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The lower margin is printed with a 1976 copyright by The Millennium Group of Philadelphia, PA. Thanks to the efforts of the Carter Center there were only 30 Guinea worm disease infections last year. "When Mr. Carter and Ms. Carter began the eradication drive in 1986, there were an estimated 3.5 million cases in 21 Asian and African countries. Global health officials are racing to make the worm or polio the second human disease — after smallpox — to be eradicated worldwide." New York Times