02348nas a2200265 4500000000100000008004100001653001900042653001300061653003200074100001500106700001500121700001600136700001300152700001300165700001200178700001300190700001100203700001400214700004500228245016500273856006800438300000900506520155300515022001402068 2019 d 10 aConflict areas 10 aTrachoma 10 aWater insecurity experience 1 aMacleod CK 1 aBinnawi KH 1 aElshafie BE 1 aSadig HE 1 aHassan A 1 aCocks N 1 aWillis R 1 aChu BK 1 aSolomon A 1 afor the Global Trachoma Mapping Project 00 aUnimproved water sources and open defecation are associated with active trachoma in children in internally displaced persons camps in the Darfur States of Sudan uhttps://pmc.ncbi.nlm.nih.gov/articles/PMC6792159/pdf/trz042.pdf a1-11 3 aPurpose
To estimate the proportion of children with trachomatous inflammation—follicular (TF) and adults with trachomatous trichiasis (TT) in internally displaced persons (IDP) camps in the Darfur States of Sudan and to evaluate associated risk factors.
Methods
IDP camps were identified from government census data. We conducted a subanalysis of data collected in these camps during 2014–2015 as part of surveys covering 37 districts of the Darfur States within the Global Trachoma Mapping Project. A random-effects hierarchical model was used to evaluate factors associated with TF in children or TT in adults.
Results
Thirty-six IDP camps were represented in the survey data, in which 1926 children aged 1–9 y were examined, of whom 38 (8%) had TF. Poor sanitation, younger age and living in a household that purchased water from a vendor were associated with TF in children aged 1–9 y. Of 2139 individuals examined aged ≥15 y, 16 (0.7%) had TT. TT was strongly independently associated with being older and living alone.
Conclusion
Trachoma is found at low levels in these camps, but still at levels where intervention is needed. Disease elimination in conflict-related settings presents a unique challenge for the trachoma community, and may require an innovative approach. Understanding how best to undertake trachoma elimination interventions in these areas should be prioritized.
a0035-9203