The Epidemiology of Trachoma in Mozambique: Results of 96 Population-Based Prevalence Surveys

被引：14

作者：

Abdala, Mariamo ^{[1
]}

Singano, Carlos C.

Willis, Rebecca ^{[2
]}

Macleod, Colin K. ^{[3
]}

Backers, Sharone ^{[4
]}

Flueckiger, Rebecca M. ^{[2
]}

Vilanculos, Anselmo ^{[5
]}

Terefe, Dantew ^{[6
]}

Houane, Moises ^{[7
]}

Bikele, Fitsum ^{[7
]}

Kello, Amir Bedri ^{[8
]}

Downs, Philip ^{[9
]}

Bay, Zulquifla ^{[4
]}

Senyonjo, Laura ^{[10
]}

Solomon, Anthony W. ^{[3
]}

机构：

[1] Minist Hlth, Ophthalmol Dept, Maputo, Mozambique

[2] Task Force Global Hlth, Decatur, GA USA

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

[4] RTI Int, Maputo, Mozambique

[5] Cent Hosp Nampula, Nampula, Mozambique

[6] Cent Hosp Quelimane, Quelimane, Mozambique

[7] Cent Hosp Maputo, Maputo, Mozambique

[8] Light World, Addis Ababa, Ethiopia

[9] RTI Int, Washington, DC USA

[10] Sightsavers, Haywards Heath, England

来源：

OPHTHALMIC EPIDEMIOLOGY | 2018年 / 25卷

基金：

英国惠康基金;

关键词：

Tracoma; prevalence; survey; mozambique; RISK-FACTORS; ETHIOPIA; INFECTION; STATE;

D O I：

10.1080/09286586.2017.1351996

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

Purpose: Surveys are needed to guide trachoma control efforts in Mozambique, with WHO guidelines for intervention based on the prevalence of trachomatous inflammation-follicular (TF) in children aged 1-9 years and the prevalence of trichiasis in adults aged 15 years and above. We conducted surveys to complete the map of trachoma prevalence in Mozambique. Methods: Between July 2012 and May 2015, we carried out cross-sectional surveys in 96 evaluation units (EUs) covering 137 districts. Results: A total of 269,217 individuals were enumerated and 249,318 people were examined using the WHO simplified trachoma grading system. Overall, 102,641 children aged 1-9 years, and 122,689 individuals aged 15 years and above were examined. The prevalence of TF in children aged 1-9 years was >= 10% in 12 EUs, composed of 20 districts, covering an estimated total population of 2,455,852. These districts require mass distribution of azithromycin for at least 3 years before re-survey. The TF prevalence in children was 5.0-9.9% in 17 EUs (28 districts, total population 3,753,039). 22 EUs (34 districts) had trichiasis prevalences >= 0.2% in adults 15 years and above, and will require public health action to provide surgical services addressing the backlog of trichiasis. Younger age, more children resident in the household, and living in a household that had an unimproved latrine or no latrine facility, were independently associated with an increased odds of TF in children aged 1-9 years. Conclusions: Trachoma represents a significant public health problem in many areas of Mozambique.

引用

页码：201 / 210

页数：10

共 29 条

[1] Prevalence of and Risk Factors for Trachoma in Southern Nations, Nationalities, and Peoples' Region, Ethiopia: Results of 40 Population-Based Prevalence Surveys Carried Out with the Global Trachoma Mapping Project [J].