The Role of Case Containment Centers in the Eradication of Dracunculiasis in Togo and Ghana

Natasha Hochberg Dracunculiasis Eradication, The Carter Center, Atlanta, Georgia; Division of Parasitic Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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Ernesto Ruiz-Tiben Dracunculiasis Eradication, The Carter Center, Atlanta, Georgia; Division of Parasitic Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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Philip Downs Dracunculiasis Eradication, The Carter Center, Atlanta, Georgia; Division of Parasitic Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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Jennifer Fagan Dracunculiasis Eradication, The Carter Center, Atlanta, Georgia; Division of Parasitic Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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James H. Maguire Dracunculiasis Eradication, The Carter Center, Atlanta, Georgia; Division of Parasitic Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia

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As part of the global effort to eradicate dracunculiasis (Guinea worm disease), several endemic countries established case containment centers to provide treatment and support to patients with emerging Guinea worms to keep them from contaminating water sources. To assess the functioning, effectiveness, and public perception of this intervention, we visited eight centers and conducted surveys in 32 villages in Togo and Ghana. In the areas served by these centers, incidence dropped by 71% in Togo and 42% in Ghana from 2003 to 2004. Among persons with emerging worms, admission to the centers was associated with younger age (P value = 0.04) after controlling for occupation and gender. Overall, the centers functioned well and were regarded favorably: 99% of the 152 center-attendees expressed satisfaction with their stay. Strategically-located case containment centers in conjunction with other interventions appear to play an important role in the final effort to eradicate dracunculiasis.

Author Notes

Reprint requests: Natasha Hochberg, Division of Infectious Diseases, Emory University, 69 Jesse Hill Junior Drive, SE, Atlanta, GA 30303, E-mail: natasha_hochberg@post.harvard.edu.
  • 1

    Kim AT, Tandon A, Ruiz-Tiben E, 1997. Cost-benefit analysis of the Global Dracunculiasis Eradication Campaign, Policy Research Working Paper 1835. Washington, DC: World Bank.

    • PubMed
    • Export Citation
  • 2

    Brieger WR, Guyer J, 1990. Farmers’ loss due to Guinea worm disease: a pilot study. J Trop Med Hyg 93 :106–111.

  • 3

    Ilegbodu VA, Kale OO, Wise RA, Christensen BL, Steele JH Jr, Chambers LA, 1986. Impact of guinea worm disease on children in Nigeria. Am J Trop Med Hyg 35 :962–964.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Watts SJ, Brieger WR, Yacoob M, 1989. Guinea worm: an in-depth study of what happens to mothers, families and communities. Soc Sci Med 29 :1043–1049.

  • 5

    Barry M, 2007. The tail end of Guinea worm disease eradication without a drug or a vaccine. N Engl J Med 356 :2561–2564.

  • 6

    Hopkins DR, Foege WH, 1981. Guinea worm disease. Science 212 :495.

  • 7

    Hopkins DR, Ruiz-Tiben E, Downs P, Withers PC Jr, Maguire JH, 2005. Dracunculiasis eradication: the final inch. Am J Trop Med Hyg 73 :669–675.

  • 8

    Watts SJ, 1987. Dracunculiasis in Africa in 1986: its geographic extent, incidence, and at-risk population. Am J Trop Med Hyg 37 :119–125.

  • 9

    Centers for Disease Control and Prevention, 2005. Progress toward global eradication of dracunculiasis, January 2004–July 2005. MMWR Morb Mortal Wkly Rep 54 :1075–1077.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Ruiz-Tiben E, Hopkins DR, 2006. Dracunculiasis (Guinea worm disease) eradication. Adv Parasitol 61 :275–309.

  • 11

    Aikhomu SE, Brieger WR, Kale OO, 2000. Acceptance and use of communal filtration units in guinea worm eradication. Trop Med Int Health 5 :47–52.

  • 12

    Watts S, 1998. Perceptions and priorities in disease eradication: dracunculiasis eradication in Africa. Soc Sci Med 46 :799–810.

  • 13

    Hopkins DR, Ruiz-Tiben E, 1991. Strategies for dracunculiasis eradication. Bull World Health Organ 69 :533–540.

  • 14

    Greer G, Dama M, Graham S, Migliani R, Alami M, Sam-Abbenyi A, 1994. Cameroon: an African model for final stages of guinea worm eradication. Am J Trop Med Hyg 50 :393–400.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Hopkins DR, Azam M, Ruiz-Tiben E, Kappus KD, 1995. Eradication of dracunculiasis from Pakistan. Lancet 346 :621–624.

  • 16

    Kappus KD, Hopkins DR, Ruiz-Tiben E, Imtiaz R, Andersen J, Azam M, Attiq A, 1991. A strategy to speed the eradication of dracunculiasis. World Health Forum 12 :220–225.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17

    Kale OO, 1977. The clinico-epidemiological profile of guinea worm in the Ibadan district of Nigeria. Am J Trop Med Hyg 26 :208–214.

  • 18

    Belcher DW, Wurapa FK, Ward WB, Lourie IM, 1975. Guinea worm in southern Ghana: its epidemiology and impact on agricultural productivity. Am J Trop Med Hyg 24 :243–249.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Wurapa FKea, 1975. A clinical picture of Guinea Worm disease in Southern Ghana. Ghana Med J 14 :10–15.

  • 20

    Cairncross S, Muller R, Zagaria N, 2002. Dracunculiasis (Guinea worm disease) and the eradication initiative. Clin Microbiol Rev 15 :223–246.

  • 21

    Audibert M, Coulibaly D, Doumbo O, Kodio B, Soula G, Traore S, 1993. Social and epidemiological aspects of guinea worm control. Soc Sci Med 36 :463–474.

  • 22

    Bermejo A, Bekui A, 1993. Community participation in disease control. Soc Sci Med 36 :1145–1150.

  • 23

    Brieger WR, Otusanya S, Adeniyi JD, Tijani J, Banjoko M, 1997. Eradicating guinea worm without wells: unrealized hopes of the Water Decade. Health Policy Plan 12 :354–362.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24

    Ball P, 2004. Solutions for Reducing Borehole Costs in Africa: Water and Sanitation Program.

    • PubMed
    • Export Citation
  • 25

    MacDonald AM, Davies J, A Brief Review of Groundwater for Rural Water Supply in Sub-Saharan Africa: British Geological Survey.

    • PubMed
    • Export Citation
  • 26

    Grabowsky M, Farrell N, Hawley W, Chimumbwa J, Hoyer S, Wolkon A, Selanikio J, 2005. Integrating insecticide-treated bednets into a measles vaccination campaign achieves high, rapid and equitable coverage with direct and voucher-based methods. Trop Med Int Health 10 :1151–1160.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Cairncross S, Braide EI, Bugri SZ, 1996. Community participation in the eradication of guinea worm disease. Acta Trop 61 :121–136.

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