عنوان

Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt.

Number

LA0r49f9dh

Title Proper

Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt.

General Material Designation

[Article]

First Statement of Responsibility

Amer, Khaled; Müller, Andreas; Abdelhafiz, Hussein Mohamed; Al-Khatib, Tawfik; Bakhtiari, Ana; Boisson, Sophie; El Arab, Gamal Ezz; Gad, Hema; Gordon, Bruce A; Madian, Ahmad; Mahanna, Ahmed Tarek; Mokhtar, Samir; Safa, Omar H; Samy, Mohamed; Shalaby, Mohammad; Taha, Ziad Atta; Willis, Rebecca; et al.

Text of Note

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.

Date of Publication

2018

Title

UCSF

Electronic name

[Article]

275578

a

Y