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The role of case containment centers in the eradication of dracunculiasis in Togo and Ghana.
[dracunculiasis]
As
part
of
the
global
effort
to
eradicate
dracunculiasis
(
Guinea
worm
disease
)
,
several
endemic
countries
established
case
containment
centers
to
provide
treatment
and
support
to
patients
with
emerging
Guinea
worms
to
keep
them
from
contaminating
water
sources
.
To
assess
the
functioning
,
effectiveness
,
and
public
perception
of
this
intervention
,
we
visited
eight
centers
and
conducted
surveys
in
32
villages
in
Togo
and
Ghana
.
In
the
areas
served
by
these
centers
,
incidence
dropped
by
71
%
in
Togo
and
42
%
in
Ghana
from
2003
to
2004
.
Among
persons
with
emerging
worms
,
admission
to
the
centers
was
associated
with
younger
age
(
P
value
=
0
.
04
)
after
controlling
for
occupation
and
gender
.
Overall
,
the
centers
functioned
well
and
were
regarded
favorably
:
99
%
of
the
152
center-attendees
expressed
satisfaction
with
their
stay
.
Strategically-located
case
containment
centers
in
conjunction
with
other
interventions
appear
to
play
an
important
role
in
the
final
effort
to
eradicate
dracunculiasis
.
