Amer Khaled, Müller Andreas, Abdelhafiz Hussein Mohamed, Al-Khatib Tawfik, Bakhtiari Ana, Boisson Sophie, El Arab Gamal Ezz, Gad Hema, Gordon Bruce A, Madian Ahmad, Mahanna Ahmed Tarek, Mokhtar Samir, Safa Omar H, Samy Mohamed, Shalaby Mohammad, Taha Ziad Atta, Willis Rebecca, Yacoub Ashraf, Mamdouh Abdul Rahman, Younis Ahmed Kamal, Zoheir Mohamed Bahaa Eldin, Courtright Paul, Solomon Anthony W
a Ministry of Health and Population , Cairo , Egypt.
b Centre for Eye Research , University of Melbourne , Melbourne , Australia.
Ophthalmic Epidemiol. 2018 Dec;25(sup1):70-78. doi: 10.1080/09286586.2018.1446536.
In 2015, to determine where interventions are needed to eliminate trachoma as a public health problem from Egypt, we initiated population-based prevalence surveys using the Global Trachoma Mapping Project platform in four suspected-endemic marakez (districts; singular: markaz) of the governorates of Elmenia and Bani Suef.
In each markaz, 30 households were selected in each of 25 villages. Certified graders examined a total of 3682 children aged 1-9 years in 2993 households, noting the presence or absence of trachomatous inflammation-follicular (TF) and trachomatous inflammation-intense (TI) in each eye. A total of 5582 adults aged ≥15 years living in the same households were examined for trachomatous trichiasis (TT). Household-level access to water and sanitation was recorded.
Three of four marakez had age-adjusted TF prevalence estimates in 1-9-year olds of >10%; the other markaz had a TF prevalence estimate of 5-9.9%. Estimates of the age- and gender-adjusted prevalence of unmanaged TT in adults ranged from 0.7% to 2.3%. Household-level access to water and sanitation was high. (We did not, however, measure use of water or sanitation facilities.) Conclusions: Each of the four marakez surveyed has trachoma as a public health problem, with a need for implementation of the SAFE (surgery, antibiotics, facial cleanliness, environmental improvement) strategy. Further mapping is also required to determine the need for interventions in other areas of Egypt.
2015年，为确定在埃及哪些地方需要采取干预措施以消除沙眼这一公共卫生问题，我们利用全球沙眼地图绘制项目平台，在明亚省和贝尼苏韦夫省的四个疑似沙眼流行区（县；单数形式为“马克兹”）开展了基于人群的患病率调查。
在每个区，从25个村庄中各选取30户家庭。经过认证的分级人员对2993户家庭中总共3682名1至9岁儿童进行了检查，记录每只眼睛是否存在滤泡性沙眼炎症（TF）和重度沙眼炎症（TI）。对居住在同一家庭中的总共5582名15岁及以上成年人进行了倒睫性沙眼（TT）检查。记录了家庭层面的水和卫生设施使用情况。
四个区中有三个区1至9岁儿童经年龄调整后的TF患病率估计超过10%；另一个区的TF患病率估计为5%至9.9%。成年人中未经治疗的TT经年龄和性别调整后的患病率估计在0.7%至2.3%之间。家庭层面的水和卫生设施使用率很高。（然而，我们没有测量水或卫生设施的使用情况。）结论：接受调查的四个区均存在沙眼这一公共卫生问题，需要实施SAFE（手术、抗生素、面部清洁、环境改善）战略。还需要进一步绘制地图，以确定埃及其他地区是否需要采取干预措施。
Zotero 插件