Guidelines for the treatment of human African trypanosomiasis

Guidelines for the treatment of human African trypanosomiasis

Author: World Health Organization

Publisher: World Health Organization

Published: 2024-06-28

Total Pages: 50

ISBN-13: 9240096035

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WHO has issued new guidelines for the treatment of human African trypanosomiasis (HAT), also known as sleeping sickness, a fatal disease provoked by a parasitic infection, transmitted by the bite of infected tsetse flies in sub-Saharan Africa. The recent development of a new molecule (fexinidazole) presents an opportunity to improve the therapeutic options. WHO has invested in following these developments, in commissioning independent evidence reviews, and in convening experts to develop new guidelines that reconfigure the therapeutic choices by giving new roles to this new molecule and the previously existing ones, in order to offer the best treatment possible for each type of patient. These guidelines are for the treatment of both disease forms: gambiense HAT, the slowly progressing form, caused by infection with Trypanosoma brucei gambiense, in western and central Africa; and rhodesiense HAT, the more rapidly progressive form, caused by T. b. rhodesiense, in eastern and southern Africa. They supersede the WHO interim guidelines for the treatment of gambiense human African trypanosomiasis, issued in 2019.


WHO Interim Guidelines for the Treatment of Gambiense Human African Trypanosomiasis

WHO Interim Guidelines for the Treatment of Gambiense Human African Trypanosomiasis

Author: World Health Organization

Publisher:

Published: 2019

Total Pages: 44

ISBN-13:

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Human African trypanosomiasis (HAT), or sleeping sickness, is a parasitic infection that is almost invariably fatal unless treated. It is a neglected tropical disease that occurs in sub-Saharan Africa. The incidence of the disease is declining in response to intensive surveillance and control in endemic areas. As a result, HAT is among the neglected tropical diseases targeted by the World Health Organization (WHO) for elimination. WHO maintains exhaustive records of all declared cases; in 2018, a historically low number of cases (less than 1000) was reported. The remarkable progress in the control of gambiense HAT has relied on case-finding and curative treatment, a strategy that interrupts transmission by depleting the reservoir of parasites in humans. This has been combined occasionally with vector control activities. The subject of these guidelines, therefore, is of utmost importance for the continuation of progress to eliminate HAT. The recent approval of a new medicine (fexinidazole) for the treatment of gambiense HAT has opened new possibilities for the management of cases and thus warrants the new WHO recommendations contained herein. While studies of fexinidazole and other therapies are ongoing, these guidelines are considered interim guidelines until new information becomes available. This document focuses on the management of patients affected by gambiense HAT and constitutes an update to the WHO therapeutic guidance issued in 2013.


Research Priorities for Chagas Disease Human African Trypanosomiasis and Leishmaniasis

Research Priorities for Chagas Disease Human African Trypanosomiasis and Leishmaniasis

Author: World Health Organization

Publisher:

Published: 2012

Total Pages: 0

ISBN-13: 9789240689992

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The Disease Reference Group on Chagas Disease Human AfricanTrypanosomiasis and Leishmaniasis (DRG3) was part of an independent thinktankof international experts established by the Special Programme for Researchand Training in Tropical Diseases (TDR) to identify key research prioritiesthrough systematic review of research evidence and input from stakeholders. These three distinct insect-borne diseases while caused by related kinetoplastidprotozoan pathogens have dissimilar geographical distributions a reflection oftheir different insect vectors and range of vector contact with humans. Thedisease.


Rickettsial Diseases

Rickettsial Diseases

Author: Didier Raoult

Publisher: CRC Press

Published: 2007-04-26

Total Pages: 400

ISBN-13: 142001997X

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The only available reference to comprehensively discuss the common and unusual types of rickettsiosis in over twenty years, this book will offer the reader a full review on the bacteriology, transmission, and pathophysiology of these conditions. Written from experts in the field from Europe, USA, Africa, and Asia, specialists analyze specific patho


Investing to Overcome the Global Impact of Neglected Tropical Diseases

Investing to Overcome the Global Impact of Neglected Tropical Diseases

Author: World Health Organization

Publisher: World Health Organization

Published: 2015-08-05

Total Pages: 211

ISBN-13: 9241564865

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"The presence, or absence, of neglected tropical diseases (NTDs) can be seen as a proxy for poverty and for the success of interventions aimed at reducing poverty. Today, coverage of the public-health interventions recommended by the World Health Organization (WHO) against NTDs may be interpreted as a proxy for universal health coverage and shared prosperity - in short, a proxy for coverage against neglect. As the world's focus shifts from development to sustainable development, from poverty eradication to shared prosperity, and from disease-specific goals to universal health coverage, control of NTDs will assume an important role towards the target of achieving universal health coverage, including individual financial risk protection. Success in overcoming NTDs is a "litmus test" for universal health coverage against NTDs in endemic countries. The first WHO report on NTDs (2010) set the scene by presenting the evidence for how these interventions had produced results. The second report (2013) assessed the progress made in deploying them and detailed the obstacles to their implementation. This third report analyses for the first time the investments needed to achieve the scale up of implementation required to achieve the targets of the WHO Roadmap on NTDs and universal coverage against NTDs. INVESTING TO OVERCOME THE GLOBAL IMPACT OF NEGLECTED TROPICAL DISEASES presents an investment strategy for NTDs and analyses the specific investment case for prevention, control, elimination and eradication of 12 of the 17 NTDs. Such an analysis is justified following the adoption by the Sixty-sixth World Health Assembly in 2013 of resolution WHA6612 on neglected tropical diseases, which called for sufficient and predictable funding to achieve the Roadmap's targets and sustain control efforts. The report cautions, however, that it is wise investment and not investment alone that will yield success. The report registers progress and challenges and signals those that lie ahead. Climate change is expected to increase the spread of several vector-borne NTDs, notably dengue, transmission of which is directly influenced by temperature, rainfall, relative humidity and climate variability primarily through their effects on the vector. Investments in vector-borne diseases will avoid the potentially catastrophic expenditures associated with their control. The presence of NTDs will thereby signal an early warning system for climate-sensitive diseases. The ultimate goal is to deliver enhanced and equitable interventions to the most marginalized populations in the context of a changing public-health and investment landscape to ensure that all peoples affected by NTDs have an opportunity to lead healthier and wealthier lives."--Publisher's description.


