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Dracunculiasis

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public education village-by-village, surveil for cases, and deliver water filters. This continued and evolved as needed until the national burden of disease was very low. Then, in a third phase, programs intensified surveillance efforts with the goal of identifying each case within 24 hours of the worm emerging and preventing the person from contaminating drinking water supplies. Most national programs offered voluntary in-patient centers, where those affected could stay and receive food and care until their worms were removed.
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away from a source of drinking water. As the first part of the worm emerges, it is typically wrapped around a piece of gauze or a stick to maintain steady tension on the worm, encouraging its exit. Each day, several centimeters of the worm emerge from the blister, and the stick is wound to maintain tension. This is repeated daily until the full worm emerges, typically within a month. If too much pressure is applied, the worm can break and die, leading to severe swelling and pain at the site of the ulcer.
825:, likely a fish or amphibian. As with humans, control efforts have focused on preventing infection by encouraging people in affected areas to bury fish entrails, as well as to identify and tie up dogs and cats with emerging worms so that they cannot access drinking water sources until after the worms have emerged. Animal infections are rapidly falling, with 2,000 recorded infections in 2019, 1,601 in 2020, and 863 in 2021. Domestic ferrets can be infected with 298:(behind the organs near the back of the abdomen). Over the next two to three months the larvae develop into adult male and female worms. The male remains small at 4 cm (1.6 in) long and 0.4 mm (0.016 in) wide; the female is comparatively large, often over 100 cm (39 in) long and 1.5 mm (0.059 in) wide. Once the worms reach their adult size they mate, and the male dies. Over the ensuing months, the female migrates to 789:
reports zero cases of dracunculiasis for a calendar year, the ICCDE considers that country to have interrupted Guinea worm transmission, and is then in the "precertification phase". If the country reports zero cases in each of the next three calendar years, the ICCDE sends a team to the country to assess the country's disease surveillance systems and to verify the country's reports. The ICCDE can then formally recommend the
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International Drinking Water Supply and Sanitation Decade (a program to improve global drinking water from 1981 to 1990) adopted the goal of eradicating dracunculiasis as part of their efforts. The following June, an international meeting termed "Workshop on Opportunities for Control of Dracunculiasis" concluded that dracunculiasis could be eradicated through public education, drinking water improvement, and
528:, which kills copepods, and contaminated water can be treated via boiling. Where possible, open sources of drinking water are replaced by deep wells that can serve as new sources of clean water. Public education campaigns inform people in affected areas how dracunculiasis spreads and encourage those with the disease to avoid soaking their wounds in bodies of water that are used for drinking. 313:, and emerges. When the wound touches fresh water, the female spews a milky-white substance containing hundreds of thousands of larvae into the water. Over the next several days as the female emerges from the wound, she can continue to discharge larvae into surrounding water. The larvae are eaten by copepods, and after two to three weeks of development, they are infectious to humans again. 560:, occurring in places where there is poor access to clean drinking water. Cases tend to be split roughly equally between males and females, and can occur in all age groups. Within a given place, dracunculiasis risk is linked to occupation; people who farm or fetch drinking water are most likely to be infected. 194:, occurring in places with poor access to clean drinking water. Prevention efforts center on filtering drinking water to remove copepods, as well as public education campaigns to discourage people from soaking affected limbs in sources of drinking water, as this allows the worms to spread their larvae. 487:
Dracunculiasis is a debilitating disease, causing substantial disability in around half of those infected. People with worms emerging can be disabled for the three to ten weeks it takes the worms to fully emerge. When worms emerge near joints, inflammation or infection of the affected area can result
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or prevent it from causing disease once within the body. Instead, treatment focuses on slowly and carefully removing the worm from the wound over days to weeks. Once the blister bursts and the worm begins to emerge, the wound is soaked in a bucket of water, allowing the worm to empty itself of larvae
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There is no medication to treat or prevent dracunculiasis. Instead, the mainstay of treatment is the careful wrapping of the emerging worm around a small stick or gauze to encourage and speed up its exit. Each day, a few more centimeters of the worm emerge, and the stick is turned to maintain gentle
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When dracunculiasis was widespread, it often affected entire villages at once. Outbreaks occurring during planting and harvesting seasons severely impaired a community's agricultural operations – earning dracunculiasis the descriptor "empty granary disease" in some places. Communities affected
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Since the initiation of the global eradication program, the ICCDE has certified 15 of the original endemic countries as having eradicated dracunculiasis: Pakistan in 1997; India in 2000; Senegal and Yemen in 2004; the Central African Republic and Cameroon in 2007; Benin, Mauritania, and Uganda in
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used rough estimates of populations in endemic areas to suggest that there could have been as many as 48 million cases of dracunculiasis per year. In 1976, the WHO estimated the global burden at 10 million cases per year. Ten years later, as the eradication effort was beginning, the WHO
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Each national eradication program had three phases. The first phase consisted of a nationwide search to identify the extent of dracunculiasis transmission and develop national and regional plans of action. The second phase involved the training and distribution of staff and volunteers to provide
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In May 1991, the 44th World Health Assembly called for an international certification system to verify dracunculiasis eradication country-by-country. To this end, in 1995 the WHO established the International Commission for the Certification of Dracunculiasis Eradication (ICCDE). Once a country
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began collaborating with the government of Pakistan to initiate its national program, which then launched in 1988. By 1996, national eradication programs had been launched in every country with endemic dracunculiasis: Ghana and Nigeria in 1989; Cameroon in 1991; Togo, Burkina Faso, Senegal, and
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eradication (last case in 1977; eradication certified in 1981), dracunculiasis was considered an achievable eradication target since it was preventable with only behavioral changes and less common than many similar diseases of poverty. In 1981, the steering committee for the United Nations
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dracunculiasis had established a national eradication program. In the ensuing years, dracunculiasis cases have dropped precipitously, with 14 cases reported worldwide in 2023. Since 1986, 14 previously endemic countries have eradicated dracunculiasis, leaving the disease endemic in six:
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Accounts consistent with dracunculiasis appear in surviving documents from physicians of Greco-Roman antiquity. In the 19th and early 20th centuries, dracunculiasis was widespread across much of Africa and South Asia, affecting as many as 48 million people per year. The
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from person to person. A mainstay of eradication efforts is the improvement of drinking water. Nylon filters, finely woven cloth, or specialized filter straws can all remove copepods from drinking water, eliminating transmission risk. Water sources can also be treated with
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on the skin. Eventually, the blister bursts, creating a painful wound from which the worm gradually emerges over several weeks. The wound remains painful throughout the worm's emergence, disabling the affected person for the three to ten weeks it takes the worm to emerge.
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Infected people commonly harbor multiple worms – on average 1.8 worms per person, but as many as 40 – which will emerge from separate blisters at the same time. 90% of worms emerge from the legs or feet. However, worms can emerge from anywhere on the body.
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When dracunculiasis was widespread, it had a seasonal cycle, though the timing varied by location. Along the Sahara desert's southern edge, cases peaked during the mid-year rainy season (May–October) when stagnant water sources were more abundant. Along the
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in permanent stiffness, pain, or destruction of the joint. Some people with dracunculiasis have continuing pain for 12 to 18 months after the worm has emerged. Around 1% of dracunculiasis cases result in death from secondary infections of the wound.
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If an affected person submerges the wound in water, the worm spews a white substance releasing its larvae into the water. As the worm emerges, the open blister often becomes infected with bacteria, resulting in redness and swelling; the formation of
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If you examine a swelling ... on any body-part of man, you must apply thereon a bandage; and if you find it coming and going and clinging to the flesh which is under it ... You must perform a knife treatment, cutting it out with a
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The first signs of dracunculiasis occur around a year after infection, as the full-grown female worm prepares to leave the infected person's body. As the worm migrates to its exit site – typically the lower leg – some people have
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under the skin. Over 1–3 days, the blister grows larger, begins to cause severe burning pain, and eventually bursts, leaving a small open wound. The wound remains intensely painful as the worm slowly emerges over several weeks to months.
601:, also wrote of diseases consistent with dracunculiasis; though there was some disagreement as to the nature of the disease, with some attributing it to a worm, while others considered it to be a corrupted part of the body emerging. 536:
Dracunculiasis is now rare, with 14 cases reported worldwide in 2023 and 13 in 2022. This is down from 27 cases in 2020 and dramatically less than the estimated 3.5 million annual cases in 20 countries in 1986 – the year the
282:. Humans typically get infected when they unintentionally ingest copepods while drinking water. In some cases, infected copepods are consumed by fish or frogs, which are then consumed by humans or other animals, passing along the 588:
concerning a "hitherto unheard-of disease" in which "small worms issue from arms and legs ... insinuating themselves between the muscles give rise to horrible sufferings". Greco-Roman and Persian physicians, including
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by dracunculiasis also see reduced school attendance as children of affected parents must take over farm or household duties, and affected children may be physically prevented from walking to school for weeks.
