
Can Blinding Trachoma Be Eliminated Worldwide?
Arch Ophthalmol. 1999;117:974.
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THE NEWLY announced International Trachoma Initiative (ITI) is the latest effort to eliminate blindness caused by trachoma. Of the 38 million blind people in the world, 6 million (15.5%) are blind because of trachoma and 11 million need eyelid surgery for trichiasis and entropion. One hundred fifty million children have the active, infectious form of trachoma, which can be controlled with antibiotic treatment.1-2 Adults with scarred eyelids and children infected with Chlamydia trachomatis compose the reservoir for future generations of individuals who become blind because of trachoma.
In the past, the progression of infectious trachoma in childhood to eyelid distortion and blindness in adult life seemed inevitable. This is no longer the case because new developments in treating trachoma make control of trachomatous blindness a reality. These developments include a simplified system of trachoma assessment to identify communities that need antibiotic and surgical intervention3; the availability of the new . . . [Full Text of this Article]
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