Sleeping Sickness in the History of Northeast Congo (Zaire)

Lyons, Maryinez

doi:10.1080/00083968.1985.10804135

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…FL was an outsider, a Muzungu, and an insider in the surgical team, working as expatriate anaesthetist. 55 Muzungu in Eastern DRC means more than ‘white-skinned person’ to include the underlying power imbalance due to colonialisation including coercion in public health research 54 56 and, currently, westernisation. 54 The humanitarian Muzungu are associated with cultural barriers, power imbalance and (false) promises, 57 possibly complicating interactions with FL.…”

Section: Methodsmentioning

confidence: 99%

Qualitative study exploring surgical team members' perception of patient safety in conflict-ridden Eastern Democratic Republic of Congo

Labat

Sharma

2016

BMJ Open

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ObjectiveTo identify potential barriers to patient safety (PS) interventions from the perspective of surgical team members working in an operating theatre in Eastern Democratic Republic of Congo (DRC).DesignIn-depth interviews were conducted and analysed using qualitative content analysis.SettingGovernmental referral teaching hospital in Eastern DRC.ParticipantsWe purposively selected 2–4 national and expatriate surgical team members from each specialisation. Of the 31 eligible surgical health workers (HWs), 17 volunteered to be interviewed.ResultsEconomics issues affected PS throughout the entire health system, from human resources and hospital management, to access to healthcare for patients. Surgical team members seemed embedded in a paternalistic organisational structure and blame culture accompanied by perceived inefficient support services and low salaries. The armed conflict did not only worsen these system failures, it also carried direct threats to patients and HWs, and resulted in complex indirect consequences compromising PS. The increased corruption within health organisations, and population impoverishment and substance abuse among health staff adversely altered safe care. Simultaneously, HWs’ reported resilience and resourcefulness to address barrier to PS. Participants had varying views on external aid depending on its relevance.ConclusionsThe complex links between war and PS emphasise the importance of a comprehensive approach including occupational health to strengthen HWs' resilience, external clinical audits to limit corruption, and educational programmes in PS to support patient-centred care and address blame culture. Finally, improvement of equity in the health financing system seems essential to ensure access to healthcare and safe perioperative outcomes for all.

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Section: Methodsmentioning

confidence: 99%

Qualitative study exploring surgical team members' perception of patient safety in conflict-ridden Eastern Democratic Republic of Congo

Labat

Sharma

2016

BMJ Open

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“…Jej patogen przenoszony był przez muchę tse-tse. Gdy tylko pasożyt przekroczył barierę krew-mózg i atakował centralny system nerwowy, pacjent stawał się letargiczny, niepoczytalny, zapadał w śpiączkę, a w końcu umierał (Lankester 1911, 161, 166-167;Headrick 2014;Lyons 1985;Langousis i Hill 2014). W 1884 i 1885 roku europejskie mocarstwa podzieliły Afrykę, co doprowadziło do intensyfikacji kolonializmu i grabieży kontynentu.…”

Section: "Odwety Przyrody"unclassified

Kapitał i ekologia choroby

Foster¹,

Clark²,

Holleman³

2022

prt

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W artykule opisano wpływ globalnego kapitalizmu na powstawanie i rozprzestrzenianie się chorób oraz niezdolność do reagowania na zagrożenia epidemiologiczne modelu medycznego, skupionego na zdrowiu indywidualnym i wypracowanego w ramach ekonomii rynkowej. Autorzy formułują postulat medycyny uspołecznionej, która miałaby stanowić odpowiedź na współczesne wyzwania w dziedzinie opieki zdrowotnej, a także rekonstruują historię tego podejścia.

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“…The commissions against sleeping sickness became the spearheads of this policy shift towards tropical and preventive medicine. As Lyons (1985Lyons ( , p.629, 1992 and others have shown for other territories, colonial health services and the notion of public health largely developed and accelerated as a result of the combat against the disease. The available data clearly confirm this hypothesis in the case of PG (Roncon, 1952, p.384).…”

Section: Final Considerationsmentioning

confidence: 99%

“…The latter condition indicated the fact that sleeping sickness was not only endemic but also long established in the region, and had evolved over time, thus partially confirming the hypothesis put forward by Sequeira (1935a). The methods used in the Belgian Congo to eradicate sleeping sickness and other endemic diseases (Burke, 1971;Lyons, 1985Lyons, , 1992) served as a model for intervention in PG, instead of those implemented by Jamot in the French Afrique Equatoriale Francaise (AEF) (Ferreira, dez. 1949, p.595).…”

Section: Combating Sleeping Sickness and Other Endemic Diseasesmentioning

confidence: 99%

Public health and tropical modernity: the combat against sleeping sickness in Portuguese Guinea, 1945-1974

Havik

2014

Hist. cienc. saude-Manguinhos

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Until the establishment of the “Commission for the study of and combat against sleeping sickness” (Missão de estudo e combate à doença do sono) in 1945, underfunded and understaffed health services had not been a priority for the colonial administration in Portuguese Guinea. The Commission not only implemented endemic disease control in the territory under the auspices of metropolitan institutions, but also provided preventive public healthcare to the local population. Its relative success in reducing the negative impact of Human African Trypanosomiasis turned the colony into an apparent model of tropical modernity. In the process, the local evolution of the disease was marginalized, despite the tacit but contested recognition by some health professionals of the role of popular healthcare.

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Sleeping Sickness in the History of Northeast Congo (Zaire)

Cited by 3 publications

References 5 publications

Qualitative study exploring surgical team members' perception of patient safety in conflict-ridden Eastern Democratic Republic of Congo

Qualitative study exploring surgical team members' perception of patient safety in conflict-ridden Eastern Democratic Republic of Congo

Kapitał i ekologia choroby

Public health and tropical modernity: the combat against sleeping sickness in Portuguese Guinea, 1945-1974

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