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Dracunculiasis eradication: the final inch.
[dracunculiasis]
This
report
summarizes
the
status
of
the
Dracunculiasis
Eradication
Program
as
of
early
2005
.
Nine
of
the
20
countries
that
were
endemic
for
this
disease
when
the
program
began
have
already
interrupted
transmission
,
Asia
is
free
of
Guinea
worm
,
and
five
of
the
remaining
disease-endemic
countries
reported
less
than
50
cases
each
in
2004
.
Ghana
and
Sudan
each
reported
45
%
of
the
16
,
026
cases
in
2004
.
Except
for
Sudan
,
whose
reports
are
delayed
,
cases
in
the
remaining
disease-endemic
countries
were
reduced
by
61
%
during
the
first
quarter
of
2005
compared
with
the
same
period
of
2004
.
With
accelerating
momentum
towards
zero
cases
in
all
countries
,
the
recent
settlement
of
Sudan
's
north
-
south
civil
war
,
and
a
new
challenge
grant
from
the
Bill
&
Melinda
Gates
Foundation
,
the
way
now
seems
clear
to
finish
eradicating
dracunculiasis
by
2009
in
Sudan
and
earlier
elsewhere
.
"
The
rule
of
the
final
inch
.
.
.
The
work
has
been
almost
completed
,
the
goal
almost
attained
.
.
.
In
that
moment
of
fatigue
and
self-satisfaction
it
is
especially
tempting
to
leave
the
work
without
having
attained
the
apex
of
quality
.
.
.
In
fact
,
the
rule
of
the
Final
Inch
consists
in
this
:
not
to
shirk
this
crucial
work
.
Not
to
postpone
it
.
.
.
And
not
to
mind
the
time
spent
on
it
,
knowing
that
one
's
purpose
lies
.
.
.
in
the
attainment
of
perfection
.
"
-
-
Alexander
Solzhenitzyn
,
The
First
Circle
.
Diseases
Validation
Diseases presenting
"fatigue"
symptom
benign recurrent intrahepatic cholestasis
cholangiocarcinoma
congenital adrenal hyperplasia
cowden syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dracunculiasis
erdheim-chester disease
esophageal carcinoma
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
kabuki syndrome
lymphangioleiomyomatosis
neuralgic amyotrophy
pleomorphic liposarcoma
systemic capillary leak syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
x-linked adrenoleukodystrophy
This symptom has already been validated
