Hopkins D R, Ruiz-Tiben E
Global 2000, Carter Center, Inc., Atlanta, GA.
Bull World Health Organ. 1991;69(5):533-40.
In 1991 the Forty-fourth World Health Assembly declared the goal of eradicating dracunculiasis (guinea worm disease) by the end of 1995. This article summarizes the recommended strategies for surveillance and interventions in national dracunculiasis eradication programmes. It is based on personal experience with dracunculiasis programmes in Ghana, Nigeria and Pakistan. Three phases are described: establishment of a national programme office and conduct of a baseline survey; implementation of interventions; and case containment. The relevance of dracunculiasis eradication activities to strengthening of primary health care in the three countries is discussed briefly. Similar strategies would help eradicate this disease in the remaining endemic countries.
1991年，第四十四届世界卫生大会宣布了到1995年底根除麦地那龙线虫病（几内亚蠕虫病）的目标。本文总结了国家麦地那龙线虫病根除计划中推荐的监测和干预策略。它基于在加纳、尼日利亚和巴基斯坦开展麦地那龙线虫病项目的个人经验。文中描述了三个阶段：设立国家项目办公室并进行基线调查；实施干预措施；以及控制病例。文中还简要讨论了麦地那龙线虫病根除活动与加强这三个国家初级卫生保健的相关性。类似的策略将有助于在其他流行国家根除这种疾病。
