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Science Weekly

Can we eradicate a second human disease?

Science Weekly

The Guardian

Science

4.21K Ratings

🗓️ 7 April 2026

⏱️ 16 minutes

🧾️ Download transcript

Summary

The number of human cases of guinea worm, a painful and debilitating tropical illness, fell to a record low of just 10 last year, according to the Carter Centre, the foundation set up by the late former US president Jimmy Carter. But despite years-long declines, it remains almost impossible to completely eradicate the parasite. Only one human illness has been entirely eradicated: smallpox. Why is it so difficult, and could guinea worm one day be the second? Ian Sample hears from co-host Madeleine Finlay, and David Molyneux, emeritus professor of tropical disease microbiology at the Liverpool School of Tropical Medicine. Help support our independent journalism at theguardian.com/sciencepod

Transcript

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0:00.0

This is The Guardian.

0:11.4

Imagine, a mysterious blister begins to form on your leg.

0:17.3

As it gets bigger and bigger, it gets more and more painful.

0:22.6

Constant agonising, burning.

0:27.4

And then, from its centre, a worm appears.

0:34.1

This is no alien creature pulled from sci-fi.

0:38.0

It's the guinea worm, a gruesome earthly parasite.

0:44.8

If you've never heard of it, that's for a good reason.

0:48.6

In 40 years, an eradication program has been able to bring down the annual number of infections

0:54.1

from 3.6 million to 10.

0:59.2

It's an incredible feat of public health, but the hardest challenge may lie ahead.

1:04.8

Getting to zero human cases is surprisingly difficult, perhaps impossible.

1:11.2

But why is that small jump such a big hurdle?

1:18.7

Today, the story of ending guinea worm,

1:21.9

and what it means to actually eradicate a disease.

1:27.4

I'm the Guardian science editor, Ian Sampal, and this is Science Weekly.

1:38.7

Maddie, the guinea worm.

1:40.5

From what I know, as internal parasites go, it's a pretty nasty one. Tell me about its

1:46.7

life cycle. It is nasty. So it's a nematode. That's basically round worms and eel worms. It's one of

1:54.3

the largest human parasitic worms. And the adult female can grow to between 60 and 80 centimetres and it starts its life cycle

2:06.0

in fresh water where it infects water fleas which are otherwise known as copepods and they're

2:13.3

basically tiny little crustaceans in the water. And people drink this water and they ingest

...

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