Ethnic diversity and disease surveillance: Guinea worm among the Fulani in a predominantly Yoruba district of Nigeria

摘要: Guinea-worm eradication has been progressing internationally and efforts at case containment have begun in most endemic countries. Case rests on the assumption that previous phases of if not all settlements identified. Experiences predominantly Yoruba communities Ifeloju Local Government Area (LGA) Oyo State, Nigeria, however, shown ethnic minority groups may be overlooked during initial searches subsequent programmes village-based reporting. The migrant cattle-herding Fulani are found throughout savannah sahel regions West Africa. Nearly 3000 live 60 Ifeloju. An intensive search identified 57 cases 15 settlements. health workers (VBHWs) neighbouring farm hamlets would identify settlements, known as gaa, proved false. Only 5 gaa were located next to a hamlet had VBHW, even then VBHW did report gaa. Efforts recruit VBHWs for each recommended, but only after LGA staff improve poor relationship between themselves Fulani, whom they view outsiders. results also imply need Guinea worm LGAs, states countries actively disease among their populations.