Document Detail


Active trachoma in children aged three to nine years in rural communities in Ethiopia: prevalence, indicators and risk factors.
MedLine Citation:
PMID:  15607339     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trachoma is the most important infectious cause of blindness worldwide. In two rural populations in Ethiopia, a programme of preventative and treatment measures was initiated in May 2002. A baseline survey was conducted to evaluate the effect of this programme on the prevalence of active trachoma. A total of 1960 children aged 3-9 years, from 915 households in 40 communities, were examined for the presence of active trachoma. Demographic and household information was collected using questionnaires and household amenities and environmental conditions were observed. Overall, 72% of children had active trachoma. Twenty percent of children aged nine years had trachomatous scarring. In children, discharge in the eyes and flies on the eyes were significant indicators of trachoma (odds ratio [OR] = 3.0, 95% CI 1.94-4.55 and OR = 3.4, 95% CI 2.37-4.88, respectively). Frequency of washing children, a clean environment and hygienic disposal of excrement were significant preventative factors for active trachoma. Prevalence of active trachoma varies widely between and within districts. Risk factors comprise a mix of individual characteristics and household factors. This study demonstrates the need for broad target interventions and a flexible approach to the prevention of trachoma in high prevalence endemic rural populations.
Authors:
Phillippa Cumberland; Girum Hailu; Jim Todd
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transactions of the Royal Society of Tropical Medicine and Hygiene     Volume:  99     ISSN:  0035-9203     ISO Abbreviation:  Trans. R. Soc. Trop. Med. Hyg.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2004-12-20     Completed Date:  2005-05-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7506129     Medline TA:  Trans R Soc Trop Med Hyg     Country:  England    
Other Details:
Languages:  eng     Pagination:  120-7     Citation Subset:  IM    
Affiliation:
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK. p.cumberland@ich.ucl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Animals
Child
Child, Preschool
Diptera
Ethiopia / epidemiology
Family Characteristics
Humans
Hygiene
Prevalence
Risk Factors
Rural Health
Toilet Facilities
Trachoma / epidemiology*,  prevention & control
Water Supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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