Effects of urbanization on transmission of human African trypanosomiasis in a suburban relict forest area of Daloa, Côte d'Ivoire.

The epidemiological risk of human African trypanosomiasis transmission was evaluated from entomological parameters (apparent trap density, female teneral rates, daily survival rates, proportion of human feeds) of tsetse (Glossina palpalis palpalis) populations in the town of Daloa, Côte d'Ivoire. High tsetse densities were found in the town outskirts, where the calculated risk of transmission was greatest. Environmental changes brought about by urbanization did not result in the disappearance of tsetse, or the interruption of sleeping sickness transmission. The few cases of sleeping sickness detected (32) in the years 1990-95 indicated that transmission was unrelated to tsetse density.