The Gambia has eliminated trachoma as a public health problem: Challenges and successes

Trachoma is the leading infectious cause of blindness in the world and has been known to be a major public health problem in The Gambia for over 60 years. Nationwide blindness surveys, including trachoma, in 1986 and 1996 provided the foundation for a comprehensive plan to implement a trachoma elimi...

Full description

Saved in:
Bibliographic Details
Published inPLoS neglected tropical diseases Vol. 16; no. 3; p. e0010282
Main Authors Aboe, Agatha, Joof, Balla Musa, Kanyi, Sarjo Kebba, Hydara, Abba, Downs, Philip, Bush, Simon, Courtright, Paul
Format Journal Article
LanguageEnglish
Published United States Public Library of Science 01.03.2022
Public Library of Science (PLoS)
Subjects
Online AccessGet full text

Cover

Loading…
Abstract Trachoma is the leading infectious cause of blindness in the world and has been known to be a major public health problem in The Gambia for over 60 years. Nationwide blindness surveys, including trachoma, in 1986 and 1996 provided the foundation for a comprehensive plan to implement a trachoma elimination strategy. Impact and pre-validation surveillance surveys in 2011-13 demonstrated that active trachoma was below WHO threshold for elimination but trichiasis remained a public health problem. Trichiasis-only surveys in 2019 demonstrated that trichiasis was below WHO thresholds for elimination and in 2020 the Government of The Gambia completed and submitted its dossier for validation of elimination as a public health problem. Challenges that The Gambia faced on the pathway to elimination included effective use of data for decision making, poor trichiasis surgical outcomes, lack of access to antibiotic treatment for low prevalence districts, high attrition of ophthalmic nurses trained as trichiasis surgeons, unexpected active trachoma in madrassas, the misalignment of elimination of active trachoma and trichiasis, trichiasis in urban settings, and maintaining the quality of surgery post-elimination when trichiasis cases are rare. Elimination of trachoma does not end with the submission of an elimination dossier; The Gambia will need to sustain monitoring and support over the coming years.
AbstractList Trachoma is the leading infectious cause of blindness in the world and has been known to be a major public health problem in The Gambia for over 60 years. Nationwide blindness surveys, including trachoma, in 1986 and 1996 provided the foundation for a comprehensive plan to implement a trachoma elimination strategy. Impact and pre-validation surveillance surveys in 2011-13 demonstrated that active trachoma was below WHO threshold for elimination but trichiasis remained a public health problem. Trichiasis-only surveys in 2019 demonstrated that trichiasis was below WHO thresholds for elimination and in 2020 the Government of The Gambia completed and submitted its dossier for validation of elimination as a public health problem. Challenges that The Gambia faced on the pathway to elimination included effective use of data for decision making, poor trichiasis surgical outcomes, lack of access to antibiotic treatment for low prevalence districts, high attrition of ophthalmic nurses trained as trichiasis surgeons, unexpected active trachoma in madrassas, the misalignment of elimination of active trachoma and trichiasis, trichiasis in urban settings, and maintaining the quality of surgery post-elimination when trichiasis cases are rare. Elimination of trachoma does not end with the submission of an elimination dossier; The Gambia will need to sustain monitoring and support over the coming years.
Trachoma is the leading infectious cause of blindness in the world and has been known to be a major public health problem in The Gambia for over 60 years. Nationwide blindness surveys, including trachoma, in 1986 and 1996 provided the foundation for a comprehensive plan to implement a trachoma elimination strategy. Impact and pre-validation surveillance surveys in 2011–13 demonstrated that active trachoma was below WHO threshold for elimination but trichiasis remained a public health problem. Trichiasis-only surveys in 2019 demonstrated that trichiasis was below WHO thresholds for elimination and in 2020 the Government of The Gambia completed and submitted its dossier for validation of elimination as a public health problem. Challenges that The Gambia faced on the pathway to elimination included effective use of data for decision making, poor trichiasis surgical outcomes, lack of access to antibiotic treatment for low prevalence districts, high attrition of ophthalmic nurses trained as trichiasis surgeons, unexpected active trachoma in madrassas, the misalignment of elimination of active trachoma and trichiasis, trichiasis in urban settings, and maintaining the quality of surgery post-elimination when trichiasis cases are rare. Elimination of trachoma does not end with the submission of an elimination dossier; The Gambia will need to sustain monitoring and support over the coming years. The World Health Organization has validated that trachoma is no longer a public health problem in The Gambia as of April 2021. In this article, the authors summarize critical milestones achieved by The Gambia in its journey to elimination and the challenges to implementing the WHO-endorsed elimination strategy, including surgical management for people with trichiasis, antibiotics to all endemic communities, and uptake of face-washing practices and environmental improvements. In 1986, a national survey of blindness and low vision in The Gambia found that 17 per cent of blindness was caused by trachoma in the form of corneal opacity due to trichiasis. At this time, eye health services delivered by a trained eye health were limited to the Greater Banjul area, meaning people in remote locations were frequently left behind. This changed with the coordination of partners and donors strengthening the knowledge base of health workers on trachoma preventative measures and the capacity of ophthalmic nurses to deliver trichiasis surgical support to all trachoma-endemic communities. Final epidemiological surveys conducted in 2019 confirmed that there was sufficient evidence to show that elimination thresholds had been achieved all endemic areas prompting the formal submission of the country’s elimination dossier to the WHO.