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In the 19th and 20th centuries, dracunculiasis was widespread across nearly all of Africa and South Asia, though no exact case counts exist from the pre-eradication era. In a 1947 article in the
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Eberhard ML, Ruiz-Tiben E, Hopkins DR, Farrell C, Toe F, Weiss A, Withers PC, Jenks MH, Thiele EA, Cotton JA, Hance Z, Holroyd N, Cama VA, Tahir MA, Mounda T (January 2014).
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Nicholas D. Kristof from the New York Times follows a young Sudanese boy with a Guinea Worm parasite infection who is quarantined for treatment as part of the Carter program
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2009; Burkina Faso and Togo in 2011; Côte d'Ivoire, Niger, and Nigeria in 2013; and Ghana in 2015. In 2020, the 76th World Health Assembly endorsed a new guidance plan, the
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In 1986, the 39th World Health Assembly issued a statement endorsing dracunculiasis eradication and calling on member states to craft eradication plans. The same year, the
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there is no way to prevent the disease from running its full course. Consequently, efforts to reduce the burden of dracunculiasis focus on preventing the transmission of
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Uganda in 1992; Benin, Mauritania, Niger, Mali, and Côte d'Ivoire in 1993; Sudan, Kenya, Chad, and Ethiopia in 1994; Yemen and the Central African Republic in 1995.
459:(CDC) recommends cleaning the wound before the worm emerges. Once the worm begins to exit the body, the CDC recommends daily wound care: cleaning the wound, applying 1687:
Fedchenko A (1870). "О строении и размножении ришты (Filaria medinensis L.)" [On the structure and reproduction of the Guinea worm (Filaria medinensis L.)].
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described in snakes in the United States, Brazil, India, Vietnam, Australia, Papua New Guinea, Benin, Madagascar, and Italy. The only other reptiles affected are
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and escapes into the body. Around a year later, the adult female migrates to an exit site – usually the lower leg – and induces an intensely painful
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worms have also been reported in American skunks, coyotes, foxes, opossums, domestic dogs, domestic cats, and (rarely) muskrats and beavers.
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species can infect snakes, turtles, and other mammals. Animal infections are most widespread in snakes, with nine different species of
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Some have proposed links between dracunculiasis and other prominent ancient texts and symbols. In a 1674 treatise on dracunculiasis,
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tension. Too much tension can break and kill the worm in the wound, causing severe pain and swelling. Dracunculiasis is a
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Fedchenko suggested that this discovery was serendipitous based on his observations of many waterborne animals. However,
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Forgotten People, Forgotten Diseases: The Neglected Tropical Diseases and Their Impact on Global Health and Development
235:. If the eradication program succeeds, dracunculiasis will become the second human disease eradicated, after smallpox. 4051: 3680: 3329: 3236: 2877: 2167:"Contributions of the Guinea Worm Disease eradication campaign toward achievement of the Millennium Development Goals" 605: 821:, where they helped reignite dracunculiasis transmission in 2010. Animals are thought to become infected by eating a 896:
s book review pointing out differences in the disease's incubation time and fatality making it a poor match for the
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Hotez PJ (2013). "The filarial infections: lymphatic filariasis (elephantiasis) and dracunculiasis (Guinea worm)".
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can also infect dogs, cats, and baboons, though animal cases are also falling due to eradication efforts. Other
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authored the first detailed description of the worm itself, published in 1863. The following year, in his book
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Infection does not create immunity, so people can repeatedly experience dracunculiasis throughout their lives.
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Fedchenko AP (1971). "Concerning the structure and reproduction of the Guinea-worm (Filaria medinensis L.)".
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Treatment for dracunculiasis also includes regular wound care to avoid infection of the open ulcer. The US
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larvae. The larvae exit the digestive tract by penetrating the stomach and intestine, taking refuge in the
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Dracunculiasis is diagnosed by visual examination – the thin white worm emerging from the blister is
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represented dracunculiasis. In 1959, parasitologist Reinhard Hoeppli proposed that a prescription in the
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Diseases consistent with the effects of dracunculiasis are referenced by writers throughout antiquity.
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in 1915. Despite longstanding knowledge that the worm was associated with water, the lifecycle of
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Preventing those infected from putting the wound in drinking water, treating contaminated water
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Hopkins DR, Ruiz-Tiben E, Eberhard ML, Weiss A, Withers PC, Roy SL, Sienko DG (August 2018).
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called for dracunculiasis's eradication. Dracunculiasis remains endemic in three countries:
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The campaign to eradicate dracunculiasis began at the urging of the CDC in 1980. Following
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Cleveland CA, Garrett KB, Cozad RA, Williams BM, Murray MH, Yabsley MJ (December 2018).
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Ruiz-Tiben E, Hopkins DR (2006). "Dracunculiasis (Guinea worm disease) eradication".
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Callahan K, Bolton B, Hopkins DR, Ruiz-Tiben E, Withers PC, Meagley K (30 May 2013).
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About a year after the initial infection, the female migrates to the skin, forms an
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species cause dracunculiasis in reptiles worldwide and in mammals in the Americas.
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described in Costa Rica. Infections of other mammals are limited to the Americas.
2793: 2592: 2231: 2183: 929:-part of any colocynch. A swelling that is like a head is to be treated likewise. 632:; this would make the Ebers papyrus the oldest known description of the disease. 4528: 4448: 3914: 3899: 3755: 3622: 3603: 3594: 3582: 3436: 3400: 3382: 3349: 3335: 3127: 3053: 2998: 2933: 2576:"Guinea worm eradication: Progress and challenges— should we beware of the dog?" 2545:
Miller RL (1989). "Dqr, spinning and treatment of Guinea worm in P. Ebers 875".
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treatments. In response, India began its national eradication program in 1983.
550: 396: 232: 2124:"Dracunculiasis (Guinea worm disease): eradication without a drug or a vaccine" 4337: 3819: 3741: 3726: 3482: 3441: 2834: 2804: 2446:"Progress toward global eradication of dracunculiasis, January 2020–June 2021" 1714: 468: 460: 2752: 1799: 1210: 1208: 1206: 1204: 1202: 1200: 1198: 724:–infected copepods developed mature Guinea worms, while monkeys directly fed 612:, including Greek sculptures, signs of the zodiac, Arabic lettering, and the 387:
is near a joint (typically the ankle), the damage to the joint can result in
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The Ebers Papyrus: a new English translation, commentaries, and glossaries
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larvae can infect and develop inside copepods. The next step was shown by
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proposed in 1855 that the "fiery serpents" that plague the Hebrews in the
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Despommier DD, Griffin DO, Gwadz RW, Hotez PJ, Knirsch CA (2019). "25.
1743: 857: 616:, a common symbol of the medical profession. Similarly, parasitologist 472: 416: 380: 368: 359: 291: 279: 207: 182: 174: 3964: 2735: 2487:
Hopkins DR, Weiss AJ, Torres-Velez FJ, Sapp SG, Ijaz K (August 2022).
1582:. Cairo: Academy of Scienctific Research and Technology. p. 253. 2762: 2747: 657: 594: 376: 347: 212: 2558: 1614: 111:
Ingesting Guinea worm–infected copepods, drinking contaminated water
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Hopkins DR, Weiss AJ, Roy SL, Yerian S, Cama VA (November 2021).
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Atlas of Pediatrics in the Tropics and Resource-Limited Settings
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in the US and Canada are most widely impacted, particularly by
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There is no vaccine for dracunculiasis, and once infected with
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International Journal for Parasitology: Parasites and Wildlife
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Dracunculiasis eradication: global surveillance summary, 2021
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Logarithmic scale of reported dracunculiasis cases 1989–2022
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filled a major gap with his 1870 publication describing that
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refers to a (lost) description by the 2nd century BCE writer
2012: 1961: 1949: 1046: 917:-knife and that which is in its interior is seized with the 2270:(7 ed.). Parasites Without Borders. pp. 285–290. 1904: 1767: 1670: 1668: 1666: 1542: 1540: 1538: 1536: 1534: 1532: 1530: 1528: 1526: 1524: 1449: 1384: 1214: 1159: 1093: 2122:
Biswas G, Sankara DP, Agua-Agum J, Maiga A (August 2013).
