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Water sources and other determinants of dracunculiasis in the Northern Region of Ghana

Published online by Cambridge University Press:  05 June 2009

A. Tayeh ,
S. Cairncross  and
G. H. Maude
A. Tayeh
Affiliation:
Department of Epidemiology and Population Science, London School of Hygiene and Tropical Medicine, Keppel Street, London WCIE 7HT, UK
S. Cairncross
Affiliation:
Department of Epidemiology and Population Science, London School of Hygiene and Tropical Medicine, Keppel Street, London WCIE 7HT, UK
G. H. Maude
Affiliation:
UNICEF/WHO Interagency Team for Dracunculiasis Eradication, Quagadougou, Burkina Faso
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Abstract

This paper describes a study carried out in a rural area of Ghana on the drinking water sources and other determinants of dracunculiasis (guinea worm disease). The results confirm the association between water source choice and the prevalence of the disease. A logistic regression model was used to show the combined effect of several behavioural, biological, and environmental risk factors. The important behavioural factors were related to the head of household, fetching of water, travelling, and farming. Age was found to be an important biological risk factor for dracunculiasis, but the greatest relative risk applied to those who had suffered from guinea worm disease in the previous year. Although males were significantly more infected than females when analysing the raw data, sex did not prove to be a significant risk factor in this model. Village of residence was an important environmental risk factor for dracunculiasis. Factors related to socio-economic status were not associated with the risk of infection. The paper concludes by presenting the policy implications of the study findings.

Keywords

Dracunculus medinensismanGhanaepidemiologyprevalencewater sourceNematoda
Type
Research Papers
Information
Journal of Helminthology , Volume 67 , Issue 3 , September 1993 , pp. 213 - 225
Copyright
Copyright © Cambridge University Press 1993

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References

REFERENCES

Adekolu-John, E. O. (1983) The impact of lake creation on guinea-worm transmission in Nigeria on the eastern side of Kainji lake. international Journal for Parasitology, 13, 427–432.CrossRefGoogle ScholarPubMed
Anderson, R. M. & May, R. M. (1991) infectious Diseases of Humans. Oxford University Press, Oxford.CrossRefGoogle Scholar
Belcher, D. W., Wurapa, F. K., Ward, W. B. & Lourie, I. M. (1975) Guinea worm in southern Ghana; its epidemiology and impact on agricultural productivity. American Journal of Tropical Medicine and Hygiene, 24, 243–249.CrossRefGoogle ScholarPubMed
Blum, D. & Feachem, R. G. (1983) Measuring the impact of water supply and sanitation investments on diarrhoeal diseases: problems of methodology. International Journal of Epidennology, 12, 357–365.CrossRefGoogle ScholarPubMed
Bradley, D. J. (1977) The health implication of irrigation schemes and man-made lakes in tropical environments. In: Feachem, R. G., McGarry, M. G. & Mara, D. P. (eds) Water, Wastes and Health in Hot Climates. London, John Wiley and Sons.Google Scholar
Cairncross, S. & Tayeh, A. (1988) Guinea worm and water supply in Kordofan, Sudan. Journal of the Institute of Water and Environmental Management, 2, 268–274.CrossRefGoogle Scholar
Edungbola, L. D. (1980) Water utilization and its health implication in Ilorin, Kwara State, Nigeria. Acta Tropica, 37, 73.Google ScholarPubMed
Edungbola, L. D. & WATTS, S. J. (1984) An outbreak of dracunculiasis in a pen-urban community of Ilorin, Kwara State, Nigeria. Acta Tropica, 41, 155–163.Google Scholar
Ghana Ministry Of Health, Global 2000 (1990) Guinea Worm Eradication Programme; National Search Summary 1989. Accra: National Eradication Programme.Google Scholar
Henderson, P. L., Fontaine, R. E. & Kyeyune, G. (1988) Guinea worm disease in northem Uganda: a major public health problem controllable through an effective water programme. International Journal of Epidemiology, 17, 2, 434–440.CrossRefGoogle Scholar
Hopkins, D. R. (1987) Dracunculiasis eradication: A mid-decade status report. American Journal of Tropical Medicine and Hygiene, 37, 115–118.CrossRefGoogle ScholarPubMed
Ilegbolu, V. A., Christensen, B. L., Wise, R. A., Kale, O., Steele, J. H. & Chambers, L.A. (1987) Age and sex differences in new and recurrent cases of guinea worm disease in Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene, 81, 674–676.CrossRefGoogle Scholar
Kale, O. O. (1977) The clinico-epidemiological profile of guinea worm in the Ibadan District of Nigeria. American Journal of Tropical Medicine and Hygiene, 26, 208–214.CrossRefGoogle ScholarPubMed
Lyons, G. R. L. (1972) Guineaworm infection in the Wa district of north-westem Ghana. Bulletin of the World Health Organization, 47, 601–610.Google ScholarPubMed
Muller, R. (1971) Dracunculus and dracunculiasis. Advances in Parasitology, 9, 73–151.CrossRefGoogle ScholarPubMed
Onabamiro, S. D. (1954) The diumal migration of cyclops infected with larvae of Dracunculus medinensis (Linnaeus), with some observations on the development of the larval worms. West African Medical Journal, 3, 189–194.Google Scholar
Oppong, C. (1973) Growing up in Dagbon. Ghana Publishing Corporation, Tema, Ghana.Google Scholar
Scott, D. (1960) An epidemiological note on guinea-worm infection in north-west Ashanti, Ghana. Annals of Tropical Medicine and Parasitology, 54, 32–43.CrossRefGoogle ScholarPubMed
Smith, G. S., Blum, D., Huttly, S. R. A., Okeke, N., Kirkwood, B. R. & Feachem, R. G. (1989) Disability from dracunculiasis: effect on mobility. Annals of Tropical Medicine and Parasitology, 83, 151–158.CrossRefGoogle ScholarPubMed
Tayeh, A. & Cairncross, S. (1991) The impact of water projects on the spread of dracunculiasis in part of Sudan and Ghana. Paper presented to the African Regional Symposium held in Alexandria, Egypt,February 1991,Techniques for Environmentally Sound Water Resources Development, Ed. Wooldridge, R., London, Pentech Press.Google Scholar
Ward, W. B., Belcher, D. W., Wurapa, F. K. & Pappoe, M. E. (1979) Perception and management of guinea worm disease among Ghanaian villages. Tropical and Geographical Medicine, 31, 155–164.Google Scholar
Watfs, S. J. (1986) The comparative study of pattems of guinea worm prevalence as a guide to control strategies. Social Science and Medicine, 23, 975–982.Google Scholar