02328nas a2200385   4500000000100000008004100001653003900042653001300081653001200094653001200106653000900118653001200127100001200139700001500151700001300166700001200179700002000191700001200211700001600223700001400239700001400253700001400267700001300281700001800294700001400312700001100326700001500337700001300352700001400365245009100379856008500470300000800555520136500563022001401928       2016                            d10aNeglected tropical diseases (NTDs)10aTrachoma10aMapping10aNigeria10aWASH10aSurgery1 aMpyet C1 aMuhammad N1 aAdamu MD1 aMuazu H1 aMuhammad Umar M1 aAlada J1 aOnyebuchi U1 aOlamiju F1 aIsiyaku S1 aWilliam A1 aWillis R1 aFlueckiger RM1 aPavluck A1 aChu BK1 aMohammed D1 aOlobio N1 aSolomon A00aTrachoma mapping in Gombe State, Nigeria: Results of 11 local government area surveys.  uhttp://www.tandfonline.com/doi/pdf/10.1080/09286586.2016.1230633?needAccess=true  a1-63 a<p><strong>PURPOSE: </strong>To determine the need or otherwise for establishment of a trachoma elimination program in Gombe State, Nigeria, by estimating the population-based prevalence of trachoma in each Local Government Area (LGA) of Gombe.</p>

<p><strong>METHODS: </strong>Using a multi-stage, systematic, random, and quasi-random sampling approach and Global Trachoma Mapping Project support, we selected 25 clusters in each LGA. In each cluster, we selected 25 households and all consenting residents aged 1 year and older were examined for trachomatous inflammation-follicular (TF) and trichiasis, using the World Health Organization simplified grading scheme.</p>

<p><strong>RESULTS: </strong>No LGA in Gombe State had a TF prevalence ≥5% in 1-9-year-olds. All LGAs had trichiasis prevalences above the elimination threshold and should be targeted for community-based delivery of trichiasis surgery. Only three LGAs had household-level improved wash water access of greater than 80%. Access to improved sanitation facilities was also poor as household access to improved sanitation facilities was above 80% in only one LGA.</p>

<p><strong>CONCLUSION: </strong>A trachoma program focused on delivery of trichiasis surgery is required in Gombe. Improvements in water and sanitation, through engagement with other sectors, are necessary.</p>
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