960:, the life cycle of which Leuckart had described in 1865. 921:-instrument ... You must then extirpate it with the 286:
larvae. During digestion the copepods die, releasing the
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ascribed serpentine figures in several ancient icons to
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refers to the worm's longstanding association with the
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Children in Chad holding filter straws used to prevent
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Spector JM, Gibson TE, eds. (2016). "Dracunculiasis".
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claimed that he had advised Fedchenko to investigate
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described in several US states and a single infected
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estimated 3.5 million cases per year worldwide.
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Painful blister that a long white worm crawls out of
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International Commission on Zoological Nomenclature
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Blister on the foot of a person with dracunculiasis
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"This wormy world". 443:worm is wrapped around a stick as it emerges. 4142: 3980: 2878: 1620:Transactions of the Linnean Society of London 1494: 1399: 1130: 886:This theory was criticised at the time, with 793:certify a country as free of dracunculiasis. 8: 4555:Infectious diseases with eradication efforts 1326: 1324: 1322: 1320: 1318: 925:-knife ... It shall be seized with the 202:began in the 1980s following the successful 73:worm emerges from a wound on a person's foot 909:Ghalioungui translates Ebers No. 875 thus: 813:can infect domestic dogs and cats and wild 479:can help ease the pain of the worm's exit. 4382: 4327: 4170: 4149: 4135: 4127: 3987: 3973: 3965: 3432: 3396: 3387: 3378: 3218: 2929: 2914: 2885: 2871: 2863: 2726: 1460: 1458: 1336:Centers for Disease Control and Prevention 1177:Centers for Disease Control and Prevention 1064:Centers for Disease Control and Prevention 1022:Centers for Disease Control and Prevention 981: 979: 977: 457:Centers for Disease Control and Prevention 60: 34: 2714:"Guinea Worm Disease Eradication Program" 2601: 2591: 2514: 2504: 2469: 2426: 2350: 2315: 2239: 2192: 2182: 2147: 2027:, "Experimental infections of hosts with 1907:, Section "Certification of eradication". 1892:, Section 5.7 "Strategy for Eradication". 1243: 1012: 1010: 1008: 1915: 1913: 1413:"Control of Neglected Tropical Diseases" 1254: 1252: 4408:Malaria Eradication Scientific Alliance 973: 950:copepods due to the similarity between 879: 2335:"Dracunculiasis (Guinea worm disease)" 1600: 1363:, Section 4.2 "Socio-Economic Impact". 1293:"Dracunculiasis (Guinea-worm disease)" 1287: 1285: 2574:Molyneux D, Sankara DP (April 2017). 2450:Morbidity and Mortality Weekly Report 2277:from the original on 24 November 2021 1931:from the original on 5 September 2021 1844: 1674: 1657: 1546: 1231: 1147: 7: 4434:National Malaria Eradication Program 2339:Canadian Medical Association Journal 1868:, Section 5. "Eradication Campaign". 1639:from the original on 25 January 2023 1476:from the original on 21 October 2021 1419:from the original on 7 December 2023 1342:from the original on 7 February 2023 1303:from the original on 17 October 2019 1259:Marie C, Petri WA (September 2022). 1070:from the original on 23 January 2023 708:was the topic of protracted debate. 4398:Global Polio Eradication Initiative 2547:The Journal of Egyptian Archaeology 2015:, "Current status of the campaign". 1466:"Year in which countries certified" 1437: 1183:from the original on 22 August 2022 989:. The Carter Center. 6 March 2024. 4158:Eradication of infectious diseases 1633:10.1111/j.1096-3642.1863.tb00155.x 1270:from the original on 26 April 2021 993:from the original on 10 March 2024 200:effort to eradicate dracunculiasis 25: 4497:Mathematical modelling of disease 2692:from the original on 29 July 2022 2538:American Society for Microbiology 2388:from the original on 4 April 2015 1567:(1406): 1283–1284. December 1887. 4364:Bovine spongiform encephalopathy 2580:PLOS Neglected Tropical Diseases 2371:A History of Human Helminthology 2171:PLOS Neglected Tropical Diseases 1809:from the original on 3 June 2022 1028:from the original on 28 May 2023 4429:Boll Weevil Eradication Program 4403:Global Certification Commission 660:, with Avicenna writing in his 2664:American Academy of Pediatrics 854:South American snapping turtle 206:. By 1995, every country with 1: 4208:Eradication of dracunculiasis 2633:10.1016/S0065-308X(05)61007-X 2333:Greenaway C (February 2004). 1890:Ruiz-Tiben & Hopkins 2006 1878:Ruiz-Tiben & Hopkins 2006 1866:Ruiz-Tiben & Hopkins 2006 1788:Weekly Epidemiological Record 1516:Ruiz-Tiben & Hopkins 2006 1415:. World Health Organization. 1361:Ruiz-Tiben & Hopkins 2006 752:Eradication of dracunculiasis 447:There is no medicine to kill 3344:Diphyllobothrium mansonoides 2593:10.1371/journal.pntd.0005495 2540:(ASM) Press. pp. 57–75. 2232:10.1016/j.ijppaw.2018.07.002 2184:10.1371/journal.pntd.0002160 1613:Bastian HC (November 1863). 1518:, Section 4. "Epidemiology". 1332:"Management & Treatment" 1246:, "Clinical manifestations". 670:'s 1788 update of Linnaeus' 306:, and continues to develop. 27:Infection by the Guinea worm 3681:Angiostrongylus cantonensis 3330:Spirometra erinaceieuropaei 1989:Molyneux & Sankara 2017 1561:The British Medical Journal 606:Georg Hieronymous Velschius 4591: 1770:, "Decision to Eradicate". 833:for human dracunculiasis. 