Audience Academic
Author Joof, Balla Musa
Courtright, Paul
Aboe, Agatha
Bush, Simon
Hydara, Abba
Kanyi, Sarjo Kebba
Downs, Philip
AuthorAffiliation London School of Hygiene&Tropical Medicine, UNITED KINGDOM
4 Sightsavers, Durham, North Carolina, United States of America
5 Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
1 Sightsavers, Accra, Ghana
3 National Eye Health Programme, Ministry of Health, Banjul, The Gambia; Sheikh Zayed Regional Eye Care Centre, Kanifing, The Gambia
2 Sightsavers, Banjul, The Gambia
AuthorAffiliation_xml – name: 1 Sightsavers, Accra, Ghana
– name: 3 National Eye Health Programme, Ministry of Health, Banjul, The Gambia; Sheikh Zayed Regional Eye Care Centre, Kanifing, The Gambia
– name: 2 Sightsavers, Banjul, The Gambia
– name: London School of Hygiene&Tropical Medicine, UNITED KINGDOM
– name: 4 Sightsavers, Durham, North Carolina, United States of America
– name: 5 Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
Author_xml – sequence: 1
  givenname: Agatha
  surname: Aboe
  fullname: Aboe, Agatha
  organization: Sightsavers, Accra, Ghana
– sequence: 2
  givenname: Balla Musa
  orcidid: 0000-0002-2509-3018
  surname: Joof
  fullname: Joof, Balla Musa
  organization: Sightsavers, Banjul, The Gambia
– sequence: 3
  givenname: Sarjo Kebba
  surname: Kanyi
  fullname: Kanyi, Sarjo Kebba
  organization: National Eye Health Programme, Ministry of Health, Banjul, The Gambia; Sheikh Zayed Regional Eye Care Centre, Kanifing, The Gambia
– sequence: 4
  givenname: Abba
  orcidid: 0000-0003-1426-3808
  surname: Hydara
  fullname: Hydara, Abba
  organization: National Eye Health Programme, Ministry of Health, Banjul, The Gambia; Sheikh Zayed Regional Eye Care Centre, Kanifing, The Gambia
– sequence: 5
  givenname: Philip
  orcidid: 0000-0002-5960-973X
  surname: Downs
  fullname: Downs, Philip
  organization: Sightsavers, Durham, North Carolina, United States of America
– sequence: 6
  givenname: Simon
  surname: Bush
  fullname: Bush, Simon
  organization: Sightsavers, Accra, Ghana
– sequence: 7
  givenname: Paul
  surname: Courtright
  fullname: Courtright, Paul
  organization: Kilimanjaro Centre for Community Ophthalmology, Division of Ophthalmology, University of Cape Town, Cape Town, South Africa
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35344553$$D View this record in MEDLINE/PubMed
BookMark eNptkl-L1DAUxYusuH_0G4gWBPFlxqRJ2sQHYRl0XVjwZcXHcJuk0wxpMiat4Lc3dbrLjCx5aLj9nXOTm3NZnPngTVG8xmiNSYM_7sIUPbj13o96jRBGFa-eFRdYELaqGsLOjvbnxWVKO4SYYBy_KM4JI5QyRi6Kn_e9KW9gaC2UPaTSODtYD6PR5RhB9WGAMpeh3E-ts6rsDbixL_cxtM4Mn8pND84ZvzWZ8bpMk1ImJZNeFs87cMm8Wr5XxY-vX-4331Z3329uN9d3K8UYHVdVW_GWdRQB7ojGHefYQEXqRivNGgWIEtRwQVuqEOKN4EYzDVwr1WKFGJCr4u3Bd-9CkstMkqxqhjHLapqJ2wOhA-zkPtoB4h8ZwMp_hRC3EuJolTNS1wKyc9c1DVDKSSsU6kyjkQJMajR3-7x0m9rBaGV8HpI7MT39420vt-G35IKLiots8GExiOHXZNIoB5uUcQ68CdN8bkpFXRFMMvruP_Tp2y3UFvIFrO_C_GyzqbyuhRBIMDG3XT9B5aXNYFXOVWdz_UTw_khwePQU3DTa4NMpSA-giiGlaLrHYWAk55w-nFrOOZVLTrPszfEgH0UPwSR_AYJg5m8
CitedBy_id crossref_primary_10_1007_s10708_022_10767_5
crossref_primary_10_1371_journal_pntd_0011444
Cites_doi 10.1136/bjo.2004.055996
10.1136/bjo.82.8.930
10.1136/bjophthalmol-2019-315777
10.1136/bjo.2008.148494
10.1136/bjo.73.2.82
10.1136/bjo.84.9.948
10.1371/journal.pntd.0004906
ContentType Journal Article
Copyright COPYRIGHT 2022 Public Library of Science
2022 Aboe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
2022 Aboe et al 2022 Aboe et al
Copyright_xml – notice: COPYRIGHT 2022 Public Library of Science
– notice: 2022 Aboe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: 2022 Aboe et al 2022 Aboe et al
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
3V.
7QL
7SS
7T2
7T7
7U9
7X7
7XB
88E
8C1
8FD
8FI
8FJ
8FK
ABUWG
AFKRA
AZQEC
BENPR
