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Socio-Economic Causes and Effects of Human African Trypanosomiasis in the Democratic Republic of the Congo. Jen Wilson And Silvia Escudero. The Disease. Parasitic Transmitted by Tsetse Fly Infects humans and cattle

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Socio-Economic Causes and Effects of Human African Trypanosomiasis in the Democratic Republic of the Congo

Jen Wilson


Silvia Escudero

the disease
The Disease
  • Parasitic
  • Transmitted by Tsetse Fly
  • Infects humans and cattle
  • Kills over 50,000 people every year (Kabayo 2002)

the disease3
The Disease
  • Swelling occurs at site of bite.
  • Infection travels through blood stream.
  • Attacks central nervous system.
  • Results in swelling of brain.
  • Drowsiness during day; insomnia at night.
  • Death may occur in six months if no treatment is done (Smith 2006).
endemicity status
Endemicity Status

Democratic Republic of the Congo

  • 17th – early 20th centuries: sleeping sickness and other vector-bourn diseases caused more human deaths than all other causes combined.
  • 1940’s-1960’s:vector control programs, modern drugs and insecticides led to the control of disease
  • Past 20 years:major epidemics and a resurgence of disease WHY? (Gubler 1998)
resurgence of sleeping sickness in drc
Resurgence of Sleeping Sickness in DRC

human influences on tsetse fly
Human Influences on Tsetse Fly
  • Population Growth / Urbanization
  • Exploitation of Land
  • Poor Health Policies
  • Climate Change
population growth urbanization
Population Growth/Urbanization
  • Population growth
  • Quick movement to urban areas
  • Movement is unplanned and uncontrolled
  • Inadequate housing, poor waste management, dirty water, densely packed people, etc.
  • Ideal conditions for tsetse fly

  • Study in 2005 in Kinshasa to determine where the greatest rate of infection was.
  • Results showed that peri-urban areas along rivers had high concentrations of tsetse flies (De Deken 2005).
  • People move to urban places and head to rivers for water where there is a high risk of infection.

land use
Land Use
  • Tsetse flies originally found in low lands
  • People are increasing land use and moving to the high lands (Eradicating Tsetse)
  • Farmers bring cattle with them
  • Cattle carry the disease and take it to tsetse-free areas.

health policies
Health Policies
  • 1960-70’s : threat for disease decreased
  • Health policy decisions decreased surveillance, prevention and control.
  • Lack of support from developed world.
  • DRC uses mass screening: study in 2004 showed that the effectiveness of testing is less than 50% (Robays 2004).
climate change
Climate Change
  • Not too much proof correlation.
  • Climate change mostly linked to human consumption.
  • Temperature and precipitation are most important factors determining whether the vector can survive.
  • A rise in temperature could conceivably increase the range of the vector.

effects of disease
Effects of Disease
  • Depletion of Livestock
  • Loss of Capital
  • Urbanization and Economic


  • Nagana: cattle variety of disease
  • Kills 3 million cows a year (Pearce 2002).
  • Decrease in meat production and other by products such as milk
  • Contributes to protein shortages in people
  • Farmers lose labor from the animals => poverty

where is the problem
Where is the problem?

capital loss
Capital Loss
  • Meeting held in Ethiopia to discuss ways to fight sleeping sickness in 2004
  • Experts reported that African countries lose 4.5 billion dollars every year due to the impact of disease on agriculture (Deutsche Press 2004).
  • Livestock owners administer 35 million dollars worth of doses of medication every year; each at about 1 dollar (Torr et al. 2005).
  • Loss of jobs
urbanization economic degradation
Urbanization/Economic Degradation
  • Fear of disease spreads and families move away from fertile lands.
  • Less people on fertile lands growing crops => economic degradation (Kabayo 2002).
  • Urbanization loops around and becomes a cause for increase in annual infections.




Number of people exposed




Number of people infected










Vector control programs

Animal Labor


Number of infected people




Number of tsetse flies

Number of infected cows



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