On September 17, at an international high-level meeting, health ministers from various countries advocated for and integrated resources to eliminate guinea worm disease (also known as dracunculiasis), and signed the NDjamena Declaration at the meeting, committing to block the transmission of guinea worm disease in the sub-region. The meeting was hosted by the Government of Chad and co-organized by the World Health Organization and The Carter Center. The meeting emphasized the necessity of strengthening community-level surveillance work, and at the same time stressed the need to maintain and increase domestic financial investment to curb the transmission of guinea worm disease. The discussion also pointed out that it is necessary to strengthen publicity, improve the communitys access to safe drinking water, and adopt legal and regulatory measures to control the population of dogs and cats, so as to prevent the transmission of trypanosomiasis and rabies in communities. At the end of the meeting, it was emphasized that cross-border collaborative intervention work in endemic areas should be strengthened. The World Health Organization recommends that countries or regions that have recently achieved transmission interruption carry out active surveillance for dracunculiasis for at least [number of years to be supplemented] consecutive years. This surveillance is essential to ensure timely monitoring of human or animal cases and prevent the recurrence of transmission.