749: 710:Alexei Pavlovich Fedchenko 674:, Gmelin renamed the worm 558:disease of extreme poverty 192:disease of extreme poverty 4492:Globalization and disease 4342:Eradication of rinderpest 4070:African sleeping sickness 3935:Capillaria philippinensis 3858:Halicephalobus gingivalis 3829:Strongyloides stercoralis 2686:World Health Organization 2087:, "Natural infections of 1925:World Health Organization 1792:World Health Organization 1715:10.4269/ajtmh.1971.20.511 1495:Spector & Gibson 2016 1470:World Health Organization 1400:Spector & Gibson 2016 1297:World Health Organization 1131:Spector & Gibson 2016 848:, with cases of infected 138:14 cases worldwide (2023) 68: 59: 4565:Rare infectious diseases 4524:Tuberculosis elimination 4444:India National PolioPlus 3941:Intestinal capillariasis 3022:Dicrocoelium dendriticum 2621:Advances in Parasitology 217:Central African Republic 127:Slowly extracting worm, 4185:Eradication of smallpox 4116:Priority review voucher 3928:Trichuriasis / Whipworm 3878:Enterobius vermicularis 3659:Cutaneous larva migrans 3232:Echinococcus granulosus 3172:Heterophyes heterophyes 3158:Gastrodiscoides hominis 2981:Trichobilharzia regenti 2075:species in chelonians". 1731:Journal of Parasitology 1173:"Guinea worm – disease" 1060:"Dracunculiasis – DPDx" 890:British Medical Journal 850:common snapping turtles 809:In addition to humans, 734:Journal of Parasitology 684:for free-living worms. 668:Johann Friedrich Gmelin 618:Friedrich Küchenmeister 419:and can be seen in the 415:. Dead worms sometimes 371:; or, in severe cases, 204:eradication of smallpox 103:One year after exposure 4228:Eradication of malaria 3776:Visceral larva migrans 3557:Gnathostoma spinigerum 3410:Dracunculus medinensis 3316:Diphyllobothrium latum 3095:Paragonimus westermani 3062:Opisthorchis viverrini 2462:10.15585/mmwr.mm7044a1 2259:Dracunculus medinensis 2140:10.1098/rstb.2012.0146 2059:species of squamates". 1697:English translation: 1578:Ghalioungui P (1987). 1450:Despommier et al. 2019 1385:Despommier et al. 2019 1215:Despommier et al. 2019 1160:Despommier et al. 2019 1094:Despommier et al. 2019 954:and the fish parasite 931: 761: 698:Dracunculus medinensis 694:Thomas Spencer Cobbold 512: 444: 413:unique to this disease 326: 268:Dracunculus medinensis 259: 257:Dracunculus medinensis 166:Dracunculus medinensis 4324:agricultural diseases 3643:Ancylostoma duodenale 3186:Metagonimus yokogawai 2506:10.4269/ajtmh.22-0197 2419:10.4269/ajtmh.18-0204 2308:10.4269/ajtmh.13-0554 2101:Cleveland et al. 2018 2085:Cleveland et al. 2018 2069:Cleveland et al. 2018 2053:Cleveland et al. 2018 2041:Cleveland et al. 2018 2025:Cleveland et al. 2018 759: 718:Robert Thomson Leiper 663:The Canon of Medicine 539:World Health Assembly 506: 438: 324: 296:retroperitoneal space 254: 4262:Lymphatic filariasis 3909:Trichinella spiralis 3736:Ascaris lumbricoides 3536:Lymphatic filariasis 3518:Wuchereria bancrofti 2666:. pp. 109–115. 2107:species in mammals". 1974:Eberhard et al. 2014 1373:Callahan et al. 2013 831:animal disease model 791:WHO Director-General 556:Dracunculiasis is a 163:by the Guinea worm, 4575:Waterborne diseases 4238:Eradication of yaws 4004:Diseases of poverty 3996:Diseases of poverty 3923:Trichuris trichiura 3850:Trichostrongyliasis 3452:Onchocerca volvulus 3008:Clonorchis sinensis 2943:Schistosoma mansoni 2924:Trematode infection 2379:C.A.B International 2013:Hopkins et al. 2022 2001:Hopkins et al. 2021 1962:Hopkins et al. 2022 1950:Hopkins et al. 2022 1828:Hopkins et al. 2018 1677:, pp. 702–706. 1660:, pp. 698–702. 1549:, pp. 693–698. 1338:. 4 February 2022. 1299:. 10 January 2022. 1179:. 4 February 2022. 1162:, pp. 287–288. 1047:Hopkins et al. 2022 421:subcutaneous tissue 385:secondary infection 173:that reside inside 161:parasitic infection 157:Guinea-worm disease 49:Guinea-worm disease 18:Guinea worm disease 4052:Neglected diseases 4037:Diarrheal diseases 3809:Parascaris equorum 3795:Dioctophyme renale 3715:Oesophagostomiasis 3687:Angiostrongyliasis 3667:Necator americanus 3637:Hookworm infection 3497:Dirofilaria repens 3322:Diphyllobothriasis 3213:Tapeworm infection 3144:Fasciolopsis buski 2815:External resources 2264:Parasitic Diseases 2134:(1623): 20120146. 1905:Biswas et al. 2013 1768:Biswas et al. 2013 1024:. 11 August 2023. 957:Cucullanus elegans 827:D. medinensis 811:D. medinensis 762: 726:D. medinensis 722:D. medinensis 714:D. medinensis 706:D. medinensis 676:Filaria medinensis 646:Gordius medinensis 521:D. medinensis 517:D. medinensis 513: 509:D. medinensis 449:D. medinensis 445: 441:D. medinensis 332:allergic reactions 327: 317:Signs and symptoms 288:D. medinensis 284:D. medinensis 273:D. medinensis 260: 237:D. medinensis 84:Infectious disease 4570:Tropical diseases 4542: 4541: 4480: 4479: 4456:Polio in Pakistan 4372: 4371: 4317: 4316: 4218:Polio eradication 4124: 4123: 3962: 3961: 3958: 3957: 3894: 3893: 3617: 3616: 3613: 3612: 3364: 3363: 3360: 3359: 3238:E. multilocularis 3202: 3201: 3042:Fasciola hepatica 2894:Parasitic disease 2860: 2859: 2673:978-1-58110-960-3 2456:(44): 1527–1533. 2368:Grove DI (1990). 1952:, "Introduction". 654:Arabian Peninsula 300:connective tissue 150: 149: 32:Medical condition 16:(Redirected from 4582: 4462:Every Last Child 4383: 4359:Ovine rinderpest 4328: 4171: 4151: 4144: 4137: 4128: 3989: 3982: 3975: 3966: 3843:Trichostrongylus 3835:Strongyloidiasis 3701:Metastrongylosis 3433: 3397: 3388: 3379: 3283:Hymenolepis nana 3219: 3119:Intestinal fluke 2930: 2915: 2887: 2880: 2873: 2864: 2727: 2717: 2716:. Carter Center. 