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Control of endemic dracunculiasis in Ebonyi state, south-eastern Nigeria.
[dracunculiasis]
A
field
study
was
carried
out
in
Ozibo
and
the
Ebonyi
local
government
area
of
Ebonyi
state
,
south-
eastern
Nigeria
to
determine
the
effectiveness
of
several
intervention
strategies
in
the
control
of
endemic
dracunculiasis
in
that
area
.
During
the
initial
study
prior
to
the
application
of
such
measures
,
14
,
421
subjects
were
examined
.
A
total
of
8
,
688
(
60
.
2
%
)
persons
had
either
Dracunculus
ulcers
or
emergent
worms
.
Sex-related
prevalence
rates
were
56
.
1
%
and
63
.
9
%
for
males
and
females
respectively
.
Age
specific
prevalence
rates
increased
with
age
in
males
,
whereas
highest
infection
rates
were
found
in
females
younger
than
20
years
.
Twenty
-
eight
months
after
the
introduction
of
intervention
strategies
the
prevalence
rate
fell
by
85
.
1
%
to
9
%
(
males
:
by
88
.
2
%
to
6
.
6
%
,
females
:
by
83
.
0
%
to
10
.
8
%
)
.
Reduction
rates
of
more
than
90
%
were
observed
in
males
aged
10
to
19
and
in
females
aged
0
to
9
years
.
Intervention
measures
included
systematic
pond
treatment
,
distribution
or
replacement
of
filters
,
intensive
health
education
,
provision
of
hand
-dug
wells
,
regular
bore-hole
installation
/
rehabilitation
as
well
as
active
case
detection
,
containment
,
management
,
and
prompt
reporting
.
Active
involvement
of
the
endemic
communities
,
governments
and
the
Global
2000
staff
regarding
the
control
efforts
is
a
necessity
towards
the
final
eradication
of
the
disease
in
the
near
future
.
The
relationship
between
some
of
these
intervention
strategies
and
community
development
are
highlighted
.
Diseases
Validation
Diseases presenting
"regular bore-hole installation"
symptom
dracunculiasis
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