Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt
AuthorAmer, K; Mueller, A; Abdelhafiz, HM; Al-Khatib, T; Bakhtiari, A; Boisson, S; El Arab, GE; Gad, H; Gordon, BA; Madian, A; ...
Source TitleOphthalmic Epidemiology
PublisherTAYLOR & FRANCIS INC
AffiliationOphthalmology (Eye & Ear Hospital)
Document TypeJournal Article
CitationsAmer, K., Mueller, A., Abdelhafiz, H. M., Al-Khatib, T., Bakhtiari, A., Boisson, S., El Arab, G. E., Gad, H., Gordon, B. A., Madian, A., Mahanna, A. T., Mokhtar, S., Safa, O. H., Samy, M., Shalaby, M., Taha, Z. A., Willis, R., Yacoub, A., Mamdouh, A. R. ,... Willis, R. (2018). Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt. OPHTHALMIC EPIDEMIOLOGY, 25 (sup1), pp.70-78. https://doi.org/10.1080/09286586.2018.1446536.
Access StatusOpen Access
PURPOSE: In 2015, to determine where interventions are needed to eliminate trachoma as a public health problem from Egypt, we initiated population-based prevalence surveys using the Global Trachoma Mapping Project platform in four suspected-endemic marakez (districts; singular: markaz) of the governorates of Elmenia and Bani Suef. METHODS: In each markaz, 30 households were selected in each of 25 villages. Certified graders examined a total of 3682 children aged 1-9 years in 2993 households, noting the presence or absence of trachomatous inflammation-follicular (TF) and trachomatous inflammation-intense (TI) in each eye. A total of 5582 adults aged ≥15 years living in the same households were examined for trachomatous trichiasis (TT). Household-level access to water and sanitation was recorded. RESULTS: Three of four marakez had age-adjusted TF prevalence estimates in 1-9-year olds of >10%; the other markaz had a TF prevalence estimate of 5-9.9%. Estimates of the age- and gender-adjusted prevalence of unmanaged TT in adults ranged from 0.7% to 2.3%. Household-level access to water and sanitation was high. (We did not, however, measure use of water or sanitation facilities.) Conclusions: Each of the four marakez surveyed has trachoma as a public health problem, with a need for implementation of the SAFE (surgery, antibiotics, facial cleanliness, environmental improvement) strategy. Further mapping is also required to determine the need for interventions in other areas of Egypt.
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