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Renewed transmission of dracunculiasis--Chad, 2010.
[dracunculiasis]
Transmission
of
dracunculiasis
(
Guinea
worm
disease
)
,
a
waterborne
,
parasitic
disease
targeted
for
eradication
,
was
thought
to
have
been
interrupted
in
Chad
since
2000
,
when
the
last
case
was
reported
.
However
,
in
2010
,
10
cases
were
confirmed
by
the
Chad
Ministry
of
Public
Health
(
Ministère
de
la
Santé
Publique
[
MSP
]
)
and
the
World
Health
Organization
(
WHO
)
during
field
investigations
in
which
rumored
cases
were
investigated
and
nearby
villages
were
actively
searched
for
additional
cases
.
Because
patients
were
not
prevented
from
contaminating
water
sources
,
new
cases
were
expected
in
2011
.
During
January
-
February
2011
,
MSP
,
WHO
,
and
CDC
conducted
an
investigation
to
gather
additional
information
to
guide
prevention
and
response
activities
before
the
2011
transmission
season
.
Seven
districts
where
cases
had
been
confirmed
or
suspected
in
2010
or
where
dracunculiasis
was
endemic
during
1994
-
2000
were
surveyed
.
The
results
of
those
surveys
indicated
that
residents
of
116
(
55
%
)
of
210
villages
and
13
(
87
%
)
of
15
nomad
camps
consumed
water
from
unsafe
sources
;
157
(
75
%
)
of
209
village
key
informants
(
KIs
)
and
five
(
33
%
)
of
15
nomad
camp
KIs
knew
about
dracunculiasis
.
Thirty
-
one
villages
had
confirmed
or
suspected
cases
during
2009
-
2011
and
were
classified
as
at
-risk
,
requiring
weekly
active
surveillance
and
urgent
pre-positioning
of
materials
for
the
2011
transmission
season
.
Nomadic
populations
are
at
risk
for
dracunculiasis
because
of
unsafe
water
consumption
and
minimal
knowledge
of
the
disease
.
These
populations
also
require
targeted
surveillance
and
prevention
efforts
(
e
.
g
.
,
filter
distribution
,
education
,
and
case
containment
)
to
interrupt
dracunculiasis
transmission
.
Diseases
Validation
Diseases presenting
"unsafe water consumption"
symptom
dracunculiasis
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