In Morocco, the elimination of trachoma as a public health problem becomes a reality

Hammou, Jaouad; Ajaroumi, Houda El; Hasbi, Hassan; Nakhlaoui, Ahmed; Hmadna, Abderrahim; Maaroufi, A

doi:10.1016/s2214-109x(17)30023-2

Cited by 22 publications

(20 citation statements)

References 5 publications

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“…37 Experience elsewhere suggests that SAFE strategy implementation would have a good chance of successfully eliminating trachoma here. [38][39][40] Unfortunately, the recent outbreak of extensively drug-resistant typhoid in Pakistan 41,42 may prevent the national trachoma programme from using azithromycin mass drug administration, the SAFE strategy intervention with the strongest evidence for effect. 43 For EUs with TF prevalence estimates ≥5%, use of topical tetracycline eye ointment Table 2.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Trachoma in Pakistan: Results of 42 Population-Based Prevalence Surveys from the Global Trachoma Mapping Project

Khan

Florea

Hussain

et al. 2020

Ophthalmic Epidemiology

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Purpose: Previous phases of trachoma mapping in Pakistan completed baseline surveys in 38 districts. To help guide national trachoma elimination planning, we set out to estimate trachoma prevalence in 43 suspected-endemic evaluation units (EUs) of 15 further districts. Methods: We planned a population-based trachoma prevalence survey in each EU. Two-stage cluster sampling was employed, using the systems and approaches of the Global Trachoma Mapping Project. In each EU, residents aged ≥1 year living in 30 households in each of 26 villages were invited to be examined by trained, certified trachoma graders. Questionnaires and direct observation were used to evaluate household-level access to water and sanitation. Results: One EU was not completed due to insecurity. Of the remaining 42, three EUs had trichiasis prevalence estimates in ≥15-year-olds ≥0.2%, and six (different) EUs had prevalence estimates of trachomatous inflammation-follicular (TF) in 1-9-year-olds ≥5%; each EU requires trichiasis and TF prevalence estimates below these thresholds to achieve elimination of trachoma as a public health problem. All six EUs with TF prevalences ≥5% were in Khyber Pakhtunkhwa Province. Household-level access to improved sanitation ranged by EU from 6% to 100%. Household-level access to an improved source of water for face and hand washing ranged by EU from 37% to 100%. Conclusion: Trachoma was a public health problem in 21% (9/42) of the EUs. Because the current outbreak of extremely drug-resistant typhoid in Pakistan limits domestic use of azithromycin mass drug administration, other interventions against active trachoma should be considered here. ARTICLE HISTORY

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Section: Discussionmentioning

confidence: 99%

Prevalence of Trachoma in Pakistan: Results of 42 Population-Based Prevalence Surveys from the Global Trachoma Mapping Project

Khan

Florea

Hussain

et al. 2020

Ophthalmic Epidemiology

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“…In calendar years 2014 and 2015, 143 health districts with a total population of 29.7 million people reached this elimination target. In addition, a new country-level validation process has been developed, and Morocco joins Oman in being validated as having eliminated trachoma as a public health problem by the World Health Organization [6]. Of the original countries in the donation program, four are likely to have crossed the finish line.…”

Section: Getting To Elimination: Scaling Down the Donation Programmentioning

confidence: 99%

Progress and projections in the program to eliminate trachoma

Emerson

Hooper

Sarah³

2017

PLoS Negl Trop Dis

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“…1,2 The district-level elimination targets set by WHO are a prevalence of trachomatous inflammation -follicular (TF) of <5% in children aged 1-9 years, and a prevalence of TT unknown to the health system of <0.2% in persons aged ≥15 years. 3 Experimental 4,5 and operational 6,7 data suggest that the SAFE strategy works.…”

Section: Introductionmentioning

confidence: 92%

Impact Survey Results after SAFE Strategy Implementation in 15 Local Government Areas of Kebbi, Sokoto and Zamfara States, Nigeria

Mpyet

Muhammad

Adamu

et al. 2018

Ophthalmic Epidemiology

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Purpose: To determine prevalence of trachoma after interventions in 15 local government areas (LGAs) of Kebbi, Sokoto and Zamfara States, Nigeria. Methods: A population-based impact survey was conducted in each LGA using Global Trachoma Mapping Project (GTMP) protocols. In each LGA, 25 villages were selected, except in Arewa LGA, where we selected 25 villages from each of four subunits to obtain finer-resolution prevalence information. Villages were selected with probability proportional to size. In each village, 25 households were enrolled and all consenting residents aged ≥1 year were examined by GTMP-certified graders for trachomatous inflammation-follicular (TF) and trachomatous trichiasis (TT). Information on sources of household water and types of sanitation facilities used was collected through questioning and direct observation. Results: The number of households enrolled per LGA ranged from 623 (Kware and Tangaza) to 2488 (Arewa). There have been marked reductions in the prevalence of TF and TT since baseline surveys were conducted in all 15 LGAs. Eight of the 15 LGAs have attained TF prevalences <5% in children, while 10 LGAs have attained TT prevalences <0.2% in persons aged ≥15 years. Between 49% and 96% of households had access to water for hygiene purposes within 1 km of the household, while only 10-59% had access to improved sanitation facilities. Conclusion: Progress towards elimination of trachoma has been made in these 15 LGAs. Collaboration with water and sanitation agencies and community-based trichiasis surgery are still needed in order to eliminate trachoma by the year 2020.

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In Morocco, the elimination of trachoma as a public health problem becomes a reality

Cited by 22 publications

References 5 publications

Prevalence of Trachoma in Pakistan: Results of 42 Population-Based Prevalence Surveys from the Global Trachoma Mapping Project

Prevalence of Trachoma in Pakistan: Results of 42 Population-Based Prevalence Surveys from the Global Trachoma Mapping Project

Progress and projections in the program to eliminate trachoma

Impact Survey Results after SAFE Strategy Implementation in 15 Local Government Areas of Kebbi, Sokoto and Zamfara States, Nigeria

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