The Carter Center, Jos, Nigeria.
Am J Trop Med Hyg. 2010 Aug;83(2):215-25. doi: 10.4269/ajtmh.2010.10-0140.
This report describes how Nigeria, a country that at one time had the highest number of cases of dracunculiasis (Guinea worm disease) in the world, reduced the number of cases from more than 653,000 in 1988 to zero in 2009, despite numerous challenges. Village-based volunteers formed the foundation of the program, which used health education, cloth filters, vector control, advocacy for safe water, voluntary isolation of patients, and monitored program interventions and cases reported monthly. Other factors in the program's success were strong governmental support, advocacy by a former head of state of Nigeria, technical and financial assistance by The Carter Center, the U.S. Centers for Disease Control and Prevention, the United Nations Children's Fund, the World Health Organization, and many other partners and donors. The estimated cost of the Nigerian program during 1988-2009 is $37.5 million, not including funding for water supply projects or salaries of Nigerian governmental workers.
本报告介绍了尼日利亚如何在面临诸多挑战的情况下,将一度是世界上麦地那龙线虫病(几内亚线虫病)病例最多的国家的病例数从 1988 年的超过 653000 例减少到 2009 年的零例。该方案以乡村志愿者为基础,利用健康教育、布制过滤器、病媒控制、倡导安全用水、对患者进行自愿隔离以及监测方案干预和每月报告的病例。方案成功的其他因素包括:强有力的政府支持、尼日利亚前国家元首的倡导、卡特中心、美国疾病控制与预防中心、联合国儿童基金会、世界卫生组织以及许多其他合作伙伴和捐助者提供的技术和财政援助。1988 年至 2009 年期间,尼日利亚方案的估计费用为 3750 万美元,不包括供水项目的资金或尼日利亚政府工作人员的工资。