2701: 2699: 2697: 2677: 2654: 2615: 2605: 2595: 2570: 2541: 2528: 2518: 2508: 2483: 2473: 2440: 2430: 2397: 2395: 2393: 2387: 2376: 2364: 2354: 2329: 2319: 2286: 2284: 2282: 2276: 2269: 2253: 2243: 2206: 2196: 2186: 2161: 2151: 2108: 2098: 2092: 2082: 2076: 2066: 2060: 2050: 2044: 2038: 2032: 2022: 2016: 2010: 2004: 1998: 1992: 1986: 1977: 1971: 1965: 1959: 1953: 1947: 1941: 1940: 1938: 1936: 1917: 1908: 1902: 1893: 1887: 1881: 1875: 1869: 1863: 1848: 1842: 1831: 1825: 1819: 1818: 1816: 1814: 1808: 1785: 1777: 1771: 1765: 1756: 1755: 1725: 1719: 1718: 1696: 1684: 1678: 1672: 1661: 1655: 1649: 1648: 1646: 1644: 1610: 1604: 1598: 1592: 1591: 1575: 1569: 1568: 1556: 1550: 1544: 1519: 1513: 1498: 1492: 1486: 1485: 1483: 1481: 1462: 1453: 1447: 1441: 1435: 1429: 1428: 1426: 1424: 1409: 1403: 1397: 1388: 1382: 1376: 1370: 1364: 1358: 1352: 1351: 1349: 1347: 1328: 1313: 1312: 1310: 1308: 1289: 1280: 1279: 1277: 1275: 1261:"Dracunculiasis" 1256: 1247: 1241: 1235: 1229: 1218: 1212: 1193: 1192: 1190: 1188: 1169: 1163: 1157: 1151: 1145: 1134: 1128: 1097: 1091: 1080: 1079: 1077: 1075: 1056: 1050: 1044: 1038: 1037: 1035: 1033: 1014: 1003: 1002: 1000: 998: 983: 961: 938: 932: 907: 901: 895: 884: 863:D. insignis 846:snapping turtles 728:larvae did not. 630:Paul Ghalioungui 614:Rod of Asclepius 64: 35: 21: 4590: 4589: 4585: 4584: 4583: 4581: 4580: 4579: 4545: 4544: 4543: 4538: 4476: 4412: 4378: 4368: 4347: 4323: 4313: 4249: 4243: 4196: 4190: 4166: 4160: 4155: 4125: 4120: 4099: 4085:River blindness 4075:Schistosomiasis 4046: 3998: 3993: 3963: 3954: 3890: 3863: 3814: 3721: 3709:Oesophagostomum 3655:Ancylostomiasis 3625: 3609: 3589: 3569:Gnathostomiasis 3542: 3439: 3422: 3373: 3370: 3356: 3307:Pseudophyllidea 3301: 3252:Taenia saginata 3210: 3198: 3150:Fasciolopsiasis 3135:Echinostomiasis 3113: 3080: 3074:Opisthorchiasis 2993: 2973:Schistosomiasis 2967:S. intercalatum 2921: 2919:Fluke/trematode 2910: 2907: 2900: 2891: 2861: 2856: 2855: 2810: 2809: 2738: 2712: 2709: 2704: 2695: 2693: 2688:. 27 May 2022. 2680: 2674: 2657: 2643: 2618: 2586:(4): e0005495. 2573: 2559:10.2307/3821922 2544: 2531: 2486: 2443: 2400: 2391: 2389: 2385: 2374: 2367: 2332: 2289: 2280: 2278: 2274: 2267: 2256: 2209: 2164: 2121: 2117: 2112: 2111: 2099: 2095: 2083: 2079: 2067: 2063: 2051: 2047: 2039: 2035: 2023: 2019: 2011: 2007: 1999: 1995: 1987: 1980: 1972: 1968: 1960: 1956: 1948: 1944: 1934: 1932: 1919: 1918: 1911: 1903: 1896: 1888: 1884: 1876: 1872: 1864: 1851: 1843: 1834: 1830:, Introduction. 1826: 1822: 1812: 1810: 1806: 1794:. 10 May 1996. 1783: 1779: 1778: 1774: 1766: 1759: 1727: 1726: 1722: 1698: 1686: 1685: 1681: 1673: 1664: 1656: 1652: 1642: 1640: 1612: 1611: 1607: 1599: 1595: 1577: 1576: 1572: 1558: 1557: 1553: 1545: 1522: 1514: 1501: 1493: 1489: 1479: 1477: 1464: 1463: 1456: 1448: 1444: 1436: 1432: 1422: 1420: 1411: 1410: 1406: 1398: 1391: 1383: 1379: 1375:, Introduction. 1371: 1367: 1359: 1355: 1345: 1343: 1330: 1329: 1316: 1306: 1304: 1291: 1290: 1283: 1273: 1271: 1265:Merck & Co. 1258: 1257: 1250: 1242: 1238: 1230: 1221: 1213: 1196: 1186: 1184: 1171: 1170: 1166: 1158: 1154: 1146: 1137: 1129: 1100: 1092: 1083: 1073: 1071: 1058: 1057: 1053: 1045: 1041: 1031: 1029: 1016: 1015: 1006: 996: 994: 985: 984: 975: 970: 965: 964: 942:Rudolf Leuckart 939: 935: 908: 904: 898:Book of Numbers 893: 885: 881: 876: 807: 754: 748: 739:Norman R. Stoll 672:Systema Naturae 641:Systema Naturae 574: 534: 501: 485: 433: 409: 319: 249: 179:digestive tract 129:supportive care 55: 33: 28: 23: 22: 15: 12: 11: 5: 4588: 4586: 4578: 4577: 4572: 4567: 4562: 4557: 4547: 4546: 4540: 4539: 4537: 4536: 4531: 4526: 4521: 4520: 4519: 4514: 4504: 4499: 4494: 4488: 4486: 4485:Related topics 4482: 4481: 4478: 4477: 4475: 4474: 4473: 4472: 4469:The Final Inch 4465: 4453: 4452: 4451: 4446: 4438: 4437: 4436: 4431: 4420: 4418: 4414: 4413: 4411: 4410: 4405: 4400: 4395: 4389: 4387: 4380: 4374: 4373: 4370: 4369: 4367: 4366: 4361: 4355: 4353: 4349: 4348: 4346: 4345: 4334: 4332: 4325: 4322:Eradication of 4319: 4318: 4315: 4314: 4312: 4311: 4306: 4301: 4296: 4294:Onchocerciasis 4291: 4286: 4281: 4280: 4279: 4274: 4264: 4259: 4253: 4251: 4245: 4244: 4242: 4241: 4231: 4221: 4211: 4204:Dracunculiasis 4200: 4198: 4192: 4191: 4189: 4188: 4177: 4175: 4168: 4167:human diseases 4165:Eradication of 4162: 4161: 4156: 4154: 4153: 4146: 4139: 4131: 4122: 4121: 4119: 4118: 4113: 4107: 4105: 4101: 4100: 4098: 4097: 4092: 4087: 4082: 4080:Dracunculiasis 4077: 4072: 4067: 4065:Chagas disease 4062: 4056: 4054: 4048: 4047: 4045: 4044: 4039: 4034: 4029: 4024: 4019: 4014: 4008: 4006: 4000: 3999: 3994: 3992: 3991: 3984: 3977: 3969: 3960: 3959: 3956: 3955: 3953: 3952: 3945: 3944: 3943: 3931: 3919: 3918: 3917: 3904: 3902: 3896: 3895: 3892: 3891: 3889: 3888: 3887: 3886: 3873: 3871: 3865: 3864: 3862: 3861: 3854: 3853: 3852: 3839: 3838: 3837: 3824: 3822: 3816: 3815: 3813: 3812: 3805: 3804: 3803: 3801:Dioctophymosis 3791: 3784: 3783: 3782: 3764:Toxocara canis 3760: 3759: 3758: 3746: 3745: 3744: 3731: 3729: 3723: 3722: 3720: 3719: 3718: 3717: 3705: 3704: 3703: 3695:Metastrongylus 3691: 3690: 3689: 3677: 3676: 3675: 3663: 3662: 3661: 3649:A. braziliense 3639: 3633: 3631: 3619: 3618: 3615: 3614: 3611: 3610: 3608: 3607: 3599: 3597: 3591: 3590: 3588: 3587: 3586: 3585: 3573: 3572: 3571: 3552: 3550: 3544: 3543: 3541: 3540: 3539: 3538: 3514: 3513: 3512: 3510:Dirofilariasis 3500: 3493: 3492: 3491: 3489:Mansonelliasis 3479: 3478: 3477: 3462: 3461: 3460: 3458:Onchocerciasis 3447: 3445: 3430: 3424: 3423: 3421: 3420: 3419: 3418: 3416:Dracunculiasis 3405: 3403: 3394: 3385: 3376: 3366: 3365: 3362: 3361: 3358: 3357: 3355: 3354: 3353: 3352: 3340: 3339: 3338: 3326: 3325: 3324: 3311: 3309: 3303: 3302: 3300: 3299: 3298: 3297: 3295:Hymenolepiasis 3279: 3278: 3277: 3248: 3247: 3246: 3244:Echinococcosis 3227: 3225: 3223:Cyclophyllidea 3216: 3204: 3203: 3200: 3199: 3197: 3196: 3195: 3194: 3192:Metagonimiasis 3182: 3181: 3180: 3178:Heterophyiasis 3168: 3167: 3166: 3164:Amphistomiasis 3154: 3153: 3152: 3140: 3139: 3138: 3123: 3121: 3115: 3114: 3112: 3111: 3110: 3109: 3107:Paragonimiasis 3090: 3088: 3082: 3081: 3079: 3078: 3077: 3076: 3058: 3057: 3056: 3038: 3037: 3036: 3034:Dicrocoeliasis 3018: 3017: 3016: 3003: 3001: 2995: 2994: 2992: 2991: 2990: 2989: 2987:Swimmer's itch 2977: 2976: 2975: 2961:S. haematobium 2938: 2936: 2927: 2912: 2902: 2901: 2892: 2890: 2889: 2882: 2875: 2867: 2858: 2857: 2854: 2853: 2842: 2840:Dracunculiasis 2831: 2819: 2818: 2816: 2812: 2811: 2808: 2807: 2796: 2785: 2770: 2755: 2739: 2734: 2733: 2731: 2730:Classification 2724: 2723: 2718: 2708: 2707:External links 2705: 2703: 2702: 2678: 2672: 2662:(2 ed.). 2655: 2641: 2616: 2571: 2542: 2529: 2499:(2): 373–382. 2484: 2441: 2413:(2): 388–395. 2398: 2365: 2345:(4): 495–500. 