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Dracunculiasis eradication and the legacy of the smallpox campaign: what's new and innovative? What's old and principled?
[dracunculiasis]
Coming
on
the
heels
the
declaration
of
smallpox
eradication
in
1980
was
the
launch
of
the
dracunculiasis
(
Guinea
worm
)
eradication
program
,
as
a
key
outcome
indicator
of
the
success
of
the
United
Nations
1981
-
1990
International
Drinking
Water
Supply
and
Sanitation
Decade
(
IDWSSD
)
.
The
dracunculiasis
eradication
campaign
has
carried
on
well
beyond
the
close
of
the
IDWSSD
largely
due
to
the
efforts
of
President
Jimmy
Carter
and
The
Carter
Center
,
to
assist
the
national
Guinea
Worm
Eradication
Programs
in
collaboration
with
partner
organizations
,
including
the
Centers
for
Disease
Control
and
Prevention
(
CDC
)
,
UNICEF
,
and
the
World
Health
Organization
.
Dracunculiasis
eradication
efforts
have
as
primary
tools
health
education
,
filter
distribution
for
drinking
water
filtration
,
and
case
containment
,
all
guided
by
rigorous
village
based
surveillance
.
Additional
tools
are
treatment
of
selected
water
sources
with
ABATE
(
R
)
(
temephos
)
larvicide
and
provision
of
protected
drinking
water
supplies
.
Village
volunteers
provide
monthly
reporting
of
cases
(
including
reports
of
zero
cases
)
.
The
global
campaign
has
made
remarkable
progress
through
both
innovation
and
adherence
to
eradication
principles
.
Annual
cases
of
dracunculiasis
have
decreased
from
3
.
5
million
in
1986
to
less
than
2000
in
2010
.
The
challenge
is
to
reach
zero
cases
.
The
task
,
so
often
faced
by
eradication
programs
,
is
to
finish
the
'
final
inch
'
in
some
of
the
most
difficult
places
on
earth
to
work
.
In
the
case
of
dracunculiasis
,
that
is
the
new
Republic
of
South
Sudan
.
Diseases
Validation
Diseases presenting
"filter distribution for drinking water filtration"
symptom
dracunculiasis
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