@article{fdi:010092938, title = {{H}uman {A}frican trypanosomiasis}, author = {{L}ejon, {V}eerle and {L}indner, {A}. {K}. and {F}ranco, {J}. {R}.}, editor = {}, language = {{ENG}}, abstract = {{H}uman {A}frican trypanosomiasis or sleeping sickness is caused by infection with {T}rypanosoma brucei gambiense or {T}rypanosoma brucei rhodesiense parasites, which are transmitted by tsetse flies in sub-{S}aharan {A}frica. {C}ontrol of human {A}frican trypanosomiasis is based on case detection, treatment, and vector control. {I}n the past decade, simple rapid diagnostic tests were introduced for gambiense human {A}frican trypanosomiasis, facilitating screening in primary health-care facilities. {A} new oral drug, fexinidazole, became the first-line treatment for gambiense human {A}frican trypanosomiasis without severe meningo-encephalitic disease, as well as for rhodesiense human {A}frican trypanosomiasis. {M}edical interventions, in some areas combined with tiny target-based vector control, have substantially reduced human {A}frican trypanosomiasis incidence, despite temporary disruptions to health-care systems. {T}he elimination of human {A}frican trypanosomiasis as a public health problem has been achieved, and elimination of gambiense human {A}frican trypanosomiasis transmission is now targeted for 2030. {I}mproved diagnostics and drugs, continued involvement of populations at risk of disease, health staff, national authorities, and partners and donors all contribute to achieve this goal.}, keywords = {{AFRIQUE}}, booktitle = {}, journal = {{L}ancet}, volume = {405}, numero = {10482}, pages = {937--950}, ISSN = {0140-6736}, year = {2025}, URL = {https://www.documentation.ird.fr/hor/fdi:010092938}, }