Impact of the Ebola outbreak on Trypanosoma brucei gambiense infection medical activities in coastal Guinea, 2014-2015: A retrospective analysis from the Guinean national Human African Trypanosomiasis control program.
Mariame CamaraEric OuattaraAlexandre DuvignaudRené MiglianiOumou CamaraMamadou LenoPhilippe SolanoBruno BuchetonMamadou CamaraDenis MalvyPublished in: PLoS neglected tropical diseases (2017)
The 2014-2015 Ebola outbreak deeply impacted HAT screening activities in Guinea. Active screening campaigns were stopped. Passive screening dramatically decreased during the Ebola period, but trends could not be compared with pre-Ebola period (data not available). Few patients were diagnosed with more advanced HAT during the Ebola period and retention rates in follow-up were lowered. The drop in newly diagnosed HAT cases during Ebola epidemic is unlikely due to a fall in HAT incidence. Even if we were unable to demonstrate it directly, it is much more probably the consequence of hampered screening activities and of the fear of the population on subsequent confirmation and linkage to care. Reinforced program monitoring, alternative control strategies and sustainable financial and human resources allocation are mandatory during post Ebola period to reduce HAT burden in Guinea.
Keyphrases
- newly diagnosed
- quality improvement
- endothelial cells
- healthcare
- end stage renal disease
- risk factors
- chronic kidney disease
- ejection fraction
- climate change
- gene expression
- machine learning
- genome wide
- heavy metals
- pluripotent stem cells
- prognostic factors
- risk assessment
- chronic pain
- hepatitis c virus
- prefrontal cortex
- tissue engineering
- pain management