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. 2014 Mar 20;8(3):e2742. doi: 10.1371/journal.pntd.0002742

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.