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PAAT = Programme Against African Trypanosomiasis (i.e. sleeping sickness)
PAAT = Programme Against African Trypanosomiasis (i.e. sleeping sickness).
African trypanosomiasis is an inherently multiscale human-animal-environment problem, with a spatially and environmentally constrained vector, a transnational disease distribution, two distinct disease strains (East and West African), innumerable human and animal reservoirs, and entrenched socio-cultural barriers and policy challenges. Colloquially known as 'sleeping sickness' and 'Nagana' in animals, African trypanosomiasis is a parasitic infection caused by pathogenic protozoa of the genus Trypanosoma. The parasite is transmitted through the salivary glands of tsetse fly during a blood meal. African trypanosomiasis is a major neglected tropical disease endemic to 36 countries in sub-Saharan Africa. Neglected tropical diseases are communicable, viral, parasitic, and bacterial infections that mainly affect poor people. Worldwide, neglected tropical diseases are not allotted the resources necessary to control and eradicate them. As a neglected tropical disease, African trypanosomiasis is given a lower global health priority which hinders control program effectiveness. Despite decades of research to control tsetse, trypanosomiasis continues to threaten the health and well-being of people and animals across sub-Saharan Africa. Compounded by resource constraints for control efforts, African trypanosomiasis is also poorly understood, severely underreported, often misdiagnosed, and fatal. The disease has a case fatality rate of nearly 100%, if untreated. While treatment is available, they are often expensive and toxic. Annual deaths attributed to African trypanosomiasis have a compounding impact across human and animal populations and the landscape. An estimated 60 million Africans and countless livestock are at risk of the infection, illuminating the need for risk reduction approaches to mitigate exposure. This dissertation examines tsetse and African trypanosomiasis control from an interdisciplinary perspective, combining health geography, disease ecology, diffusion of disease epidemiology, development economics, and global health policy. As a more general contribution, this dissertation presents a framework for addressing vector-host problems, using a multifaceted risk reduction and control strategy, innovative methodologies, and community participation to increase long-term success.
Human African trypanosomiasis or sleeping sickness is caused by infection with the morphologically indistinguishable subspecies Trypanosoma brucei rhodesiense (in East and Southern Africa) and Trypanosoma brucei gambiense (in West and Central Africa). The disease is presently almost under control and less than 4000 cases are currently reported. In both, T. b. rhodesiense and T. b. gambiense infection, after the injection of infective metacyclic trypanosomes with tsetse fly vector saliva, the parasites establish in the skin, differentiate to the bloodstream stage and spread via the local draining lymph node into the vascular system. In this book, Chapter One presents an overview of the current epidemiology, clinical features, diagnosis and treatment options. Chapter Two provides an in-depth review of diagnostic methods for African trypanosomiasis. Chapter Three discusses the use of aminoadamantane derivatives against Trypanosoma brucei.
The sterile insect technique (SIT) is an environment-friendly method of pest control that integrates well into area-wide integrated pest management (AW-IPM) programmes. This book takes a generic, thematic, comprehensive, and global approach in describing the principles and practice of the SIT. The strengths and weaknesses, and successes and failures, of the SIT are evaluated openly and fairly from a scientific perspective. The SIT is applicable to some major pests of plant-, animal-, and human-health importance, and criteria are provided to guide in the selection of pests appropriate for the SIT. In the second edition, all aspects of the SIT have been updated and the content considerably expanded. A great variety of subjects is covered, from the history of the SIT to improved prospects for its future application. The major chapters discuss the principles and technical components of applying sterile insects. The four main strategic options in using the SIT — suppression, containment, prevention, and eradication — with examples of each option are described in detail. Other chapters deal with supportive technologies, economic, environmental, and management considerations, and the socio-economic impact of AW-IPM programmes that integrate the SIT. In addition, this second edition includes six new chapters covering the latest developments in the technology: managing pathogens in insect mass-rearing, using symbionts and modern molecular technologies in support of the SIT, applying post-factory nutritional, hormonal, and semiochemical treatments, applying the SIT to eradicate outbreaks of invasive pests, and using the SIT against mosquito vectors of disease. This book will be useful reading for students in animal-, human-, and plant-health courses. The in-depth reviews of all aspects of the SIT and its integration into AW-IPM programmes, complete with extensive lists of scientific references, will be of great value to researchers, teachers, animal-, human-, and plant-health practitioners, and policy makers.
This state-of-the-art reference book includes comprehensive coverage of the biology and control of African, Asian and South American trypanosomiasis ("sleeping sickness") in man and animals. It describes recent research developments in the biology and molecular biology of trypanosomes (the protozoan parasite) and their vectors, and methods in diagnosis and control, such as trapping tsetse fly vectors. Different sections of the book are devoted to biology of trypanosomes, vector biology, epidemiology and diagnosis, pathogenesis, disease impact, chemotherapy and disease control, and vector control. The book contains contributions from leading experts from Europe, North and South America, and Africa.
Human African Trypaniosomiasis (HAT) or sleeping sickness is an old disease to be now considered as reemergent. HAT is endemic in 36 sub-Saharan African countries, in areas where tsetse flies are found. The public health importance of HAT is underestimated, but the disease causes severe social disruption in many rural areas. Along the past fifteen years, numerous studies were made, and now, the mechanisms involved in the disease pathogenesis and in the characteristics of sleep-wake disruption become to be better understood. But, since 50 years, when current drugs were introduced, problems regarding HAT chemotherapy have not been solved. Nevertheless, in-depth studies about trypanosome metabolism have permitted to discover new drug targets. Written by specialists who are very experienced in their respective fields, the contributions provide an indispensable tool for practitioners and scientists.
Prevent, evaluate, and manage diseases that can be acquired in tropical environments and foreign countries with The Travel and Tropical Medicine Manual. This pragmatic resource equips medical providers with the knowledge they need to offer effective aid, covering key topics in pre- and post-travel medicine, caring for immigrants and refugees, and working in low-resource settings. It's also the perfect source for travelers seeking quick, easy access to the latest travel medicine information. - Dynamic images illustrate key concepts for an enhanced visual understanding. - Evidence-based treatment recommendations enable you to manage diseases confidently. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. - Evidence-based appendix, available at Expert Consult, helps to validate treatments. - Highlights new evidence and content surrounding mental health and traveling. - Covers emerging hot topics such as Ebola virus disease, viral hemorrhagic fevers, the role of point-of-care testing in travel medicine, and antibiotic-resistant bacteria in returning travelers and students traveling abroad. - Includes an enhanced drug appendix in the back of the book.
A case-study in the history of sleeping sickness, relating it to the western 'civilising mission'.
One Health, the concept of combined veterinary and human health, has now expanded beyond emerging infectious diseases and zoonoses to incorporate a wider suite of health issues. Retaining its interdisciplinary focus which combines theory with practice, this new edition illustrates the contribution of One Health collaborations to real-world issues such as sanitation, economics, food security and vaccination programmes. It includes more non-infectious disease issues and climate change discussion alongside revised case studies and expanded methodology chapters to draw out implications for practice. Promoting an action-based, solutions-oriented approach, One Health: The Theory and Practice of Integrated Health Approaches highlights the lessons learned for both human and animal health professionals and students.