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. 2003 May;9(5):596-8.
doi: 10.3201/eid0905.020577.

Eliminating trachoma in areas with limited disease

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Eliminating trachoma in areas with limited disease

Bruce D Gaynor et al. Emerg Infect Dis. 2003 May.

Abstract

The common wisdom is that a trachoma program cannot eliminate ocular chlamydia from a community, just reduce infection to a level where blindness would be minimal. We describe the success of multiple mass antibiotic treatments, demonstrating that complete elimination of infection may be an attainable goal in an area with modest disease.

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Figures

Figure
Figure
The prevalence of clinically active trachoma (gray curve) and ocular chlamydial infection, as determined by DNA amplification tests (black curve, with 95% confidence intervals due to stratified sampling) in children 1–10 years of age in a village in Western Nepal over time. All children were examined at each visit, so no sampling confidence interval is indicated. Likewise, conjunctivae of all children were swabbed for evidence of infection at the May 2001 visit.

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