C1K
CCPQU
DWQXO
F1W
FR3
FYUFA
GHDGH
H94
H95
H97
K9.
L.G
M0S
M1P
M7N
P64
PIMPY
PQEST
PQQKQ
PQUKI
7X8
5PM
DOA
DOI 10.1371/journal.pntd.0010282
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
ProQuest Central (Corporate)
Bacteriology Abstracts (Microbiology B)
Entomology Abstracts (Full archive)
Health and Safety Science Abstracts (Full archive)
Industrial and Applied Microbiology Abstracts (Microbiology A)
Virology and AIDS Abstracts
Health & Medical Collection
ProQuest Central (purchase pre-March 2016)
Medical Database (Alumni Edition)
Public Health Database
Technology Research Database
Hospital Premium Collection
Hospital Premium Collection (Alumni Edition)
ProQuest Central (Alumni) (purchase pre-March 2016)
ProQuest Central (Alumni)
ProQuest Central
ProQuest Central Essentials
AUTh Library subscriptions: ProQuest Central
Environmental Sciences and Pollution Management
ProQuest One Community College
ProQuest Central Korea
ASFA: Aquatic Sciences and Fisheries Abstracts
Engineering Research Database
Health Research Premium Collection
Health Research Premium Collection (Alumni)
AIDS and Cancer Research Abstracts
Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources
Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality
ProQuest Health & Medical Complete (Alumni)
Aquatic Science & Fisheries Abstracts (ASFA) Professional
Health & Medical Collection (Alumni Edition)
PML(ProQuest Medical Library)
Algology Mycology and Protozoology Abstracts (Microbiology C)
Biotechnology and BioEngineering Abstracts
Publicly Available Content Database
ProQuest One Academic Eastern Edition (DO NOT USE)
ProQuest One Academic
ProQuest One Academic UKI Edition
MEDLINE - Academic
PubMed Central (Full Participant titles)
Directory of Open Access Journals
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
Publicly Available Content Database
Aquatic Science & Fisheries Abstracts (ASFA) Professional
Technology Research Database
ProQuest Central Essentials
ProQuest Health & Medical Complete (Alumni)
ProQuest Central (Alumni Edition)
ProQuest One Community College
Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality
Environmental Sciences and Pollution Management
ProQuest Central
Health Research Premium Collection
Health and Medicine Complete (Alumni Edition)
ProQuest Central Korea
Bacteriology Abstracts (Microbiology B)
Algology Mycology and Protozoology Abstracts (Microbiology C)
AIDS and Cancer Research Abstracts
Health & Safety Science Abstracts
Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources
Industrial and Applied Microbiology Abstracts (Microbiology A)
ProQuest Medical Library (Alumni)
ProQuest Public Health
Virology and AIDS Abstracts
ProQuest One Academic Eastern Edition
ProQuest Hospital Collection
Health Research Premium Collection (Alumni)
ProQuest Hospital Collection (Alumni)
Biotechnology and BioEngineering Abstracts
Entomology Abstracts
ProQuest Health & Medical Complete
ProQuest Medical Library
ProQuest One Academic UKI Edition
ASFA: Aquatic Sciences and Fisheries Abstracts
Engineering Research Database
ProQuest One Academic
ProQuest Central (Alumni)
MEDLINE - Academic
DatabaseTitleList

CrossRef
MEDLINE

Publicly Available Content Database


Database_xml – sequence: 1
  dbid: DOA
  name: Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
– sequence: 2
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 3
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
– sequence: 4
  dbid: BENPR
  name: ProQuest Central
  url: https://www.proquest.com/central
  sourceTypes: Aggregation Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
Public Health
DocumentTitleAlternate The Gambia has eliminated trachoma as a public health problem
EISSN 1935-2735
Editor Bailey, Robin L.
