Mr. Speaker, the guinea-worm disease is endemic in Ghana but more prevalent in areas where there is no safe drinking water. The most affected areas are the regions and districts that lie within the Volta Basin, principally in the Northern, Volta and Brong Ahafo Regions.
When the Ghana Guinea-Worm Eradication Programme was launched in 1989, there were nearly 180,000 cases in all regions/districts in Ghana. The case load has since reduced by about 98 per cent to 3,981 cases at the end of 2005. As at the third week in June 2006, Ghana has recorded 2,445 cases of guinea-worm disease compared with 2,699 cases for the same period last year, an insignificant
reduction of only 8 per cent. The current state of affairs is the result of sporadic outbreaks recorded in some villages, principally in Savelugu-Nanton, Tolon- Kumbungu, Tamale and Yendi districts in the Northern Region and Pru District in the Brong Ahafo Region. Pru District is one of only 20 districts that account for nearly 98 per cent of all guinea-worm cases in Ghana today.
Pru District was originally part of the Atebubu District and until this year, guinea-worm incidence in that area was measured for the entire district, the old Atebubu District. It was and is still a known fact that most of the endemic villages are from the sub-districts that make up the current Pru District, with its capital at Yeji.
During 2004, the old Atebubu District recorded 167 cases, with 160 of these coming from villages that make up the present Pru District. During 2005 the figures were 194 and 181 respectively. So far this year, of 74 cases reported from the Old Atebubu District, 57 cases, that is, 77 per cent of the total number of cases are from the Pru District.
Pru District is, therefore, the most endemic district in the Brong Ahafo Region. Only few villages, principally two, are responsible for most of the cases in Pru District. For example, 51 per cent of all cases in 2005 were from only two villages -- Bankama and Anyingbi. From January to May this year, 43 per cent of all cases reported were from the village of Mempeasem.
Since the second half of 2005, the Ministry of Health, through the National Guinea-Worm Eradication Programme and the Brong Ahafo Regional and Pru District Health Services, have progressively
supported district level field staff with technical and logistic assistance including the allocation of four motor cycles and 21 bicycles.
In addition, health education activities, including durbars, school health education, opinion leaders meetings, video shows, dramas, and regular door-to-door health education have been stepped up.
Regular household checks are being made to ensure that each household in endemic villages has a cloth filter and those who are eligible carry a pipe filter with them. Water sources that are identified as potential sources of contamination are treated with ABATE on a monthly basis.
As part of the awareness creation and social mobilization drive, the Ministry of Health led a team of partners from the WHO, the Carter Centre and UNICEF to visit some endemic districts, including Savelugu, Tamale, Kintampo and Pru last April. The team interacted with guinea- worm patients, volunteers and other frontline health workers, local chiefs and opinion leaders and the District Assemblies. The team also visited some contaminated water sources, assessed the general situation on the ground and offered technical advice.
We are very happy with the lead role that was taken by the Pru District Assembly in social mobilization and awareness creation. It is expected that all these activities will lead to a reduction in the number of cases this year.