Négrel A D, Mariotti S P, Thylefors B
Rev Int Trach Pathol Ocul Trop Subtrop Sante Publique. 1997;74:109-17.
Although trachoma has either decreased or disappeared in many Third World countries through socio economic development during the past forty years, it remains a major problem among the poorest communities, which is often ignored by decision-makers when setting priorities. Fortunately, recent developments will allow to overcome many of the past obstacles and to offer new opportunities for trachoma control programmes. WHO aware of this new favourable context for trachoma control has taken the leadership in mobilizing and coordinating trachoma control efforts through the creation of a WHO Alliance for the Global Elimination of Trachoma. The aim of this Alliance is to assist Member States where trachoma is endemic achieve the goal of (global) elimination of trachoma by the year 2020. This is indeed possible through the combination of various interventions such as those proposed by the SAFE strategy (Surgery for trichiasis, Antibiotics, Face washing and Environmental changes) recommended by WHO. The prevention of trachoma and its treatment will rely largely on the efforts made by the endemic countries concerned with this problem. Therefore, new and or existing trachoma control programmes should be either implemented or strengthened at community-based level within the framework of the available primary health care systems based on the application of the SAFE strategy and on the assistance of the Alliance partners.
尽管在过去四十年里，通过社会经济发展，沙眼在许多第三世界国家已经减少或消失，但在最贫困社区中它仍然是一个主要问题，而决策者在确定优先事项时往往忽视这一点。幸运的是，最近的发展将使我们能够克服过去的许多障碍，并为沙眼控制项目提供新的机会。世界卫生组织意识到沙眼控制这一新的有利形势，已通过创建世界卫生组织全球消除沙眼联盟，在动员和协调沙眼控制工作方面发挥领导作用。该联盟的目标是协助沙眼流行的成员国在2020年实现（全球）消除沙眼的目标。通过结合各种干预措施，如世界卫生组织推荐的SAFE战略（倒睫手术、抗生素、面部清洁和环境改善）所提出的措施，这确实是有可能实现的。沙眼的预防和治疗将在很大程度上依赖于相关流行国家为此付出的努力。因此，应在现有初级卫生保健系统的框架内，基于SAFE战略的应用并在联盟伙伴的协助下，在社区层面实施或加强新的和/或现有的沙眼控制项目。
