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2005
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21 Mar 2006
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TRACHOMA
Faye M, Kuper H, Dineen B, Bailey R. Rapid assessment for
prioritisation of trachoma control at community level in one district of the
Kaolack Region, Senegal. Trans R Soc Trop Med Hyg. 100(2), 149-57, 2006.
The objective of this study was to use a modified Lot
Quality Assurance Sampling methodology to classify communities according to
prevalence of active trachoma and to estimate the prevalence of trachoma and
trichiasis in Nioro department, Kaolack Region, Senegal. A survey was conducted
using two-stage cluster sampling to select 50 children aged 2-5 years in each of
33 clusters. In total 1,648 children were examined for active trachoma.
Information on trachoma risk factors was collected through interviews with the
mother or the household head of the child. Adults (>40 years) with trichiasis
were identified through case finding. Nineteen clusters had a low prevalence of
active trachoma in children aged 2-5 years (<20%), 11 had medium prevalence
(20-40%) and three had high prevalence (>40%). The prevalence of active trachoma
in children aged 2-5 years was 17.4% (95% CI 12.9-21.8%). Multivariate-adjusted
predictors of active trachoma were: age, facial cleanliness, hygiene practices
and keeping cattle in the household. The prevalence of trichiasis in adults aged
over 40 years was 1.77% (95% CI 1.24-2.51), equating to 985 adults (95% CI
765-1250) with trichiasis in Nioro department. In conclusion, a survey using
rapid methodology showed that trachoma is a problem of public significance in
Nioro department, Senegal.
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