2330: 2287: 2254: 2226:(3): 289–300. 2207: 2162: 2118: 2116: 2113: 2110: 2109: 2093: 2077: 2061: 2045: 2033: 2017: 2005: 1993: 1991:, Paragraph 7. 1978: 1966: 1954: 1942: 1909: 1894: 1882: 1870: 1849: 1832: 1820: 1772: 1757: 1720: 1709:(4): 511–523. 1691:(in Russian). 1679: 1662: 1650: 1627:(2): 101–134. 1605: 1603:, p. 251. 1593: 1570: 1551: 1520: 1499: 1497:, p. 109. 1487: 1454: 1452:, p. 285. 1442: 1430: 1404: 1402:, p. 111. 1389: 1387:, p. 289. 1377: 1365: 1353: 1314: 1281: 1248: 1244:Greenaway 2004 1236: 1219: 1217:, p. 288. 1194: 1164: 1152: 1135: 1133:, p. 110. 1098: 1096:, p. 287. 1081: 1066:. 9 May 2018. 1051: 1039: 1004: 972: 971: 969: 966: 963: 962: 933: 902: 878: 877: 875: 872: 823:transport host 806: 803: 750:Main article: 747: 744: 696:used the name 573: 570: 566:Gulf of Guinea 533: 530: 500: 497: 484: 481: 432: 429: 408: 405: 318: 315: 255:Life cycle of 248: 245: 155:, also called 153:Dracunculiasis 148: 147: 144: 140: 139: 136: 132: 131: 125: 121: 120: 117: 113: 112: 109: 105: 104: 101: 97: 96: 93: 87: 86: 81: 75: 74: 66: 65: 57: 56: 54: 53: 50: 46: 44: 40: 39: 38:Dracunculiasis 31: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 4587: 4576: 4573: 4571: 4568: 4566: 4563: 4561: 4560:Helminthiases 4558: 4556: 4553: 4552: 4550: 4535: 4532: 4530: 4527: 4525: 4522: 4518: 4515: 4513: 4510: 4509: 4508: 4505: 4503: 4500: 4498: 4495: 4493: 4490: 4489: 4487: 4483: 4471: 4470: 4466: 4464: 4463: 4459: 4458: 4457: 4454: 4450: 4447: 4445: 4442: 4441: 4439: 4435: 4432: 4430: 4427: 4426: 4425: 4424:United States 4422: 4421: 4419: 4415: 4409: 4406: 4404: 4401: 4399: 4396: 4394: 4391: 4390: 4388: 4384: 4381: 4375: 4365: 4362: 4360: 4357: 4356: 4354: 4350: 4343: 4339: 4336: 4335: 4333: 4329: 4326: 4320: 4310: 4307: 4305: 4302: 4300: 4297: 4295: 4292: 4290: 4287: 4285: 4282: 4278: 4275: 4273: 4270: 4269: 4268: 4265: 4263: 4260: 4258: 4255: 4254: 4252: 4246: 4239: 4235: 4232: 4229: 4225: 4222: 4219: 4215: 4212: 4209: 4205: 4202: 4201: 4199: 4193: 4186: 4182: 4179: 4178: 4176: 4172: 4169: 4163: 4159: 4152: 4147: 4145: 4140: 4138: 4133: 4132: 4129: 4117: 4114: 4112: 4109: 4108: 4106: 4104:Miscellaneous 4102: 4096: 4093: 4091: 4090:Leishmaniasis 4088: 4086: 4083: 4081: 4078: 4076: 4073: 4071: 4068: 4066: 4063: 4061: 4058: 4057: 4055: 4053: 4049: 4043: 4040: 4038: 4035: 4033: 4030: 4028: 4025: 4023: 4020: 4018: 4015: 4013: 4010: 4009: 4007: 4005: 4001: 3997: 3990: 3985: 3983: 3978: 3976: 3971: 3970: 3967: 3951: 3950: 3946: 3942: 3939: 3938: 3937: 3936: 3932: 3929: 3925: 3924: 3920: 3916: 3913: 3912: 3911: 3910: 3906: 3905: 3903: 3901: 3897: 3885: 3882: 3881: 3880: 3879: 3875: 3874: 3872: 3870: 3866: 3860: 3859: 3855: 3851: 3848: 3847: 3846: 3844: 3840: 3836: 3833: 3832: 3831: 3830: 3826: 3825: 3823: 3821: 3817: 3811: 3810: 3806: 3802: 3799: 3798: 3797: 3796: 3792: 3790: 3789: 3788:Baylisascaris 3785: 3781: 3777: 3774: 3773: 3772: 3771: 3766: 3765: 3761: 3757: 3754: 3753: 3752: 3751: 3747: 3743: 3740: 3739: 3738: 3737: 3733: 3732: 3730: 3728: 3724: 3716: 3713: 3712: 3711: 3710: 3706: 3702: 3699: 3698: 3697: 3696: 3692: 3688: 3685: 3684: 3683: 3682: 3678: 3674: 3671: 3670: 3669: 3668: 3664: 3660: 3656: 3653: 3652: 3651: 3650: 3645: 3644: 3640: 3638: 3635: 3634: 3632: 3629: 3624: 3620: 3606: 3605: 3601: 3600: 3598: 3596: 3592: 3584: 3581: 3580: 3579: 3578: 3574: 3570: 3567: 3566: 3565: 3564: 3559: 3558: 3554: 3553: 3551: 3549: 3545: 3537: 3534: 3533: 3532: 3531: 3526: 3525: 3524:Brugia malayi 3520: 3519: 3515: 3511: 3508: 3507: 3506: 3505: 3501: 3499: 3498: 3494: 3490: 3487: 3486: 3485: 3484: 3480: 3476: 3474: 3470: 3469: 3468: 3467: 3463: 3459: 3456: 3455: 3454: 3453: 3449: 3448: 3446: 3443: 3438: 3434: 3431: 3429: 3425: 3417: 3414: 3413: 3412: 3411: 3407: 3406: 3404: 3402: 3398: 3395: 3393: 3389: 3386: 3384: 3380: 3377: 3375: 3367: 3351: 3348: 3347: 3346: 3345: 3341: 3337: 3334: 3333: 3332: 3331: 3327: 3323: 3320: 3319: 3318: 3317: 3313: 3312: 3310: 3308: 3304: 3296: 3293: 3292: 3291: 3290: 3285: 3284: 3280: 3276: 3275:Cysticercosis 3272: 3269: 3268: 3267: 3265: 3260: 3259: 3254: 3253: 3249: 3245: 3242: 3241: 3240: 3239: 3234: 3233: 3229: 3228: 3226: 3224: 3220: 3217: 3214: 3209: 3205: 3193: 3190: 3189: 3188: 3187: 3183: 3179: 3176: 3175: 3174: 3173: 3169: 3165: 3162: 3161: 3160: 3159: 3155: 3151: 3148: 3147: 3146: 3145: 3141: 3137: 3136: 3132: 3131: 3130: 3129: 3125: 3124: 3122: 3120: 3116: 3108: 3105: 3104: 3103: 3102: 3101:P. kellicotti 3097: 3096: 3092: 3091: 3089: 3087: 3083: 3075: 3072: 3071: 3070: 3069: 3064: 3063: 3059: 3055: 3052: 3051: 3050: 3049: 3044: 3043: 3039: 3035: 3032: 3031: 3030: 3029: 3024: 3023: 3019: 3015: 3014:Clonorchiasis 3012: 3011: 3010: 3009: 3005: 3004: 3002: 3000: 2996: 2988: 2985: 2984: 2983: 2982: 2978: 2974: 2971: 2970: 2969: 2968: 2963: 2962: 2957: 2956: 2951: 2950: 2945: 2944: 2940: 2939: 2937: 2935: 2931: 2928: 2925: 2920: 2916: 2913: 2909: 2908:platyhelminth 2903: 2899: 2898:helminthiases 2895: 2888: 2883: 2881: 2876: 2874: 2869: 2868: 2865: 2852: 2848: 2847: 2843: 2841: 2837: 2836: 2832: 2830: 2826: 2825: 2821: 2820: 2817: 2813: 2806: 2802: 2801: 2797: 2795: 2791: 2790: 2786: 2784: 2780: 2779: 2775: 2771: 2769: 2765: 2764: 2760: 2756: 2754: 2750: 2749: 2745: 2741: 2740: 2737: 2732: 2728: 2722: 2719: 2715: 2711: 2710: 2706: 2691: 2687: 2683: 2679: 2675: 2669: 2665: 2661: 2656: 2652: 2648: 2644: 2642:9780120317615 2638: 2634: 2630: 2626: 2622: 2617: 2613: 2609: 2604: 2599: 2594: 2589: 2585: 2581: 2577: 2572: 2568: 2564: 2560: 2556: 2552: 2548: 2543: 2539: 2535: 2530: 2526: 2522: 2517: 2512: 2507: 2502: 2498: 2494: 2490: 2485: 2481: 2477: 2472: 2467: 2463: 2459: 2455: 2451: 2447: 2442: 2438: 2434: 2429: 2424: 2420: 2416: 2412: 2408: 2404: 2399: 2384: 2380: 2373: 2372: 2366: 2362: 2358: 2353: 2348: 2344: 2340: 2336: 2331: 2327: 2323: 2318: 2313: 2309: 2305: 2301: 2297: 2293: 2288: 2273: 2266: 2265: 2260: 2255: 2251: 2247: 2242: 2237: 2233: 2229: 2225: 2221: 2217: 2215: 2208: 2204: 2200: 2195: 2190: 2185: 2180: 2176: 2172: 2168: 2163: 2159: 2155: 2150: 2145: 2141: 2137: 2133: 2129: 2125: 2120: 2119: 2114: 2106: 2102: 2097: 2094: 2091:in wildlife". 