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Journal Article:Guinea worm wrap-up
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Description:This issue summarizes the nearly complete surveillance numbers from 1998. As indicated in the enclosed Tables and Figures, in 1998 endemic countries outside of Sudan reduced their number of reported cases to 30,449 (-12%), while reducing the number of endemic villages (reported one or more case(s) of dracunculiasis during 1998) by –16%, to 3,160. Thus, only a little more than 30,000 cases of dracunculiasis were reported outside of Sudan. Outside of Sudan and Nigeria, the number of cases was reduced by –22%. Meanwhile, the number of documented cases imported/exported from one country to another increased significantly since 1997, when only 124 international importations were reported, as compared to 256 such importations in 1998. Other important achievements are that Cameroon, Senegal and Yemen reported no indigenous cases for the first full calendar year in 1998, and Chad reported only 2 confirmed cases, while Ethiopia and Mali recorded their first months with zero cases reported since their eradication programs began. The discovery and beginning correction of serious problems in the program in Southeast Nigeria late in the year, and increased funding, give reason to expect that Nigeria will resume reducing its cases later in 1999, as Ghana already did in 1998. All countries except Sudan, as well as the ten northern states of Sudan, are now aiming to interrupt transmission of dracunculiasis in 1999 or 2000.
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