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Dracunculiasis eradication: and now, Sudan.

Donald R Hopkins1, Ernesto Ruiz-Tiben, Nwando Diallo

  • 1Global 2000 Program of The Carter Center, Atlanta, Georgia 30307, USA. exr1@cdc.gov

The American Journal of Tropical Medicine and Hygiene
|November 28, 2002
PubMed
Summary

The global dracunculiasis (guinea-worm disease) eradication campaign is nearing success, with most endemic countries reporting minimal cases. However, ongoing conflict in Sudan significantly hinders final eradication efforts.

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Area of Science:

  • Global Health
  • Infectious Disease Epidemiology
  • Parasitic Diseases

Background:

  • Dracunculiasis, or guinea-worm disease, eradication is a major global public health initiative.
  • The campaign has made significant progress in reducing the incidence of dracunculiasis worldwide.

Purpose of the Study:

  • To summarize the global status of the dracunculiasis eradication campaign as of early 2002.
  • To identify remaining challenges and critical factors affecting eradication efforts.

Main Methods:

  • Review of epidemiological data from endemic countries.
  • Analysis of case reporting and transmission interruption status.

Main Results:

  • Seven of the 20 initially endemic countries have interrupted dracunculiasis transmission.

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  • In 2001, only 14,000 cases remained globally, with Sudan accounting for 78% of all cases.
  • Accessibility issues in southern Sudan due to civil war limit eradication progress.

    • Conclusions:

    • Dracunculiasis eradication is achievable, with substantial progress made globally.
    • The ongoing civil war in Sudan presents a critical barrier to completing eradication.
    • A political resolution in Sudan is urgently required to achieve global dracunculiasis eradication.