Twenty-fi ve years after health workers started a campaign to rid the world of the guinea worm, cases have been reduced by over 99%. But the 1800 or so cases that still occur annually are the hardest to address. At a press conference on 5 October, U.K. international development minister Stephen O'Brien announced that the government will donate about £20 million ($31 million) over 4 years to finish the eradication effort, led by the Carter Center in Atlanta - provided other donors come forward with the remaining £40 million needed for the campaign.
The guinea worm is spread when people ingest its larvae through contaminated drinking water; the larvae incubate inside the human host and worms up to 1 meter long emerge painfully through the skin a year later. Once abundant across Africa and South Asia, the parasite is now confined to Mali, Ethiopia, Chad, and newly indepen-dent South Sudan, which accounts for 98% of cases.
Behavioral changes such as fi ltering drinking water and discouraging people with an emerging worm from walking into ponds and lakes have reduced cases from 3.5 million in 1986 to 1797 in 2010. The Carter Center's current goal is worldwide eradication - defined as three consecutive years of no reported cases - by 2015. The guinea worm is spread when people ingest its larvae through contaminated drinking water; the larvae incubate inside the human host and worms up to 1 meter long emerge painfully through the skin a year later. Once abundant across Africa and South Asia, the parasite is now confined to Mali, Ethiopia, Chad, and newly indepen-dent South Sudan, which accounts for 98% of cases.
SOURCE : SCIENCE MAGAZINE VOL 334
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