{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T18:30:11Z","timestamp":1772562611472,"version":"3.50.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>On May 30th and 31st, 2023, delegates representing various African subregions, together with global representatives from the International Society of Human and Animal Mycology (ISHAM), the European Confederation of Medical Mycology (ECMM), the United States Centre for Disease Control and Prevention (CDC), and Global Action for Fungal Infections (GAFFI), convened in Nairobi, Kenya under the aegis of the Pan African Mycology Working Group, a working group of ISHAM. The meeting objectives were, amongst others, to deliberate on a continental response to the World Health Organisation Fungal Priority Pathogen List and facilitate interaction between global and regional leaders. Country delegates and international speakers addressed Africa's fungal disease burden; capacity for diagnosis and management; ongoing surveillance; knowledge gaps and trends in invasive fungal diseases such as Candida auris, mucormycosis, aspergillosis, and Acquired Immune Deficiency Syndrome (AIDS)-related mycoses; and current laboratory practice. During the technical sessions, expert panels deliberated on establishing and financing of national\/regional surveillance networks for mycoses; establishing and sustaining African-led collaborations; expanding on existing laboratory and point-of-care diagnostic capacity as well as planning a mycology reference laboratory service and network in Africa. The meeting also highlighted successful African-led collaborations, capacity building, and clinical trial initiatives. The meeting conclusions informed the resolutions of the Nairobi Declaration calling for improved awareness; strong collaborations between clinical and laboratory teams across Africa; improved fungal disease surveillance within the continent; access to antifungals and diagnostics; and leveraging qualified human resources for mycology present within and outside Africa to facilitate trainings, collaborations, and exchanges.<\/jats:p>","DOI":"10.1093\/mmy\/myad141","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:28:41Z","timestamp":1703809721000},"source":"Crossref","is-referenced-by-count":7,"title":["The Nairobi Declaration 2023: A commitment to address deadly yet neglected fungal diseases in Africa"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8111-0743","authenticated-orcid":false,"given":"Iriagbonse I","family":"Osaigbovo","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology, School of Medicine, College of Medical Sciences, University of Benin , Benin City , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7869-9462","authenticated-orcid":false,"given":"Nelesh P","family":"Govender","sequence":"additional","affiliation":[{"name":"National Institute for Communicable Diseases, a Division of the National Health Laboratory Service, School of Pathology, University of the Witwatersrand , Johannesburg , South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander M","family":"Jordan","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention , Atlanta , United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4515-8517","authenticated-orcid":false,"given":"Felix","family":"Bongomin","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University , Gulu , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8854-0321","authenticated-orcid":false,"given":"David B","family":"Meya","sequence":"additional","affiliation":[{"name":"Infectious Diseases Institute, Makerere University , Kampala , Uganda"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8241-5845","authenticated-orcid":false,"given":"Alice","family":"Kanyua","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Aga Khan University , Nairobi , Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olga M","family":"Mashedi","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute , Nairobi , Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Koffi","sequence":"additional","affiliation":[{"name":"Institut Pasteur de C\u00f4te d'Ivoire , Abidjan, Cote d'Ivoire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7853-1344","authenticated-orcid":false,"given":"Angela","family":"Loyse","sequence":"additional","affiliation":[{"name":"Division of Infection and Immunity Research Institute, St George's University of London , London , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aude","family":"Sturny-Lecl\u00e8re","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Universite Paris Cite, National Reference Center for Invasive Mycoses and Antifungals, Translational Mycology research group, Mycology Department, F-75015, Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4974-5607","authenticated-orcid":false,"given":"Jean-Pierre","family":"Gangneux","sequence":"additional","affiliation":[{"name":"CHU de Rennes, University of Rennes, INSERM, Irset (Institut de recherche en sant\u00e9, environnement et travail) - UMR_S 1085 , Rennes , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5626-2251","authenticated-orcid":false,"given":"David W","family":"Denning","sequence":"additional","affiliation":[{"name":"Manchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Sciences Centre , Manchester , United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Chiller","sequence":"additional","affiliation":[{"name":"Mycotic Diseases Branch, Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention , Atlanta , United States of America"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9599-3137","authenticated-orcid":false,"given":"Oliver A","family":"Cornely","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, European Diamond Excellence Center of Medical Mycology, University Hospital Cologne , Cologne , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1488-3345","authenticated-orcid":false,"given":"Rita O","family":"Oladele","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Parasitology, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,12,28]]},"reference":[{"issue":"3","key":"2024011508423283400_bib1","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1111\/myc.13044","article-title":"Bridging the knowledge gap on mycoses in Africa: Setting up a Pan-African Mycology Working Group","volume":"63","author":"Oladele","year":"2020","journal-title":"Mycoses"},{"key":"2024011508423283400_bib2","volume-title":"WHO Fungal Priority Pathogens List to Guide Research, Development and Public Health Action","author":"World Health Organization","year":"2022"},{"key":"2024011508423283400_bib3","first-page":"204993612210814","article-title":"Fungal diseases in Africa: epidemiologic, diagnostic and therapeutic advances","volume":"9","author":"Bongomin","year":"2022","journal-title":"Ther Adv Infect Dis"},{"key":"2024011508423283400_bib4","author":"Global Action for Fungal Infections","year":"2023"},{"issue":"12","key":"2024011508423283400_bib5","doi-asserted-by":"crossref","first-page":"1748","DOI":"10.1016\/S1473-3099(22)00499-6","article-title":"The global burden of HIV-associated cryptococcal infection in adults in 2020: a modelling analysis","volume":"22","author":"Rajasingham","year":"2022","journal-title":"Lancet Infect Dis"},{"issue":"3","key":"2024011508423283400_bib6","doi-asserted-by":"crossref","first-page":"106718","DOI":"10.1016\/j.ijantimicag.2023.106718","article-title":"The current state of laboratory mycology in Asia\/Pacific: A survey from the European Confederation of Medical Mycology (ECMM) and International Society for Human and Animal Mycology (ISHAM)","volume":"61","author":"Salmanton-Garc\u00eda","year":"2023","journal-title":"Int J Antimicrob Agents"},{"issue":"1","key":"2024011508423283400_bib7","doi-asserted-by":"crossref","first-page":"e47","DOI":"10.1016\/S2666-5247(22)00261-0","article-title":"The current state of laboratory mycology and access to antifungal treatment in Europe: a European Confederation of Medical Mycology survey","volume":"4","author":"Salmanton-Garc\u00eda","year":"2023","journal-title":"Lancet Microbe"},{"issue":"6","key":"2024011508423283400_bib8","doi-asserted-by":"crossref","first-page":"e464","DOI":"10.1016\/S2666-5247(21)00190-7","article-title":"The current state of clinical mycology in Africa: a European Confederation of Medical Mycology and International Society for Human and Animal Mycology survey","volume":"3","author":"Driemeyer","year":"2022","journal-title":"Lancet Microbe"},{"issue":"11","key":"2024011508423283400_bib9","doi-asserted-by":"crossref","first-page":"2036","DOI":"10.3201\/eid2411.180368","article-title":"Candida auris in South Africa, 2012\u20132016","volume":"24","author":"Govender","year":"2018","journal-title":"Emerg Infect. 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