@article{fdi:010077415,
  title = {{S}leeping sickness in the historical focus of forested {G}uinea : update using a geographically based method},
  author = {{C}ourtin, {F}abrice and {C}amara, {O}. and {C}amara, {M}. and {K}agbadouno, {M}. and {B}ucheton, {B}runo and {S}olano, {P}hilippe and {J}amonneau, {V}incent},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n 2017, 1447 new cases of {H}uman {A}frican {T}rypanosomiasis ({HAT}) were reported, which reflects considerable progress towards the {W}orld {H}ealth {O}rganisation's target of eliminating {HAT} as a public health problem by 2020. {H}owever, current epidemiological data are still lacking for a number of areas, including historical {HAT} foci. {I}n order to update the {HAT} situation in the historical focus of forested {G}uinea, we implemented a geographically based methodology: {I}dentification of {V}illages at {R}isk ({IVR}). {T}he methodology is based on three sequential steps: {D}esk-based {IVR} ({IVR}-{D}), which selects villages at risk of {HAT} on the basis of {HAT} archives and geographical items; {F}ield-based {IVR} ({IVR}-{F}), which consists in collecting additional epidemiological and geographical information in the field in villages at risk; and to be {M}edically surveyed {IVR} ({IVR}-{M}), a field data analysis through a {G}eographic {I}nformation {S}ystem ({GIS}), to compile a list of the villages most at risk of {HAT}, suitable to guide active screening and passive surveillance. {I}n an area of 2385 km(2) with 1420,530 inhabitants distributed in 1884 settlements, 14 villages with a population of 11,236 inhabitants were identified as most at risk of {HAT} and selected for active screening. {A}lthough no {HAT} cases could be confirmed, subjects that had come into contact with {T}rypanosoma brucei gambiense were identified and two sentinel sites were chosen to implement passive surveillance. {IVR}, which could be applied to any gambiense areas where the situation needs to be clarified, could help to reach the objective of {HAT} elimination.},
  keywords = {{S}leeping sickness ; {T}rypanosoma brucei gambiense ; {G}uinea ; {G}eography ; {R}isk ; {E}limination ; {GUINEE}},
  booktitle = {},
  journal = {{P}arasite},
  volume = {26},
  numero = {},
  pages = {art. 61 [12 ]},
  ISSN = {1252-607{X}},
  year = {2019},
  DOI = {10.1051/parasite/2019061},
  URL = {https://www.documentation.ird.fr/hor/fdi:010077415},
}