A cross-sectional survey of households was carried out in a
dracunculiasis endemic village in Oyo state Nigeria. Data were collected on history of
dracunculiasis, occupational and domestic sources of
drinking water, clinical manifestations, disability, use of
folk medicine, and incorporation of previous
dracunculiasis control programmes. The findings indicated that
dracunculiasis patients were usually unaware of their
infection 3-5 days before the appearance of a
bleb; that religious affiliation appeared to be positively related to increasing morbidity; and that
ulcers were predominantly in the ankles and feet, particularly among young children. Severe disability was related to age, site and number of
ulcers, and the form of selected treatment. Indigenous remedy was the treatment of choice, although traditional healers in the community indicated no knowledge of any efficacious remedy. Mortality from secondary
tetanus infection was associated with outbreak of
dracunculiasis. The impact of
dracunculiasis on agricultural, economic and recreational activities was considerable, with the infected farmers being unable to attend to their farms at the critical farming period. Sixty-one per cent of the residents were opposed on religious and aesthetic grounds to the treatment of the local surface water which contained
cyclops species. Sixty-three per cent regarded the boiling and filtration of portions of their domestic water as an additional burden, cumbersome and impracticable.(ABSTRACT TRUNCATED AT 250 WORDS)