Challenges of controlling sleeping sickness in areas of violent conflict: experience in the Democratic Republic of Congo.
AffiliationMédecins Sans Frontières, Rue de Lausanne 78, 1211 Geneva, Switzerland. firstname.lastname@example.org.
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JournalConflict and Health
AbstractHuman 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.