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Guinea worm wrap-up ; # 80, July 13, 1998
  • Published Date:
    July 13, 1998
  • Language:
    English
Filetype[PDF-115.42 KB]


Details:
  • 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:
    The Northern Region of Ghana continues to attain increasing rates of reduction of dracunculiasis in 1998 (Figure 1). The 83% reduction achieved there in May 1998 (87 cases, vs. 523 cases in May 1997) is unprecedented for such a highly endemic region of any country in the global Guinea Worm Eradication Program so far. This spectacular impact is a direct result of improved surveillance following introduction in December 1996 of small cash rewards for reporting of cases, intensified containment of cases, treatment of a few key dams with Abate beginning in January 1997, and provision or rehabilitation of safe water sources in a few key endemic towns over the past year and a half. [The most urgent challenge for Northern Region now is to determine how and why those 87 cases in May 1998 escaped all the interventions that the region had in place in May 1997: who are those people (age, sex, tribe, occupation, village), and where were they most likely infected (home, farm, visit to another village)? Each of those cases drank water which 1) had been contaminated by someone last year, 2) wasn’t filtered, and 3) wasn’t treated with Abate.

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