Editor_xml – sequence: 1
  givenname: Robin L.
  surname: Bailey
  fullname: Bailey, Robin L.
EndPage e0010282
ExternalDocumentID 2651150434
oai_doaj_org_article_d69accbff77a4483b9c0fe7d0ca1360a
A699909599
10_1371_journal_pntd_0010282
35344553
Genre Journal Article
GeographicLocations Gambia
GeographicLocations_xml – name: Gambia
GroupedDBID ---
123
29O
2WC
3V.
53G
5VS
7X7
88E
8C1
8FI
8FJ
AAFWJ
ABDBF
ABUWG
ACGFO
ACIHN
ACPRK
ADBBV
ADRAZ
AEAQA
AENEX
AFKRA
AFRAH
AHMBA
ALIPV
ALMA_UNASSIGNED_HOLDINGS
AOIJS
BAWUL
BCNDV
BENPR
BPHCQ
BVXVI
BWKFM
CCPQU
CGR
CS3
CUY
CVF
DIK
DU5
E3Z
EAP
EAS
EBD
ECGQY
ECM
EIF
EMOBN
ESX
F5P
FPL
FYUFA
GROUPED_DOAJ
GX1
H13
HMCUK
HYE
IAO
IHR
IHW
IPNFZ
ITC
KQ8
M1P
M48
M~E
NPM
O5R
O5S
OK1
P2P
PGMZT
PIMPY
PQQKQ
PROAC
PSQYO
PV9
RIG
RNS
RPM
RZL
SV3
TR2
TUS
UKHRP
WOQ
AAYXX
CITATION
AFPKN
7QL
7SS
7T2
7T7
7U9
7XB
8FD
8FK
AZQEC
C1K
DWQXO
F1W
FR3
H94
H95
H97
K9.
L.G
M7N
P64
PQEST
PQUKI
7X8
5PM
AAPBV
ABPTK
ID FETCH-LOGICAL-c554t-2b28b5f40a1f3d1f881ea2367dcd57ca04307894b4c008798ed5da8dccb1c05a3
IEDL.DBID RPM
ISSN 1935-2735
1935-2727
IngestDate Sun Jul 02 11:04:22 EDT 2023
Tue Oct 22 15:14:14 EDT 2024
Tue Sep 17 21:16:37 EDT 2024
Fri Oct 25 03:25:54 EDT 2024
Thu Dec 05 06:18:34 EST 2024
Tue Nov 19 20:47:43 EST 2024
Tue Nov 12 22:52:33 EST 2024
Tue Aug 20 22:12:53 EDT 2024
Thu Nov 21 22:32:28 EST 2024
Wed Oct 16 00:40:51 EDT 2024
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 3
Language English
License This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Creative Commons Attribution License
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c554t-2b28b5f40a1f3d1f881ea2367dcd57ca04307894b4c008798ed5da8dccb1c05a3
Notes new_version
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
The authors have declared that no competing interests exist.
