Fancophone countries report 40 % reduction in cases.About 80 persons attended the annual Program Review for endemic francophone countries, including about 40 health workers from Niger, Niger\ue2\u20ac\u2122s Minister of Health Mr. Assoumane Adamou, U.S. Ambassador Ms. Barbro A. Owens-Kirkpatrick, WHO country representative Dr. Bernard Lala, as well as representatives of UNICEF, U.S. Peace Corps, the Japan International Cooperation Agency (JICA), Japanese Overseas Volunteers, The Carter Center, and Health and Development International. The meeting was held at the Palais des Congres in Niamey, Niger on October 23-26