Countries where guinea worm disease is endemic
What you should know about this indicator
- Countries can be classified as "endemic", "pre-certification", "pending surveillance" or "certified free of guinea worm disease".
- A country is classified as endemic if the disease is consistently present in the country. As of 2025, there are 5 countries in which Dracunculiasis is endemic, these are Angola, Chad, Ethiopia, Mali and South Sudan.
- Countries labeled pre-certification are endemic countries that have reported zero indigenous cases in the calendar year. As of 2025, Sudan is the only country with pre-certification status.
- Countries labeled pending surveillance have not had sufficient testing to determine their status or the number of cases in the country.
- Countries labeled certified free of guinea worm disease have reported zero indigenous cases through active surveillance for at least three consecutive years. 200 countries, areas and territories have been certified free of guinea worm disease by the WHO. The latest are Kenya and the Democratic Republic of the Congo, which were certified in 2018 and 2022 respectively.
- In 2025 the WHO concluded that Cameroon (based on human and animal case counts) should be reclassified as endemic. As Cameroon was certified disease-free in 2007, this change is not applied retroactively to the data, but it is reflected in the certification status for Cameroon in 2025 and beyond.
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All data and visualizations on Our World in Data rely on data sourced from one or several original data providers. Preparing this original data involves several processing steps. Depending on the data, this can include standardizing country names and world region definitions, converting units, calculating derived indicators such as per capita measures, as well as adding or adapting metadata such as the name or the description given to an indicator.
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Notes on our processing step for this indicator
The current and historical values for the status of Guinea worm disease (Dracunculiasis) as certified by the WHO. To be certified as free of guinea worm disease, a country must have reported zero indigenous cases through active surveillance for at least three consecutive years.
Data regarding certification status is available at the WHO: https://web.archive.org/web/20211024081702/https://apps.who.int/dracunculiasis/dradata/html/report_Countries_t0.html
We have added the recent changes to Guinea worm disease certification:
- Angola has had endemic status since 2020: https://www.who.int/news/item/23-09-2020-eradicating-dracunculiasis-human-cases-and-animal-infections-decline-as-angola-becomes-endemic
- Kenya was certified guinea worm free in 2018: https://www.who.int/news/item/21-03-2018-dracunculiasis-eradication-south-sudan-claims-interruption-of-transmission-in-humans
- DRC was certified guinea worm free in 2022: https://www.who.int/news/item/15-12-2022-the-democratic-republic-of-the-congo-certified-free-of-dracunculiasis-transmission-by-who
- Cameroon was reclassified as endemic in 2025: https://iris.who.int/server/api/core/bitstreams/8aa14c5f-62f7-4e29-9088-57a60638c44f/content. This change is not applied retroactively to the data, but it is reflected in the certification status for Cameroon in 2025 and beyond.
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“Data Page: Countries where guinea worm disease is endemic”, part of the following publication: Esteban Ortiz-Ospina and Max Roser (2016) - “Global Health”. Data adapted from World Health Organization. Retrieved from https://archive.ourworldindata.org/20260603-111255/grapher/progress-towards-guinea-worm-disease-eradication.html [online resource] (archived on June 3, 2026).How to cite this data
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World Health Organization (2026) – with major processing by Our World in DataFull citation
World Health Organization (2026) – with major processing by Our World in Data. “Countries where guinea worm disease is endemic – WHO” [dataset]. World Health Organization, “Certification status of dracunculiasis eradication” [original data]. Retrieved June 3, 2026 from https://archive.ourworldindata.org/20260603-111255/grapher/progress-towards-guinea-worm-disease-eradication.html (archived on June 3, 2026).Download
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