Journal of Community Health

, Volume 39, Issue 5, pp 980–986 | Cite as

The Provision of Potable Water in Eradication of Guinea Worm Infection in Ezza North, Southeastern, Nigeria

  • Alison Okorie Ede
  • Joakin Chidozie Nwaokoro
  • C. C. Iwuala
  • A. N. Amadi
  • Ugochinyere Alvana Akpelu
Original Paper


Guinea worm is a parasite found in unprotected drinking water sources, causes considerable morbidity and loss of agricultural production among rural people. The study was to determine the current status of Guinea worm infection in Ezza North and to evaluate the impact of control measures on guinea worm infection. A total of 200 individuals in Ezza North Southeastern, Nigeria were examined for guinea worm infection. A standardized questionnaire was used to determine the effect of potable water on guinea worm eradication/control, the source of drinking water, information on the knowledge, attitude, symptom management practices, availability of health facilities and boreholes installation status. The instrument for data collection was well constructed, validated and reliable tested questionnaire by an expert. Data obtained was analyzed using Epi-Info model 3.4 versions. Results of a study indicated majority of the respondents 195 (97.5 %) have access to safe drinking water supply which indicated no case of Guinea worm infection. The active use of potable water supply was found among the age group of 20–30 years 71 (35.5 %) and higher in male (57.5 %) than females (42.5 %). The drastic reduction of Guinea worm infection to zero (0) level in Ezza North were due to multiple factors as health education, availability of functional boreholes, presence of health centers for immediate treatment if any case discovered.


Dracunculiasis Potable Locked knees Immunoglobulin 



We wish to acknowledge the Head of Public Health Department, Federal University of Technology, Owerri and Manager of Nigeria Guinea worm Eradication programme (NIGEP), Ebonyi State Ministry of Health for the immense support and provision of research materials for this study.

Conflict of interest

All authors of this article report no conflicts of interest throughout the work.


