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The complex health seeking pathway of a human African trypanosomiasis patient in Côte d'Ivoire underlines the need of setting up passive surveillance systems.

Minayégninrin KonéEmmanuel Kouassi N'GouanDramane KabaMathurin KoffiLingué KouakouLouis N'DriCyrille Mambo KouaméValentin Kouassi NananGossé Apollinaire TapéBamoro CoulibalyFabrice CourtinBernadin Ahouty AhoutyVincent DjohanBruno BuchetonPhilippe SolanoPhilippe BüscherVeerle LejonVincent Jamonneau
Published in: PLoS neglected tropical diseases (2020)
This description illustrates the complexity of detecting the last HAT cases due to complex diagnosis and the progressive disinterest and unawareness by both health professionals and the population. It confirms the need of implementing passive surveillance in combination with continued sensitization and health staff training.
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