Volume 83, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



This report describes how Nigeria, a country that at one time had the highest number of cases of dracunculiasis (Guinea worm disease) in the world, reduced the number of cases from more than 653,000 in 1988 to zero in 2009, despite numerous challenges. Village-based volunteers formed the foundation of the program, which used health education, cloth filters, vector control, advocacy for safe water, voluntary isolation of patients, and monitored program interventions and cases reported monthly. Other factors in the program's success were strong governmental support, advocacy by a former head of state of Nigeria, technical and financial assistance by The Carter Center, the U.S. Centers for Disease Control and Prevention, the United Nations Children's Fund, the World Health Organization, and many other partners and donors. The estimated cost of the Nigerian program during 1988–2009 is $37.5 million, not including funding for water supply projects or salaries of Nigerian governmental workers.


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  1. Gooneratne BW, , 1969. An additional note on the transmission of Dracunculus medinensis . Trans R Soc Trop Med Hyg 63: 546.[Crossref] [Google Scholar]
  2. Watts S, , 2000. Dracunculiasis in the Caribbean and South America: a contribution to the history of dracunculiasis eradication. Med Hist 45: 227250. [Google Scholar]
  3. Oldfield KA, , 1835. On the diseases of the natives resident on the banks of the River Niger. Lond Med Surg J 8: 403406. [Google Scholar]
  4. Edungbola LD, Watts SJ, Kale OO, , 1988. The distribution of dracunculiasis in Nigeria: a preliminary study. Int J Epidemiol 17: 428433.[Crossref] [Google Scholar]
  5. Watts SJ, , 1987. Dracunculiasis in Africa in 1986: its geographic extent, incidence, and at-risk population. Am J Trop Med Hyg 37: 119125. [Google Scholar]
  6. Edungbola LD, Withers PC, Braide EI, Kale OO, Sadiq LO, Nwobi BC, Alakija T, McConnon P, Hopkins DR, , 1992. Mobilization strategy for guinea worm eradication in Nigeria. Am J Trop Med Hyg 47: 529538. [Google Scholar]
  7. Hopkins DR, Ruiz-Tiben E, Downs P, Withers PC, Jr Roy S, , 2008. Dracunculiasis eradication: neglected no longer. Am J Trop Med Hyg 79: 474479. [Google Scholar]
  8. Edungbola LD, Braide EI, Nwosu AC, Aripo B, Gemade EI, Adeyemi KS, de Rooy C, , 1987. Guinea Worm Control as a Major Contributor to Self-Sufficiency in Rice Production in Nigeria. New York: United Nations Children's Fund, UNICEF/WATSAN/GW/2/87 [Google Scholar]
  9. Onanuga B, Ifionu O, , 1987. “Guinea Worm: A National Shame”. Concord (August 14): 1421. [Google Scholar]
  10. Hopkins DR, Ruiz-Tiben E, , 1991. Strategies for eradication of dracunculiasis. Bull World Health Organ 69: 533540. [Google Scholar]
  11. Kappus K, Hopkins DR, Ruiz-Tiben E, , 1991. A strategy to speed the eradication of dracunculiasis. World Health Forum 2: 220225. [Google Scholar]
  12. World Health Organization, 1994. Dracunculiasis global surveillance summary 1993. Wkly Epidemiol Rec 69: 121128. [Google Scholar]
  13. Nwosu AB, Ifezulike EO, Anya AO, , 1982. Endemic dracontiasis in Anambra State of Nigeria: geographical distribution, clinical features, epidemiology and socio-economic impact of the disease. Ann Trop Med Parasitol 76: 187200.[Crossref] [Google Scholar]
  14. Edungbola LD, , 1983. Babana parasitic diseases Project II. Prevalence and impact of dracontiasis in Babana District, Kwara State, Nigeria. Trans R Soc Trop Med Hyg 77: 310315.[Crossref] [Google Scholar]
  15. Udonsi JK, , 1987. Control of endemic dracontiasis by provision of water supply in rural communities of Imo State, Nigeria. Public Health 101: 6370.[Crossref] [Google Scholar]
  16. Ilegbodu VA, Christensen BL, Wise RA, Kale O, Steele JH, Chambers LA, , 1987. Age and sex differences in new and recurrent cases of guinea worm disease in Nigeria. Trans R Soc Trop Med Hyg 81: 674676.[Crossref] [Google Scholar]
  17. Edungbola LD, Watts S, , 1984. An outbreak of dracunculiasis in a peri-urban community of Ilorin, Kwara State, Nigeria. Acta Trop 41: 155163. [Google Scholar]
  18. Cairncross S, Braide EI, Bugri SZ, , 1996. Community participation in the eradication of guinea worm disease. Acta Trop 61: 121136.[Crossref] [Google Scholar]
  19. Tayeh A, Cairncross S, , 1995. The reliability of retrospective studies using a one-year recall period to measure dracunculiasis prevalence in Ghana. Int J Epidemiol 24: 12331239.[Crossref] [Google Scholar]
  20. World Health Organization, 1986. Dracunculiasis global surveillance summary - 1985. Wkly Epidemiol Rec 61: 2932. [Google Scholar]
  21. World Health Organization, 1988. Dracunculiasis global surveillance summary - 1987. Wkly Epidemiol Rec 63: 375379. [Google Scholar]
  22. Hochberg N, Ruiz-Tiben E, Downs P, Fagan J, Maguire JH, , 2008. The role of cases containment centers in the eradication of dracunculiasis in Togo and Ghana. Am J Trop Med Hyg 79: 722728. [Google Scholar]
  23. Rwakimari JB, Hopkins DR, Ruiz-Tiben E, , 2006. Uganda's successful guinea worm eradication program. Am J Trop Med Hyg 75: 38. [Google Scholar]
  24. Njepuome NA, Hopkins DR, Richards FO, Jr Anagbogu IN, Pearce PO, Jibril MM, Okoronkwo C, Sofola OT, Withers PC, Jr Ruiz-Tiben E, Miri ES, Eigege A, Emukah EC, Nwobi BC, Jiya JY, , 2009. Nigeria's war on terror: fighting dracunculiasis, onchocerciasis, lymphatic filariasis, and schistosomiasis at the grassroots. Am J Trop Med Hyg 80: 691698. [Google Scholar]

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  • Received : 03 Mar 2010
  • Accepted : 13 Apr 2010
  • Published online : 05 Aug 2010

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