Baseline Prevalence of Trachoma in Refugee Settlements in Uganda: Results of 11 Population-based Surveys

被引：1

作者：

Baayenda, Gilbert ^{[1
]}

Mugume, Francis ^{[1
]}

Mubangizi, Alfred ^{[1
]}

Turyaguma, Patrick ^{[1
]}

Tukahebwa, Edridah M. ^{[1
]}

Byakika, Sarah ^{[1
]}

Kahwa, Binta ^{[2
]}

Kusasira, Darlson ^{[3
]}

Bakhtiari, Ana ^{[4
]}

Boyd, Sarah ^{[4
]}

Butcher, Robert ^{[5
]}

Solomon, Anthony W. ^{[6
]}

Binagwa, Ben ^{[7
]}

Agunyo, Stella ^{[7
]}

Osilo, Martin ^{[7
]}

Crowley, Kathryn ^{[8
]}

Thuo, Wangeci ^{[8
]}

French, Mike ^{[8
]}

Plunkett, Elizabeth ^{[8
]}

Mosher, Aryc W. ^{[9
]}

Harding-Esch, Emma M. ^{[5
]}

Ngondi, Jeremiah ^{[8
]}

机构：

[1] Minist Hlth, Kampala, Uganda

[2] Kampala Int Univ, Med Sch, Kampala, Uganda

[3] Off Prime Minister, Refugees Dept, Kampala, Uganda

[4] Task Force Global Hlth, Atlanta, GA USA

[5] London Sch Hyg & Trop Med, Clin Res Dept, London, England

[6] WHO, Dept Control Neglected Trop Dis, Geneva, Switzerland

[7] RTI Int, Kampala, Uganda

[8] RTI Int, Washington, DC USA

[9] US Agcy Int Dev, Washington, DC 20523 USA

来源：

OPHTHALMIC EPIDEMIOLOGY | 2023年 / 30卷 / 06期

关键词：

Trachoma; prevalence; refugee; Uganda; neglected tropical diseases; RISK-FACTORS; STATE;

D O I：

10.1080/09286586.2021.1961816

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose There are several settlements in the Northern and Western Regions of Uganda serving refugees from South Sudan and Democratic Republic of Congo (DRC), respectively. Trachoma prevalence surveys were conducted in a number of those settlements with the aim of determining whether interventions for trachoma are required. Methods An evaluation unit (EU) was defined as all refugee settlements in one district. Cross-sectional population-based trachoma prevalence survey methodologies designed to adhere to World Health Organization recommendations were deployed in 11 EUs to assess prevalence of trachomatous inflammation-follicular (TF) in 1-9-year-olds and trachomatous trichiasis (TT) unknown to the health system in >= 15-year-olds. Household-level water, sanitation and hygiene coverage was also assessed in study populations. Results A total of 40,892 people were examined across 11 EUs between 2018 and 2020. The prevalence of TF in 1-9-year-olds was <5% in all EUs surveyed. The prevalence of trachomatous trichiasis (TT) unknown to the health system in >= 15-year-olds was <0.2% in 5 out of 11 EUs surveyed and >= 0.2% in the remaining 6 EUs. A high proportion of households had improved water sources, but a low proportion had improved latrines or quickly (within a 30-minute return journey) accessible water sources. Conclusions Implementation of the antibiotic, facial cleanliness and environmental improvement components of the SAFE strategy is not needed for the purposes of trachoma's elimination as a public health problem in these refugee settlements; however, intervention with TT surgery is needed in six EUs. Since instability continues to drive displacement of people from South Sudan and DRC into Uganda, there is likely to be a high rate of new arrivals to the settlements over the coming years. These populations may therefore have trachoma surveillance needs that are distinct from the surrounding non-refugee communities.

引用

页码：580 / 590

页数：11

共 40 条

[11] Elimination of trachoma as a public health problem in Ghana: Providing evidence through a pre-validation survey [J].

Debrah, Oscar ;

Mensah, Ernest O. ;

Senyonjo, Laura ;

de Souza, Dziedzom K. ;

Hervie, Tei E. ;

Agyemang, David ;

Bakajika, Didier ;

Marfo, Benjamin ;

Ahorsu, Felix ;

Wanye, Seth ;

Bailey, Robin ;

Koroma, Joseph B. ;

Aboe, Agatha ;

Biritwum, Nana-Kwadwo .

