This report summarizes the status of the global Dracunculiasis Eradication Program as of the end of 2017. Dracunculiasis (guinea worm disease) has been eliminated from 19 of 21 countries where it was endemic in 1986, when an estimated 3.5 million cases occurred worldwide. Only Chad and Ethiopia reported cases in humans, 15 each, in 2017. Infections of animals, mostly domestic dogs, with were reported in those two countries and also in Mali. Insecurity and infections in animals are the two main obstacles remaining to interrupting dracunculiasis transmission completely.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090361PMC
http://dx.doi.org/10.4269/ajtmh.18-0204DOI Listing

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Article Synopsis
  • The eradication efforts for Dracunculus medinensis, which causes Guinea worm disease, began at the CDC in 1980 and gained momentum after the World Health Assembly aimed for elimination in 1986 due to millions of cases worldwide.
  • The Guinea Worm Eradication Program (GWEP), led by The Carter Center and supported by various organizations, works to assist affected countries in reducing cases, but faces challenges from new infections in animals and ongoing civil unrest.
  • As of mid-2024, despite 14 human cases and hundreds of animal infections reported recently, Guinea worm disease remains endemic in five countries, although there is still hope for achieving zero cases in the near future.
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Factors Influencing Community Engagement during Guinea Worm and Polio Eradication Endgames in Chad: Recommendations for "Last Mile" Programming.

Am J Trop Med Hyg

September 2024

Ministère de la Sante Publique, Programme National d'Eradication de Ver du Guinée - Tchad, N'Djamena, Chad.

Community engagement is a strategy commonly used in health and development programming. Many disease eradication programs engage with communities through different structures and mechanisms to detect, report, contain, and respond to the diseases they target. Qualitative operational research was conducted in a district of Chad co-endemic for both dracunculiasis (i.

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Dracunculiasis, also known as Guinea worm disease, is targeted to become the second human disease and first parasitic infection to be eradicated. The global Guinea Worm Eradication Program (GWEP), through community-based interventions, reduced the burden of disease from an estimated 3.5 million cases per year in 1986 to only 13 human cases in 2022.

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A comprehensive understanding of the spatial distribution and correlates of infection are key for the planning of disease control programs and assessing the feasibility of elimination and/or eradication. In this work, we used species distribution modeling to predict the environmental suitability of the Guinea worm (Dracunculus medinensis) and identify important climatic and sociodemographic risk factors. Using Guinea worm surveillance data collected by the Chad Guinea Worm Eradication Program (CGWEP) from 2010 to 2022 in combination with remotely sensed climate and sociodemographic correlates of infection within an ensemble machine learning framework, we mapped the environmental suitability of Guinea worm infection in Chad.

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For decades, guinea worm disease, caused by the parasitic worm Dracunculus medinensis, has been a major public health concern, impacting vulnerable populations in Africa and Asia. This review gives an in-depth examination of the various therapeutic approaches used to combat guinea worm disease. This study seeks to provide a current and evidence-based summary of available treatment techniques by conducting an exhaustive examination of peer-reviewed literature, medical databases, and official health organisation publications.

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