2090: 2086: 2081: 2078: 2074: 2070: 2065: 2062: 2058: 2054: 2049: 2046: 2042: 2037: 2034: 2030: 2026: 2021: 2018: 2014: 2009: 2006: 2002: 1997: 1994: 1990: 1985: 1983: 1979: 1976:, "Abstract". 1975: 1970: 1967: 1964:, "Ethiopia". 1963: 1958: 1955: 1951: 1946: 1943: 1930: 1926: 1922: 1916: 1914: 1910: 1906: 1901: 1899: 1895: 1891: 1886: 1883: 1879: 1874: 1871: 1867: 1862: 1860: 1858: 1856: 1854: 1850: 1847:, p. 69. 1846: 1841: 1839: 1837: 1833: 1829: 1824: 1821: 1805: 1801: 1797: 1793: 1789: 1782: 1776: 1773: 1769: 1764: 1762: 1758: 1753: 1749: 1745: 1741: 1737: 1733: 1732: 1724: 1721: 1716: 1712: 1708: 1704: 1703: 1694: 1690: 1683: 1680: 1676: 1671: 1669: 1667: 1663: 1659: 1654: 1651: 1638: 1634: 1630: 1626: 1622: 1621: 1616: 1609: 1606: 1602: 1597: 1594: 1589: 1585: 1581: 1574: 1571: 1566: 1562: 1555: 1552: 1548: 1543: 1541: 1539: 1537: 1535: 1533: 1531: 1529: 1527: 1525: 1521: 1517: 1512: 1510: 1508: 1506: 1504: 1500: 1496: 1491: 1488: 1475: 1471: 1467: 1461: 1459: 1455: 1451: 1446: 1443: 1439: 1434: 1431: 1418: 1414: 1408: 1405: 1401: 1396: 1394: 1390: 1386: 1381: 1378: 1374: 1369: 1366: 1362: 1357: 1354: 1341: 1337: 1333: 1327: 1325: 1323: 1321: 1319: 1315: 1302: 1298: 1294: 1288: 1286: 1282: 1269: 1266: 1262: 1255: 1253: 1249: 1245: 1240: 1237: 1234:, p. 68. 1233: 1228: 1226: 1224: 1220: 1216: 1211: 1209: 1207: 1205: 1203: 1201: 1199: 1195: 1182: 1178: 1174: 1168: 1165: 1161: 1156: 1153: 1150:, p. 67. 1149: 1144: 1142: 1140: 1136: 1132: 1127: 1125: 1123: 1121: 1119: 1117: 1115: 1113: 1111: 1109: 1107: 1105: 1103: 1099: 1095: 1090: 1088: 1086: 1082: 1069: 1065: 1061: 1055: 1052: 1048: 1043: 1040: 1027: 1023: 1019: 1013: 1011: 1009: 1005: 992: 988: 982: 980: 978: 974: 967: 959: 958: 953: 952:D. medinensis 949: 948: 943: 937: 934: 930: 928: 924: 920: 916: 906: 903: 899: 892: 891: 883: 880: 873: 871: 869: 865: 864: 859: 855: 851: 847: 843: 839: 834: 832: 828: 824: 820: 816: 815:olive baboons 812: 805:Other animals 804: 802: 800: 794: 792: 786: 782: 779: 778:Carter Center 774: 772: 767: 758: 753: 745: 743: 740: 736: 735: 729: 727: 723: 719: 715: 711: 707: 703: 699: 695: 691: 687: 686:Henry Bastian 683: 682: 677: 673: 669: 665: 664: 659: 655: 651: 647: 643: 642: 637: 636:Carl Linnaeus 633: 631: 627: 626:Ebers papyrus 623: 622:Old Testament 619: 615: 611: 607: 602: 600: 596: 592: 587: 586:Agatharchides 583: 579: 571: 569: 567: 561: 559: 554: 552: 548: 544: 540: 531: 529: 527: 522: 518: 510: 505: 498: 496: 493: 489: 482: 480: 478: 474: 470: 466: 462: 458: 453: 450: 442: 437: 430: 428: 426: 422: 418: 414: 406: 404: 400: 398: 394: 390: 386: 382: 378: 374: 370: 364: 361: 357: 353: 349: 345: 341: 337: 333: 323: 316: 314: 312: 307: 305: 301: 297: 293: 289: 285: 281: 277: 274: 270: 269: 265: 258: 253: 246: 244: 242: 238: 234: 230: 226: 222: 218: 214: 209: 205: 201: 195: 193: 187: 184: 180: 176: 172: 168: 167: 162: 158: 154: 145: 141: 137: 133: 130: 126: 122: 118: 114: 110: 106: 102: 98: 94: 92: 88: 85: 82: 80: 76: 72: 71:D. medinensis 67: 63: 58: 51: 48: 47: 45: 41: 36: 30: 19: 4507:Transmission 4467: 4460: 4277:epidemiology 4203: 4111:Malnutrition 4079: 4022:Tuberculosis 3948: 3933: 3921: 3907: 3884:Enterobiasis 3876: 3856: 3842: 3827: 3807: 3793: 3786: 3780:Toxocariasis 3769: 3762: 3748: 3734: 3707: 3693: 3679: 3673:Necatoriasis 3665: 3648: 3641: 3602: 3575: 3562: 3555: 3548:Thelazioidea 3529: 3522: 3516: 3503: 3495: 3481: 3472: 3464: 3450: 3415: 3408: 3342: 3328: 3315: 3288: 3281: 3263: 3257: 3250: 3237: 3230: 3184: 3170: 3156: 3142: 3133: 3126: 3100: 3093: 3067: 3060: 3048:F. gigantica 3047: 3040: 3027: 3020: 3006: 2979: 2966: 2960: 2954: 2949:S. japonicum 2948: 2941: 2844: 2833: 2822: 2798: 2787: 2772: 2757: 2742: 2694:. Retrieved 2659: 2624: 2620: 2583: 2579: 2550: 2546: 2533: 2496: 2492: 2453: 2449: 2410: 2406: 2390:. Retrieved 2370: 2342: 2338: 2302:(1): 61–70. 2299: 2295: 2279:. Retrieved 2263: 2258: 2223: 2219: 2216:in wildlife" 2213: 2177:(5): e2160. 2174: 2170: 2131: 2127: 2105:"Dracunculus 2104: 2096: 2088: 2080: 2072: 2064: 2056: 2048: 2043:, "Table 1". 2036: 2028: 2020: 2008: 2003:, "Table 1". 1996: 1969: 1957: 1945: 1933:. Retrieved 1885: 1873: 1823: 1811:. Retrieved 1787: 1775: 1735: 1729: 1723: 1706: 1700: 1692: 1688: 1682: 1653: 1641:. Retrieved 1624: 1618: 1608: 1596: 1579: 1573: 1564: 1560: 1554: 1490: 1478:. Retrieved 1445: 1433: 1421:. Retrieved 1407: 1380: 1368: 1356: 1344:. Retrieved 1305:. Retrieved 1272:. Retrieved 1239: 1185:. Retrieved 1167: 1155: 1072:. Retrieved 1054: 1042: 1030:. Retrieved 995:. Retrieved 955: 951: 945: 936: 926: 922: 918: 914: 911: 905: 900:description. 887: 882: 867: 861: 841: 837: 835: 826: 810: 808: 798: 795: 787: 783: 775: 763: 732: 730: 725: 721: 713: 705: 697: 689: 679: 675: 671: 661: 649: 645: 644:, naming it 639: 634: 609: 603: 581: 575: 562: 555: 535: 532:Epidemiology 520: 516: 514: 508: 494: 490: 486: 454: 448: 446: 440: 410: 401: 397:contractures 365: 334:, including 328: 308: 287: 283: 272: 266: 261: 256: 240: 236: 196: 188: 164: 156: 152: 151: 146:~1% of cases 70: 52:dracontiasis 29: 4529:Vaccination 4449:Pulse Polio 4377:Eradication 3949:C. hepatica 3915:Trichinosis 3900:Adenophorea 3756:Anisakiasis 3623:Strongylida 3604:Gongylonema 3595:Spiruroidea 3583:Thelaziasis 3563:G. hispidum 3437:Filarioidea 3401:Camallanida 3383:Secernentea 3350:Sparganosis 3336:Sparganosis 3289:H. diminuta 3258:T. asiatica 3128:Echinostoma 3068:O. felineus 3054:Fasciolosis 2999:Liver fluke 2934:Blood fluke 2627:: 275–309. 2553:: 249–254. 2214:Dracunculus 2115:Works cited 2089:D. insignis 2073:Dracunculus 2057:Dracunculus 2029:D. insignis 1935:5 September 1738:(1): 1–18. 1695:(1): 71–82. 1601:Miller 1989 1440:, Figure 1. 