Guinea Worm Disease (Dracunculiasis): Cause, Symptoms, Transmission, and Treatment

23 Feb 2024

Context: 

Recently, WHO’s weekly epidemiological report highlighted just six cases were identified of  Guinea worm disease in 2023.

About Guinea Worm Disease

  • It is an infectious ‘Neglected tropical disease’ (NTD).
  • Agent:  parasite “Dracunculus Medinensis” fiery serpent.
  • Transmission: Drinking water containing Guinea worm larvae
  • Affected Regions:
    • It affects poor communities in remote parts of Africa that do not have safe water to drink.
  • It is primarily a human disease but can also spread to animals and humans by eating certain aquatic animals that might carry Guinea worm larvae, like fish or frogs.
  • Symptoms of Guinea Worm Disease
    • Usually the disease has no initial symptoms. About one year later, there is a painful burning feeling as a blister forms, usually on the legs. The blister bursts as the worm then comes out of the skin over a few weeks.
  • Treatment: 
    • There is no drug to treat & no vaccine to prevent Guinea worm infection. 
    • Anti-inflammatory medicine can help reduce pain and swelling.
    • Antibiotic ointment can help prevent infections.
  • Prevention: Filtering drinking water through a piece of fine-mesh cloth, chlorination, or boiling.
Current Status of GWD : 

  • There were more than 3.5 million cases of this disease in the 1980s, but according to the World Health Organization’s (WHO) weekly epidemiological report, they dwindled to 14 cases in 2021, 13 in 2022, and just six in 2023.
  • Nations like South Sudan and Mali have made commendable progress, fight continues in Chad and the Central African Republic.
  • India eliminated GWD in the 1990s,
  • India received GWD-free certification from the WHO in 2000.

What Needs to Be Done to End Guinea Worm Disease Globally? 

  • Intensify Guinea Worm Eradication Program (National Guinea Worm Eradication Programme (GWEP) was launched in 1983-84).
  • Collaboration between the government agencies, local health workers, and international partners. 
  • Empowering local communities with the knowledge and tools —including Filtering water before use and reporting cases to health authorities for immediate response
  • Enhanced surveillance to detect all infected animals and to contain them
    • Provision of health education for community members and animal owners, and 
    • Implementation of vigorous and comprehensive vector control interventions.

Guinea Worm Disease

Also Read: Casgevy And Lyfgenia: CRISPR-Based Gene Therapies

News Source: The Hindu

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