December 2002
Volume 43, Issue 13
ARVO Annual Meeting Abstract  |   December 2002
Prevalence of Trachoma in Southern Sudan
Author Affiliations & Notes
  • J Amann
    Departement of International Health Rollins School of Public Health Emory University Atlanta GA
  • J Ngondi
    Global 2000 The Presidential Carter Center Atlanta GA
  • JA Zingeser
    Global 2000 The Presidential Carter Center Atlanta GA
  • MM A Homeida
    The Ministry of Health Khartoum Sudan
  • HF Edelhauser
    Emory University Eye Center Emory University Atlanta GA
  • Footnotes
    Commercial Relationships   J. Amann, None; J. Ngondi, None; J.A. Zingeser, None; M.M.A. Homeida, None; H.F. Edelhauser, None. Grant Identification: Support:: The Presidential Carter Center, Global 2000, Atlanta, GA
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 3063. doi:
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    • Get Citation

      J Amann, J Ngondi, JA Zingeser, MM A Homeida, HF Edelhauser; Prevalence of Trachoma in Southern Sudan . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3063.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract: : Purpose: To determine baseline prevalence data and collect related risk factor information for trachoma before implementation of trachoma control measures in Southern Sudan. Methods: A total of 1,281 people (536 male and 745 female; age 1mo-72yrs, mean 20.1yrs) in 193 households were examined for signs of trachoma. The households were selected on the basis of accessibility, due to the ongoing civil war and after negotiation with the local authorities. Upper eyelid eversion was performed on all individuals of a household. Trachoma was graded using the World Health Organization simplified grading scheme. An active case of trachoma was determined by the presence of TF or TI in at least one eye. A clean face was defined as a face without any ocular or nasal discharge. Data was analyzed using the EpiInfo 2000 software. Results: The prevalence of active trachoma in children ≤ 10 year of age was 54.5%. Trichiasis was present in 17.7% of females 15 years or older. Trachomatous scarring was present in 19.8% of people over the age of 30 years. Overall, 53.3% of all examined individuals had at least one sign of trachoma in one eye. There was no statistically significant difference in the prevalence of trachoma between females (55.3%) and males (50.6%)(Χ2 = 2.63, p≷0.05). Children ≤ 10 years of age without clean faces were 1.4 (95%CI, 1.14, 1.63) times more likely to have active trachoma in at least one eye than children with clean faces. Conclusions: Previously, there were only anecdotal reports of trachoma in Southern Sudan, but this survey demonstrates that trachoma is a serious public health problem in this area. The presence of the observed high prevalence of trachoma underscores the need for the implementation of trachoma control measures for the forgotten and highly disadvantaged population in Southern Sudan.

Keywords: 602 trachoma • 354 clinical (human) or epidemiologic studies: prevalence/incidence • 355 clinical (human) or epidemiologic studies: risk factor assessment 

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