TY - JOUR KW - Young Adult KW - Sex Characteristics KW - Mycobacterium ulcerans KW - Middle Aged KW - Male KW - Humans KW - Female KW - Democratic Republic of the Congo KW - Child KW - Buruli ulcer KW - Aged KW - Age Distribution KW - Adult KW - Adolescent AU - Suykerbuyk P AU - Wambacq J AU - Phanzu D AU - Haruna H AU - Nakazawa Y AU - Ooms K AU - Kamango K AU - Stragier P AU - Singa J AU - Ekwanzala F AU - De Herdt E AU - De Maeyer P AU - Kestens L AU - Portaels F AB -

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.

BT - The American journal of tropical medicine and hygiene C1 -

http://www.ncbi.nlm.nih.gov/pubmed/19861627?dopt=Abstract

DO - 10.4269/ajtmh.2009.09-0049 IS - 5 J2 - Am. J. Trop. Med. Hyg. LA - eng N2 -

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.

PY - 2009 SP - 888 EP - 94 T2 - The American journal of tropical medicine and hygiene TI - Persistence of Mycobacterium ulcerans disease (Buruli Ulcer) in the historical focus of Kasongo Territory, the Democratic Republic of Congo. UR - http://www.ajtmh.org/docserver/fulltext/14761645/81/5/888.pdf?expires=1493045102&id=id&accname=guest&checksum=2EB20A6F2F7D9F452645FA0DDE1E0622 VL - 81 SN - 1476-1645 ER -