TY - GEN AU - Burri,Christian AU - Burri,Christian TI - Human African Trypanosomiasis (Sleeping Sickness) : The Road to Elimination Revisited-Achievements and Remaining Challenges SN - books978-3-03928-964-6 PY - 2020/// CY - Basel, Switzerland PB - MDPI - Multidisciplinary Digital Publishing Institute KW - Medicine KW - bicssc KW - Epidemiology & medical statistics KW - (+)-spectaline KW - iso-6-spectaline KW - Trypanosoma brucei rhodesiense KW - autophagy KW - apoptosis KW - cross-talk KW - trypanosomosis KW - iron KW - transferrin KW - transferrin receptor KW - nutritional immunity KW - flagellar pocket KW - Human African Trypanosomiasis (HAT) KW - mydriasis KW - neurological signs KW - eradication KW - re-emergence KW - human African trypanosomiasis KW - treatment KW - melarsoprol KW - adverse event KW - encephalopathy KW - human leukocyte antigen KW - association study KW - disease elimination KW - disease eradication KW - frontline workers KW - DR Congo KW - mobile screening KW - qualitative methods KW - sequelae KW - serology KW - oligosymptomatic HAT KW - product development partnerships KW - research and development KW - medical innovation KW - donor policy KW - African trypanosomiasis KW - sleeping sickness KW - trypanosoma brucei KW - drugs KW - drug resistance KW - history KW - human Africa trypanosomiasis KW - fexinidazole KW - home-based treatment KW - patient-centred care KW - Uganda KW - elimination KW - T. b. gambiense KW - g-HAT KW - T. b. rhodesiense KW - r-HAT KW - neglected tropical diseases KW - Trypanosoma brucei KW - drug discovery KW - high-throughput screening KW - blood-brain barrier KW - brain permeability KW - pharmacology KW - phenotypic drug screening KW - Haemoparasites KW - animal reservoirs KW - Trypanosoma growth inhibitors KW - chemotherapy KW - pafuramidine KW - acoziborole KW - African sleeping sickness KW - development of treatment KW - suramin KW - medical history KW - political history KW - clinical research KW - health system strengthening KW - South Sudan KW - diagnosis KW - symptoms KW - treatment-seeking KW - case detection KW - embodiment KW - expertise KW - serendipity KW - CATT positive serological suspects KW - active follow-up strategy KW - n/a N1 - Open Access N2 - As it is a goal to eliminate human African trypanosomiasis (HAT; sleeping sickness) as a public health problem by 2020 and interrupt transmission by 2030, this is a good moment to reflect on what we have achieved, what we want to achieve, and what could get in our way. HAT has a reputation for spectacular reappearances, and the latest peak of 40,000 reported and over 300,000 estimated cases only dates back to 1998. Efforts of the WHO and partners as well as the development of simpler and much better-tolerated treatments, improved diagnostics, and vector control tools made it possible to reduce this number by 95%. Case identification and confirmation remain complex and require specific skills, treatment remains error-prone and reports on long-term survivors have emerged, and the relevance of the animal reservoir for T. b. gambiense HAT needs clarification. In addition, to win the "end game" against this massively stigmatized disease, the human factor will play a key role. This Special Issue addresses many of the burning topics about disease elimination in its 12 research and 7 review articles and one case study. The papers critically reflect the approaches used, investigate the mentioned challenges, and propose novel approaches and interventions from various points of view UR - https://mdpi.com/books/pdfview/book/2386 UR - https://directory.doabooks.org/handle/20.500.12854/68624 ER -