@article{fdi:010042533, title = {{S}leeping sickness in {W}est {A}frica (1906-2006) : changes in spatial repartition and lessons from the past}, author = {{C}ourtin, {F}abrice and {J}amonneau, {V}incent and {D}uvallet, {G}. and {G}arcia, {A}ndr{\'e} and {C}oulibaly, {B}. and {D}oumenge, {J}. {P}. and {C}uny, {G}{\'e}rard and {S}olano, {P}hilippe}, editor = {}, language = {{ENG}}, abstract = {{OBJECTIVE} {T}o review the geography and history of sleeping sickness ({H}uman {A}frican trypanosomiasis; {HAT}) over the past 100 years in {W}est {A}frica, to identify priority areas for sleeping sickness surveillance and areas where {HAT} no longer seems active. {METHOD} {H}istory and geography of {HAT} were summarized based on a review of old reports and recent publications and on recent results obtained from medical surveys conducted in {W}est {A}frica up to 2006. {RESULTS}/{CONCLUSIONS} {A}ctive {HAT} foci seem to have moved from the {N}orth to the {S}outh. {E}ndemic {HAT} presently appears to be limited to areas where annual rainfall exceeds 1200 mm, although the reasons for this remain unknown. {T}here has also been a shift towards the south of the isohyets and of the northern distribution limit of tsetse. {C}urrently, the most severely affected countries are {G}uinea and {I}vory {C}oast, whereas the northern countries seem less affected. {H}owever, many parts of {W}est {A}frica still lack information on {HAT} and remain to be investigated. {O}f particular interest are the consequences of the recent political crisis in {I}vory {C}oast and the resulting massive population movements, given the possible consequences on {HAT} in neighbouring countries.}, keywords = {sleeping sickness ; {W}est {A}frica ; northern limit ; migration ; population movements ; rainfall ; {AFRIQUE} {DE} {L}'{OUEST}}, booktitle = {}, journal = {{T}ropical {M}edicine and {I}nternational {H}ealth}, volume = {13}, numero = {3}, pages = {334--344}, ISSN = {1360-2276}, year = {2008}, DOI = {10.1111/j.1365-3156.2008.02007.x}, URL = {https://www.documentation.ird.fr/hor/fdi:010042533}, }