Dracunculiasis (guinea worm disease) and the eradication initiative

被引:84
作者
Cairncross, S
Muller, R
Zagaria, N
机构
[1] Univ London London Sch Hyg & Trop Med, Dept Infect & Trop Med, London WC1E 7HT, England
[2] WHO, Dept Control Prevent & Eradicat Commun Dis, CH-1211 Geneva, Switzerland
关键词
D O I
10.1128/CMR.15.2.223-246.2002
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Dracunculiasis, also known as guinea worm disease, is caused by the large female of the nematode Dracunculus medinensis, which emerges painfully and slowly from the skin, usually on the lower limbs. The disease can infect animals, and sustainable animal cycles occur in North America and Central Asia but do not act as reservoirs of human infection. The disease is endemic across the Sahel belt of Africa from Mauritania to Ethiopia, having been eliminated from Asia and some African countries. It has a significant socioeconomic impact because of the temporary disability, that it causes. Dracunculiasis is exclusively caught from drinking water, usually, from ponds. A campaign to eradicate the disease was launched in the 1980s and has made significant progress. The strategy of the campaign is discussed, including water supply, health education, case management, and vector control. Current issues including the integration of the campaign into primary, health care and the mapping of cases by using geographic information systems are also considered. Finally, some lessons for other disease control and eradication programs are outlined.
引用
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页码:223 / +
页数:25
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