Tag Archives: guinea worm

Nigeria Declared Guinea Worm-free: An Encouraging Accomplishment

 

Nearly three years ago, Nigeria reported the last case of Guinea worm disease, and this year, the World Health Organization (WHO) officially declared the country Guinea worm-free. When considered in tandem with Nigeria’s centenary celebrations, this encouraging declaration is further testament to just how far the nation has come in its fight against poverty, which Guinea worm has been found to exacerbate.

Referred to as a “scourge” by President Goodluck Jonathan, Guinea worm (dracunculiasis) is an ancient neglected tropical disease (NTD) spread by ingesting water contaminated by Guinea worm larvae. The larvae grow to be about one meter long and emerge through an excruciatingly painful blister on the skin after incubating for about 9-12 months in its host. In 1988, 653,492 cases of Guinea worm were reported in Nigeria, and 26 years later there are zero cases-a truly remarkable feat, thanks to the commitment of Nigeria’s government and international partners.

Moving forward, President Jonathan looks to harness the momentum generated from this success to address other endemic diseases in Nigeria, with a particular focus on wild polio, hoping that its transmission will be interrupted by the end of the year at the very latest.

While President Jonathan did not explicitly mention other NTD efforts during the WHO certification ceremony, it is important to note that he has already committed to seeing the end of these diseases (notably onchocerciasis, lymphatic filariasis, and schistosomiasis) as confirmed in his new year’s message.

The Nigerian government’s persevering commitment to disease elimination is encouraging, after having overcome the most expensive and challenging last mile of Guinea worm that are characteristic of any elimination campaign.

In Nigeria’s resolve lies hope for its African counterparts still in their last steps to eliminate the near-extinct disease, only 148 cases of which are still present across South Sudan (113), Chad (14), Mali (11), Ethiopia (7) and Sudan (3).

I congratulate President Jonathan and the people of Nigeria for their important achievement so far and encourage them to continue making NTDs a priority as we all seek to achieve the 2020 elimination goal!

U.K. Pledges $31 Million to Help Wipe Out Guinea Worm Disease

Guinea worm disease has plagued mankind for centuries, and now on the brink of eradication, funding from the British government could be that extra push that will finally lead to complete elimination of this infectious disease. Last week, the British government pledged about $31 million to help eradicate guinea worm disease once and for all. Read more about this announcement in the excerpt below, or click here for the full article published by the Wall Street Journal.

“The British government has pledged about $31 million to help eradicate guinea worm disease, a donation that public-health experts say will bring them close to finishing the job.

A quarter century ago, the crippling parasitic infection afflicted 3.5 million people a year in more than 20 countries. This year, there are expected to be just over 1,000 cases in four African countries. More than 98% of those cases are in South Sudan, with a few dozen in Ethiopia, Mali, and Chad.

Guinea worm disease is passed along when people drink water from sources containing water fleas that harbor guinea worm larvae. Once inside a human, the larvae spawn worms that can reach three feet in length. The worms incubate for a year and then emerge slowly through painful lesions. When people soak their lesion-covered limbs in water, the worms release larvae, starting the cycle all over again.”

Four NTD successes you should know about

By: Alanna Shaikh

I don’t know about you, but I’ve found world news to be pretty depressing this week. It seemed like a good time to remind ourselves that things do improve, and we can change global health for the better. I therefore offer you four NTD success stories:

1.       Guinea Worm, aka Dracunculiasis, is on the verge of being eradicated. It is, as you may recall, one of the most wiggly and revolting NTDs, consisting of a giant worm that lives inside you and has to be removed manually and with excruciating slowness. And we’re going to make it the third disease ever to be eradicated.[1] We’ve gone from 3.5 million cases of guinea worm in 1986 to under 5000 in 2009. How awesome is that?[2]

2.       Leprosy is being reduced in a big way. 14.5 million people have been cured of leprosy since 1985. (Yes, cured. Leprosy is a bacterial infection and doesn’t stand a chance against strong antibiotics.) It’s now a problem in only seven countries. [3] It’s a disease to old — it was mentioned in the Bible, and we’re getting rid of it most likely within our lifetime.

3.       China eliminated lymphatic filariasis in 2007. Also known as elephantiasis, lymphatic filariasis makes your limbs swell up to enormous proportions. It causes intense pain, and, obviously, disfigurement. And now it’s gone from China. Boom![4]

4.       2007 was a good year for NTDs.[5] It also saw the elimination of onchocerciasis in Colombia. It was the result of effective action from the government of Colombia and donations of ivermectin from twice-annual mass drug administration of ivermectin to people at risk for the disease. The program became a model for Latin American and was an example of mass drug administration as an effective approach to eliminating onchocerciasis. It’s been copied all over the world.

Insofar as there is a bright side to NTDs, this is it: we can fight them and win. We’ve done it before, and we’ll do it again.


[1] You’re thinking it will be the second disease to be eradicated, aren’t you? Well, you’re forgetting rinderpest. Sure, rinderpest isn’t a human disease, but I think we can agree it’s a good thing if cattle don’t get diarrhea, oral erosions, and necrosis and then die.

[2]Harshing the vibe somewhat – slightly less awesomely, this had to be achieved through changing human behavior because we still don’t have any really effective treatments for Guinea Worm disease. We’ll keep that down here in the fine print so we don’t ruin the happy. And when you consider it, behavior change on that level is pretty awesome too.

[3] For the record, leprosy does not actually cause limbs to fall off, although it can make them numb. We’re not talking zombies here.

[4] Yeah, I don’t know. Boom just seemed like a happy thing to write. The actually eradication process took years of diligent effort and was not boom-like at all. There is almost no boom in global health.

[5] Well, a bad year for the diseases; a good year for the people who might get them.

Alanna Shaikh is an expert in health consulting, writing about global health for UN Dispatch and about international relief and development at Blood & Milk. She also serves as a frequently contributing blogger to ‘End the Neglect.’ The views and opinions expressed by guest bloggers are not necessarily the views and opinions of the Global Network. All opinions expressed here are Alanna’s own and not those of any employer or the US government.

Reading List 3/7/2011

Happy Monday readers! Here’s a great new reading list to get your week started off! Today we’re reading about the first observed African Vaccination Week (AVW) which will take place later in April, India’s plan for a mass anti-filaria medicine-administering-drive in 20 districts of the state, Bayer Healthcare’s extension with the World Health Organization to fight Chagas disease, and President Jimmy Carter’s fight to eliminate guinea worm which includes a video. Enjoy!

Congo: First African Vaccination Week to be observed in April, Afrique en ligne
Plans afoot for massive anti-filaria drive, The Times of India
Bayer extends support to fight Chagas disease, World Pharma News
Jimmy Carter, Worm Slayer, Kristi York Wooten, The Huffinton Post