The World Is Extremely Close To Completely Eradicating A Human Disease For The Second Time In History
Kevin Loria/Business Insider
That's pretty incredible - but it's a project that has required close to three decades of work, and it isn't done yet.
On Jan. 12, former US President Jimmy Carter announced at the opening of "Countdown to Zero: Defeating Disease," a new exhibit at the American Museum of Natural History, that there are just 126 cases of Guinea worm disease left in the world.
In 1986, when the Carter Center began leading the effort to eradicate Guinea worm, there were approximately 3.5 million cases in 20 countries, including India, Pakistan, and Yemen, with the rest in Sub-Saharan Africa.
Now, "we know everybody who has Guinea worm," said Carter at the exhibit opening. And healthcare workers have those 126 people carefully isolated so they shouldn't be able to infect anyone else.
Eliminating a disease from the planet is a huge step forward for humanity, science, and the health community.
But even though it's rarely fatal, and thus a bit less headline-grabbing than some other more widely known illnesses, it's still a painful and awful condition.
People are infected by the parasite that causes the disease when they ingest impure water. After 12 months of incubation, a painful blister appears, usually on the foot, but potentially anywhere, including the eye, like those awful posters for the show The Strain.
Over the next 30 days, a meter-long worm makes its way through the skin (graphic photo below).
The Carter Center/L. Gubb
And though this awful condition isn't usually fatal, it can be permanently debilitating, especially in children - a worm might destroy all the muscles and tissue around a knee or foot before making its exit, for example, leaving a young person unable to walk or work on their feet for the rest of their life.
But since this disease only affects humans and is caused by one - and only one - parasite, the Carter Center and other public health officials realized it could potentially be wiped off the face of the planet.
To do that, they needed to find and track where every infection happened and then come up with a way to disrupt the life cycle of the parasite.
The ingenious key was a straw.
Carter said they saw the way that some nomadic groups would use a nylon filter in a reed to effectively prevent ingestion of unwanted parasites in water. So they and others decided to create a more durable type of straw that could be easily produced and made available to anyone in an area where water might be contaminated.
The Carter Center/L. Gubb
So far, it seems to have worked.
But to get those straw filters out and get people to use them, they also had to spread the word, and as Dr. Donald Hopkins said during the event, due to conflict, lack of political will, or other reasons, "the challenge [in eliminating diseases that can be stopped] is more with people than with worms."
Education programs and trained community health workers have helped bring the disease numbers to their current low, but there are still potential issues - most remaining cases are in South Sudan, an unstable country with places that aid workers can't always access.
But with the help of locals, who carefully watch for for any potential case (and are paid if they find one, a good incentive for keeping a lookout), Carter and others are hopeful that Guinea worm will be the second human disease eradicated from the planet, making it the first parasitic disease eliminated (smallpox is a virus) and the first disease eliminated without a vaccine.
Guinea worm is the closest to being eradicated, but other diseases are on the list as well - the Natural History exhibition, which runs until July 12, also takes a look at the prospects for eliminating or controlling polio, malaria, lymphatic filariasis (which causes elephantitis), and river blindness.
Eliminating or controlling all of those diseases is possible - and doing so would be an incredible achievement.
- Cisco says a company 'leader' who encouraged TikTok followers to report strippers to the IRS is no longer employed at the company
- Cryptocurrency investment 101 — here’s how to do your own research (DYOR) and invest in the right digital asset
- Realme GT Neo 2 5G review: Great performance, fine display but camera needs work
- India's farmers protest takes a gruesome turn with a chilling murder at the scene — here’s the sequence of events
- Bizarre! Shubhman Gill was brought back to bat after being declared out
- Ruturaj Gaikwad and Faf du Plessis — amazing data on how the two openers led CSK to IPL 2021 championship
- Budget and safety top criteria for Chennai households during festive season:LocalCircles
- Electric bus makers on a roll as states like Maharashtra and Karnataka send in large orders