ORCID 0000-0003-1426-3808
0000-0002-2509-3018
0000-0002-5960-973X
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989289/
PMID 35344553
PQID 2651150434
PQPubID 1436337
ParticipantIDs plos_journals_2651150434
doaj_primary_oai_doaj_org_article_d69accbff77a4483b9c0fe7d0ca1360a
pubmedcentral_primary_oai_pubmedcentral_nih_gov_8989289
proquest_miscellaneous_2644962313
proquest_journals_2651150434
gale_infotracmisc_A699909599
gale_infotracacademiconefile_A699909599
gale_healthsolutions_A699909599
crossref_primary_10_1371_journal_pntd_0010282
pubmed_primary_35344553
PublicationCentury 2000
PublicationDate 2022-03-01
PublicationDateYYYYMMDD 2022-03-01
PublicationDate_xml – month: 03
  year: 2022
  text: 2022-03-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
– name: San Francisco
– name: San Francisco, CA USA
PublicationTitle PLoS neglected tropical diseases
PublicationTitleAlternate PLoS Negl Trop Dis
PublicationYear 2022
Publisher Public Library of Science
Public Library of Science (PLoS)
Publisher_xml – sequence: 0
  name: Public Library of Science
– name: Public Library of Science
– name: Public Library of Science (PLoS)
References H Faal (pntd.0010282.ref008) 2000; 84
EM Harding-Esch (pntd.0010282.ref009) 2009; 3
MJ Burton (pntd.0010282.ref010) 2005; 89
PJ Dolin (pntd.0010282.ref006) 1998; 82
pntd.0010282.ref012
SP Mariotti (pntd.0010282.ref002) 2009; 93
H Faal (pntd.0010282.ref007) 1989; 73
pntd.0010282.ref013
pntd.0010282.ref003
pntd.0010282.ref004
pntd.0010282.ref005
G Mwangi (pntd.0010282.ref014) 2021; 105
WHO (pntd.0010282.ref001) 2021; 32
SE Burr (pntd.0010282.ref011) 2016; 10
References_xml – volume: 89
  start-page: 575
  year: 2005
  ident: pntd.0010282.ref010
  article-title: Longer term outcome of trichiasis surgery in the Gambia
  publication-title: Br J Ophthalmol
  doi: 10.1136/bjo.2004.055996
  contributor:
    fullname: MJ Burton
– ident: pntd.0010282.ref005
– volume: 82
  start-page: 930
  year: 1998
  ident: pntd.0010282.ref006
  article-title: Trachoma in The Gambia
  publication-title: Br J Ophthalmol
  doi: 10.1136/bjo.82.8.930
  contributor:
    fullname: PJ Dolin
– ident: pntd.0010282.ref013
– volume: 105
  start-page: 904
  year: 2021
  ident: pntd.0010282.ref014
  article-title: National approaches to trichiasis surgical follow-up, outcome assessment, and surgeon audit in trachoma-endemic countries in Africa
  publication-title: British Journal of Ophthalmology
  doi: 10.1136/bjophthalmol-2019-315777
  contributor:
    fullname: G Mwangi
– volume: 32
  start-page: 353
  year: 2021
  ident: pntd.0010282.ref001
  article-title: WHO Alliance for the Global Elimination of Trachoma by 2020: progress report on elimination of trachoma, 2020
  publication-title: Weekly epidemiological record
  contributor:
    fullname: WHO
– ident: pntd.0010282.ref012
– volume: 93
  start-page: 563
  year: 2009
  ident: pntd.0010282.ref002
  article-title: Trachoma: global magnitude of a preventable cause of blindness
  publication-title: Br J Ophthalmol
  doi: 10.1136/bjo.2008.148494
  contributor:
    fullname: SP Mariotti
– volume: 73
  start-page: 82
  year: 1989
  ident: pntd.0010282.ref007
  article-title: National survey of blindness and low vision in The Gambia: results
  publication-title: Br J Ophthalmol
  doi: 10.1136/bjo.73.2.82
  contributor:
    fullname: H Faal
– volume: 84
  start-page: 948
  year: 2000
  ident: pntd.0010282.ref008
  article-title: Evaluation of a national eye care programme: review after 10 years
  publication-title: Br J Ophthalmol
  doi: 10.1136/bjo.84.9.948
  contributor:
    fullname: H Faal
– volume: 3
  issue: 12
  year: 2009
  ident: pntd.0010282.ref009
  article-title: Active trachoma and ocular Chlamydia trachomatis infection in two Gambian regions: On course for elimination by 2020?
  publication-title: PLoS Negl Trop Dis
  contributor:
    fullname: EM Harding-Esch
– ident: pntd.0010282.ref003
– ident: pntd.0010282.ref004
– volume: 10
  start-page: e0004906
  issue: 9
  year: 2016
  ident: pntd.0010282.ref011
  article-title: Cross Sectional Surveys of the Prevalence of Follicular Trachoma and Trichiasis in The Gambia: Has Elimination Been Reached?
  publication-title: PLoS Negl Trop Dis
  doi: 10.1371/journal.pntd.0004906
  contributor:
    fullname: SE Burr
SSID ssj0059581
Score 2.4030259
Snippet Trachoma is the leading infectious cause of blindness in the world and has been known to be a major public health problem in The Gambia for over 60 years....
