ArticleInternational journal of public health2020
Hotspot or blind spot? Historical perspectives on surveillance and response to epidemics in the Central African Republic.
Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Strongyloides Genetic Diversity among Humans, Dogs, and Nonhuman Primates, Central African Republic, 2016-2022.Emerging infectious diseases · 2026Article
- A Scoping Review of African Health Histories from the Pre-Colonial to SDG Eras: Insights for Future Health Systems.Healthcare (Basel, Switzerland) · 2026Review
- Negotiating cohabitation in a Nigerian abattoir: One Health perspectives of human-animal-ecosystem interactions examined in the light of the SARS-CoV-2 pandemic.One health outlook · 2025Article
- Preparedness, impacts, and responses of public health emergencies towards health security: qualitative synthesis of evidence.Archives of public health = Archives belges de sante publique · 2023Article
- Response to COVID-19 in the Central African Republic: Coping Strategies Combined With China's Experience.International journal of public health · 2022Review
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Authors and funding
3 authors.
Funding
Abstract
objectivesThe Central African Republic (CAR), a site of recurrent disease emergence, developed a noteworthy epidemiological surveillance system from the colonial period, but its health measures have remained among the world's lowest. To understand this disparity between surveillance and public health, we examined selected moments in its history of surveillance and changing relations with public health structures.
methodsWe conducted archival research in CAR and French archives and 18 semi-structured interviews with key researchers working in CAR.
resultsWe find long-term continuities in privileging surveillance over the health system and population health, making the CAR a "hotspot" for emerging diseases and a "blind spot" of primary health care. From the colonial period, the country attracted considerable support for surveillance, without concomitant investment in public health system. Political disputes and financial constraints have obscured real primary care needs on the ground.
conclusionsAs both a hotspot and a blind spot for global health, the CAR signals the need to reorient health interventions to address the long-term health of Central African people.
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