Berrang-Ford, L, J. Lundine, and S. Breau (2010). Social Science and Medicine. Available on-line ahead of print. Find PDF. Human African Trypanosomiasis (HAT) has reemerged in sub-Saharan Africa as a disease of major public health importance. The success of HAT elimination in sub-Saharan Africa is subject to the feasibility of controlling, eliminating, or mitigating the determinants of incidence in affected countries. Conflict has been widely recognized and cited as a contributing factor to the resurgence of HAT in many countries, as well as to continuing HAT incidence in politically unstable and resource-poor regions. Despite extensive anecdotal and qualitative recognition of the role of conflict, there hasRead More →

Berrang-Ford, L., O. Berke, S. Sweeney, and L. Abdelrahman (2010). Vector-borne and Zoonotic Diseases. Available on-line ahead of print. Find PDF. Sleeping sickness is a major threat to human health in sub-Saharan Africa. Southeastern Uganda has experienced a number of significant epidemics in the past 100 years, most recently from 1976 to 1989. Recent and continued spread of the disease has highlighted gaps in the ability of current research to explain and predict the distribution of infection.Read More →

Endfield, G., D.B. Ryves, K. Mills, and L. Berrang-Ford (2009). Geographical Journal 175(3):181-95. Find PDF. Identifying the nature of the association between climate, environmental, socio-economic and political context and disease remains a major challenge, yet a better comprehension of the linkages is imperative if predictive models to guide public health responses are to be devised. Our understanding of the relationships could be improved through investigations of historical epidemics. In this paper we draw on a range of published and unpublished documents to explore the complex relationship between climate, environmental change and epidemic disease (re)emergence in East Africa, and Uganda in particular. This is a region which hasRead More →

Berrang-Ford, L. (2007). Conflict and Health 1:6. Find PDF. Conflict and war have long been recognized as determinants of infectious disease risk. Re-emergence of epidemic sleeping sickness in sub-Saharan Africa since the 1970s has coincided with extensive civil conflict in affected regions. Sleeping sickness incidence has placed increasing pressure on the health resources of countries already burdened by malaria, HIV/AIDS, and tuberculosis. In areas of Sudan, the Democratic Republic of the Congo, and Angola, sleeping sickness occurs in epidemic proportions, and is the first or second greatest cause of mortality in some areas, ahead of HIV/AIDS. In Uganda, there is evidence of increasing spread and establishment ofRead More →

Berrang-Ford, L., M. Odiit, F. Maiso, D. Waltner-Toews, and J. McDermott (2006). African Health Sciences 6(4):223-231. Find PDF. Background Sleeping sickness is a parasitic, vector-borne disease, carried by the tsetse fly and prevalent in sub-Saharan Africa. The disease continues to pose a public health burden in Uganda, which experienced a widespread outbreak in 1900–1920, and a more recent outbreak in 1976–1989. The disease continues to spread to uninfected districts. Objectives This paper compares the spatial distributions of sleeping in Uganda for the 1900–1920 outbreak period with current disease foci, and discusses information gaps and implications arising for future research, prevention and control. Methods Population census records forRead More →

Berrang-Ford, L., O. Berke, L. Abdelrahman, D. Waltner-Toews, and J. McDermott (2006). Emerging Infectious Diseases 12(5):813-20. Find PDF. Sleeping sickness reemerged in southeastern Uganda in the 1970s and remains a public health problem. It has continued to spread north into new districts, and gaps remain in the understanding of the causes of its spread and distribution. We report the distribution and magnitude of sleeping sickness in southeastern Uganda from 1970 to 2003. Data were collected from records of the Ugandan Ministry of Health, individual sleeping sickness treatment centers, and interviews with public health officials. Data were used to develop incidence maps over time, conduct space-time cluster detectionRead More →