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Journal Article:Guinea worm wrap-up
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Description:In January-June 2000, the 12 endemic countries remaining outside of Sudan have reduced their total cases of dracunculiasis so far this year by -24%, from 15,962 to 12,155 (Figure 1). This is the best performance in several years, and it is led by the continued dramatic reductions in cases in Nigeria. [After reducing its cases by –71% in June, Nigeria has reduced its July cases by –68% (Table 1).] This overall reduction is achieved despite a cumulative increase in cases in Ghana of 14% so far, and recent reports from Ghana suggest that that program is also beginning to achieve reductions in cases again. These welcome reductions are the result of last year’s hard work. Programs should redouble their efforts to monitor and improve the status of this year’s interventions, by using line-listings; by strengthening active surveillance, supervision and motivation of village- based health workers; and by ensuring that all households in endemic villages receive a cloth filter.
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