GUINEA WORM DISEASE - SCI & TECH

News: Race to global eradication of Guinea worm disease nears finish line

 

What's in the news?

       The world is on the brink of a public health triumph as it closes in on eradicating Guinea worm disease.

       There were more than 3.5 million cases of this disease in the 1980s, but according to the World Health Organization’s (WHO) weekly epidemiological report, they dwindled to 14 cases in 2021, 13 in 2022, and just six in 2023.

 

Key takeaways:

       Nations like South Sudan and Mali, where Guinea worm disease was once more common, have made commendable progress, although the fight continues in Chad and the Central African Republic.

 

Guinea Worm Disease

       Guinea worm disease, or Dracunculiasis is caused by the Guinea worm (Dracunculus medinensis), a parasitic nematode is a debilitating parasitic disease that renders infected individuals non-functional for weeks or months.

       It primarily affects people in rural, deprived and isolated communities who rely on stagnant surface water sources for drinking.

       In the mid-1980s, an estimated 3.5 million cases of dracunculiasis occurred in 20 countries worldwide, mainly in Africa and Asia.

 

Transmission:

       The parasite is transmitted when people drink stagnant water contaminated with parasite-infected water fleas.

 

Symptoms:

       The disease manifests with painful skin lesions as the worm emerges, causing weeks of intense pain, swelling, and secondary infections.

       More than 90% of infections occur in the legs and feet, affecting individuals' mobility and ability to work or perform daily tasks.

 

Prevention:

       There is no vaccine or medication to treat Guinea worm disease, but prevention strategies have been successful.

       Strategies include heightened surveillance, preventing transmission from each worm through treatment and wound care, filtering water before drinking, larvicide use, and health education.

 

Road to Eradication:

       Efforts to eradicate Guinea worm disease began in the 1980s, with significant contributions from organisations like WHO.

       Countries are certified as free of dracunculiasis transmission after reporting zero instances for at least three consecutive years.

       Since 1995, WHO has certified 199 countries, territories, and areas as free of dracunculiasis transmission.

 

India's Success Story:

       India achieved Guinea worm disease elimination in the late 1990s through rigorous public health measures, including water safety interventions and community education.

       The government of India received Guinea worm disease-free certification status from the WHO in 2000.