@article{fdi:010049648,
  title = {{A} geographical approach to identify sleeping sickness risk factors in a mangrove ecosystem},
  author = {{C}ourtin, {F}abrice and {J}amonneau, {V}incent and {C}amara, {M}. and {C}amara, {O}. and {C}oulibaly, {B}. and {D}iarra, {A}. and {S}olano, {P}hilippe and {B}ucheton, {B}runo},
  editor = {},
  language = {{ENG}},
  abstract = {{OBJECTIVES} {T}o provide a better understanding of sleeping sickness transmission and spread in mangrove areas to optimize its control. {METHODS} {I}n the {F}orecariah mangrove area, {G}uinea, 19 sleeping sickness cases and 19 matched controls were followed up in their living areas (at home, in fields and at water points). {A}ll occupational sites and pathways were mapped and then placed in their environmental context. {RESULTS} {T}he sleeping sickness cases displayed a significantly broader and more diverse spatial occupation than the controls. {T}hey covered double the daily walking distances of controls and had on average two more occupational sites, most of which were located in mangrove forests. {A}ctivities with a higher transmission risk (rice culture, attendance of pirogue jetties) were identified as well as high-risk areas and pathways. {CONCLUSIONS} {A}n entomological control strategy targeting transmission risk areas is proposed. {I}ts implementation in a control programme would reduce by 86% the efforts needed for a classical vector control programme throughout the area. {M}edical surveys set up at specific locations, such as pirogue jetties and high-risk paths, should also enable better targeting of the population at highest risk.},
  keywords = {sleeping sickness ; geography ; mobility ; settlement ; tsetse fly ; {G}uinea},
  booktitle = {},
  journal = {{T}ropical {M}edicine and {I}nternational {H}ealth},
  volume = {15},
  numero = {8},
  pages = {881--889},
  ISSN = {1360-2276},
  year = {2010},
  DOI = {10.1111/j.1365-3156.2010.02559.x},
  URL = {https://www.documentation.ird.fr/hor/fdi:010049648},
}