Overview of the Dracunculiasis (Guinea Worm Eradication) Program
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1 Overview of the Dracunculiasis (Guinea Worm Eradication) Program Ernesto Ruiz-Tiben, Ph.D. Director, Dracunculiasis Eradication, The Carter Center
2 Number of reported cases ( in Thousands) Number of Reported Cases of Dracunculiasis by Year, Cases Villages Countries ~3,5, (1986) 23,735 (1993) 2 (1986) 9,585 (27) 2,16 (27) (27) * Year
3 Distribution of 9,57 Indigenous Cases of Dracunculiasis Reported during 27* Number of cases 1, 2, 3, 4, 5, 6, 7, Sudan Ghana Mali Nigeria Niger Togo Burkina Faso Cote d'ivoire Ethiopia Benin Mauritania Uganda Cent. African Rep. Chad Cameroon Yemen Senegal India Kenya Pakistan ^ 26^ 26^ 26^ 24^ 24^ 23^ 21^ 1998^ 1997^ 1997^ 1997^ 1996^ 1994^ 1993^ 3,358 5,815 * Provisional. Excludes 15 cases exported from one country to another. ^ Year last indigenous case reported. Pakistan and India certified free of disease in 1996 and 2, respectively, Senegal and Yemen in 24, and Cameroon and Central African Republic in 27.
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5 Distribution by Country of 3,976 Indigenous Cases of Dracunculiasis Reported: 28* Number of cases 5 1, 1,5 2, 2,5 3, 3,5 Sudan (8) 3,12 Ghana (9) 464 Mali (9) 33 Ethiopia^ (9) 4 Nigeria (9) Niger (9) 1 37 * Provisional: excludes 4 cases imported from one country to another. (9) = uary - ember; Numbers in parenteses indicates monthly reports received. ^ The origin of 38 of the cases reported in Ethiopia is unresolved but under investigation. Two cases wwere imported from Southern Sudan, one into Kuraz Woreda (Southe Omo) and one into Itang Woreda (Gambella), are not disputed.
6 Distribution of of 3,972 3,972 Reported Cases of of Dracunculiasis: * * Provisional: excludes 4 cases imported from one country to another.
7 Cumulative number of cases Cumulative Number of Reported Cases of Dracunculiasis in Sudan, Ghana, Mali, Nigeria, and Niger Combined During 26-28* * 25 % Change: = -56% = -56%* JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC * Provisional
8 15 Sudan Guinea Worm Eradication Program Number of Reported Cases of Dracunculiasis: 27-28* % change: = -4%* 28* Number of cases % Reporting % Reporting *Provisional
9 Ghana Guinea Worm Eradication Program Number of Indigenous Cases of Dracunculiasis: 26-28* 1,2 1, 1,5 Indigenous cases 26 = 4, = 3,558: % Change = -12% 28 = 464: % Change = -85%* NUMBER OF CASES *Provisional
10 Mali Guinea Worm Eradication Program Number of Indigenous Cases of Dracunculiasis: 27-28* Indigenous cases 26 = = 313: % Change = -3% 28 = 33: % Change = +63%* Other Kidal 115 Number of cases * Provisional
11 Nigeria Guinea Worm Eradication Program Number of Indigenous Cases of Dracunculiasis: 24-28* 12 Indigenous Cases 25 = = 16: % Change = -87% 27 = 73: % Change = +3,563% 28 = 37: % Change = -12%* Number of Cases * PROVISIONAL
12 Niger Guinea Worm Eradication Program Number of Indigenous Cases of Dracunculiasis: 26-28* 3 Indigenous Cases 26 = = 11: % Change = -9% 28 = 1: % Change = -88%* Number of cases * Provisional
13 Target Dates for Last Cases* Burkina Faso, Cote d Ivoire, Togo 29 Sudan, Ghana, Mali, Nigeria, Ethiopia, and Niger *Established by ministers of health at 24 World Health Assembly. One year incubation period; thus cannot know until at least 1 year, or be sure until 3 years required by the World Health Organization.
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