TY  - JOUR
AU  - Duale, AB
AU  - Ayele, NN
AU  - Macleod, CK
AU  - Kello, AB
AU  - Gezachew, ZE
AU  - Binegdie, A
AU  - Dejene, M
AU  - Alemayehu, W
AU  - Flueckiger, RM
AU  - Massae, PA
AU  - Willis, R
AU  - Negash, BK
AU  - Solomon, AW
AU  - Aboe, A
AU  - Adamu, L
AU  - Alemayehu, W
AU  - Alemu, M
AU  - Alexander, NDE
AU  - Bero, B
AU  - Brooker, SJ
AU  - Bush, S
AU  - Chu, BK
AU  - Courtright, P
AU  - Dejene, M
AU  - Emerson, PM
AU  - Flueckiger, RM
AU  - Foster, A
AU  - Gadisa, S
AU  - Gass, K
AU  - Gebre, T
AU  - Habtamu, Z
AU  - Kalua, DH
AU  - Kello, AB
AU  - King, JD
AU  - Le Mesurier, R
AU  - Lewallen, S
AU  - Lietman, TM
AU  - MacArthur, C
AU  - Macleod, C
AU  - Mariotti, SP
AU  - Massey, A
AU  - Mathieu, E
AU  - McCullagh, S
AU  - Mekasha, A
AU  - Millar, T
AU  - Mpyet, C
AU  - Munoz, B
AU  - Ngondi, J
AU  - Ogden, S
AU  - Pavluck, A
AU  - Pearce, J
AU  - Resnikoff, S
AU  - Sarah, V
AU  - Sarr, B
AU  - Sisay, A
AU  - Smith, JL
AU  - Solomon, AW
AU  - Thomson, J
AU  - West, SK
AU  - Willis, R
Y2  - 2020/12/10
Y1  - 2018/12/28
SN  - 0928-6586
UR  - http://hdl.handle.net/11343/253461
AB  - PURPOSE: Ethiopia is highly trachoma endemic. Baseline mapping was needed in Ethiopia's Somali Region to guide elimination efforts. METHODS: Cross-sectional community-based surveys were conducted in 34 suspected trachoma-endemic woredas, grouped as 14 evaluation units (EUs), using a standardised mapping methodology developed for the Global Trachoma Mapping Project. RESULTS: In total, 53,467 individuals were enumerated. A total of 48,058 (89.9%) were present at the time of survey teams' visits and consented to examination. The prevalence of trachomatous inflammation-follicular (TF) among children aged 1-9 years ranged from 4.1% in the EU covering Danot, Boh, and Geladin woredas in Doolo Subzone to 38.1% in the EU covering Kebribeyah and Hareshen woredas in Fafan Subzone (East). The trichiasis prevalence among adults aged over 15 years varied from 0.1% in the EU covering Afder, Bare, and Dolobay woredas in Afder Subzone (West) to 1.2% in the EU covering Awbere in Fafan Subzone (West). CONCLUSION: Mass drug administration (MDA) with azithromycin is needed in 13 EUs (population 2,845,818). Two EUs (population 667,599) had TF prevalences in 1-9-year-olds of ≥30% and will require at least 5 years of MDA; 5 EUs (population 1,1193,032) had TF prevalences of 10-29.9% and need at least three years of MDA; 6 EUs (population 985,187) had TF prevalences of 5-9.9% and need at least one round of azithromycin distribution before re-survey. In all 13 of these EUs, implementation of facial cleanliness and environmental improvement measures is also needed. Surveys are still needed in the remaining 34 unmapped woredas of Somali Region.
LA  - English
PB  - TAYLOR & FRANCIS INC
T1  - Epidemiology of trachoma and its implications for implementing the "SAFE" strategy in Somali Region, Ethiopia: results of 14 population-based prevalence surveys
DO  - 10.1080/09286586.2017.1409358
IS  - Ophthalmic Epidemiology
VL  - 25
IS  - sup1
SP  - 25-32
L1  - /bitstream/handle/11343/253461/PMC6444207.pdf?sequence=1&isAllowed=y
ER  -