Guinea worm infections numbered in the millions in the 1980s.在20世纪80年代，麦地那龙线虫感染人数高达数百万In 2021 just 15 new cases were reported and in 20

Guinea worm infections numbered in the millions in the 1980s.在20世纪80年代，麦地那龙线虫感染人数高达数百万In 2021 just 15 new cases were reported and in 2022 a total of 13.。

2021年只报告了15例新病例，2022年总共报告了13例Which does not sound like a big reduction, but when youre dealing with very small numbers in very remote areas, we take it as a huge step forward.。

这听起来不像是一个很大的减少，但当你在非常偏远的地区处理非常小的数字时，我们认为这是向前迈出的一大步Adam Weiss is the director of The Carter Centers guinea worm eradication program.。

亚当·韦斯是卡特中心根除麦地那龙线虫病项目的负责人When his organization, founded by former US President Jimmy Carter and his wife Rosalind,。

当他的组织由美国前总统吉米·卡特和他的妻子罗莎琳创立时，began spearheading the effort to rid the world of guinea worm in 1986, the parasite existed in 20 countries.

1986年开始带头努力根除世界上的麦地那龙线虫病，这种寄生虫存在于20个国家In 2022 just four countries reported new guinea worm infections in humans.。

2022年，只有四个国家报告了新的人类麦地那龙线虫病感染We had six human cases in Chad, five human cases in South Sudan,乍得有6例人间病例，南苏丹有5例人间病例，。

and one in Ethiopia and one in the Central African Republic on the southern border with Chad.一例在埃塞俄比亚，还有一例在中非共和国南部与乍得接壤的边境。

It was good news and at the same time not so good news.这是一个好消息，但同时也不是那么好的消息Dr Zirohun Tadesse Gebreselassie is the Carter Centers senior country representative in Ethiopia, which is on the cusp of complete eradication.。

Zirohun Tadesse Gebreselassie博士是卡特中心驻埃塞俄比亚的高级国家代表，埃塞俄比亚正处于完全根除的边缘We are doing surveillance by moving from house to house in each and every village, which have been historically reporting cases.。

我们通过在每个村庄挨家挨户地进行监测，这些村庄在历史上一直报告病例So we found only one person and we found him before it its clinical manifestation, which means we suspected that this could be a guinea case.。

我们只发现了一个病例，我们在他的临床表现之前发现了他，这意味着我们认为这可能是一个疑似麦地那龙线虫感染病例We kept him in a facility called case containment center.。

我们把他放在一个叫病例控制中心的地方The Carter Center also provides financial incentives for people to report any potential guinea worm infections.。

卡特中心还为任何报告潜在麦地那龙线虫感染的人提供财政激励That coupled with a program to educate people on the importance of safe drinking water, as well as continued parasite monitoring efforts。

同时并进的还有一个教育人们安全饮用水重要性的项目，以及持续的寄生虫监测工作，is driving progress on the path to complete eradication.正在推动在彻底根除这种病的道路上取得进展。

We have to get rid of all cases for frequency consecutive years.我们要连续几年频频清理所有案件One of the biggest setbacks to declaring the world free of guinea worm was its discovery in domesticated animals and wildlife.。

宣布世界上没有麦地那龙线虫的最大挫折之一是在家养动物和野生动物中发现了麦地那龙线虫It was a punch to the gut back in 2012 when we first started seeing infections.。

早在2012年，当我们第一次看到感染时，这是重大的打击But after years of dramatic increases in the number of dogs and cats in remote villages carrying the parasite, 2022 showed encouraging results.。

但在偏远村庄携带这种寄生虫的狗和猫的数量多年来急剧增加后，2022年出现了令人鼓舞的结果The last several years you know we went from several thousand animal infections, to this year being just over 600 animal infections in the world.。

你知道，在过去的几年里，我们从数千只动物感染到今年世界上刚刚超过600只动物感染But the magic number in the overall eradication effort is zero cases in both humans and animals.。

但在整个根除工作中，人类和动物都没有病例，才是最神奇的We have to get rid of it from all hosts in order to meet the definition of eradication.。

我们必须将其从所有宿主中清除，才能达到根除的定义We are like in the last mile, which is the most difficult one.我们就像在最后一英里，这是最困难的一英里。

If the effort is successful, guinea worm would be only the second disease eradicated from the planet.

如果这一努力取得成功，麦地那龙线虫病将成为地球上第二种被根除的疾病But the first through prevention since there is no medicine to treat infections and no vaccine to prevent them.。

但首先是通过预防，因为没有治疗感染的药物，也没有预防感染的疫苗。Kane Fairbaugh VOA news Chicago凯恩·费尔堡美国之音芝加哥新闻

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