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Progress toward global eradication of dracunculiasis--January 2012-June 2013.
[dracunculiasis]
Dracunculiasis
(
Guinea
worm
disease
)
is
caused
by
Dracunculus
medinensis
,
a
parasitic
worm
.
Approximately
1
year
after
infection
from
contaminated
drinking
water
,
the
worm
emerges
through
the
skin
of
the
infected
person
,
usually
on
the
lower
limb
.
Pain
and
secondary
bacterial
infection
can
cause
temporary
or
permanent
disability
that
disrupts
work
and
schooling
.
In
1986
,
the
World
Health
Assembly
(
WHA
)
called
for
dracunculiasis
elimination
,
and
the
global
Guinea
Worm
Eradication
Program
,
supported
by
The
Carter
Center
,
World
Health
Organization
(
WHO
)
,
United
Nations
Children
's
Fund
(
UNICEF
)
,
CDC
,
and
other
partners
,
began
assisting
ministries
of
health
of
dracunculiasis
-endemic
countries
in
meeting
this
goal
.
At
that
time
,
an
estimated
3
.
5
million
cases
occurred
each
year
in
20
countries
in
Africa
and
Asia
.
This
report
updates
published
and
unpublished
surveillance
data
reported
by
ministries
of
health
and
describes
progress
toward
dracunculiasis
eradication
.
A
total
of
542
cases
were
reported
in
2012
,
compared
with
1
,
058
in
2011
.
The
disease
remains
endemic
in
four
countries
in
2013
,
but
the
overall
rate
of
reduction
in
cases
has
accelerated
compared
with
the
first
6
months
of
2012
.
In
the
month
of
January
2013
,
no
cases
were
reported
worldwide
for
the
first
time
since
the
eradication
program
began
in
1986
.
Failures
in
surveillance
and
containment
,
lack
of
clean
drinking
water
,
insecurity
in
Mali
and
parts
of
South
Sudan
,
and
an
unusual
epidemiologic
pattern
in
Chad
are
the
main
remaining
challenges
to
dracunculiasis
eradication
.
Diseases
Validation
Diseases presenting
"a parasitic worm"
symptom
dracunculiasis
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