868:Dracunculus 866:; however, 842:Dracunculus 838:Dracunculus 746:Eradication 648:. The name 610:Dracunculus 582:Symposiacon 551:South Sudan 469:Painkillers 383:. When the 241:Dracunculus 233:South Sudan 100:Usual onset 43:Other names 4549:Categories 4512:horizontal 4338:Rinderpest 4331:Successful 4250:(regional) 4174:Successful 3820:Rhabditida 3742:Ascariasis 3727:Ascaridida 3504:D. immitis 3483:Mansonella 3475:filariasis 3442:Filariasis 3369:Roundworm/ 3086:Lung fluke 2955:S. mekongi 2896:caused by 2835:Patient UK 2800:DiseasesDB 2684:(Report). 2281:26 January 1880:, Table 1. 1845:Hotez 2013 1675:Grove 1990 1658:Grove 1990 1547:Grove 1990 1480:20 October 1423:6 December 1232:Hotez 2013 1148:Hotez 2013 968:References 678:, leaving 650:medinensis 499:Prevention 461:antibiotic 116:Prevention 4032:Pneumonia 3530:B. timori 3428:Spirurida 3374:infection 3271:Taeniasis 3264:T. solium 3028:D. hospes 2911:infection 2906:Flatworm/ 2824:eMedicine 1800:194592343 1049:, "Chad". 771:larvicide 511:infection 477:ibuprofen 431:Treatment 407:Diagnosis 393:arthritis 389:stiffness 369:abscesses 344:dizziness 302:or along 264:roundworm 135:Frequency 124:Treatment 79:Specialty 4534:Zoonosis 4517:vertical 4502:Pandemic 4417:Regional 4379:programs 4352:Underway 4299:Syphilis 4289:Trachoma 4257:Hookworm 4248:Underway 4197:(global) 4195:Underway 4181:Smallpox 4095:Trachoma 3869:Oxyurida 3750:Anisakis 3628:hookworm 3577:Thelazia 3392:Spiruria 3372:Nematode 2846:Orphanet 2690:Archived 2651:16735167 2612:28426663 2525:35895421 2480:34735420 2437:29869608 2392:13 March 2383:Archived 2361:14970098 2326:24277785 2272:Archived 2250:30094178 2203:23738022 2158:23798694 1929:Archived 1804:Archived 1752:20284977 1637:Archived 1588:25868848 1474:Archived 1438:WHO 2022 1417:Archived 1346:27 April 1340:Archived 1307:27 April 1301:Archived 1274:27 April 1268:Archived 1187:8 August 1181:Archived 1074:27 April 1068:Archived 1032:8 August 1026:Archived 997:19 April 991:Archived 858:Raccoons 766:smallpox 656:city of 599:Avicenna 578:Plutarch 526:temephos 483:Outcomes 373:gangrene 356:diarrhea 352:vomiting 280:copepods 225:Ethiopia 175:copepods 91:Symptoms 4309:Leprosy 4284:Rubella 4272:vaccine 4267:Measles 4224:Malaria 4060:Cholera 4027:Measles 4017:Malaria 3770:T. cati 3473:Loa loa 3466:Loa loa 3208:Cestoda 2829:ped/616 2794:D004320 2696:29 July 2603:5398503 2567:3821922 2516:9393450 2471:8568094 2428:6090361 2317:3886430 2241:6072916 2194:3667764 2149:3720044 1744:3273613 1643:13 June 947:Cyclops 690:Entozoa 681:Gordius 572:History 473:aspirin 417:calcify 381:tetanus 360:blister 292:abdomen 208:endemic 183:blister 159:, is a 4440:India 4386:Global 4304:Rabies 4042:Plague 3266:(pork) 2670:  2649:  2639:  2610:  2600:  2565:  2523:  2513:  2478:  2468:  2435:  2425:  2359:  2352:332717 2349:  2324:  2314:  2248:  2238:  2201:  2191:  2156:  2146:  1813:2 June 1798:  1790:(19). 1750:  1742:  1586:  836:Other 658:Medina 597:, and 595:Rhazes 549:, and 377:sepsis 354:, and 348:nausea 276:larvae 231:, and 213:Angola 171:larvae 143:Deaths 108:Causes 4214:Polio 2783:125.7 2563:JSTOR 2386:(PDF) 2375:(PDF) 2275:(PDF) 2268:(PDF) 1807:(PDF) 1784:(PDF) 1740:JSTOR 1334:. US 1175:. US 1062:. US 1020:. US 927:hnwjt 894:' 874:Notes 591:Galen 471:like 465:gauze 425:X-ray 395:, or 379:, or 340:fever 336:hives 311:ulcer 304:bones 247:Cause 4234:Yaws 4012:AIDS 3845:spp. 2805:3945 2789:MeSH 2778:9-CM 2753:1F64 2698:2022 2668:ISBN 2647:PMID 2637:ISBN 2608:PMID 2521:PMID 2476:PMID 2433:PMID 2394:2022 2357:PMID 2322:PMID 2283:2021 2246:PMID 2199:PMID 2154:PMID 1937:2021 1815:2022 1796:OCLC 1748:PMID 1645:2022 1584:OCLC 1482:2021 1425:2023 1348:2024 1309:2024 1276:2024 1189:2022 1076:2024 1034:2022 999:2024 888:The 819:Chad 547:Mali 543:Chad 229:Mali 221:Chad 2851:231 2774:ICD 2768:B72 2759:ICD 2744:ICD 2629:doi 2598:PMC 2588:doi 2555:doi 2511:PMC 2501:doi 2497:107 2466:PMC 2458:doi 2423:PMC 2415:doi 2347:PMC 2343:170 2312:PMC 2304:doi 2261:". 2236:PMC 2228:doi 2189:PMC 2179:doi 2144:PMC 2136:doi 2132:368 2103:, " 2071:, " 2055:, " 1711:doi 1629:doi 919:hnw 580:'s 475:or 423:by 294:or 4551:: 3778:/ 3767:/ 3657:/ 3646:/ 3560:/ 3527:/ 3521:/ 3286:/ 3273:/ 3261:/ 3255:/ 3235:/ 3098:/ 3065:/ 3045:/ 3025:/ 2964:/ 2958:/ 2952:/ 2946:/ 2849:: 2838:: 2827:: 2803:: 2792:: 2781:: 2766:: 2763:10 2751:: 2748:11 2645:. 2635:. 2625:61 2623:. 2606:. 2596:. 2584:11 2582:. 2578:. 2561:. 2551:75 2549:. 2536:. 2519:. 2509:. 2495:. 2491:. 2474:. 2464:. 2454:70 2452:. 2448:. 2431:. 2421:. 2411:99 2409:. 2405:. 2381:. 2377:. 2355:. 2341:. 2337:. 2320:. 2310:. 2300:90 2298:. 2294:. 2244:. 2234:. 2222:. 2218:. 2197:. 2187:. 2173:. 2169:. 2152:. 2142:. 2130:. 2126:. 2031:". 1981:^ 1927:. 1923:. 1912:^ 1897:^ 1852:^ 1835:^ 1802:. 1786:. 1760:^ 1746:. 1736:33 1734:. 1707:20 1705:. 1665:^ 1635:. 1625:24 1623:. 1617:. 1563:. 1523:^ 1502:^ 1472:. 1468:. 1457:^ 1392:^ 1317:^ 1295:. 1284:^ 1263:. 1251:^ 1222:^ 1197:^ 1138:^ 1101:^ 1084:^ 1007:^ 976:^ 923:ds 915:ds 737:, 692:, 593:, 553:. 545:, 467:. 439:A 427:. 399:. 391:, 375:, 350:, 346:, 342:, 338:, 271:. 227:, 223:, 219:, 215:, 69:A 4344:) 4340:( 4240:) 4236:( 4230:) 4226:( 4220:) 4216:( 4210:) 4206:( 4187:) 4183:( 4150:e 4143:t 4136:v 3988:e 3981:t 3974:v 3930:) 3926:( 3630:) 3626:( 3444:) 3440:( 3215:) 3211:( 2926:) 2922:( 2886:e 2879:t 2872:v 2776:- 2761:- 2746:- 2736:D 2700:. 2676:. 2653:. 2631:: 2614:. 2590:: 2569:. 2557:: 2527:. 2503:: 2482:. 2460:: 2439:. 2417:: 2396:. 2363:. 2328:. 2306:: 2285:. 2252:. 2230:: 2224:7 2205:. 2181:: 2175:7 2160:. 2138:: 1939:. 1817:. 1754:. 1717:. 1713:: 1693:8 1647:. 1631:: 1590:. 1565:2 1484:. 1427:. 1350:. 1311:. 1278:. 1191:. 1078:. 1036:. 1001:. 20:)

Index

Guinea worm disease
A white worm emerging from a wound on a person's foot
Specialty
Infectious disease
Symptoms
supportive care
parasitic infection
Dracunculus medinensis
larvae
copepods
digestive tract
blister
disease of extreme poverty
effort to eradicate dracunculiasis
eradication of smallpox
endemic
Angola
Central African Republic
Chad
Ethiopia
Mali
South Sudan
See "Cause" section for description of the worm's life cycle
roundworm
Dracunculus medinensis
larvae
copepods
abdomen
retroperitoneal space
connective tissue

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