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Dracunculiasis eradication: target 1995.

D R Hopkins1, E Ruiz-Tiben

  • 1Global 2000, Inc., Carter Center, Atlanta, Georgia.

The American Journal of Tropical Medicine and Hygiene
|September 1, 1990
PubMed
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The global campaign to eradicate dracunculiasis (guinea-worm disease) has made significant progress, with major strides in India, Pakistan, and several African nations. Key challenges remain, including ongoing conflicts and official apathy, hindering the 1995 eradication goal.

Area of Science:

  • Global Health
  • Infectious Disease Control
  • Public Health Initiatives

Background:

  • Dracunculiasis eradication efforts have gained momentum in recent years.
  • International organizations like WHO, UNICEF, and UNDP have set a 1995 target for eradication.
  • Endemic countries are actively participating in eradication programs.

Purpose of the Study:

  • To assess the progress of the dracunculiasis eradication campaign.
  • To identify key achievements and remaining obstacles.
  • To inform future strategies for disease elimination.

Main Methods:

  • Review of progress reports from endemic countries (India, Pakistan, Ghana, Nigeria).
  • Analysis of international support and donor contributions.

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  • Evaluation of national plans of action and coordination efforts.
  • Main Results:

    • Dramatic reduction in dracunculiasis cases in India and Pakistan.
    • Identification of over 800,000 cases in Ghana and Nigeria through national searches.
    • Development of national action plans and appointment of coordinators in most African countries.
    • Secured significant international funding and technical assistance.

    Conclusions:

    • The dracunculiasis eradication campaign is progressing well, with substantial case reductions and widespread national engagement.
    • Civil unrest in northeastern Africa and a lack of commitment from some officials pose significant threats to achieving the 1995 eradication target.
    • Continued international cooperation and addressing socio-political barriers are crucial for final elimination.