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A Forty-year Battle Against Blinding Trachoma in Myanmar
Oleh:
Tun, Aung Kyaw
;
U, Ko Ko
Jenis:
Article from Bulletin/Magazine
Dalam koleksi:
Regional Health Forum vol. 11 no. 02 (2007)
,
page 01.
Ketersediaan
Perpustakaan FK
Nomor Panggil:
R01.K.01
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
The trachoma Control Project (TCP) was established in Myanmar in 1964, after a roadside survey in 1962 reported that more than 80% of the persons examined were suffering from active trachoma which affected 57% of the blind in the surveyed area. The TCP project was planned jointly by the disease control division of the Department of Heakth and ophtalmic surgeons. the control methodology was based on the guidelines contained in WHO Technical Report Series 234 of 1962. The unique feature of Myanmar's TCP is the participation of ophtalmic surgeons in planning and implementation of he project. The technical achievments of surgery in the control project were so impressive that it became one of the strategies in controlling blinding trachoma. Launched in two regions and eleven township in 1964 and integrated with the Basic Health Services sector according to the epidemiological situation, TCP entered into the maintenance phase in 1978. In 1978, the prevalence of trachoma was reduced to less than 15% in a majority of townships when the project expanded to become the trachoma control and prevention of blindness programme. The prevalence of trachoma, which in 1964 had 57% of blindness attributable to it, was reduced to 4% in 2004. The trichiasis rate of 7.5% (1968-1972) was reduced to less than 1.0% in most districts in 2004. An important observation was that no new trichiasis cases were found in people up to 29 years of age in the districts surveyed showing that antibiotic intervention reduced the severity and scarring of conjungtiva and thus, less corneal blindness due to trachoma. The conclusion is that the Trachoma Control Programme launched in 1964 has been successfully implemented and epidemiologically, the disease has ceased to be a major public health problem since 1978. The prevention of Blindness (PBL) programme is now carrying out the active surveillance of trachoma and providing remedial measures, as necessary.
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