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Mapping the Global Distribution of Trachoma Why an Updated Atlas Is Needed 英文参考文献
Viewpoints
MappingtheGlobalDistributionofTrachoma:Whyan
UpdatedAtlasIsNeeded
JenniferL.Smith1*,DannyHaddad2,SarahPolack1,EmmaM.Harding-Esch1,PamelaJ.Hooper2,DavidC.
Mabey1,AnthonyW.Solomon1,SimonBrooker1,3
1LondonSchoolofHygieneandTropicalMedicine,London,UnitedKingdom,2InternationalTrachomaInitiative,TaskForceforGlobalHealth,Atlanta,Georgia,United
StatesofAmerica,3KenyaMedicalResearchInstitute—WellcomeTrustResearchProgramme,Nairobi,Kenya
Trachomaistheleadinginfectiouscause
ofblindnessworldwide,andresponsiblefor
the loss of an estimated 1.3 million
disability-adjusted life years, mainly in
sub-Saharan Africa [1]. Geographically,
trachomaisagreaterpublichealthriskin
dry, dusty, and hot settings, where poor,
ruralcommunitiessufferadisproportionate
burdenofdisease.Trachomaiscausedby
infection with the bacterium Chlamydia
trachomatis,buttheconditionhasanumber
of clinical manifestations that are the
consequences of current or past infection
[2]. Prevalence of infection and clinical
signsoffollicularconjunctivitisarehighest
in children under 10y of age. Recurrent
episodesofinfectionandassociatedinflam-
mation can cause scarring, visual impair-
ment,andpotentialblindnesslaterinlife.
In1998,theWorldHealthOrganization
(WHO)establishedaninternationalalliance
eliminate trachoma as a public health
problem by 2020, called the Alliance for
Global Elimination of Trachoma by the
choma in the initial planning of national
control programmes. However, there are
importantreasonswhyweneedtocontinue
toupdateourgeographicalunderstanding
oftrachomaastheprogramisimplement-
ed,andwhymapsshouldbemadepublicly
available.First,andtheimportanceofthis
reasonshouldnotbeunderestimated,maps
playavitaladvocacyrole,showcasingthe
achievementsofcontroleffortstodateand
showing where further control resources
are still required. This advocacy will help
leveragecontinualfunding.
for the first time and provided valuable
information for planning control [6]. Up-
dated
maps can help identify where
ep
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