Dracunculiasis is endemic only in remote, rural villages in 14 sub-Saharan African countries that do not have access to safe (uninfected) drinking water. The greatest being Ghana and Sudan, as well as Nigeria, Mali, Togo, Niger. Cases continue to be reported in Benin, Burkina Faso, Cote d'Ivoire, Ethiopia, and Niger(1). Guinea worm is has also been present in India, Iran, Pakistan, Afghanistan, Turkistan, Russia, post-Soviet states, Indonesia, Fiji, and Brazil. Eradication efforts, however, have been largely successful in these countries, which report only scattered (non-endemic) or no cases at all. (2).