Uganda's successful Guinea Worm Eradication Program.
Having begun its national Guinea Worm Eradication Program (UGWEP) in 1991 (1991 population, 16.6 million) with the third-highest number of cases reported by any endemic country, and ranked as the second-highest endemic country in the world in 1993, by 2004, Uganda celebrated its first full calendar year with no indigenous cases of the disease. Systematic interventions began in 1992 and were gradually intensified until the final indigenous case occurred in July 2003. The favorable concentration of most cases in relatively few northern districts of the country was partly offset by chronic insecurity in much of the endemic area and by repeated importations of cases from neighboring Sudan. Strong support and dedicated leadership by government officials and external partners were keys to this program's dramatic success. This program cost approximately US dollar 5.6 million.
Rwakimari
John B
JB
National Malaria Control Programme, Ministry of Health, Entebbe, Uganda. dr_jbr@yahoo.com
Hopkins
Donald R
DR
Ruiz-Tiben
Ernesto
E
D000818:Animals; D003140:Communicable Disease Control / Q000191:economics / Q000379:methods*; D003365:Costs and Cost Analysis / Q000191:economics; D004320:Dracunculiasis / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D004321:Dracunculus Nematode; D005843:Geography; D006801:Humans; D007306:Insecticides / Q000592:standards; D007390:International Agencies; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D012424:Rural Population; D000002:Temefos / Q000592:standards; D014454:Uganda / Q000453:epidemiology; D014881:Water Supply
D007306:Insecticides; D000002:Temefos