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Disease

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Dracunculiasis (guinea worm disease): eradication without a drug or a vaccine, Gautam Biswas, Dieudonne P. Sankara, Junerlyn Agua-Agum and Alhousseine Maiga, June 2013.
Introduction:
Dracunculiasis is the first parasitic disease that has the potential to be eradicated without the need of drugs or vaccines. Since the parasite life cycle revolves around the host consuming the infected copepod in the water, the experimental designed was to focus on the introduction of water treatment educations into those tropical and subtropical areas.
Design and Strategies:
The eradication campaigns were also supported by many private and community partnership, and the strategy was to surveillance, provision of safe drinking water, vector control, health education and certification of eradication. In summary, every case should be monitored and recorded before, during and after the launch of the programs. Water sources should be well treated and maintained to control the only mode of transmission through copepods, and proper disposed of water education should be taught to the people. Lastly, the disease must be certified by WHO for every epidemic countries to mark the complete termination of Dracunculiasis.
Result:
The progress was recorded. In 1986, there were an estimated of 3.5 million cases of Dracunculiasis. After the launch of the studies, in 1989, a total of 883,640 cases were reported to WHO by 15 countries, and in 2004, those countries has been reduced to only 12 endemic countries which they pledged to eradicate by 2009. In 2009, only 3190 cases have been reported around the globe. In 2012, the number of cases has been reduced to a historical low of 542 cases.
Summary:
The article summarized the lessons learnt from the global eradication programs which can be effective for other diseases: political commitment should be sustained; surveillance of the remaining cases when the disease is reduced or transmission has been interrupted; the role of primary healthcare facility; improvement of local water sources; report of the successful cases. In summary, Dracunculiasis is a parasitic disease that can be eradicated without the need of drugs or vaccines, but it required the concerned of the governments, partners and health workers to work together to achieve the goal of educate people to maintain clean water resources.

Case Study:
John has come to the doctor office, report to have intense painful, burning sensation for a few days, and blister was observed under his right foot that was recently ruptured. A small, threadlike worm was observed. John told the doctor that he has been working in African tropical forest for almost 2 years, and was recently got transfer back to the United States. He also develop a fever, swelling, nausea and vomiting.
1. What is the most likely disease that John has gotten?
2. How did John get the disease?
3. What is the best treatment for the disease?
4. What are the steps that help prevent John from getting the disease when he travels back to Africa? Or is it possible that his body develop immunity against the disease that he does not have to worry about?
Brief summary for the brochure:
Dracunculiasis (guinea worm disease): eradication without a drug or a vaccine, Gautam Biswas, Dieudonne P. Sankara, Junerlyn Agua-Agum and Alhousseine Maiga, June 2013.
Dracunculiasis is one of the first parasitic diseases to be eradicated in the world without the need of drugs or vaccine. Since the only mode of transmission was through copepod vector in the water, proper educations for water treatment in rural, tropical areas are the only means of prevention. With the support from the local government, health care worker and private funding, the program was a great success in reducing the cases reported from 3.5 million to only 542 cases around the globe.
Website for more information about Dracunculiasis: http://www.cartercenter.org/health/guinea_worm/mini_site/index.html http://wordinfo.info/unit/3387/s:affliction%20with%20little%20dragons

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