The Epidemiology of Trachoma in Southern Malawi

Tielsch, James M.; West, Keith P.; Katz, Joanne; Keyvan-Larijani, Ezatollah; Tizazu, Teferra; Schwab, Larry; Johnson, Gordon J.; Chirambo, Moses; Taylor, Hugh R.

doi:10.4269/ajtmh.1988.38.393

Cited by 73 publications

(53 citation statements)

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“…The Lower Shire Valley (Chikwawa and Nsanje districts) blindness survey of 1983 demonstrated that both trachoma and vitamin A deficiency were serious public health problems Tielsch, 1988). Blindness (defined as <3/60 in the better eye) was recognized in 1% of the population over 7 years of age ).…”

Section: Introductionmentioning

confidence: 99%

Self treatment of eye diseases in Malawi

Bisika¹,

Courtright²,

Geneau³

et al. 2010

Afr. J. Trad. Compl. Alt. Med.

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Self-treatment for eye diseases is very common in most developing countries yet there has been little investigation of such attitudes and practices. In many settings, people do not proceed beyond self-treatment and do not receive care from either traditional healers or Western eye care providers. Visual impairment and blindness can be the result. We conducted population-based survey of use of eye care services and self-treatment in two districts of Malawi. Adults were administered a detailed interview regarding their use of eye care services (Western and traditional as well as self-treatment) and their knowledge and use of traditional eye medicines. Self-treatment was defined as use of either Western or traditional medicines by the individual for their most recent eye condition. Only eye conditions that were considered severe by the study subjects were correlated with treatment options. Interviews were carried out among 800 adults in the study areas. Self-treatment was reported for the last episode of eye disease by 39.8% of the study population. Factors associated with self-treatment included sex, religion and socioeconomic status. Even though 76.8% of the respondents reported treatment from the health center or hospital to be the least expensive option, many opted for self-treatment first. Among those opting for self-treatment 72% used traditional eye medicines. Even among cases that individuals considered to be quite severe (these included cataract, trachoma and conjunctivitis), self-treatment was the option of choice in 22.2% of cases.

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Section: Introductionmentioning

confidence: 99%

Self treatment of eye diseases in Malawi

Bisika¹,

Courtright²,

Geneau³

et al. 2010

Afr. J. Trad. Compl. Alt. Med.

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“…Porém, essa prevalência é menor quando comparada com a de outros municípios do Brasil, como Miraselva, Paraná (51,7%); Porecatu, Paraná (20,4%); Mocambo, Ceará (22,2%) e em áreas hiperendêmicas de países em desenvolvimento (Moreira et al, 1993;Scarpi et al, 1989;Tielsh et al, 1988).…”

Section: Discussionunclassified

Prevalência de tracoma em pré-escolares e escolares no Município de Botucatu, São Paulo, Brasil, 1992

et al. 2002

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“…In general, in areas in which trachoma is endemic, communities with a poor water supply are more likely to have a higher prevalence of trachoma, 54,57,58 but the provision of adequate water does not necessarily ensure that trachoma rates will decrease. The decision to use water to improve hygienic conditions is very complex in these communities, and is clearly an important factor as well.…”

Section: Provision Of Watermentioning

confidence: 99%

“…67 The presence of a functional latrine near the house has been associated with lower trachoma prevalence in several different countries. 44,54,68 The hypothesis that construction and use of sanitary latrines may reduce the risk of trachoma is being tested in a community-based clinical trial. The latrine may also be a marker for families who have better hygiene practices overall.…”

Section: Provision Of Watermentioning

confidence: 99%

Blinding Trachoma: Prevention With the Safe Strategy

West

2003

The American Journal of Tropical Medicine and Hygiene

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Abstract. Trachoma, the second leading cause of blindness worldwide, differentially affects the poorest communities, which may have the least access to resources. With the establishment of the Global Elimination of Blinding Trachoma by 2020 (GET 2020) goal, the World Health Organization has set an ambitious target for country programs. The currently recommended surgery for trichiasis/entropion, antibiotics for active disease, facial cleanliness, and environmental change to reduce transmission (SAFE) strategy targets all key elements believed to be necessary for a short-and long-term intervention program. This report reviews the need for a multi-faceted strategy, and the evidence supporting the elements of SAFE. Concerns about the implementation are discussed. Additional research is suggested that will enhance the implementation of the SAFE strategy. In the current climate of significant political and social momentum for trachoma control, the SAFE strategy is a safe bet to accomplish the elimination of blinding trachoma.

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The Epidemiology of Trachoma in Southern Malawi

Cited by 73 publications

References 0 publications

Self treatment of eye diseases in Malawi

Self treatment of eye diseases in Malawi

Prevalência de tracoma em pré-escolares e escolares no Município de Botucatu, São Paulo, Brasil, 1992

Blinding Trachoma: Prevention With the Safe Strategy

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