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Guinea worm wrap-up ; # 130, February 21, 2003
  • Published Date:
    February 21, 2003
  • Language:
Filetype[PDF-338.48 KB]

  • Corporate Authors:
    WHO Collaborating Center for Research, Training and Eradication of Dracunculiasis. ; Emory University. Carter Center ; Centers for Disease Control and Prevention (U.S.)
  • Description:
    Uganda's Guinea Worm Eradication Program reported only 7 indigenous cases in 7 endemic villages, and 18 cases imported from Sudan during 2002. Eighteen (76%) of the 24 cases were reportedly contained - all in case containment centers. Thus, the indigenous case reported in Lorukumo village of Moroto District in December 2002 might be the final instance of indigenously transmitted dracunculiasis in Uganda. That patient, a 48-year-old woman, was confined in a local hospital from the swelling stage until the worm was completely removed. If no indigenous cases are reported in 2003, Uganda will become the first endemic country to interrupt transmission since Chad reported its last case in 1998. This is a remarkably rapid achievement for the Ugandan program, which recorded 126,639 cases in 2,677 endemic villages of 16 districts during its national case search in 1991-1992 (figure 1). Most cases (94.9%) were located in only three contiguous districts (Kitgum, Kotido, Moroto) in the northeast of the country (figure 2). Before the national village-by-village search, which was one of the last to be conducted among the endemic countries, Uganda had reported only 1,960 and 1,309 cases for the entire country in 1988 and 1989, respectively. When Uganda reported 42,852 cases of dracunculiasis in 1993, it ranked as the second- highest endemic country, exceeded only by Nigeria (75,752 cases), and followed by Niger (21,564) and Ghana (17,918). (Sudan's program did not get fully underway until 1995.)

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