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Journal Article
Challenges of controlling sleeping sickness in areas of violent conflict: experience in the Democratic Republic of Congo
Human African trypanosomiasis (HAT), or sleeping sickness, is a fatal neglected tropical disease if left untreated. HAT primarily affects people living in rural sub-Saharan Africa, often in regions afflicted by violent conflict. Screening and treatment of HAT is complex and…
Journal Article
Clinical trials as disease control? The political economy of sleeping sickness in the Democratic Republic of the Congo (1996–2016)
Human African Trypanosomiasis (HAT), commonly known as sleeping sickness, is closer than ever to being eliminated as a public health problem. The main narratives for the impressive drop in cases allude to drugs discovery and global financing and coordination. They raise questions…
Journal Article
Low Prevalence of Intestinal Schistosomiasis Among Fisherfolk Living Along the River Nile in North-Western Uganda: a Biosocial Investigation
This article asks: why is the prevalence of S. mansoni so low among fisherfolk in northern Uganda? Taking a biosocial approach, it suggests that the mass distribution of drugs, free of charge, has had an impact. However, the low prevalence…
Journal Article
Understanding Perceptions on ‘Buruli’ in Northwestern Uganda: A Biosocial Investigation
This article explores perspectives on Buruli among fisherfolk in northwestern Uganda along the River Nile, where the ulcer has previously been documented. The findings are based on a long-term ethnographic study of health, healing and illness in this region, and…
Journal Article
The ‘Other Diseases’ of the Millennium Development Goals: Rhetoric and Reality of Free Drug Distribution to Cure the Poor’s Parasites
A massive programme is now underway to treat the parasites of the poor in Africa via integrated vertical interventions of mass drug administration in endemic areas. The approach has been hailed as remarkably effective, with claims that there is now…
Journal Article
De-Politicizing Parasites: Reflections on Attempts to Control the Control of Neglected Tropical Diseases
Large amounts of funding are being allocated to the control of neglected tropical diseases. Strategies primarily rely on the mass distribution of drugs to adults and children living in endemic areas. The approach is presented as morally appropriate, technically effective,…
Journal Article
Border Parasites: Schistosomiasis Control among Uganda’s Fisherfolk
It is recognized that the control of schistosomisais in Uganda requires a focus on fisherfolk. Large numbers suffer from this water-borne parasitic disease; notably along the shores of lakes Albert and Victoria and along the River Nile. Since 2004, a…
Journal Article
Resisting Control of Neglected Tropical Diseases: Dilemmas in the Mass Treatment of Schistosomiasis and Soil-Transmitted Helminths in North-West Uganda
A strong case has recently been made by academics and policymakers to develop national programmes for the integrated control of Africa’s ‘neglected tropical diseases’. Uganda was the first country to develop a programme for the integrated control of two of…
Does Mass Drug Administration for the Integrated Treatment of Neglected Tropical Diseases really work? Assessing Evidence for the Control of Schistosomiasis and Soil-Transmitted Helminths in Uganda
Less is known about mass drug administration [MDA] for neglected tropical diseases [NTDs] than is suggested by those so vigorously promoting expansion of the approach. This paper fills an important gap: it draws upon local level research to examine the…
