Guinea worm wrap-up ; # 159, January 27, 2006
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Guinea worm wrap-up ; # 159, January 27, 2006

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  • Journal Article:
    Guinea worm wrap-up
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    Benin and Mauritania both reported zero indigenous cases of dracunculiasis (Guinea worm disease) for a full calendar year for the first time in 2005. Benin’s last reported indigenous case was reported in March 2004, while Mauritania’s final indigenous case was reported in June 2004. These two countries reported peaks of 37,414 and 8,301 cases, respectively, in 1990. Congratulations to Benin’s National Coordinator, Dr. Aristide Paraiso, and to Mauritania’s National Coordinator, Dr. M’hammed Ould Sidi Lebatt and their respective GWEP staff for this achievement! We are delighted to welcome them to the nonendemic countries in the pre-certification stage, which is being supported and led by the World Health Organization (WHO)!!! Eleven of the 20 formerly endemic countries have now interrupted transmission of dracunculiasis.

    Of the nine remaining endemic countries, Nigeria and Togo made the next most significant advances in 2005, reducing their numbers of indigenous cases by -76% (from 495 to 120 cases) and -70% (from 232 to 70 cases), respectively. Nigeria reported fewer cases than Mali and Niger for the first time, while Togo reported less than 100 cases in a calendar year for the first time. (Figures 1, 2, and 3) During the last five months of 2005, Nigeria reported only 5 indigenous cases, compared to 112 indigenous cases in the same five months of 2004, for a reduction of - 96% during what used to be Nigeria’s peak transmission season. All five of the cases in August - December 2005 were reportedly contained, compared to 91% of the 112 cases in the same period of 2004. Only 40 villages in Nigeria reported one or more cases of dracunculiasis during 2005, a reduction of -53% from the 85 villages that reported one or more cases during 2004. Nigeria’s National Committee on Certification for Guinea Worm Disease Eradication met for the first time in Minna, Niger State on November 29-30, 2005 (see Guinea Worm Wrap-Up #156 for the list of members). During the last 5 months of 2005, Togo reported only 17 indigenous case, compared to 78 indigenous cases during the same five months of 2004, for a reduction of -78% during what used to be Togo’s peak transmission season. Fourteen (82%) of the 17 cases reported in Togo during August – December 2005 were contained. Nigeria reported a peak of 653,492 cases in 1988 and Togo a peak of 10,349 cases in 1993.

    Of the next least endemic countries, Ethiopia reported 5 uncontained cases (out of 37 total) in 2005, Cote d’Ivoire 6 uncontained (of 10), and Burkina Faso 9 uncontained (of 30).

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