This market will resolve when the World Health Organization officially declares Guinea worm disease eradicated, unless something weird happens.

To be declared free of dracunculiasis, a country is required to have reported zero human cases and animal infections for at 

, during which active surveillance has been maintained.

After this period, an international certification team visits the country to assess the adequacy of the surveillance system and to review records of investigations regarding rumoured cases or infected animals and subsequent actions taken.

Indicators such as access to improved drinking-water sources in infected areas are examined and assessments are conducted in villages to confirm the absence of transmission. Risks of reintroduction of the disease are also assessed. Finally, a report is submitted to the International Commission for the Certification of Dracunculiasis Eradication (ICCDE) for review.

Guinea worm disease (GWD) is a parasitic infection that was once widespread across Africa and Asia. Through coordinated global efforts led by The Carter Center and WHO, cases have dropped from 3.5 million annually in the 1980s to just 14 human cases in 2023. The disease now persists in only a few countries, primarily in Africa.

For detailed information about the effort by the Carter Center, see the 