Zero Cases of GuineaWormDisease inMali Mali reported no cases of Guineawormdisease (dracunculiasis) in 2016, according to provisional figures reported by the country’s ministry of health and tracked by the Carter Center. Worldwide, only 25 cases of the disease were reported in 2016 in 3 countries—Chad(16),Ethiopia (3), andSouth Sudan (6)—and these occurred in 19 isolated villages. The 2016 figure is up slightly from the 22 cases that occurred in 2015. Guineawormdisease is spreadbydrinkingwater contaminatedby theguineaworm larvae. The larvaegrowandmatewithin the host and after about a year a worm, sometimesameter long, slowlyemerges through a painful blister in the skin. Contact with water causes the emerging worm to release its larvae into thewater and repeat the process. The debilitating disease can interfere with a person’s ability to work, gather food,andattendschool.Novaccineormedical treatment is available. Currentlyalmost700settlements inMali remain under active surveillance for transmission of Guinea worm disease. Civil unrest and security concerns in some of these areas present a challenge to surveilling whether interruptionof thediseasehasbeen achieved.RecentdetectionofGuineaworm infections in dogs has also undermined efforts to eliminate the disease in humans.