Sleeping sickness or African trypanosomiasis is a parasitic
disease in humans. Caused by protozoa of the genus Trypanosoma
brucei and transmitted by the tsetse fly, the disease
is endemic in certain regions of Sub-Saharan Africa, covering
about 36 countries and 60 million people. It is estimated
that 300,000 - 500,000 people are infected, and about 40,000
die every year. A related disease in cattle, called nagana,
is responsible for the death of several million heads of
cattle each year.
The early stages of the disease are treated with either
suramin or pentamidine. Advanced cases are treated with
melarsoprol, or in unresponsive cases, with eflornithine.
These drugs, especially melarsoprol, are far from ideal
and the treatment regimen is often difficult to enforce.
It is for these reasons that new and better drug are urgently
needed.