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Guinea worm wrap-up ; # 114, July 16, 2001
  • Published Date:
    July 16, 2001
  • Language:
Filetype[PDF-102.60 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:
    Status of interventions in seven key districts in the most endemic countries outside of Sudan.

    Table 1 summarizes the status of interventions in the highest endemic district of each of the seven highest endemic countries outside of Sudan. These seven districts together reported 21% (4,197) of all cases of dracunculiasis outside of Sudan in 2000. They also include 17% of all cases reported outside of Sudan so far in 2001. The percentage of the respective national total of cases that was found in these districts ranged from 16% each in Ohaukwu, Nigeria and Nanumba, Ghana to 62% in Mirriah, Niger in 2000, and from 11% in Ohaukwu, Nigeria to 76% in Tanda, Cote d’Ivoire so far in 2001. These key districts are also major sources of cases exported to nonendemic and less-endemic parts of the same country, as well as a threat to neighboring countries. These should thus be high priority areas for ensuring maximal implementation of village-based interventions and of containment of individual cases. The data on the status of interventions is shown in the right-hand columns of Table 1. One concern is that these data on the status of interventions are not readily available for some of these areas (blank areas on the table), despite their priority status. The data we do have indicates that endemic villages in at least three of the districts have achieved excellent coverage rates for cloth filters. The case containment rate of only 24% in Cote d’Ivoire’s Tanda District is a big flaw that needs to be corrected immediately, but may have allowed significant transmission to continue there already this year. The case containment rate of 60% in Nigeria’s Ohaukwu Local Government Area also should be improved.

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