SourceID plos
doaj
pubmedcentral
proquest
gale
crossref
pubmed
SourceType Open Website
Open Access Repository
Aggregation Database
Index Database
StartPage e0010282
SubjectTerms Antibiotics
Biology and Life Sciences
Blindness
Blindness - epidemiology
Blindness - etiology
Blindness - prevention & control
Control
Cross-Sectional Studies
Decision making
Forecasts and trends
Gambia - epidemiology
Humans
Infant
Infant, Newborn
Infant, Newborn, Diseases
Infections
Medical personnel
Medical research
Medicine and Health Sciences
Misalignment
Nurses
People and Places
Polls & surveys
Prevalence
Prevention
Primary care
Public Health
Supervision
Surgery
Surveys
Trachoma
Trachoma - drug therapy
Trachoma - epidemiology
Trachoma - prevention & control
Trichiasis - epidemiology
Trichiasis - prevention & control
Trichiasis - surgery
Tropical diseases
Urban areas
Urban environments
SummonAdditionalLinks – databaseName: Directory of Open Access Journals
  dbid: DOA
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELbQHhAXxLuBAkZC4pQ28SO2eysVpUIqJyp6i_yKWqnNrsju_--MnUQNqsSFa2ZiyZ_HzufY8w0hn-u6MYI5U0bDXSm0U6XlrisbXdlaBl05jrnD5z-bswvx41Je3iv1hXfCsjxwBu4wNMZ677pOKQtbCe6Mr7qoQuVtzZsqU6OKTZupvAZLI1N5UmAnmHHF1Jg0x1V9OI7RwabfhoMkqabZ4qOUtPvnFXq1uVkPD9HPv29R3vssnT4jT0c-SY9zP56TR7F_QR6fjyfmL8lviAP63d66a0uv7EDjTSrjBTyTQnNYKcVSeGxp1rumOS-SjnVmjujJVGwFfPpAh10qsBiHV-Ti9Nuvk7NyLKZQemAM25I5pp3sBAxBx0PdaV1Hi_JtwQepvEXtL6WNcMKjTJ3RMchgdQDsa19Jy1-TVb_u4x6hOppomg5a8g3wgco2QnbeByWjMaxiBSknNNtN1sxo08GZgr1GhqVF9NsR_YJ8RchnX1S8Tg8gDtoxDtp_xUFBPuKAtRmmed62xw1QYPzZaQryJXngzEWE7ZiAAJ1CDayF5_7CE2acX5j3MCimvgwtayQSa8EFvDkFysPmT7MZG8ULbn1c79BHCANUtOYFeZPjasaDSy6ElGBRi4hbALa09NdXSSoci4PClvrt_0D4HXnCMPcjXcDbJ6vtn118D4xs6z6kyXcHe3Ez7A
  priority: 102
  providerName: Directory of Open Access Journals
– databaseName: AUTh Library subscriptions: ProQuest Central
  dbid: BENPR
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3da9UwFA96ByKI6PzYnVMjCD51a5ukSXyRbWwOYUPE4d5KvuoGs71b7_3_PSdNr1aGrz2nIT3nJP3l4_wOIe-LotK8tDoLmtmMKyszw2yTVSo3hfAqtwxzh0_PqpNz_uVCXKQNtz5dqxznxDhR-87hHvleWQkEL5zxT4ubDKtG4elqKqFxn2yUBVNqRjYOjs6-fhvnYqFFLFMKKAUzr0qZkueYLPaSr3YX7dLvRmo1VU5-TpHDfz1TzxbXXX8XDP33NuVfv6fjJ-RxwpV0fwiEp-ReaDfJg9N0cr5JHg37c3RIO3pGfkB80M_ml70y9NL0NFzH8l6APyk0jxVUDIXHhg482HTIl6Sp_sxHejgWYQGd1tN-FQsvhv45OT8--n54kqUiC5kDJLHMSlsqKxoOrmmYLxqlimCQ1s07L6QzyAkmleaWO6Sv0yp44Y3yztnC5cKwF2TWdm3YIlQFHXTVQEuuApyQm4qLxjkvRdC6zMs5yUbr1ouBS6OOB2oS1iCDmWr0Rp28MScH6IK1LjJhxwfd7c86DazaV9pAX5pGSgNLTWa1y5sgfe5MwaAPc_IWHVgPZlqP53q_AmiMm6B6Tj5EDRzRaGGTEhPgo5Aba6K5M9GEkegm4i0MkvFb-vpPzMKbY-DcLX63FmOjePGtDd0KdTjXAFELNicvhzhb24MJxrkQIJGTCJwYbCppry4jhTgWDYWl9vb_u_WKPCwx2yNeudshs-XtKrwGDLa0b9JA-w3mgTAr
