newly affected with *** in Uganda

引用

Infectious Diseases of Poverty 2017年第1期6卷 128-139页

作者： Louise Hamill Kim Picozzi Jenna Fyfe beatrix von wissmann Sally Wastling Nicola Wardrop Richard Selby Christine Amongi Acup Kevin L.Bardosh Dennis Muhanguzi John D.Kabasa Charles Waiswa Susan C.Welburn Edinburgh Infectious Diseases Division of Infection and Pathway MedicineEdinburgh Medical School:Biomedical SciencesThe University of EdinburghChancellor’s Building49 Little France CrescentEdinburgh EH164SBUK Department of Pharmacy Clinical and Comparative MedicineSchool of Veterinary Medicine and Animal ResourcesMakerere UniversityP.O.Box 7062KampalaUganda The Coordinating Office for Control of Trypanosomiasis in Uganda(COCTU) WandegeyaPlot 76/78 Buganda RoadP.O.Box 16345KampalaUganda

Background:Uganda has suffered from a series of epidemics of Human African Trypanosomiasis(HAT),a tsetse transmitted disease,also known as sleeping *** area affected by acute Trypanosoma brucei rhodesiense HAT(rHAT)has been expanding,driven by importation of infected cattle into regions previously free of the *** regions are also affected by African Animal Trypanosomiasis(AAT)demanding a strategy for integrated disease ***:In 2008,the Public Private Partnership,Stamp Out Sleeping Sickness(SOS)administered a single dose of trypanocide to 31486 head of cattle in 29 parishes in Dokolo and Kaberamaido *** study examines the impact of this intervention on the prevalence of rHAT and AAT trypanosomes in cattle from villages that had(HAT^(+ve))or had not(HAT^(-ve))experienced a recent case of *** herds from 20 villages were sampled and screened by PCR,pre-intervention and 6-months post-intervention,for the presence or absence of:Trypanosoma brucei s.l.;human infective ***;Trypanosoma vivax;and Trypanosoma congolense ***:Post-intervention,there was a significant decrease in the prevalence of *** *** the human infective sub-species *** in village cattle across all 20 *** prevalence of *** was reduced from 2.4%to 0.74%(P<0.0001),with the intervention showing greater impact in HAT^(-ve) *** number of villages containing cattle harbouring human infective parasites decreased from 15/20 to 8/20,with *** infection mainly persisting within cattle in HAT^(+ve) villages(six/eight).The proportion of *** *** identified as human infective *** decreased after the intervention from 8.3%(95%CI=11.1-5.9%)to 4.1%(95%CI=6.8-2.3%).Villages that had experienced a recent human case(HAT^(+ve) villages)showed a significantly higher prevalence for AAT both pre-and *** AAT the prevalence of *** was significantly red

关键词： African animal trypanosomiasis(AAT) Human African trypanosomiasis(HAT) Sleeping sickness Trypanosma brucei rhodesiense HAT(rHAT) Uganda T.b.brucei T.b.rhodesiense

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