The Epidemiology of Trachoma in Darfur States and Khartoum State, Sudan: Results of 32 Population-Based Prevalence Surveys
| Autor: | Paul Courtright, Awad Hassan, Rebecca Willis, Kamal Hashim Osman, Anthony W. Solomon, Brian K. Chu, Simon Bush, Colin MacLeod, Michael Dejene, Balgesa Elkheir Elshafie |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Veterinary medicine Adolescent Epidemiology prevalence 030231 tropical medicine Psychological intervention Population based Azithromycin Global Trachoma Mapping Project Article World health Sudan 03 medical and health sciences 0302 clinical medicine Environmental health medicine Humans Mass treatment Darfur Environmental improvement Child Trichiasis Trachoma 2. Zero hunger business.industry Infant Original Articles medicine.disease Health Surveys 3. Good health trichiasis Ophthalmology Cross-Sectional Studies Child Preschool Population Surveillance 030221 ophthalmology & optometry Female business Khartoum |
| Zdroj: | Ophthalmic Epidemiology |
| ISSN: | 1744-5086 0928-6586 |
| DOI: | 10.1080/09286586.2016.1243718 |
| Popis: | Purpose: To complete the baseline trachoma map of Sudan by estimating the prevalence of trachoma and associated risk factors in the five Darfur States and Khartoum State. Methods: Using a standardized methodology developed for the Global Trachoma Mapping Project, we undertook a cross sectional, community-based survey in each of 32 evaluation units (EUs) covering all accessible districts. Results: We enumerated a total of 84,568 individuals, with 73,489 people (86.9%) examined from 20,242 households in 908 villages. The highest prevalence of trachomatous inflammation – follicular (TF) in children was found in El Fashir district (18.7%), and the lowest in El Malha district (0.0%). Five districts (El Fashir, Zalinji, Azoom, Maleet, and El Koma) were in the three EUs that had TF prevalences above the 10% threshold at which the World Health Organization recommends mass treatment with azithromycin, together with facial clean3liness and environmental improvement interventions, for at least 3 years. The highest trachomatous trichiasis prevalence in adults was found in the EU composed of Forbranga and Habillah (1.2%), and the lowest in the EU composed of As-salam and Belale districts in South Darfur (0.0%). TF in children was independently associated with younger age, unimproved sanitation in the household, having ≥5 children in the household, outside annual maximum temperatures |
| Databáze: | OpenAIRE |
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