Guinea worm & yaws eradication programme

NATIONAL GUINEA WORM & YAWS ERADICATION PROGRAMME

1. NATIONAL GUINEA WORM ERADICATION PROGRAMME & YAWS ERADICATION PROGRAMME JUHI PRAKASH M.Sc. (N) (CHN)

2. Parasitic disease caused by Dracunculus medinensis Common in rural or remote areas where safe drinking water is not available Clinical features: Infected person usually do not show any symptom for about 12 months Urticaria , pruritis Nausea, vomiting Fever with burning pain & swelling can be seen at the site where adult worm comes out Crippling disability Guineaworm / Dracunculiasis

3. Treatment Slow removal of adult worm from wound by slowly twisting it on the stick Antibiotis Analgesic Antihelminthics are ineffective Prevention Provision of safe drinking water Cleaning, treatment and bandaging the wound to facilitate the expulsion of worm & to prevent secondary infection Health education

4. Started in 1984 Runs with assistance of WHO Eradicated in Aug 1996 National guinea worm eradication programme

5. Caused by Treponema pertenue or treponema pallidum Infection of the skin, bones & joints Mode of transmission: direct contact, fomites , vector Clinical features: Large papule of 6cm in diameter on knee or near the mouth. Lesion becomes macule and in serious cases fluid may exude from lesion Yaws

6. Started in 1996-97 Launched as centrally sponsored scheme Aimed to reach unreached tribal areas of the country Strategies are:- Case finding Treatment of cases & contacts Manpower development IEC Multisectorial approach No cases has been reported after 2004 Yaws eradication programme

7. Treatment : Single injection of long acting penincillin Drug of choice is benzathine penincillin In penincillin resistant cases erythromycin or tetracycline is provided for 15 days Prevention : Health education Improvement in personal hygiene Control of Yaws