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Sub-Saharan countries are facing a demographic growth of 3% per year. That increase of the population in number, associated
with climate changes, has deeply modified environmental landscape and affected biodiversity. The distribution of tsetse
, vector of sleeping sickness, has been considerably modified over time. Species of
subgenus) had disappeared from some areas, while those of
subgenus) developed and adaptation in
Human habitats with peridomestic behaviors. The great capacity of these species to adapt in suburban and urban areas as soon as
microclimatic conditions and host availability are met has brought up a new epidemiological context of the disease: suburban and
urban foci. We are reviewing that epidemiological feature in order to draw attention to that particular aspect which may impede
the progress of disease elimination in sight in many
T. b. gambiense
sleeping sickness foci.
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