Tropical Medicine Notebook

Tropical Medicine Notebook

Author: Philippa C. Matthews

Publisher: Oxford University Press

Published: 2017-07-13

Total Pages: 224

ISBN-13: 0191057673

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The Tropical Medicine Notebook is a new concept in providing a concise overview of the key topics in tropical medicine, using short notes, diagrams, maps, and tables to present the material in an accessible, engaging, memorable, and interesting way. The format is generally a page per topic, with division of each page into subsections by boxes to make it easy to find the relevant information. Cross-referencing is provided to allow quick linking between relevant sections of the book. Providing the key information in bite-size chunks, the Tropical Medicine Notebook is a useful companion to more comprehensive texts. Divided into eight sections; the first five cover infections caused by bacteria, viruses, fungi, protozoa and helminths, followed by a further three which present the topics of vector biology, disease syndromes and envenomation. Where relevant, the section is prefaced by a classification system to provide a logical overview, helping with assimilation of information and highlighting important relationships between organisms. It is an ideal learning and revision guide for students or trainees in infection, microbiology, and tropical medicine, as well as being a useful reference resource for healthcare and laboratory staff across the wide range of disciplines to which infection may present.


Statistical Methods in Diagnostic Medicine

Statistical Methods in Diagnostic Medicine

Author: Xiao-Hua Zhou

Publisher: John Wiley & Sons

Published: 2014-08-21

Total Pages: 597

ISBN-13: 1118626044

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Praise for the First Edition " . . . the book is a valuable addition to the literature in the field, serving as a much-needed guide for both clinicians and advanced students."—Zentralblatt MATH A new edition of the cutting-edge guide to diagnostic tests in medical research In recent years, a considerable amount of research has focused on evolving methods for designing and analyzing diagnostic accuracy studies. Statistical Methods in Diagnostic Medicine, Second Edition continues to provide a comprehensive approach to the topic, guiding readers through the necessary practices for understanding these studies and generalizing the results to patient populations. Following a basic introduction to measuring test accuracy and study design, the authors successfully define various measures of diagnostic accuracy, describe strategies for designing diagnostic accuracy studies, and present key statistical methods for estimating and comparing test accuracy. Topics new to the Second Edition include: Methods for tests designed to detect and locate lesions Recommendations for covariate-adjustment Methods for estimating and comparing predictive values and sample size calculations Correcting techniques for verification and imperfect standard biases Sample size calculation for multiple reader studies when pilot data are available Updated meta-analysis methods, now incorporating random effects Three case studies thoroughly showcase some of the questions and statistical issues that arise in diagnostic medicine, with all associated data provided in detailed appendices. A related web site features Fortran, SAS®, and R software packages so that readers can conduct their own analyses. Statistical Methods in Diagnostic Medicine, Second Edition is an excellent supplement for biostatistics courses at the graduate level. It also serves as a valuable reference for clinicians and researchers working in the fields of medicine, epidemiology, and biostatistics.


The Trypanosomiases

The Trypanosomiases

Author: Ian Maudlin

Publisher: CABI

Published: 2004-07-09

Total Pages: 644

ISBN-13: 9780851990347

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This state-of-the-art reference book includes comprehensive coverage of the biology and control of African, Asian and South American trypanosomiasis ("sleeping sickness") in man and animals. It describes recent research developments in the biology and molecular biology of trypanosomes (the protozoan parasite) and their vectors, and methods in diagnosis and control, such as trapping tsetse fly vectors. Different sections of the book are devoted to biology of trypanosomes, vector biology, epidemiology and diagnosis, pathogenesis, disease impact, chemotherapy and disease control, and vector control. The book contains contributions from leading experts from Europe, North and South America, and Africa.


Antiparasitic Treatment Recommendations

Antiparasitic Treatment Recommendations

Author: Andreas Neumayr

Publisher: Tredition Gmbh

Published: 2018-12-04

Total Pages: 208

ISBN-13: 9783746950020

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This book primarily aims to provide a practical approach to diagnosing and treating parasitic diseases, highlighting major pitfalls in clinical management, referencing the current evidence regarding diagnosis and treatment, summarizing the pharmacological data of antiparasitic drugs, and offering an overview of differential diagnoses of certain clinical syndromes related to parasitic diseases.