@article {100,
	title = {Epidemic typhus in Africa},
	journal = {Medecine Tropicale},
	volume = {59},
	year = {1999},
	note = {LR: 20041117; JID: 8710146; RF: 91; ppublish},
	month = {1999},
	pages = {181 - 192},
	address = {FRANCE},
	abstract = {Epidemic typhus is caused by a small strictly intracellular virus named Rickettsia prowazekii, a member of the Rickettsial family. It is transmitted to man by the body louse, Pediculus humanus. Although now rare in Western countries, exanthematic typhus remains common in the Southern hemisphere due to poverty, inadequate clothing hygiene, and poor socioeconomic conditions. In Africa, outbreaks have historically occurred in Burundi, Rwanda, southwest Ouganda, and Ethiopia. The largest outbreak of epidemic typhus since the World War II was reported in Burundi where ongoing civil war since October 1993 has forced 10 p. 100 of the population of Burundi to live in cold, promiscuity, and malnutrition of makeshift refugee camps. The purpose of this report based on our two-year experience working with this unfortunate population is to describe the characteristics of this disease in Africa where the epidemic form had become rare until recently. Indeed political unrest as well as numerous civil wars are now epidmiological factors favorizing outbreaks of epidemic typhus at any time. This overview also provides an opportunity to recall epidemiological, bacteriological, and clinical aspects of typhus as well as diagnosis and treatment of the disease in the context of Africa.},
	keywords = {Africa, animals, Burundi, Diagnosis, Differential, Disease Outbreaks/statistics \& numerical data, English Abstract, humans, Insect vectors, Lice/microbiology, populations, risk factors, typhus, war},
	isbn = {0025-682X},
	author = {Ndihokubwayo,J. B. and Raoult,Didier}
}
@article {47,
	title = {Lice and lice-borne diseases in humans},
	journal = {Medecine Tropicale},
	volume = {65},
	year = {2005},
	note = {JID: 8710146; ppublish},
	month = {2005},
	pages = {13 - 23},
	address = {France},
	abstract = {Among the three lice which parasite the human being, the human body louse, Pediculus humanus humanus, is a vector of infectious diseases. It lives and multiplies in clothes and human infestation is associated with cold weather and a lack of hygiene. Three pathogenic bacteria are transmitted by the body louse: 1) Rickettsia prowazekii, the agent of epidemic typhus of which the most recent outbreak (and the largest since World War II) was observed during the civil war in Burundi; 2) Borrelia recurrentis, the agent of relapsing fever, historically responsible of massive outbreaks in Eurasia and Africa, which prevails currently in Ethiopia and neighboring countries; 3) Bartonella quintana, the agent of trench fever, bacillary angiomatosis, chronic bacteremia, endocarditis, and lymphadenopathy. Body louse infestation, associated with a decline in social and hygienic conditions provoked by civil unrest and economic instability, is reemergent worldwide. Recently, a forth human pathogen, Acinetobacter baumannii, has been associated to the body louse.},
	isbn = {0025-682X},
	author = {Houhamdi,Linda and Parola,Phillipe and Raoult,Didier}
}
