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Published on: September 20, 2018
Vitamin A deficiency and xerophthalmia in western Yemen
D S Rosen1, Z al Sharif, M Bashir
1Helen Keller International, New York, USA.
Insights
Vitamin A deficiency and xerophthalmia are significant public health issues in western Yemen. Studies found low serum retinol levels and clinical signs of xerophthalmia in children aged 1-5 years.
Area of Science:
- Public Health
- Ophthalmology
- Nutritional Science
Background:
- Vitamin A deficiency is a leading cause of preventable childhood blindness globally.
- Xerophthalmia, a spectrum of ocular manifestations of vitamin A deficiency, affects vulnerable populations, particularly young children.
- Western Yemen faces unique challenges in nutritional security and healthcare access.
Purpose of the Study:
- To ascertain the prevalence of xerophthalmia in children aged 1-5 years in western Yemen.
- To evaluate the extent of vitamin A deficiency within this population.
- To inform public health interventions for vitamin A supplementation and eye care.
Main Methods:
- A stratified cluster sampling methodology was employed across 10 randomly selected districts in western Yemen.
- Clinical examinations for xerophthalmia signs and a serum retinol level assessment were conducted on 2438 children aged 1-5 years.
- A subsample of 338 clinically normal children and all children with xerophthalmia underwent serum retinol testing.
Main Results:
- The prevalence of night blindness was 0.5%, Bitot's spots 1.7%, corneal ulceration 0.04%, and corneal scars 0.04%.
- Subsample analysis revealed 7.2% of children had serum retinol levels below 10 µg/dL, indicating severe deficiency.
- A significant 63.0% of children had serum retinol levels below 20 µg/dL, signifying widespread vitamin A insufficiency.
Conclusions:
- Xerophthalmia and vitamin A deficiency represent critical public health problems in western Yemen.
- The findings underscore the urgent need for targeted interventions to address vitamin A deficiency and prevent childhood blindness.
- Community-based programs focusing on vitamin A supplementation and nutritional education are recommended.
Objective:
To determine the prevalence of xerophthalmia and the extent of vitamin A deficiency in western Yemen.
Design:
A stratified cluster sample of children aged 1-5 years with clinical examination for signs of xerophthalmia as well as blood serum survey.
Setting:
The 18 districts of western Yemen, of which 10 clusters were chosen at random.
Subjects:
All children aged 1-5 years resident in the cluster sites (n = 2438).
Main Outcome Measures:
Clinical signs of xerophthalmia, a history of night blindness, serum retinol levels in a random sample of clinically normal children (n =338) in addition to all children with xerophthalmia.
Results:
Night blindness was found in 0.5% of the children, Bitot's spots in 1.7%, corneal ulceration in 0.04% and corneal scars in 0.04% Of the subsample, 7.2% (95% confidence interval [c.i.] 4.4-10.0%) had serum retinol values below 10 micrograms/dl; 63.0% (95% c.i. 57.6- 68.4%) had values below 20 micrograms/dl.
Conclusions:
Xerophthalmia and vitamin A deficiency are public health problems in western Yemen.
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