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The Testryp CATT (Card Agglutination Test for Trypanosomiasis): a field study on gambiense sleeping sickness in Liberia.

The inhabitants of three Liberian villages in a known gambiense sleeping sickness area with a low prevalence were examined comparatively with the haematocrit centrifugation technique (HCT), the miniature anion exchange centrifugation technique (m-AECT), the indirect fluorescent antibody test (IFAT) and the Testryp CATT (Card Agglutination Test for Trypanosomiasis). Among 418 persons examined was one individual from whom trypanosomes could be isolated with the HCT and m-AECT. This positive case and another 21 individuals had positive titres of 1:40 and more in the IFAT. The same number, but not the same individuals, showed positive reactions in the CATT in the 1:5 serum dilution. The 1:25 dilution of blood and serum was inferior to the corresponding 1:5 dilution and could therefore be omitted. The 'false positive' rate in the CATT was 5.0% in the serum, 10.1% in the blood, and 11.5% in blood or serum. The combination of HCT and m-AECT in the field did not achieve better results than the CATT or IFAT. Thus the CATT can be recommended as the preferable technique for screening of gambiense trypanosomiasis in the field.

Agglutination Tests↗

Trypanosome infections in domestic animals in Liberia.

In 5 domestic animal species of the Liberian rain forest, investigations were done on the infection rates with trypanosomes of the subgenera Nannomonas, Duttonella and Trypanozoon and on possible reservoir hosts for Trypanosoma (T.) brucei gambiense. Serological screening (indirect fluorescent antibody test) revealed that infection rates with Trypanosoma spp. were in N'Dama cattle 80.4%, in pigs 76.0%, in dogs 48.5%, in goats 35.1% and in sheep 28.1%. In N'Damas, antibodies to T. (N.) congolense and to T. (D.) vivax predominated and were distributed homogeneously; in pigs, antibodies to T. (N.) congolense were found most frequently. In dogs, antibodies to T. (N.) congolense and to T. (T.) b. brucei, and in goats and sheep antibodies to all 3 species were distributed homogeneously. Strong serological reactions (titres greater than 1:320) to T. (T.) b. brucei antigen were found most frequently in pigs (20.0%), in cattle (9.8%) and in dogs (9.5%). As suspicious reservoir hosts for T. (T.) b. gambiense, pigs (117) and dogs (105) were examined parasitologically in order to isolate Trypanozoon stocks for further infraspecific characterization. 56.4% of the pigs (14.5% Trypanozoon, 23.1% mixed Trypanozoon/Nannomonas, 18.8% Nannomonas), and 38.2% of the dogs (2.9% Trypanozoon, 14.3% mixed Trypanozoon/Nannomonas, 21.0% Nannomonas) were found to be infected. The sensitivities of the thick smear, the haematocrit centrifugation technique and the animal inoculation using Mastomys natalensis were described. 32 trypanosome stocks containing Trypanozoon were stabilized.

Animals↗