Parasites and bacteria have no respect for international borders. Many international frontiers are marked by rivers and lakes; but the water fleas that host Guinea worm larvae, the mosquitoes that transmit lymphatic filariasis and malaria, and the flies that spread river blindness and trachoma don't care which side they're on.
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In Guatemala 25 years ago, on a coffee farm situated at the slope of a volcano, Frank O. Richards Jr., M.D., sat under a thinly thatched roof talking with an old man. Chickens foraged on the dirt floor, and a mangy dog slept in the corner.
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A crowd of children follow Jonel Mompremier, 27, as he travels from house to house in Ouanaminthe, Haiti. They giggle as the health worker asks the same question at every doorstep, "Does anyone at home have any fevers?"
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It's a Sunday afternoon in La Bomba barrio, a subdistrict of Dajabón, Dominican Republic, and the entire community can be found outside their clapboard and cement block homes to beat the stifling heat. Learn More
Efforts to eliminate malaria and lymphatic filariasis from the Caribbean island of Hispaniola were underscored Oct. 7-8 during a visit by former U.S. President Jimmy Carter and a Carter Center delegation.
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Microscopist Marino Castillo pricks the finger of five-year-old girl Silvana Mayor and draws blood onto a glass slide. The girl's shirt is bright yellow, but her face is weary. Her mother says the girl has had a fever for several days, and the mother is worried that she has malaria.
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