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The aerial parts of ARTEMISIA DRACUNCULUS afforded several known compounds as well as three new acetylenes, two phenylpropane derivatives, two monoterpenes, hex-3 Z-en-1-ol and vomifoliol A glucosides. The structures were elucidated by spectroscopic methods and a few chemical transformations.
The epidemiology of the guinea worm, Dracunculus medinensis, was studied in the dry savanna zone of West Africa. The monthly incidence data collected over a period of four years showed peak transmission occurring in June and July at the beginning of the rainy season. The different types of local water sources (i.e. wells, periodic streams, seasonal cattle waterings, natural ponds and man-made ponds) were examined for infected cyclopoid copepods. Small hand-dug ponds or water-holes situated in the fields proved to be the most important sites of transmission. While the domestic water supply is obtained from draw-wells in the villages throughout the year, the villagers take additional drinking water from these ponds during the planting season when farm activities require long stays in the fields. Four cyclopoid species were found for the first time acting as natural intermediate hosts of D. medinensis. Thermocyclops inopinus was the most frequently infected cyclopoid, and small man-made ponds are the preferred habitats of this species. Occurrence of T. inopinus is confined to the first half of the rainy season, coinciding with peak transmission. The epidemiology of dracunculiasis in dry and humid regions of West Africa is compared with regard to seasonality. The use of protective water filters proved to be the only adequate method for guinea worm control in the project area.
Lesions due to Dracunculus insignis in the legs of raccoons (Procyon lotor) in southern Ontario occur seasonally as most larvigerous females emerge in the spring and early summer (April-June). The pathology of dracunculiasis in the raccoon is described and the transmission of the parasite in the wild is discussed with respect to seasonality and local agricultural practices. Crayfish, fishes and frogs (including tadpoles) were given infective third-stage larvae of D. insignis to test their suitability as paratenic hosts. Most of the larvae fed to adult Rana pipiens and R. clamitans were recovered from the somatic musculature. Larvae had increased in size and were highly infective to raccoons.
The incidence and the prevalence of Guinea worm disease, a major cause of disability and a frequent cause of serious permanent deformity, were both drastically reduced in Ohaukwu Local Government Communities, with the provision (through bore holes) of a safer form of drinking water. Since 1986, the Carter Center program has been working to eradicate Guinea worm. The bore holes were dug through the Wasatan Project, a Japanese-funded grant awarded to the Enugu State Ministry of Health to help provide safer drinking water in the local communities. Bore holes were dug in several communities in Ohaukwu Local Government Areas between January 1991 and June 1991. The number of Guinea worm cases in the selected communities was ascertained and recorded by health workers. There was more than a 90% reduction in the number of Guinea worm (Dracunculus medinensis) cases after one year. Data collection began in June 1991, shortly after the completion of bore holes in the selected communities. By December 1998, when one of the villages was spot checked for Guinea worm infection, no active case was found. There is a need for post evaluation of all the villages studied to determine the current prevalence of Guinea worm disease.
A sterile abcess of the forearm caused by Dracunculus medinensis is described. Histologically, lysed and partially calcified worms and larvae were found one month after the outset of the swelling, giving a mottled aspect radiologically.
The clinical features of dracunculus orchitis as a definite clinical entity are summarized and a case reported.
Painful, fluctuant subcutaneous swellings on the limbs of a dog were attributed to infection with Dracunculus insignis. The diagnosis was obtained by finding larvae in fluid aspirated from the swellings and by identification of the adult female nematodes after they were surgically removed. Six weeks after initial examination, another adult nematode was removed from the subcutaneous tissues of the thorax. Although uncommon, D insignis infection should be considered in the differential diagnosis of subcutaneous swellings.
Lesions of streptococcal vegetative endocarditis and subsequent embolic disease are described in a raccoon (Procyon lotor). A phlegmon of the animal's forelimb associated with Dracunculus insignis infestation was believed to be the primary site of bacterial invasion.
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Of the 1,200 people surveyed for dracontiasis in Ribi and Kanje villages in Awe Local Government Area of Plateau State, Nigeria, 982 (82%) were infected. Most infections (98%) involved the lower limb. Worms emerging from the umbilicus, groin, palm, wrist, and upper arm were also encountered. Of the 982 infected persons 206 (21%) were totally incapacitated, 193 (20%) were seriously disabled, and 431 (44%) suffered mild incapacity, while 152 (16%) were unaffected. Of the 5 species of cyclopoid copepods found in their main water source, only Thermocyclops nigerianus and Mesocyclops aequatorialis harboured guineaworm larvae.
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