Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
RTI International, Washington, DC, USA.
Br J Ophthalmol. 2018 Oct;102(10):1324-1327. doi: 10.1136/bjophthalmol-2018-312476. Epub 2018 Jun 15.
Trachoma is the leading infectious cause of blindness. Until recently, reliable data on the global extent of the disease, detailed plans for elimination, and government, donor and partner engagement were all inadequate.
The trachoma community undertook a systematic, three-pronged strategy to map trachoma district by district, develop national-level trachoma elimination plans, and create a framework for governments, donors and partners to convene and coordinate in support of trachoma elimination. RESULT: There has been a frame-shift in internal and external perceptions of the global trachoma programme, from being an effort working towards disease control in focussed geographical areas, to one in the process of achieving worldwide disease elimination. Multiple factors contributed to the successful implementation of mapping, planning, and cross-sectional engagement of governments, partners and donors.
Elimination of trachoma is possible if the right combination of factors is in place. Planning for success is a critical first step. Some remaining challenges must still be addressed if the elimination targets are to be successfully attained.
沙眼是导致失明的主要传染性疾病。直到最近，有关该病在全球范围内的流行程度、详细的消除计划以及政府、捐助者和合作伙伴的参与情况等方面的可靠数据都还很不充分。
沙眼防治界采取了一种系统的、三管齐下的策略，在地区一级绘制沙眼分布图、制定国家级沙眼消除计划，并为政府、捐助者和合作伙伴搭建一个召集和协调的框架，以支持沙眼消除工作。
全球沙眼规划的内部和外部认知已经发生了转变，从一个专注于特定地理区域疾病控制的工作，转变为一个正在实现全球消除疾病的工作。多种因素促成了绘图、规划以及政府、合作伙伴和捐助者的参与等方面的成功实施。
如果有正确的组合因素，消除沙眼是有可能的。成功规划是关键的第一步。如果要成功实现消除目标，仍必须解决一些剩余的挑战。
