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Research draft

African trypanosomiasis

vr.tr.african-trypanosomiasis · ACT.PRC

Let an agent explain human African trypanosomiasis in general terms, relay transmission, prevention, diagnosis and treatment information from WHO and national programmes, describe the elimination effort, and route personal symptoms or travel questions to clinicians and travel health services.

Thing Registry Activities and processes

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain human African trypanosomiasis in general terms, relay transmission, prevention, diagnosis and treatment information from WHO and national programmes, describe the elimination effort, and route personal symptoms or travel questions to clinicians and travel health services.

A parasitic disease of humans caused by Trypanosoma brucei gambiense or rhodesiense and transmitted by the bite of tsetse flies in sub-Saharan Africa, also called sleeping sickness; it progresses from a blood stage to invasion of the central nervous system with sleep disturbance and neurological signs, is fatal without treatment, and has been reduced to low case numbers by control programmes targeting elimination.

What it is for: Not applicable; a disease.

It can be explain cause, transmission and course; relay prevention and travel guidance; relay diagnosis and treatment information from WHO; route personal questions to clinicians.

Distinguishing features

Tsetse fly transmission

Two disease forms

Central nervous system stage

Target of elimination programmes

What it looks like

Not visible as an object; fever, swollen lymph nodes and later sleep disturbance and neurological signs in the affected person.

Physical character

reported cases: under 1000 per year - recent WHO figures; down from tens of thousands

parasite subspecies: 2 forms - gambiense and rhodesiense

How it is recognised

Trypanosome parasites transmitted by tsetse flies

Two forms by parasite subspecies, chronic in West and Central Africa, acute in East Africa

Chagas disease is American trypanosomiasis with a different parasite and vector

Related models

is a kind of - the category

vector-borne disease

is caused by - the parasite

Trypanosoma brucei

is transmitted by - the vector

tsetse fly

is confused with - American trypanosomiasis

Chagas disease

In practice

Families and kinds

gambiense sleeping sickness

rhodesiense sleeping sickness

first stage and second stage disease

animal trypanosomiasis or nagana, related

Identifiers

ICD-10 B56

ICD-11 1F51

Standards and regulation

WHO guidelines on diagnosis and treatment

WHO neglected tropical disease road map elimination targets

National control programmes and surveillance

Failure modes and hazards

Death if untreated

Late diagnosis in remote areas

Resurgence if surveillance lapses

Agents giving personal medical advice

Also called

Trypanosoma brucei rhodesiense infectious diseaseTrypanosoma brucei gambiense infectious disease

Where this came from

wikidata · CC0 1.0

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Understand What the disease is.

General information.

Cause

Cause and transmission.

Cause

Cause.

  1. What causes the disease, how is it transmitted, and where does it occur? definition
  2. Is the user describing their own symptoms after travel, which needs a clinician? boundary

Course

Stages.

Course

Course.

  1. How does the disease progress in each form, and what are the signs? definition
  2. Which entry fits Chagas disease? action
Prevent Prevention and control.

Public health.

Prevention

Personal prevention.

Prevention

Prevention.

  1. What prevention do travel health authorities advise in affected areas? provenance
  2. Which entry fits travel medicine? action

Control

Vector control and screening.

Control

Control.

  1. How do programmes control tsetse flies and screen populations? provenance
  2. Which entry fits vector control? action
Care Diagnosis and treatment.

Clinical.

Diagnosis

Diagnosis.

Diagnosis

Diagnosis.

  1. How is the disease diagnosed and staged, in general terms? provenance
  2. Which entry fits parasitology tests? action

Treatment

Treatment.

Treatment

Treatment.

  1. What treatments do WHO guidelines describe, including newer oral drugs? provenance
  2. Is the presentation free of personal treatment advice? boundary
Elimination Elimination and history.

Context.

Progress

Elimination progress.

Progress

Progress.

  1. What progress has been made toward elimination, with figures and sources? measurement
  2. Which sources and years are cited? provenance

History

History and research.

History

History.

  1. What is the history of the disease and its control, and which references are standard? provenance
  2. Which entry fits neglected tropical diseases? action

What the second pass must settle

  • Should the two forms be separate entries?
  • How should WHO data be linked by year?
  • How should elimination status be recorded by country?