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A decision on the lawsuit – which has become known as the "little red hat" case – is expected within the next three months.
The average expenditure per HAT case detected and treated is shown in Table 3. *HAT, human African trypanosomiasis.
We therefore conclude that the decreasing trend in HAT case detection observed in DRC since 1999 is real.
At the same time, we highlight that further improvements in consistency and coverage of HAT case detection and reporting are needed and require long-term efforts.
The age productive function curve had a close correspondence with the HAT case distribution, and HAT cases occupied more patient admission time in Serere during 1999 than all other infectious diseases other than malaria.
An important assumption is that a true HAT case missed by the mobile teams will eventually die; in practice, if treatment is sought, this patient's condition might be diagnosed and cured, or alternatively, HAT could be detected later by the mobile team on a second visit.
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A non-HAT case-patient and a true HAT case-patient who was untreated were each assigned an effectiveness value of 0 lives saved.
There are 4 possible outcomes for such a person: a true HAT case-patient is treated, a true HAT case-patient remains untreated, a non-HAT case-patient receives HAT treatment, or a non-HAT case-patient remains untreated.
About 2% of HAT cases are caused by a subspecies called T. brucei rhodesiense, which is found in eastern and southern Africa.
We examined whether this assumption would change our conclusions by hypothesizing that 40% of such HAT case-patients would be detected and treated at a later stage.
A true HAT case-patient who is treated is equal to 0.9 lives saved because the efficacy of HAT treatment is estimated at 90%, according to data from the Programme National de Lutte contre la Trypanosomiase Humaine Africaine (PNLTHA) between 1996 and 2002.
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