麦地那龙线虫病根除：末期挑战。

The Carter Center, Atlanta, Georgia.

Centers for Disease Control and Prevention, Atlanta, Georgia.

Am J Trop Med Hyg. 2022 Jun 27;107(2):373-382. doi: 10.4269/ajtmh.22-0197. Print 2022 Aug 17.

This report summarizes the status of the global Dracunculiasis Eradication Program as of the end of 2021. Dracunculiasis (Guinea worm disease) has been eliminated from 17 of 21 countries where it was endemic in 1986, when an estimated 3.5 million cases occurred worldwide. Only Chad, Ethiopia, Mali, and South Sudan reported cases in humans in 2021. Chad, Ethiopia, and Mali also reported indigenous infections of animals, mostly domestic dogs, with Dracunculus medinensis. Insecurity and infections in animals are the main obstacles remaining to interrupting dracunculiasis transmission completely.

本报告总结了截至 2021 年底全球麦地那龙线虫病消除规划的状况。1986 年全球估计有 350 万病例时，麦地那龙线虫病（几内亚线虫病）在曾经流行该病的 21 个国家中的 17 个国家已经被消除。2021 年，仅有乍得、埃塞俄比亚、马里和南苏丹报告了人类病例。乍得、埃塞俄比亚和马里还报告了麦地那龙线虫感染的动物（主要是家养犬）本地感染。不安全状况和动物感染是彻底阻断麦地那龙线虫病传播的主要障碍。