دورية أكاديمية

Baseline Prevalence of Trachoma in Refugee Settlements in Uganda: Results of 11 Population-based Surveys.

التفاصيل البيبلوغرافية
العنوان: Baseline Prevalence of Trachoma in Refugee Settlements in Uganda: Results of 11 Population-based Surveys.
المؤلفون: Baayenda G; Ministry of Health, Kampala, Uganda., Mugume F; Ministry of Health, Kampala, Uganda., Mubangizi A; Ministry of Health, Kampala, Uganda., Turyaguma P; Ministry of Health, Kampala, Uganda., Tukahebwa EM; Ministry of Health, Kampala, Uganda., Byakika S; Ministry of Health, Kampala, Uganda., Kahwa B; Kampala International University Medical School, Kampala, Uganda., Kusasira D; Refugees Department, Office of the Prime Minister, Kampala, Uganda., Bakhtiari A; Task Force for Global Health, Atlanta, Georgia, USA., Boyd S; Task Force for Global Health, Atlanta, Georgia, USA., Butcher R; Clinical Research Department, London School of Hygiene & Tropical Medicine, London, UK., Solomon AW; Department of Control of Neglected Tropical Diseases, World Health Organization, Geneva, Switzerland., Binagwa B; RTI International, Kampala, Uganda., Agunyo S; RTI International, Kampala, Uganda., Osilo M; RTI International, Kampala, Uganda., Crowley K; RTI International, Washington DC, USA., Thuo W; RTI International, Washington DC, USA., French M; RTI International, Washington DC, USA., Plunkett E; RTI International, Washington DC, USA., Mosher AW; United States Agency for International Development, Washington DC, USA., Harding-Esch EM; Clinical Research Department, London School of Hygiene & Tropical Medicine, London, UK., Ngondi J; RTI International, Washington DC, USA.
المصدر: Ophthalmic epidemiology [Ophthalmic Epidemiol] 2023 Dec; Vol. 30 (6), pp. 580-590. Date of Electronic Publication: 2021 Sep 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Informa Healthcare Country of Publication: England NLM ID: 9435674 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5086 (Electronic) Linking ISSN: 09286586 NLM ISO Abbreviation: Ophthalmic Epidemiol Subsets: MEDLINE
أسماء مطبوعة: Publication: London : Informa Healthcare
Original Publication: Buren, The Netherlands : Aeolus Press, c1994-
مواضيع طبية MeSH: Refugees* , Trachoma*/epidemiology , Trichiasis*/epidemiology, Humans ; Infant ; Prevalence ; Cross-Sectional Studies ; Uganda/epidemiology ; Water ; Health Surveys
مستخلص: Purpose: There are several settlements in the Northern and Western Regions of Uganda serving refugees from South Sudan and Democratic Republic of Congo (DRC), respectively. Trachoma prevalence surveys were conducted in a number of those settlements with the aim of determining whether interventions for trachoma are required.
Methods: An evaluation unit (EU) was defined as all refugee settlements in one district. Cross-sectional population-based trachoma prevalence survey methodologies designed to adhere to World Health Organization recommendations were deployed in 11 EUs to assess prevalence of trachomatous inflammation-follicular (TF) in 1-9-year-olds and trachomatous trichiasis (TT) unknown to the health system in ≥15-year-olds. Household-level water, sanitation and hygiene coverage was also assessed in study populations.
Results: A total of 40,892 people were examined across 11 EUs between 2018 and 2020. The prevalence of TF in 1-9-year-olds was <5% in all EUs surveyed. The prevalence of trachomatous trichiasis (TT) unknown to the health system in ≥15-year-olds was <0.2% in 5 out of 11 EUs surveyed and ≥0.2% in the remaining 6 EUs. A high proportion of households had improved water sources, but a low proportion had improved latrines or quickly (within a 30-minute return journey) accessible water sources.
Conclusions: Implementation of the antibiotic, facial cleanliness and environmental improvement components of the SAFE strategy is not needed for the purposes of trachoma's elimination as a public health problem in these refugee settlements; however, intervention with TT surgery is needed in six EUs. Since instability continues to drive displacement of people from South Sudan and DRC into Uganda, there is likely to be a high rate of new arrivals to the settlements over the coming years. These populations may therefore have trachoma surveillance needs that are distinct from the surrounding non-refugee communities.
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معلومات مُعتمدة: 001 International WHO_ World Health Organization
فهرسة مساهمة: Keywords: Trachoma; Uganda; neglected tropical diseases; prevalence; refugee
المشرفين على المادة: 059QF0KO0R (Water)
تواريخ الأحداث: Date Created: 20210907 Date Completed: 20231216 Latest Revision: 20240426
رمز التحديث: 20240426
مُعرف محوري في PubMed: PMC10581675
DOI: 10.1080/09286586.2021.1961816
PMID: 34488539
قاعدة البيانات: MEDLINE
الوصف
تدمد:1744-5086
DOI:10.1080/09286586.2021.1961816