800

800

0 mi

0 km

SOURCE: DONALD HOPKINS, ERNESTO RUIZ-TIBEN, AND EMILY STAUB, CARTER CENTER

NATIONAL GEOGRAPHIC MAPS

Afflicted countries, 1990Still afflicted, 2004

Estimated cases2004: 0.02 million 1990: 0.8 million1986: 3.5 million

NIGER

TOGOGHANA

NIGERIA

INDIA

BENIN

MAURITANIA

SENEGAL

COTED'IVOIRE

CAMEROON

YEMEN

KENYA

MALI

BURKINA FASOCHAD

ETHIOPIA

CENTRALAFRICANREPUBLIC

PAKISTAN

UGANDA

SUDAN

A F R I C A

E U R O P EA S I A

0 200,000 400,000 600,000NIGERIA 1988

GHANA 1989

INDIA 1983BURKINA FASO 1989

MALI 1991NIGER 1991

TOGO 1993

CHAD 1993

YEMEN 1994KENYA 1994

PAKISTAN 1987

CAMEROON 1989

CEN. AF. REP. 1987SENEGAL 1991

ETHIOPIA 1986MAURITANIA 1990

UGANDA 1992

BENIN 1990

SUDAN 1996

COTE D'IVOIRE 1991

495

7,275

0

7,266

60

0

357

3

21

278

0

0

0

0

0

0

0

17

3

240

653,492

179,556

126,369

118,578

45,004

44,818

37,414

16,024

12,690

10,349

871

94

53

8,301

1,231

1,322

1,341

2,400

3,885

32,829

2004 Peak recorded year

Nearly half the world'scurrent cases of

guinea worm diseaseare in Ghana.

Between 1989 and 1990cases of guinea worm dis-

ease in Nigeria fell from640,008 to 394,082.

India's last case ofguinea worm occurred

in the western stateof Rajasthan in 1996.

National Geographic ©