Motorcycles, Cell Phones, and Electricity Can Dramatically Change the Epidemiology of Infectious Disease in Africa

Jean-Christophe Lagier Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée-Infection, Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM U1095, Campus International UCAD-IRD, Dakar, Senegal.

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Cheikh Sokhna Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée-Infection, Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM U1095, Campus International UCAD-IRD, Dakar, Senegal.

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Didier Raoult Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée-Infection, Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM 1095, Marseille, France.

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Some observations and recent publications demonstrated, particularly in Africa, the potential influence that low-cost motorcycles, cell phones, and even widespread electrification could have on the evolution of infectious diseases, particularly zoonoses. Our reflections support the conclusion that we should focus on the real-time surveillance systems including alerting systems leading to a rapid and flexible response rather than the strongly limited modeling of infectious diseases because of the continuous evolution of microorganisms, as well as changes in the environment and human habits that are unpredictable.

Author Notes

* Address correspondence to Didier Raoult, Faculté de Médecine, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM 1095, IHU Méditerranée Infection, 19-21 Boulevard Jean Moulin, Marseille 13005, France. E-mail: didier.raoult@gmail.com

Authors' addresses: Jean-Christophe Lagier and Cheikh Sokhna, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée-Infection, Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM U1095, Campus International UCAD-IRD, Dakar, Senegal, E-mails: jclagier@yahoo.fr and cheikh.sokhna@ird.fr. Didier Raoult, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE), IHU Méditerranée-Infection, Aix-Marseille Université, UM63, CNRS 7278, IRD 198, INSERM 1095, Marseille, France, E-mail: didier.raoult@gmail.com.

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