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Title
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Persistence of **Mycobacterium ulcerans** disease (Buruli ulcer) in the historical focus of Kasongo Territory, the Democratic Republic of Congo
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Author
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Abstract
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| 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. |
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Language
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English
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Source (journal)
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The American journal of tropical medicine and hygiene. - Baltimore, Md
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Publication
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Baltimore, Md
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2009
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ISSN
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0002-9637
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DOI
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10.4269/AJTMH.2009.09-0049
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Volume/pages
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81
:5
(2009)
, p. 888-894
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ISI
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000271956500027
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Full text (Publisher's DOI)
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