  priority: 102
  providerName: ProQuest
– databaseName: Scholars Portal Open Access Journals
  dbid: M48
  link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1bi9QwFA7LCOKLeN_qqhEEnzq0TdIkgsi6uC7C-OTgvpXc6i7MdsbpDOi_95z0gpXxwdee09B-OWm-NDnnI-R1npeaF1anQTObcmVlapit01JlJhdeZZZh7vDiS3mx5J8vxeURGTRbewDbg0s71JNablfznz9-vYcB_y6qNsh8uGm-aXZ-HoukKfgo3ypgbsRDXgs-7isILaJsKbAWzMRiok-m-1crk8kq1vQfv9yzzWrdHqKlf5-u_GO6Or9H7vY8k552gXGfHIXmAbm96HfSH5JvEB_0k7mx14ZemZaGVZT3Av5JoTlUUDEULhva1cGmXb4k7fVn3tKzQYQFfBpP230UXgztI7I8__j17CLtRRZSB0xilxa2UFbUHLqmZj6vlcqDwbJu3nkhncGaYFJpbrnD8nVaBS-8Ud45m7tMGPaYzJp1E44JVUEHXdbQkiuBJ2Sm5KJ2zksRtC6yIiHpgGa16WppVHFDTcIapIOlQvSrHv2EfEDIR1-shB0vrLffq35gVb7UBp6lrqU0sNRkVrusDtJnzuQMniEhL7HDqg6mcTxXpyVQY_wJqhPyJnpgjCHCpk9MgJfC2lgTz5OJJ4xENzEfY1AM79JWRSmQcHPG4c4hUA6bX41mbBQPvjVhvUcfzjVQ1Jwl5EkXVyMeTDDOhQCLnETcBLCppbm-iiXEUTQUltpP_7NHnpE7BaZ_xDN4J2S22-7DcyBlO_sijrPfI0w16g
  priority: 102
  providerName: Scholars Portal
Title The Gambia has eliminated trachoma as a public health problem: Challenges and successes
URI https://www.ncbi.nlm.nih.gov/pubmed/35344553
https://www.proquest.com/docview/2651150434
https://search.proquest.com/docview/2644962313
https://pubmed.ncbi.nlm.nih.gov/PMC8989289
https://doaj.org/article/d69accbff77a4483b9c0fe7d0ca1360a
http://dx.doi.org/10.1371/journal.pntd.0010282
Volume 16
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3Na9swFBdtBmOXse9m6zINBjs5sS3JknZrQ7sySCljZbkZfbkNJE5okv9_78l2mEdPu_hgPQv7fVg_2e_9HiFfsqzQPLc6CZrZhCsrE8NslRQqNZnwKrUMa4dn18XVLf8xF_MjIrpamJi07-xiXC9X43pxH3MrNys36fLEJjezKbY8hI3C5Jgcw_LbbdGb16_QInYmBWCCxVa5bOvlmMwmrXnGm3rnx5FNTWE3GyYY50Kw3tIUGfwP7-nBZrnePgZC_82l_GtxunxBnreokp41d_-SHIX6FXk6a_-bvya_wRvod7OyC0PvzZaGZWzmBWiTwnTYL8VQOG1ow3pNm-pI2nab-UanXcsVkKk93e5jm8WwfUNuLy9-Ta-StqVC4gA37JLc5sqKioMhKuazSqksGCRx884L6QwygEmlueUOyeq0Cl54o7xzNnOpMOwtGdTrOpwQqoIOuqhgJlcAKkhNwUXlnJciaJ2n-ZAknTbLTcOcUcbfZxJ2HI1aSjRE2RpiSM5R5QdZ5L2OJ9YPd2Vr_dIX2sC9VJWUBjaWzGqXVkH61JmMwT0MySc0WNmo6RC95VkBQBg_eeoh-RolMH5Rw6YtQ4CHQiasnuRpTxLizvWGT9ApumfZlnkhEF5zxuHKzlEeH_58GMZJMc2tDus9ynCuAZBmbEjeNX510EfnpUMiex7XU1h_BOInEoa38fL-v6_8QJ7lWPYRc-9OyWD3sA8fAYzt7AhCcC7hqKbZiDw5v7i--TmKHzbgOONqFIPzD869OCM
