Surveys to substantiate elimination of trachoma as a public health problem in the Republic of the Union of Myanmar.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-09-10 DOI:10.1093/inthealth/ihaf038

Mg Mg Myo Wynn, Ye Win, Ye Lin, San San Win, Thapa Badri, Jamsheed Mohamed, Lin Zaw, Anthony W Solomon, Michael Dejene, Caleb Mpyet, Yilikal Adamu, Aemero Abateneh, Mohammed Shafi, Cristina Jimenez, Ana Bakhtiari, Sarah Boyd, Anna Harte, Emma M Harding-Esch, Jeremiah M Ngondi

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引用次数: 0

Abstract

Background: To determine whether trachoma elimination thresholds have been met in Myanmar, surveys were undertaken in 2019 to estimate the prevalence of trachomatous inflammation-follicular (TF) in children ages 1-9 y and the prevalence of trachomatous trichiasis (TT) unknown to the health system in adults ≥15 y of age.

Methods: Surveys were conducted in 14 townships (evaluation units [EUs]) that were considered formerly endemic for trachoma. A two-stage cluster survey design was applied, whereby 30 villages and 30 households per village were sampled. Consenting eligible participants ≥1 y of age were examined for trachoma using the World Health Organization (WHO) simplified trachoma grading system.

Results: A total of 12 594 households were surveyed, with a total of 5901 children ages 1-9 y and 31 097 people ≥15 y of age examined. In all 14 EUs, the prevalences of TF and TT unknown to the health system were below the elimination thresholds of <5% and <0.2%, respectively.

Conclusions: Surveys showed that trachoma was no longer a public health problem in Myanmar and trachoma elimination thresholds had been attained. Partly on the basis of these data, in September 2020, Myanmar was validated by WHO as having eliminated trachoma as a public health problem.

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开展调查，以证实在缅甸联邦共和国消除沙眼是一个公共卫生问题。

背景：为了确定缅甸是否达到了沙眼消除阈值，2019年进行了调查，以估计1-9岁儿童中沙眼炎症-滤泡（TF）的患病率，以及卫生系统未知的≥15岁成人中沙眼睫（TT）的患病率。方法：对原沙眼流行的14个乡镇（评价单位）进行调查。采用两阶段整群调查设计，对30个村庄和每个村庄30户进行抽样。采用世界卫生组织（WHO）简化沙眼分级系统对年龄≥1岁的受试者进行沙眼检查。结果：共调查12 594户，1-9岁儿童5901人，15岁以上成人31 097人。结论：调查显示，沙眼在缅甸已不再是一个公共卫生问题，已达到消除沙眼的阈值。部分基于这些数据，世卫组织于2020年9月确认缅甸已消除沙眼这一公共卫生问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.