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The peculiar epidemiology of dracunculiasis in Chad.
[dracunculiasis]
Dracunculiasis
was
rediscovered
in
Chad
in
2010
after
an
apparent
absence
of
10
years
.
In
April
2012
active
village
-based
surveillance
was
initiated
to
determine
where
,
when
,
and
how
transmission
of
the
disease
was
occurring
,
and
to
implement
interventions
to
interrupt
it
.
The
current
epidemiologic
pattern
of
the
disease
in
Chad
is
unlike
that
seen
previously
in
Chad
or
other
endemic
countries
,
i
.
e
.
,
no
clustering
of
cases
by
village
or
association
with
a
common
water
source
,
the
average
number
of
worms
per
person
was
small
,
and
a
large
number
of
dogs
were
found
to
be
infected
.
Molecular
sequencing
suggests
these
infections
were
all
caused
by
Dracunculus
medinensis
.
It
appears
that
the
infection
in
dogs
is
serving
as
the
major
driving
force
sustaining
transmission
in
Chad
,
that
an
aberrant
life
cycle
involving
a
paratenic
host
common
to
people
and
dogs
is
occurring
,
and
that
the
cases
in
humans
are
sporadic
and
incidental
.
Diseases
Validation
Diseases presenting
"i"
symptom
adrenomyeloneuropathy
allergic bronchopulmonary aspergillosis
aromatase deficiency
congenital adrenal hyperplasia
congenital toxoplasmosis
dracunculiasis
erdheim-chester disease
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
kallmann syndrome
neonatal adrenoleukodystrophy
oculocutaneous albinism
pendred syndrome
typhoid
zellweger syndrome
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