1. Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt
- Author
-
Amer, Khaled, Müller, Andreas, Abdelhafiz, Hussein Mohamed, Al-Khatib, Tawfik, Bakhtiari, Ana, Boisson, Sophie, Arab, Gamal Ezz El, Gad, Hema, Gordon, Bruce A, Madian, Ahmad, Fahmi, Ahmed Tarek, Mokhtar, Samir, Safa, Omar H, Samy, Mohamed, Shalaby, Mohammad, Taha, Ziad Atta, Willis, Rebecca, Yacoub, Ashraf, Mamdouh, Abdul Rahman, Younis, Ahmed Kamal, Zoheir, Mohamed Bahaa Eldin, Courtright, Paul, Solomon, Anthony W, and Project, for the Global Trachoma Mapping
- Subjects
Biomedical and Clinical Sciences ,Public Health ,Health Sciences ,3.2 Interventions to alter physical and biological environmental risks ,Prevention of disease and conditions ,and promotion of well-being ,Good Health and Well Being ,Clean Water and Sanitation ,Adolescent ,Adult ,Aged ,Child ,Child ,Preschool ,Cross-Sectional Studies ,Egypt ,Female ,Humans ,Hygiene ,Infant ,Male ,Prevalence ,Risk Factors ,Sanitation ,Trachoma ,Trichiasis ,Young Adult ,trichiasis ,prevalence ,Global Trachoma Mapping Project ,Clinical Sciences ,Opthalmology and Optometry ,Public Health and Health Services ,Epidemiology ,Ophthalmology and optometry ,Public health - Abstract
PurposeIn 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.MethodsIn 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.ResultsThree 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.
- Published
- 2018