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Continuous decline in sleep sickness cases has eroded access

Endemic to human african
Trypanosomiasis (HAT), also known as sleeping sickness, persists.
Report fewer cases indicating illness is curable
Elimination as a public health problem by the end of this year.

The latest figures show that only 980 cases were reported
World Health Organization (WHO) in 2019, which includes numbers for it
Both rhubarb1 And gamble2 Forms of the disease.

"There were 864 cases of Gambiens HAT, which is chronic
And the more prevalent form of the disease was 953 compared to the previous year
Cases in 2018 – a continuous downward trend – representing a
A slight drop of 9% in a year,
Dr. Jose Ramon Franco-Mingel, Medical Officer, WHO's Control Department said of neglected tropical diseases. "It follows the pattern of the last 2 years and corresponds to the data captured in the previous years."

The total combined number of both forms of the disease in 2018
There were 977 cases. The slight increase in cases is due to higher numbers
Cases of rhodesiense HAT in Malawi (less prevalent disease form).3.

Continuous decline

In 2000, there were 26 550 confirmed cases in the WHO.
Continued control efforts reduced the number to 10 000
2009 for the first time in 50 years – shortage that continued till 7129
Cases in 2010, 2800 in 2015 and now up to their current level, which
Represents a decrease of 96% during the last 20 years.

"This achievement is largely due to hard work and efforts.
For an array of national control programs and committed stakeholders
And WHO support,
Dr. Gerardo, medical officer, WHO said that the Department of Control of Neglected Tropical Diseases. "Added
This is a long-term cooperation of Sanofi and Bayer
Healthcare who have generously donated medicines and facilitated others
Initiative,4 The last 20 years have included personnel training to improve control and patient-screening activities.

The WHO warns that the world should not repeat the mistakes of the past and become premature.

"Elimination as a public health problem in 2020 is an intermediate step,Dr. Franco-Mingel said. "We
Much more needs to be done to reach permanent elimination of
Targeted as transmission (zero case) for Gambiens HAT in 2030
New WHO NTD Road Map.

Will need to be maintained to achieve 2030 goals
The disease commitment of endemic countries and donors as well
Integrating control activities into health systems. It needs effort
Development of advanced equipment must be supported by adoption
Innovative disease control approach and effective coordination of work
To ensure synergy of efforts by stakeholders.

1Trypanosoma brucei rhododiens HAT (r AT HAT) is a
Zoonotic disease, which is spread by Tritse, flies wild and domestic.
Animals. It is found in eastern and southern Africa.
2Trypanosoma brucei gambiens HAT (g AT HAT) is mainly a
Anthroponotic disease that accounts for more than 98% of all HAT cases.
It is mainly found in Western and Central Africa.
3In Malawi, there was a significant increase in the number of cases
Reported around Vwaza Marsh and Nkhotakota in the last months of 2019
Wildlife reserves, where diversity of wild animals is considered
The main possible storehouse of the disease may be.
4WHO offers antitripenosomal drugs for free
For endemic countries through public-private partnership with Sanofi
(Pentimidine, melarsprol, efflornithine, and phenicidazole) and with Bayer
HealthCare (suramin and nifurtimox). Medicines are air conditioned and
Shipped in collaboration with MSF-Logistics.

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