Impact of the Global Trachoma Mapping Project

Cama, Anasaini; Keenan, Jeremy D.; Dejene, Michael; Courtright, Paul

doi:10.1080/09286586.2018.1550205

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…elimination as a public health problem will not be achieved by 2020 should not be taken as evidence that elimination as a public health problem or eradication are impossible-to the contrary, the current epidemiological evidence suggests that the targets set for elimination as a public health problem will be reached in all but a handful of districts in the next decade. 26 Refocusing efforts in remaining high-prevalent districts by intensifying interventions (which might include, eg, more frequent antibiotic distribution) could facilitate elimination and eventually global eradication. 27 The likely barriers to global eradication of ocular C. trachomatis identified by participants are worth thinking through.…”

Section: Discussionmentioning

confidence: 99%

Can we eradicate trachoma? A survey of stakeholders

Oldenburg¹,

Aragie

Amza

et al. 2020

Br J Ophthalmol

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Background/AimsAlthough tremendous progress towards the 2020 goal of global elimination of trachoma as a public health problem has been made, it will not be achieved. Future targets are now being considered. One option is changing the goal to eradication. We surveyed trachoma experts to assess beliefs related to trachoma eradication and determine perceived obstacles to achieving it.MethodsWe conducted a survey at the beginning of a trachoma eradication session at the 2019 Coalition for Operational Research on Neglected Tropical Diseases meeting in National Harbor, Maryland, USA. We asked respondents what the most important goal of azithromycin mass drug administration was for trachoma (control, elimination of infection or eradication) and if and when they believed trachoma eradication would occur. We then asked what the biggest obstacles were to global eradication.ResultsFifty-six surveys were returned (95%). Most (91%) participants reported that the most important goal of azithromycin mass drug administration was control or elimination of infection, and 24% of participants reported that global eradication was not possible. Of the 76% who reported a year by which they believed trachoma could be eradicated, most fell between 2040 and 2050. Commonly cited barriers to global eradication included lack of surveillance tools to confirm eradication or monitor for infection recrudescence (32%) and lack of resources (23%).ConclusionsDevelopment of alternative indicators for trachoma surveillance and continued investment in trachoma programmes, particularly focused support in the most heavily affected populations, might increase enthusiasm for the feasibility of eradication.

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Section: Discussionmentioning

confidence: 99%

Can we eradicate trachoma? A survey of stakeholders

Oldenburg¹,

Aragie

Amza

et al. 2020

Br J Ophthalmol

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“…The project was structured so that the data collected were all owned by the country, which proved to be a catalyst to ensure interventions followed the findings, as indicated. In fact, all countries who participated have active intervention programmes to date . The in‐country teams received training on the conduct of epidemiological surveys, and the capacity built for these surveys ensures that further surveys to judge impact of interventions can go forward.…”

Section: Findings: Milestonesmentioning

confidence: 99%

“…In fact, all countries who participated have active intervention programmes to date. 42 The in-country teams received training on the conduct of epidemiological surveys, and the capacity built for these surveys ensures that further surveys to judge impact of interventions can go forward. Finally, the value of the project was clear, and the project became a regular platform for Android-based data collection for surveys known as Tropical Data.…”

Section: Global Trachoma Mapping Projectmentioning

confidence: 99%

Milestones in the fight to eliminate trachoma

West

2020

Ophthalmic Physiologic Optic

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Purpose Trachoma, a chronic conjunctivitis that can result in vision loss from trichiasis, is targeted for global elimination by 2020. Several milestones in the long process towards elimination are noteworthy for the impact they have had on changing or accelerating progress. The purpose of this review is to describe the milestones and the impact they have had both for trachoma elimination and beyond. Findings Eight milestones are presented. They are discovery of the causative agent; development of a clinical grading scheme; establishment of the World Health Organization Alliance for the Global Elimination of Trachoma by 2020; setting targets that define elimination; building an evidence base for trichiasis surgery; azithromycin donation programme; use of the SAFE strategy (Surgery, Antibiotics, Facial cleanliness, and Environmental improvement); and The Global Trachoma Mapping Project. Summary These milestones have significantly pushed the progress towards elimination. Despite challenges to achieving the goal of elimination by 2020, there is continued commitment into the future to ensure that this preventable cause of blindness is no longer a threat.

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“…Ultimately, over 1500 districts were mapped and 2.6 million persons were examined by 550 trained teams. 23 The data were valuable because they identified not only districts in need of intervention, but also districts where trachoma was not a problem and resources could be deployed elsewhere. This project is the largest disease-mapping project ever conducted.…”

Section: Where: Identifying the Location Of The Target Populationmentioning

confidence: 99%

Toward the Elimination of Disease: the 2019 Weisenfeld Award Lecture

West

2019

Invest. Ophthalmol. Vis. Sci.

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Impact of the Global Trachoma Mapping Project

Cited by 5 publications

References 7 publications

Can we eradicate trachoma? A survey of stakeholders

Can we eradicate trachoma? A survey of stakeholders

Milestones in the fight to eliminate trachoma

Toward the Elimination of Disease: the 2019 Weisenfeld Award Lecture

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