Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Challenges of controlling sleeping sickness in areas of violent conflict: experience in the Democratic Republic of Congo. | Tong et al. Conflict and Health 2011 5 7 http content 5 1 7 CONFLICT AND HEALTH DEBATE Open Access Challenges of controlling sleeping sickness in areas of violent conflict experience in the Democratic Republic of Congo Jacqueline Tong1 Olaf Valverde2 Claude Mahoudeau1 Oliver Yun1 and Frangois Chappuis1 3 Abstract Background Human African trypanosomiasis HAT or sleeping sickness is a fatal neglected tropical disease if left untreated. HAT primarily affects people living in rural sub-Saharan Africa often in regions afflicted by violent conflict. Screening and treatment of HAT is complex and resource-intensive and especially difficult in insecure resource-constrained settings. The country with the highest endemicity of HAT is the Democratic Republic of Congo DRC which has a number of foci of high disease prevalence. We present here the challenges of carrying out HAT control programmes in general and in a conflict-affected region of DRC. We discuss the difficulties of measuring disease burden medical care complexities waning international support and research and development barriers for HAT. Discussion In 2007 Médecins Sans Frontieres MSF began screening for HAT in the Haut-Uélé and Bas-Uélé districts of Orientale Province in northeastern DRC an area of high prevalence affected by armed conflict. Through early 2009 HAT prevalence rate of was found reaching 10 in some villages. More than 46 000 patients were screened and 1 570 treated for HAT during this time. In March 2009 two treatment centres were forced to close due to insecurity disrupting patient treatment follow-up and transmission-control efforts. One project was reopened in December 2009 when the security situation improved and another in late 2010 based on concerns that population displacement might reactivate historic foci. In all of 2010 770 patients were treated at these sites despite a limited geographical range of action for the mobile teams. Summary In conflict settings .
