A global strategy to eliminate blinding trachoma
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Transcript of A global strategy to eliminate blinding trachoma
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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