Table 7. Numbers of patients in whom new and pre-existing ideas about HAT case detection led to referral after training (n = 54).
Syndromic HAT case detection idea discussed* | Pre-existing idea reinforced by training n (%) | New idea introduced in training n (%) | Origin of idea unclear n (%) |
Abnormal sleeping behaviour (daytime sleeping and/or insomnia) could be due to HAT | 36 (66.7%) | ||
Mental confusion/abnormal mental behaviour (confusion, forgetfulness, aggression, hallucinations) could be due to HAT | 25 (46.3%) | ||
Excessive appetite could be due to HAT | 8 (14.8%) | ||
Weight gain could be due to HAT | 2 (3.7%) | ||
Reduced appetite could be due to HAT | 7 (13.0%) | ||
Weight loss could be due to HAT | 3 (5.6%) | ||
Prolonged headache could be due to HAT | 26 (48.1%) | ||
Prolonged fever (reported) could be due to HAT | 16 (29.6%) | ||
Pains in the body could be due to HAT | 11 (20.4%) | ||
Enlarged cervical lymph nodes could be due to HAT | 11 (20.4%) | ||
Convulsions could be due to HAT | 6 (11.1%) | ||
Neurological problems (difficulty walking/numbness is legs) could be due to HAT | 4 (7.4%) | ||
Neurological signs (painful tibia) could be due to HAT | 3 (5.6%) | ||
Fertility problem (miscarriage, pregnancy concern, lack of menstruation) could be due to HAT | 3 (5.6%) | ||
Weakness could be due to HAT | 8 (14.8%) | ||
Very poor overall state of health could be due to HAT | 5 (9.3%) | ||
Other symptoms (night sweats, shaking, rash, coma) could be due to HAT | 3 (5.6%) | ||
Malaria- and typhoid-like symptoms unresolved by local diagnosis/treatment could be due to HAT | 37 (68.5%) | ||
HAT can affect people who drink (or appear to drink) excessively | 6 (11.1%) | ||
HAT can affect people who are imprisoned for strange/violent behaviour | 3 (5.6%) |
*More than one referral rationale could apply to an individual patient.