PLOS NEGLECTED TROPICAL DISEASES, 2017, 11 (12)

[12] Prevalence of Trachoma in Unity State, South Sudan: Results from a Large-Scale Population-Based Survey and Potential Implications for Further Surveys [J].

Edwards, Tansy ;

Smith, Jennifer ;

Sturrock, Hugh J. W. ;

Kur, Lucia W. ;

Sabasio, Anthony ;

Finn, Timothy P. ;

Lado, Mounir ;

Haddad, Danny ;

Kolaczinski, Jan H. .

PLOS NEGLECTED TROPICAL DISEASES, 2012, 6 (04)

[13] The Epidemiology of Trachoma in Darfur States and Khartoum State, Sudan: Results of 32 Population-Based Prevalence Surveys [J].

Elshafie, Balgesa Elkheir ;

Osman, Kamal Hashim ;

Macleod, Colin ;

Hassan, Awad ;

Bush, Simon ;

Dejene, Michael ;

Willis, Rebecca ;

Chu, Brian ;

Courtright, Paul ;

Solomon, Anthony W. .

OPHTHALMIC EPIDEMIOLOGY, 2016, 23 (06) :381-391

[14]

Francis V., 1995, WHOPBL9336 WHO

[15]

Gelaw Yeshigeta, 2015, Asian Pacific Journal of Tropical Biomedicine, V5, P124, DOI 10.1016/S2221-1691(15)30155-6

[16] The Burden of Trachoma in South Sudan: Assessing the Health Losses from a Condition of Graded Severity [J].

Gouda, Hebe ;

Powles, John ;

Barendregt, Jan ;

Emerson, Paul ;

Ngondi, Jeremiah .

PLOS NEGLECTED TROPICAL DISEASES, 2012, 6 (03)

[17] Elimination of trachoma from Morocco: a historical review [J].

Hammou, Jaouad ;

Obtel, Majdouline ;

Razine, Rachid ;

Berraho, Amina ;

Belmekki, Mohamed .

EASTERN MEDITERRANEAN HEALTH JOURNAL, 2020, 26 (06) :713-719

[18]

HULL D, 1979, SOC SCI MED-MED SOC, VA13, P25, DOI 10.1016/0271-7123(79)90005-1

[19] Trachoma in the Democratic Republic of the Congo: Results of 46 Baseline Prevalence Surveys Conducted with the Global Trachoma Mapping Project [J].

Kilangalanga, Janvier ;

Ndjemba, Jean Marie ;

Uvon, Pitchouna A. ;

Kibangala, Felix M. ;

Mwandulo, Jean-Lebone Safari B. ;

Mavula, Nicaise ;

Ndombe, Martin ;

Kazadi, Junior ;

Limbaka, Henry ;

Cohn, Daniel ;

Tougoue, Jean-Jacques ;

Kabore, Achille ;

Rotondo, Lisa ;

Willis, Rebecca ;

Bio, Amadou Alfa ;

Kadri, Boubacar ;

Bakhtiari, Ana ;

Ngondi, Jeremiah M. ;

Solomon, Anthony W. ;

Aboe, Agatha ;

Adamu, Liknaw ;

Alemayehu, Wondu ;

Alemu, Menbere ;

Alexander, Neal D. E. ;

Bero, Berhanu ;

Brooker, Simon J. ;

Bush, Simon ;

Chu, Brian K. ;

Courtright, Paul ;

Dejene, Michael ;

Emerson, Paul M. ;

Flueckiger, Rebecca M. ;

Foster, Allen ;

Gadisa, Solomon ;

Gass, Katherine ;

Gebre, Teshome ;

Habtamu, Zelalem ;

Haddad, Danny ;

Harvey, Erik ;

Haslam, Dominic ;

Kalua, Khumbo ;

Kello, Amir B. ;

King, Jonathan D. ;

Le Mesurier, Richard ;

Lewallen, Susan ;

Lietman, Thomas M. ;

MacArthur, Chad ;

Macleod, Colin ;

Mariotti, Silvio P. ;

Massey, Anna .

OPHTHALMIC EPIDEMIOLOGY, 2018, 25 :192-200

[20]

Kirkwood B. R., 2003, Essential medical statistics, V2

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