02027nas a2200397   4500000000100000008004100001653003900042653002900081653001500110653001000125653000900135653002500144653001000169653002100179653002000200653003700220653001100257653001100268653001100279653002000290653000900310653001600319653002600335653002100361100001400382700001400396700001200410700001300422700001500435245008600450856006000536300001100596490000700607520100100614022001401615       2007                            d10aNeglected tropical diseases (NTDs)10aTrypanosomiasis, African10aAdolescent10aAdult10aAged10aAntiprotozoal Agents10aChild10aChild, Preschool10aCost of Illness10aDemocratic Republic of the Congo10aFemale10aHumans10aInfant10aInfant, Newborn10aMale10aMiddle Aged10aRetrospective Studies10aRural Population1 aLutumba P1 aMakieya E1 aShaw AP1 aMeheus F1 aBoelaert M00aHuman African trypanosomiasis in a rural community, Democratic Republic of Congo.  uhttps://wwwnc.cdc.gov/eid/article/13/2/pdfs/06-0075.pdf  a248-540 v133 a<p>According to the World Health Organization, human African trypanosomiasis (HAT) (sleeping sickness) caused the loss of approximately 1.5 million disability-adjusted life years (DALYs) in 2002. We describe the effect of HAT during 2000-2002 in Buma, a rural community near Kinshasa in the Democratic Republic of Congo. We used retrospective questionnaire surveys to estimate HAT-related household costs and DALYs. The HAT outbreak in Buma involved 57 patients and affected 47 (21%) households. The cost to each household was equivalent to 5 months' income for that household. The total number of HAT-related DALYs was 2,145, and interventions to control HAT averted 1,408 DALYs. The cost per DALY averted was US $17. Because HAT has a serious economic effect on households and control interventions are cost-effective, considering only global burden of disease rankings for resource allocation could lead to misguided priority setting if applied without caution in HAT-affected countries.</p>
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