Dissemin is shutting down on January 1st, 2025

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Centers for Disease Control and Prevention, Emerging Infectious Diseases, 9(11), p. 1382-1388, 2005

DOI: 10.3201/eid1109.041020

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Trypanosomiasis Control, Democratic Republic of Congo, 1993–2003

Journal article published in 2005 by Pascal Lutumba, Jo Robays, Constantin Miaka mia Bilenge, C. Miaka mia Bilenge, V. K. Betu Ku Mesu, Victor Kande Betu Ku Mesu, Didier Molisho, Johan Declercq, Wim Van der Veken, Filip Meheus, Jean Jannin, Marleen Boelaert ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

In the Democratic Republic of Congo (DRC), human African trypanosomiasis (HAT) reached unprecedented levels in the 1990s. To assess recent trends and evaluate control efforts, we analyzed epidemiologic and financial data collected by all agencies involved in HAT control in DRC from 1993 to 2003. Funds allocated to control populations, as well as to the population screened, doubled from 1993 to 1997 and from 1998 to 2003. The number of cases detected decreased from 26,000 new cases per year in 1998 to 11,000 in 2003. Our analysis shows that HAT control in DRC is almost completely dependent on international aid and that sudden withdrawal of such aid in 1990 had a long-lasting effect. Since 1998, control efforts intensified because of renewed donor interest, including a public-private partnership, and this effort led to a major reduction in HAT incidence. To avoid reemergence of this disease, such efforts should be sustained.