1. Trachoma Mapping in Gombe State, Nigeria: Results of 11 Local Government Area Surveys
- Author
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Brian K. Chu, Caleb Mpyet, Rebecca M. Flueckiger, Alexandre L. Pavluck, Rebecca Willis, Habila Muazu, Adamani William, Fracisca Olamiju, Sunday Isiyaku, Danjuma Mohammed, Uwazoeke Onyebuchi, Mohammed Dantani Adamu, Anthony W. Solomon, Nasiru Muhammad, Murtala M Umar, Nicholas Olobio, and Joel Alada
- Subjects
Adult ,Male ,Trichiasis ,Adolescent ,Sanitation ,Epidemiology ,sanitation ,prevalence ,water ,030231 tropical medicine ,Population ,Nigeria ,trichiasis surgery ,Blindness ,Article ,World health ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,medicine ,Cluster Analysis ,Humans ,Improved sanitation ,Child ,education ,Local government area ,Aged ,Aged, 80 and over ,Trachoma ,education.field_of_study ,business.industry ,1. No poverty ,Infant ,Middle Aged ,medicine.disease ,3. Good health ,Ophthalmology ,Socioeconomic Factors ,Wash water ,Child, Preschool ,030221 ophthalmology & optometry ,Optometry ,Female ,business - Abstract
PURPOSE: To determine the need or otherwise for establishment of a trachoma elimination program in Gombe State, Nigeria, by estimating the population-based prevalence of trachoma in each Local Government Area (LGA) of Gombe. METHODS: Using a multi-stage, systematic, random, and quasi-random sampling approach and Global Trachoma Mapping Project support, we selected 25 clusters in each LGA. In each cluster, we selected 25 households and all consenting residents aged 1 year and older were examined for trachomatous inflammation-follicular (TF) and trichiasis, using the World Health Organization simplified grading scheme. RESULTS: No LGA in Gombe State had a TF prevalence ≥5% in 1-9-year-olds. All LGAs had trichiasis prevalences above the elimination threshold and should be targeted for community-based delivery of trichiasis surgery. Only three LGAs had household-level improved wash water access of greater than 80%. Access to improved sanitation facilities was also poor as household access to improved sanitation facilities was above 80% in only one LGA. CONCLUSION: A trachoma program focused on delivery of trichiasis surgery is required in Gombe. Improvements in water and sanitation, through engagement with other sectors, are necessary.
- Published
- 2016