The impact of war on the evolution of sleeping sickness in west-central Cote d'Ivoire
The impact of war on the evolution of sleeping sickness in west-central Cote d'Ivoire
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DOI：
10.1111/j.1365-3156.2005.01549.x
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发表时间：
2006-02-01
影响因子：
3.3
通讯作者：
Solano, P
中科院分区：
文献类型：
--
作者：
Kaba, D;Dje, NN;Solano, P
为了解科特迪瓦中西部地区2000-2003年昏睡病的发病情况，针对2002年9月爆发的战争，通过医疗队的主动调查和被动病例发现，在2000-2003年间共诊断出昏睡病患者250例。起初，自从政治动乱开始以来，昏睡病的患病率似乎有所下降。但这一明显的下降是由于人口覆盖率较低。参与医学调查的人数因族裔群体而异，反映了族裔社区之间的土地使用冲突。这类冲突在这一地区很常见，但战争加剧了这种冲突。在战争中，仅通过医学调查来评估昏睡病的重要性是非常困难的。但通过被动监测发现的昏睡病病例有所增加。
To evaluate the situation of sleeping sickness in west-central Cote d'Ivoire from 2000 to 2003, in view of the war which broke out in September 2002.Active surveys by medical teams and passive case detection.Between 2000 and 2003, 250 patients were diagnosed with sleeping sickness. At first it appeared that sleeping sickness prevalence had fallen since the beginning of political troubles. But this apparent drop was due to poor population coverage. Participation in medical surveys differed according to ethnic group, reflecting land use conflicts between ethnic communities. Such conflicts are common in this area, but have been exacerbated by the war.In war, assessing the importance of sleeping sickness by medical surveys only is very difficult. But detection of sleeping sickness cases by passive surveillance increased.