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Guinea worm (Dracunculus medinensis) eradication: a pilot study conducted at the Ohaukwu Local Government Areas, Ebonyi State, Nigeria, West Africa.
[dracunculiasis]
The
incidence
and
the
prevalence
of
Guinea
worm
disease
,
a
major
cause
of
disability
and
a
frequent
cause
of
serious
permanent
deformity
,
were
both
drastically
reduced
in
Ohaukwu
Local
Government
Communities
,
with
the
provision
(
through
bore
holes
)
of
a
safer
form
of
drinking
water
.
Since
1986
,
the
Carter
Center
program
has
been
working
to
eradicate
Guinea
worm
.
The
bore
holes
were
dug
through
the
Wasatan
Project
,
a
Japanese
-funded
grant
awarded
to
the
Enugu
State
Ministry
of
Health
to
help
provide
safer
drinking
water
in
the
local
communities
.
Bore
holes
were
dug
in
several
communities
in
Ohaukwu
Local
Government
Areas
between
January
1991
and
June
1991
.
The
number
of
Guinea
worm
cases
in
the
selected
communities
was
ascertained
and
recorded
by
health
workers
.
There
was
more
than
a
90
%
reduction
in
the
number
of
Guinea
worm
(
Dracunculus
medinensis
)
cases
after
one
year
.
Data
collection
began
in
June
1991
,
shortly
after
the
completion
of
bore
holes
in
the
selected
communities
.
By
December
1998
,
when
one
of
the
villages
was
spot
checked
for
Guinea
worm
infection
,
no
active
case
was
found
.
There
is
a
need
for
post
evaluation
of
all
the
villages
studied
to
determine
the
current
prevalence
of
Guinea
worm
disease
.
