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Persistence of dracunculiasis in northern Mali: the case of the Gao region.
[dracunculiasis]
Summary
Dracunculiasis
is
a
dermo-epidermal
filariasis
that
seems
to
persist
in
areas
of
Mali
where
potable
water
is
scarce
.
From
January
to
December
of
2004
we
carried
out
a
study
in
the
Gao
region
in
an
effort
to
determine
the
frequency
of
dracunculiasis
and
describe
control
efforts
and
their
impact
to
date
.
To
meet
this
objective
we
collected
all
documented
cases
of
dracunculiasis
during
the
study
period
and
analyzed
their
reported
activity
and
outcomes
in
the
same
year
.
In
total
,
294
patients
suffering
from
dracunculiasis
were
reported
in
the
Gao
region
during
2004
,
corresponding
to
a
frequency
of
82
cases
per
100
,
000
inhabitants
.
The
male
to
female
ratio
favored
women
by
a
factor
of
1
.
05
,
or
151
women
per
143
men
.
All
age
groups
were
affected
with
34
.
69
%
of
cases
falling
into
the
5
to
14
year
old
age
group
and
62
.
93
%
in
the
group
of
15
year
old
and
above
.
Children
represented
15
.
30
%
of
detected
cases
.
School
childrean
lead
with
a
proportion
of
31
.
97
%
,
followed
by
homemakers
'
31
.
63
%
.
The
needs
for
trained
personnel
in
the
context
of
dracunculiasis
control
were
met
at
90
%
(
48
/
53
)
;
supervision
rates
of
various
regional
circles
were
satisfied
100
%
.
This
rate
varied
from
50
to
66
%
at
the
outskirts
.
The
need
for
filters
was
met
,
but
39
%
of
these
supplies
were
not
distributed
to
the
population
.
These
activities
resulted
in
an
augmentation
of
isolated
cases
from
52
%
in
2003
to
62
.
26
%
in
2004
.
Dracunculiasis
remains
a
public
health
problem
in
northern
Mali
.
To
eradicate
this
ailment
efforts
must
be
made
at
every
level
:
by
medical
personnel
in
the
field
,
sanitation
authorities
,
and
the
general
population
.
These
actions
must
be
accompanied
by
the
provision
of
additional
clean
drinking
water
.
Diseases
Validation
Diseases presenting
"documented cases of dracunculiasis during the study period"
symptom
dracunculiasis
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