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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unpublished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
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated