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A global strategy to eliminate blinding trachoma. We Can Eliminate Trachoma. What is trachoma?. Trachoma is the leading cause of preventable blindness worldwide Mainly affects the poorest areas of the world Bacterial infection that leads to chronic eye inflammation - PowerPoint PPT Presentation
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04/20/23 1
A global strategy to eliminate blinding trachoma
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We Can Eliminate Trachoma
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What is trachoma?
• Trachoma is the leading cause of preventable blindness worldwide– Mainly affects the poorest areas of the
world
• Bacterial infection that leads to chronic eye inflammation– Re-infection, scarring and trauma to
cornea eventually lead to blindness
• Typically, children are infected at an early age and develop vision loss and blindness later in life
2020 INSight trachomacoalition.org
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What is trachoma?
•Every 4 minutes, 1 person experiences severe sight loss; every hour, 4 people become blind
•WHO defines blinding trachoma elimination as:–TF prevalence <5% in 1-9 year old children–TT prevalence <1 per 1000 in total population
2020 INSight trachomacoalition.org
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What is “2020 INSight”?
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What is “2020 INSight”?
• Outline of this strategic plan is structured around four
questions:
Where are we?
Where do we want to go?
How do we get there?
What is the cost of eliminating trachoma?
2020 INSight trachomacoalition.org
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Where are we?
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Where are we?
• 110 million people need treatment in confirmed endemic areas– 210 million more live in areas where trachoma is suspected
• Trachoma is suspected to be endemic in 59 countries– 24% of these countries carry 80% of the burden
• Using WHO-endorsed SAFESAFE strategy to eliminate trachoma– Surgery, Antibiotics, Facial cleanliness, Environmental improvements
– Progress is significant- 9 countries have achieved their UIG
• Strong spirit of collaboration among trachoma control programs
2020 INSight trachomacoalition.org
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Where are we? SAFE Strategy
2020 INSight trachomacoalition.org
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Where are we? TrachomaCoalition.org
2020 INSight trachomacoalition.org
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Where are we? TrachomaAtlas.org
2020 INSight trachomacoalition.org
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Where do we want to go?
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Where do we want to go?
2020 INSight trachomacoalition.org
Model for surgery scale-up Model for antibiotics scale-up
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How do we get there?
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How do we get there?
Guiding principles of elimination plan: 1. Urgent need for action
– Aim for fastest possible timeline in each district and focus on high-burden countries
2. Accountable ownership– Countries lead their own elimination process
3. Integration of trachoma-focused efforts – With other NTDs, Vision 2020, F & E initiatives
4. Efficient, coordinated partnerships5. Tailored local interventions
2020 INSight trachomacoalition.org
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How do we get there? Milestones to 2020
2020 INSight trachomacoalition.org
35% 50%
50%
100%
100%50%
100%50%
50%
100%75%50%
50% 100%
100%
2020
35% 50%
35% 50%
100%75%
100%
50%
50%
100%
50%
100%
75% 100%
2011 20142012 2013 2015 2016 2017 2018 2019
% of mapped districts with E interventions
% of countries having reached certification
% of countries having
reached UIGs in all districts
% of population in mapped districts
with A-started
% of surgery backlog addressed
% of mapped districts with F interventions
% of countries with impact surveys done
Assessment complete --
high burden countriesCountry strategy in place in sync
with NTD plans -- otherAssessment complete -- other countries
% of countries with post-endemic
surveillance plan
Country strategy in place in sync
with NTD plans -- high burden countries
Plan
ning
and
Fun
ding
Inte
rven
tions
Certi
ficati
on
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What is the cost of elimination?
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What is the cost of elimination?
2020 INSight trachomacoalition.org
• Economic burden of trachoma
$3-6 billion in annual productivity loss
• Estimated cost of elimination
$430 million for confirmed burden
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04/20/23 192020 INSight trachomacoalition.org
The challenge for the coming years is large, but with the incredible momentum created through our partnerships,
together, we can reach our shared goals.
Thank You!www.trachoma.orgwww.trachomaatlas.orgwww.trachomacoalition.orgwww.opc.asso.fr