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Dracunculiasis eradication: delayed, not denied.
[dracunculiasis]
By
the
end
of
1998
,
Asia
was
free
of
dracunculiasis
(
Guinea
worm
disease
)
,
with
Pakistan
,
India
,
and
Yemen
having
interrupted
transmission
in
1993
,
1996
,
and
1997
,
respectively
.
Transmission
of
the
disease
was
also
interrupted
in
Cameroon
and
Senegal
during
1997
.
Chad
reported
only
3
cases
during
1998
.
Dracunculiasis
is
now
confined
to
only
13
countries
in
Africa
.
The
overall
number
of
cases
has
been
reduced
by
more
than
97
%
from
the
3
.
2
million
cases
estimated
to
have
occurred
in
1986
to
78
,
557
cases
reported
in
1998
.
Because
the
civil
war
in
Sudan
remains
the
major
impediment
to
eradication
of
dracunculiasis
,
the
interim
goal
is
to
stop
all
transmission
outside
that
country
by
the
end
of
2000
.
The
most
important
operational
need
now
is
for
national
programs
to
improve
the
frequency
and
quality
of
supervision
of
village
-based
health
workers
in
order
to
enhance
the
sensitivity
of
surveillance
and
effectiveness
of
case
containment
.
Diseases
Validation
Diseases presenting
"interrupted transmission in"
symptom
dracunculiasis
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