Eradication of dracunculiasis is an ongoing program. Dracunculiasis, or Guinea worm disease, is an infection by the Guinea worm that causes severe pain and open wounds when guinea worms exit the body through the skin.[1] In 1986, there were an estimated 3.5 million cases of Guinea worm in 20 endemic nations in Asia and Africa.[2] The number of cases has since been reduced by more than 99.999% to 14 in 2023[3][4] with only six countries remaining: South Sudan, Chad, Mali, Ethiopia, Angola, and Central African Republic.
The campaign has been spearheaded by the Carter Center and other members of the London Declaration on Neglected Tropical Diseases, with former U.S. president Jimmy Carter as part of its deworming programs, designed to eliminate neglected tropical diseases. Discussing his diagnosis of melanoma (which had metastasized to his brain), Carter said his last wish was to see the last Guinea worm dead before he was.[5]
The World Health Organization (WHO) is the international body that certifies whether a disease has been eliminated from a country or eradicated from the world.[6] The Carter Center also reports the status of the Guinea worm eradication program by country.[7]
As of 2024, the WHO goal for eradication in humans and animals is the year 2030. Previously, 1991, 2009, 2015, and 2020 were set as target years,[8] but full eradication of dracunculiasis has proven to be much more difficult than originally thought, after the discovery of non-human animal hosts. [9][10][11]
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