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Update: progress toward global eradication of dracunculiasis, January 2007-June 2008.
[dracunculiasis]
The
World
Health
Assembly
(
WHA
)
first
adopted
a
resolution
calling
for
the
eradication
of
dracunculiasis
(
Guinea
worm
disease
)
in
1986
,
when
an
estimated
3
.
5
million
cases
occurred
annually
in
20
countries
(
17
in
Africa
and
three
in
Asia
)
and
120
million
persons
were
at
risk
for
the
disease
.
Because
of
slow
mobilization
in
countries
with
endemic
disease
,
the
global
dracunculiasis
eradication
program
did
not
meet
the
1995
target
date
for
eradicating
dracunculiasis
that
was
set
by
African
ministers
of
health
in
1988
and
confirmed
by
WHA
in
1991
.
In
2004
,
WHA
established
a
new
target
date
of
2009
.
This
report
updates
the
progress
of
the
global
dracunculiasis
eradication
program
since
January
2007
.
At
the
end
of
December
2007
,
dracunculiasis
remained
endemic
only
in
Sudan
,
Ghana
,
Mali
,
Nigeria
,
and
Niger
.
During
2007
,
a
total
of
9
,
585
cases
were
reported
worldwide
from
3
,
573
villages
with
endemic
disease
,
including
15
cases
exported
from
one
country
to
another
(
Table
1
)
.
From
2006
to
2007
,
the
number
of
indigenous
cases
decreased
by
61
%
(
from
25
,
195
to
9
,
770
)
.
Of
the
2
,
308
cases
occurring
during
January
-
June
2008
,
98
%
were
reported
from
Sudan
,
Ghana
,
and
Mali
(
Table
2
)
.
Sporadic
violence
in
areas
with
endemic
dracunculiasis
in
Sudan
and
Mali
is
a
major
concern
and
poses
the
greatest
challenge
to
the
success
of
the
global
dracunculiasis
eradication
program
.
Diseases
Validation
Diseases presenting
"global dracunculiasis eradication program"
symptom
dracunculiasis
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