Guinea worm wrap-up ; # 101, May 19, 2000
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      At the 53rd World Health Assembly in Geneva, the Bill and Melinda Gates Foundation announced on May 16, 2000, a grant of $28.5 million to help accelerate the eradication of dracunculiasis. The grant, which will be channeled through the World Bank Trust Fund for Guinea Worm Eradication, will be allocated as follows:

      • $15 million to The Carter Center for the three-year period 2000-2002. The Carter Center has primary responsibility among the external partners to assist the remaining endemic countries (except Mauritania and Uganda, for which UNICEF has primary responsibility; and Central African Republic, for which WHO has primary responsibility) in eradicating this disease.

      • $8.5 million to The World Bank. These funds will be used, by consensus agreement of The World Bank, The Carter Center, WHO, and UNICEF, to provide support for participation in this initiative by the Centers for Disease Control and Prevention (CDC), and the US Peace Corps; for contingencies; and for other expenditures related to Guinea worm eradication.

      • $5 million to the World Health Organization, which has the responsibility for certification of eradication. WHO will also assume primary responsibility for assistance to countries in the pre-certification stage, including still-endemic countries that report 100 cases or less during a calendar year.

      • UNICEF (amount to be determined) will have primary responsibility among the external partners for helping all national programs to bring the water supply sector to bear in endemic villages, as quickly and effectively as possible. This includes helping programs to coordinate provision of new water supplies and rehabilitation of existing ones by all parties in endemic communities. UNICEF will continue to seek additional funds to support this expensive intervention. Priority in this will be given to the highest endemic countries, especially Nigeria and Ghana. UNICEF will continue to also support health education and social mobilization activities in endemic countries.

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