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Unimproved water sources and open defecation are associated with active trachoma in children in internally displaced persons camps in the Darfur States of Sudan.

Abstract

PURPOSE: 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.

More information

Type
Journal Article
Author
Macleod CK
Binnawi KH
Elshafie BE
Sadig HE
Hassan A
Cocks N
Willis R
Chu B
Solomon AW
Year of Publication
2019
Journal
Transactions of the Royal Society of Tropical Medicine and Hygiene
Volume
113
Issue
10
Number of Pages
599-609
Language
eng
ISSN Number
1878-3503
DOI
10.1093/trstmh/trz042
Alternate Journal
Trans. R. Soc. Trop. Med. Hyg.
Publication Language
eng