Trypanosomiasis or trypanosomosis is the name of several diseases in vertebrates caused by parasitic protozoan trypanosomes of the genus Trypanosoma. In humans this includes African trypanosomiasis and Chagas disease. A number of other diseases occur in other animals. African trypanosomiasis, which is caused by either Trypanosoma brucei gambiense or Trypanosoma brucei rhodesiense, threatens some 65 million people in sub-Saharan Africa, especially in rural areas and populations disrupted by war or poverty. The number of cases  has been going down due to systematic eradication efforts: in 1998 almost 40,000 cases were reported but almost 300,000 cases were suspected to have occurred; in 2009, the number dropped below 10,000; and in 2018 it dropped below 1000. Chagas disease causes 21,000 deaths per year mainly in Latin America. Signs and symptoms
The tsetse fly bite erupts into a red chancre sore and within a few weeks, the person can experience fever, swollen lymph glands, blood in urine, aching muscles and joints, headaches and irritability. In the first phase, the patient has only intermittent bouts of fever with lymphadenopathy together with other non-specific signs and symptoms. The second stage of the disease is marked by involvement of the central nervous system with extensive neurological effects like changes in personality, alteration of the biological clock (the circadian rhythm), confusion, slurred speech, seizures and difficulty in walking and talking. These problems can develop over many years and if not treated, the person dies. It is common in Subsaharan Africa. Diagnosis
Cattle may show enlarged lymph nodes and internal organs.
In regions of the world where the disease is common eflornithine is provided for free by the World Health Organization. Research
Trypanosomiasis could, in future be prevented by genetically altering the tsetse fly. As the tsetse fly is the main vector of transmission, making the fly immune to the disease by altering its genome could be the main component in an effort to eradicate the disease. New technologies such as CRISPR allowing cheaper and easier genetic engineering could allow for such measures. A pilot program in Senegal, funded by the International Atomic Energy Agency, has considerably reduced the tsetse fly population by introducing male flies which have been sterilized by exposure to gamma rays. This has allowed a change of cattle breeds from lower producing trypanotolerant breeds to higher-producing foreign breeds, and was selected as one of the Best Sustainable Development Practices on Food Security by EXPO Milan 2015. Other animals
Nagana, or animal African trypanosomiasis, also called Souma or Soumaya in Sudan. Surra
Mal de cadeiras, or Quebra Bunda (of central South America, Brazil)
Murrina de caderas (of Panama;  Derrengadera de caderas)
Dourine
Cachexial fevers (various)
Gambian horse sickness (of central Africa)
Baleri  (of Sudan)
Kaodzera  (Rhodesian trypanosomiasis)
Tahaga  (a disease of camels in Algeria)
Galziekte, galzietzke (bilious fever of cattle; gall sickness of South Africa)
Peste-boba (of Venezuela; Derrengadera)Some species of cattle such as the African buffalo, Ndama, and Keteku appear trypanotolerant and do not develop symptoms. Calves are more resistant than adults.Tsetse-borne species of trypanosomes have entered zoos outside the traditional tsetse zone in infected animals imported for the zoo.