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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 →

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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 →

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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 →