Koffi M. auteur aut IRD N'Djetchi M. auteur aut IRD Ilboudo H. auteur aut IRD Kaba D. auteur aut IRD Coulibaly B. auteur aut IRD N'Gouan E. auteur aut IRD Kouakou L. auteur aut IRD Bucheton Bruno auteur aut IRD Solano Philippe auteur aut IRD Courtin Fabrice auteur aut IRD Ehrhardt S. auteur aut IRD Jamonneau Vincent auteur aut IRD text journalArticle eng text/pdf reformatted digital access Significant efforts to control human African trypanosomiasis (HAT) over the three past decades have resulted in drastic reductions of disease prevalence in Cote d'Ivoire. In this context, the costly and labor-intensive active mass screening strategy is no longer efficient. In addition to a more cost-effective passive surveillance system being implemented in this low-prevalence context, our aim was to develop an alternative targeted active screening strategy. In 2012, we carried out a targeted door-to-door (TDD) survey focused on the immediate vicinities of former HAT patients detected in the HAT focus of Bonon and compared the results to those obtained during classical active mass screening (AMS) surveys conducted from 2000 to 2012 in the same area. The TDD that provides a friendlier environment, inviting inhabitants to participate and gain awareness of the disease, detected significantly more HAT cases than the AMS. These results suggest that the TDD is an efficient and useful strategy in low-prevalence settings where very localized transmission cycles may persist and, in combination with passive surveillance, could help in eliminating HAT. specialized Human African trypanosomiasis Trypanosoma brucei gambiense Diagnosis Elimination strategy Cote d'Ivoire Medical survey COTE D'IVOIRE 052 23 art. 51 [6 p.] 2016 1252-607X https://www.documentation.ird.fr/hor/fdi:010068724 10.1051/parasite/2016059 1252-607X [F B010068724] https://www.documentation.ird.fr/hor/fdi:010068724 https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers16-12/010068724.pdf IRD - Base Horizon / Pleins textes 2017-01-09 2017-08-23 fdi:010068724 fre