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Dracunculiasis eradication--finishing the job before surprises arise.
[dracunculiasis]
Dracunculiasis
(
Guinea
worm
disease
)
is
a
preventable
waterborne
parasitic
disease
that
affects
the
poorest
people
living
in
remote
rural
areas
in
sub-
Saharan
African
countries
,
who
do
not
have
access
to
safe
drinking
water
.
The
Guinea
Worm
Eradication
Program
,
a
25
-
year
old
campaign
to
rid
the
world
of
Guinea
Worm
disease
has
now
reached
its
final
stage
accelerating
to
zero
cases
in
all
endemic
countries
.
During
the
19
th
and
20
th
centuries
,
dracunculiasis
was
common
in
much
of
Southern
Asia
and
the
African
continent
.
The
overall
number
of
cases
has
been
reduced
tremendously
by
≥
99
%
,
from
the
3
.
32
million
cases
estimated
to
have
occurred
in
1986
in
Africa
to
only
1
,
797
cases
reported
in
2010
reported
in
only
five
countries
(
Sudan
,
Mali
,
Ethiopia
,
Chad
and
Ghana
)
and
Asia
free
of
the
disease
.
This
achievement
is
unique
in
its
kind--the
only
previously
eradicated
disease
is
smallpox
,
a
viral
infection
for
which
vaccination
was
possible--and
it
has
been
achieved
through
primary
community-based
prevention
and
health
education
programs
.
Most
efforts
need
to
be
taken
in
two
countries
,
South
Sudan
(
comprising
94
%
or
1
,
698
out
of
1
,
797
of
the
cases
reported
world-
wide
in
2010
)
and
Mali
because
of
frequent
movements
of
nomads
in
a
vast
area
inside
and
outside
Mali
's
borders
.
All
factors
favourable
to
dracunculiasis
eradication
are
available
including
adequate
financial
resources
,
community
and
political
support
and
high
levels
of
advocacy
.
Thus
there
is
no
reason
that
this
disabling
parasitic
disease
can
not
be
eradicated
soon
before
surprises
arise
such
as
new
civil
conflicts
in
currently
endemic
countries
.
Diseases
Validation
Diseases presenting
"health education programs"
symptom
dracunculiasis
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