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" Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt. "
Amer, Khaled; Müller, Andreas; Abdelhafiz, Hussein Mohamed; Al-Khatib, Tawfik; Bakhtiari, Ana; Boisson, Sophie; El Arab, Gamal Ezz; Gad, Hema; Gordon, Bruce A; Madian, Ahmad; Mahanna, Ahmed Tarek; Mokhtar, Samir; Safa, Omar H; Samy, Mohamed; Shalaby, Mohammad; Taha, Ziad Atta; Willis, Rebecca; et al.
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AL
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912463
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LA0r49f9dh
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| Title & Author
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Prevalence of trachoma in four marakez of Elmenia and Bani Suef Governorates, Egypt. [Article]\ Amer, Khaled; Müller, Andreas; Abdelhafiz, Hussein Mohamed; Al-Khatib, Tawfik; Bakhtiari, Ana; Boisson, Sophie; El Arab, Gamal Ezz; Gad, Hema; Gordon, Bruce A; Madian, Ahmad; Mahanna, Ahmed Tarek; Mokhtar, Samir; Safa, Omar H; Samy, Mohamed; Shalaby, Mohammad; Taha, Ziad Atta; Willis, Rebecca; et al.
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2018
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UCSF
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| Abstract
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PURPOSE:In 2015, to determine where interventions are needed to eliminate trachoma as a public health problem from Egypt, we initiated population-based prevalence surveys using the Global Trachoma Mapping Project platform in four suspected-endemic marakez (districts; singular: markaz) of the governorates of Elmenia and Bani Suef. METHODS:In each markaz, 30 households were selected in each of 25 villages. Certified graders examined a total of 3682 children aged 1-9 years in 2993 households, noting the presence or absence of trachomatous inflammation-follicular (TF) and trachomatous inflammation-intense (TI) in each eye. A total of 5582 adults aged ≥15 years living in the same households were examined for trachomatous trichiasis (TT). Household-level access to water and sanitation was recorded. RESULTS:Three of four marakez had age-adjusted TF prevalence estimates in 1-9-year olds of >10%; the other markaz had a TF prevalence estimate of 5-9.9%. Estimates of the age- and gender-adjusted prevalence of unmanaged TT in adults ranged from 0.7% to 2.3%. Household-level access to water and sanitation was high. (We did not, however, measure use of water or sanitation facilities.) Conclusions: Each of the four marakez surveyed has trachoma as a public health problem, with a need for implementation of the SAFE (surgery, antibiotics, facial cleanliness, environmental improvement) strategy. Further mapping is also required to determine the need for interventions in other areas of Egypt.
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