Uganda 1998

Sleeping sickness endemic in north International staff: 35 National staff: 213 The north and west of the country continue to be unstable as a result of attacks by rebel groups. There are an estimated 400,000 internally displaced people. MSF implements AIDS programmes in Adjumani and six districts of Kampala with an emphasis on prevention. In Karamotja hospital, Pokot county, a team is renovating buildings, provides primary health care support for 40,000 Pokots returning from Kenya, trains personnel and supports the management team. Medical relief was provided to 70,000 IDPs in Kitgum (North Uganda) throughout 1997, and continues in Bundibuyo (Southwest Uganda) with assistance to 60,000 IDPs and support to the hospital and 13 dispensaries. MSF focuses on trypanosomiasis (sleeping sickness) in Omugo, Moyo and Adjumani in the north of the country, with a target population of 400,000 people. This disease is endemic to Uganda and has become one of the country's major health problems. The programme covers a treatment centre in Omugo that also carries out active detection. In Adjumani and Moyo, MSF is integrating trypanosomiasis-related activities into the health system and collaborates with the local authorities in Moyo to monitor the global situation in North Uganda. An emergency intervention ran for several months after the Ministry of Health solicited MSF's help in fighting the cholera epidemic that broke out in December 1997. As of May 1998, 29,3000 patients had been treated.