  1. 1.
    Kale, O. O. (1997). The clinico-epidemiology profile of guinea worm in Ibadan district of Nigeria. America Journal of Tropical Medicine and Hygiene, 26, 208–214.Google Scholar
  2. 2.
    Greenaway, C. (2004). Dracunculiasis (Guinea worm disease). Canadian Medical Association, 170(4), 495–500.Google Scholar
  3. 3.
    Ilegbodu, V. A., Kale, O. O., Robert, A. W., Bobbe, L. C., James, H. S., & Leslie, A. C. (1986). Impact of guineas worm disease on children in Nigeria. America Journal of Tropical Medicine and Hygiene, 35(5), 962–964.Google Scholar
  4. 4.
    Sandy, C., & Muller, R. (2002). Dracunculiasis (Guinea worm disease) and the eradication interventions. Clinical Microbiology Review, 16(1), 187–196.Google Scholar
  5. 5.
    Ralph, M., Nevio, Z., & Sandy, C. (2002). Community participation in the eradication of guinea worm disease. Acta Tropical Medicine and Hygiene, 61, 121–136.Google Scholar
  6. 6.
    Mortimer, B. (2004). Long-term disability due to guinea worm disease. Transactions of the Royal Society of Tropical Medicine and Hygiene, 88(5): 559–560. 15 June 2010.
  7. 7.
    Nwosu, A. B. C., Ifezulike, E. O., & Anya, A. O. (1980). Endemic dracunculiasis in Anambra State of Nigeria: Geographical distribution, clinical features, epidemiology and socio-economic impact of the disease. Annals Tropical Medicine and Hygiene, 76, 187–200.Google Scholar
  8. 8.
    Cairncross, S., & Nevio, Z. (2002). Dracumncluliasis (Guinea worm disease) and the eradication initiative. America Society for Microbiology, 15(2), 223–246.Google Scholar
  9. 9.
    Sonal, P. (2007). Epidemiology of dracunculiasis and its socioeconomic impact in a village in South-West Nigeria. West Africa Journal of Medicine, 10, 208–215.Google Scholar
  10. 10.
    Jimmy, C. (2007). Guinea worm eradication program. 10 April 2011.
  11. 11.
    Lodge, C., & Michelle. (2008). A village women’s legacy times. 4 March 2012.
  12. 12.
    Piper, R. (2007). Extraordinary animals: An encyclopedia of curious and unusual animals. Green wood process. USA.Google Scholar
  13. 13.
    Barry, M. (2007). The tail end of guinea worm-global eradication without a drug or a vaccine. New England Journal of Medicine. 356(25) 2561–2564. 15 July 2009.Google Scholar
  14. 14.
    CDC. (2003). Detect every case, contain every worm! 8th meeting of national coordinators held in Kampala, Department of health and human services (Guinea worm wrap-up 132). 15 April 2009.
  15. 15.
    Watts, S. J. (2000). The comparative study of patterns of guinea worm prevalence as a guide to control strategies. Social Science and Medicine Journals, 24(2), 741–742.Google Scholar
  16. 16.
    Osisanya, J. O. S., Eluzie, E. I., & Okoro, F. I. (1986). Dracunculiasis: pattern of morbidity in a North Western village in Sokoto State, Nigeria. The Royal Society of Tropical Medicine and Hygiene, 80, 293–294.CrossRefGoogle Scholar
  17. 17.
    Watts, S. J., Brieger, W. R., & Yacoob, M. (1989). Guinea worm an in depth study of what happens to mothers, families and communities. Social Science Medicine and Hygiene, 29(9), 1043–1049.CrossRefGoogle Scholar
  18. 18.
    John, M.H. (1997). Geographical patterns of guinea worm infection in Ghana: An historical contribution in social science and medicine. 44(1), 103–122. 4 April 2009.
  19. 19.
    Bill & Melinda gate foundation. (2006). Gate award for global health. 15 July 2013.
  20. 20.
    Bugri, S.Z. (1981). Guinea worm: An indicator of the quality and quantity of rural water supply in North Ghana. M.S. dissertation London School of Hygiene and Tropical Medicine. 93:106–111.Google Scholar
  21. 21.
    Onabarmiro, S. D. (1994). The diurnal migra of Cyclops infected with the larvae of dracunculus medinensis (Linnaeus) with some observations on the development of the larvae worms. West Africa Medical Journal, 3, 180–190.Google Scholar
  22. 22.
    Jimmy, C. (2003). Recommendations of the international task force for disease eradication. Mortality and Morbidity Weekly and Report. 42(16): 1–25. 10 April 2012.
  23. 23.
    WHO (2006). Dracunculiasis eradication. Weekly epidemiological record. 81(18): 173–188.Google Scholar
  24. 24.
    WHO. (2007). World moves closer to eradicating ancient worm disease. http://www.WHO.inf/mediacentre/news/notes. 23 May 2013.
  25. 25.
    Edungbola, L. D. (1985). Epidemiological assessment of the distribution and endmicity of guinea worm infection in Asa, Kwara state, Nigeria. Tropical Geography and Medicine, 37, 22–28.Google Scholar
  26. 26.
    Amadi, A. N., Anosike, J. C., & Iwuala, M. O. (2005). Epidemology of dracunculiasis in Ikwo Local Government Area of Ebonyi State, Nigeria. Journal of Applied Science and Environmental Management, 10(2), 67–73.Google Scholar
  27. 27.
    Hopkins, D. R. (2005). Dracunculiasis eradication, “the final inch”. American Journal of Tropical Medicine 73(4), 669–678. 18 June 2013.
  28. 28.
    Hopkins, D. R. (1992). The campaign against dracunculiasis. American Journal of Tropical Medicine 325 (8420), 96–97.Google Scholar
  29. 29.
    Onwuliri, C. O. E., Adeiyongo, C. M., & Anosike, J. C. (1990). Guinea worm infection in Oju and Okpokwu local Government Areas of Benue State, Nigeria. Nigeria Journal of Parasitology, 11, 27–31.Google Scholar
  30. 30.
    Anosike, J. C., Vivian, A. A., Nwoke, B. E. B., Keke, R. I., & Okere, A. N. (2003). Ebonyi State Status of Guinea worm disease. Journal of Tropical Ecology, 41, 183–193.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Alison Okorie Ede
    • 1
  • Joakin Chidozie Nwaokoro
    • 1
  • C. C. Iwuala
    • 1
  • A. N. Amadi
    • 1
  • Ugochinyere Alvana Akpelu
    • 1
  1. 1.Department of Public Health Technology, School of Health TechnologyFederal University of TechnologyOwerriNigeria

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