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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





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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?





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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





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Where are we? SAFE Strategy





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Where are we? TrachomaCoalition.org





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Where are we? TrachomaAtlas.org





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Model for surgery scale-up Model for antibiotics scale-up




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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





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How do we get there? Milestones to 2020


35% 50%

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100%50%

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100%75%50%

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2020

35% 50%

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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?


• 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