02107nas a2200457   4500000000100000008004100001653001600042653002400058653002700082653001600109653000900125653001100134653001100145653003700156653001000193653001700203653000900220653002100229653001000250653001500260100001700275700001400292700001300306700001300319700001500332700001100347700001400358700001500372700001200387700001600399700001500415700001600430700001400446700001500460245014500475856014700620300001100767490000700778520085000785022001401635       2009                            d10aYoung Adult10aSex Characteristics10aMycobacterium ulcerans10aMiddle Aged10aMale10aHumans10aFemale10aDemocratic Republic of the Congo10aChild10aBuruli ulcer10aAged10aAge Distribution10aAdult10aAdolescent1 aSuykerbuyk P1 aWambacq J1 aPhanzu D1 aHaruna H1 aNakazawa Y1 aOoms K1 aKamango K1 aStragier P1 aSinga J1 aEkwanzala F1 aDe Herdt E1 aDe Maeyer P1 aKestens L1 aPortaels F00aPersistence of Mycobacterium ulcerans disease (Buruli Ulcer) in the historical focus of Kasongo Territory, the Democratic Republic of Congo.  uhttp://www.ajtmh.org/docserver/fulltext/14761645/81/5/888.pdf?expires=1493045102&id=id&accname=guest&checksum=2EB20A6F2F7D9F452645FA0DDE1E0622  a888-940 v813 a<p>Fifty years after the last report of Mycobacterium ulcerans infections (Buruli ulcer [BU]) in Kasongo Territory, Maniema Province, Democratic Republic of Congo (DRC), we conducted a small-scale cross-sectional survey to assess if this historical BU focus was still active and if so to explore the disease epidemiology. Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. There is a need in the DRC to decentralize and integrate surveillance and control activities at local level to increase the effectiveness of patient management.</p>
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