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Access to water source, latrine facilities and other risk factors of active trachoma in Ankober, Ethiopia
Ilya Golovaty1, Larissa Jones, Bizu Gelaye
1Department of Epidemiology, Multidisciplinary International Research Training Program, University of Washington School of Public Health, Seattle, Washington, USA.
Insights
Active trachoma is highly prevalent in children aged 1-9 in Ankober, Ethiopia. Poor sanitation, hygiene, and water access are key risk factors, necessitating targeted public health interventions.
Area of Science:
- Ophthalmology
- Public Health
- Infectious Diseases
Background:
- Trachoma remains a significant cause of preventable blindness globally.
- Understanding local prevalence and risk factors is crucial for effective control strategies.
Purpose of the Study:
- To determine the prevalence of active trachoma in children aged 1-9 years in Ankober, Ethiopia.
- To identify socio-demographic and environmental factors associated with active trachoma.
Main Methods:
- A cross-sectional community-based study was conducted in July 2007.
- 507 children (ages 1-9) from 232 households were examined using the WHO simplified clinical grading system.
- Logistic regression analyzed associations between risk factors and active trachoma.
Main Results:
- The prevalence of active trachoma was 53.9%.
- Significant risk factors included fly-eye presence, lack of facial cleanliness, illiterate mothers, and limited access to piped water and latrines.
- Odds ratios indicated substantial increased risk for these factors.
Conclusions:
- Active trachoma is highly prevalent in young children in Ankober.
- Interventions focusing on water, sanitation, hygiene, and fly control are recommended.
- Addressing these risk factors can reduce the trachoma burden in the region.
Objective:
This study aims to determine the prevalence and correlates of active trachoma in Ankober, Ethiopia.
Methods:
A cross-sectional community-based study was conducted during July 2007. A total of 507 children (ages 1-9 years), from 232 households were included in the study. All children were examined for trachoma by ophthalmic nurses using the WHO simplified clinical grading system. Interviews and observations were used to assess risk factors. Logistic regression procedures were used to determine associations between potential risk factors and signs of active trachoma.
Results:
Overall, the prevalence of active trachoma was found to be 53.9% (95%CI 49.6%-58.2%). Presence of fly-eye (fly contact with the eyelid margin during eye examination) (Odds Ratio (OR) = 4.03 95% CI 1.40-11.59), absence of facial cleanliness (OR = 7.59; 95%CI 4.60-12.52), an illiterate mother (OR = 5.88; 95%CI 2.10-15.95), lack of access to piped water (OR = 2.19; 95%CI 1.14-6.08), and lack of access to latrine facilities (OR = 4.36; 95%CI 1.49-12.74) were statistically significantly associated with increased risk of active trachoma.
Conclusion:
Active trachoma among children 1-9 years of age in Ankober is highly prevalent and significantly associated with a number of risk factors including access to water and latrine facilities. Trachoma prevention programs that include improved access to water and sanitation, active fly control, and hygiene education are recommended to lower the burden of trachoma in Ankober, Ethiopia.
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