link.rule.ids 230,314,727,780,784,864,885,2102,2221,12056,12223,21388,24318,27924,27925,31719,31720,33266,33267,33744,33745,43310,43579,43805,53791,53793,73745,74014,74302
linkProvider National Library of Medicine
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9QwDI_gkAAJIRgfOxgsSEg8dWubpEl4QWNiHLDb0yb2VuWrbNLoHevd_4-d5gpFE6-xG6W2kziJ7R8hb4ui0ry0Ogua2YwrKzPDbJNVKjeF8Cq3DHOH5yfV7Ix_PRfn6cKtS2GVmzUxLtR-4fCOfL-sBDovnPEPy18Zokbh62qC0LhN7sC2L9Gq1eEQ4iG0iCCl4KNg3lUpU-ock8V-0tTesl35vVhYTZWjrSlW8B_W6cnyatHd5IT-G0v51-Z09Ig8TF4lPejN4DG5Fdotcnee3s23yIP-do72SUdPyHewDvrZ_LSXhl6YjoarCO4F3ieF7hE_xVBoNrSvgk37bEma0Gfe08MNBAvwtJ526wi7GLqn5Ozo0-nhLEsQC5kDP2KVlbZUVjQcFNMwXzRKFcFgUTfvvJDOYEUwqTS33GHxOq2CF94o75wtXC4Me0Ym7aIN24SqoIOuGujJVeAl5KbionHOSxG0LvNySrKNdOtlX0mjjs9pEk4gvZhq1EadtDElH1EFAy_WwY4Ni-sfdZpWta-0gbE0jZQGDprMapc3QfrcmYLBGKZkFxVY92IaZnN9UIFjjFegekreRQ6czyhhk9IS4KewMtaIc2fECfPQjcjbaCSbf-nqPxYLX24M52bym4GMnWLYWxsWa-ThXIODWrAped7b2SAPJhjnQgBFjixwJLAxpb28iAXEETIUDtov_j-sXXJvdjo_ro-_nHx7Se6XmPcRg-92yGR1vQ6vwBtb2ddxyv0G6VQxgQ
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lb9QwELZgkSokhKA8ulCokZA4pU1iO7a5oLKwlEcrDlT0FvkVWqlkl2b3_zPjeANBFdfMxHLm4YztmfkIeVkUleal1VnQzGZcWZkZZpusUrkphFe5ZVg7fHxSHZ3yT2fiLOU_dSmtcrMmxoXaLxyekR-UlcDghTN-0KS0iK_v5m-WvzJEkMKb1gSncZPcQpQ57KOvZkO6h9AiApZCvII1WKVMZXRMFgdJa_vLduX3Y5M1VY5-U7Gb_7BmT5aXi-66gPTfvMq_flTze-RuijDpYW8S98mN0G6TreN0h75N7vQndbQvQHpAvoOl0A_mp70w9Nx0NFxGoC-IRCkMj1gqhsJjQ_uO2LSvnKQJieY1nW3gWICn9bRbRwjG0D0kp_P332ZHWYJbyBzEFKustKWyouGgpIb5olGqCAYbvHnnhXQGu4NJpbnlDhvZaRW88EZ552zhcmHYIzJpF23YIVQFHXTVwEiugoghNxUXjXNeiqB1mZdTkm2kWy_7rhp1vFqTsBvpxVSjNuqkjSl5iyoYeLEndnywuPpRJxerfaUNzKVppDSw6WRWu7wJ0ufOFAzmMCV7qMC6F9Pg2fVhBUEyHofqKXkVOdC3UcImlSjAR2GXrBHn7ogTfNKNyDtoJJtv6eo_1gtvbgznevKLgYyDYgpcGxZr5OFcQ7BasCl53NvZIA8mGOdCAEWOLHAksDGlvTiPzcQRPhQ23U_-P609sgXeVn_5ePL5KbldYglIzMPbJZPV1To8g8BsZZ9Hj_sNM0Y1pg
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+Gambia+has+eliminated+trachoma+as+a+public+health+problem%3A+Challenges+and+successes&rft.jtitle=PLoS+neglected+tropical+diseases&rft.au=Aboe%2C+Agatha&rft.au=Joof%2C+Balla+Musa&rft.au=Kanyi%2C+Sarjo+Kebba&rft.au=Hydara%2C+Abba&rft.date=2022-03-01&rft.issn=1935-2735&rft.eissn=1935-2735&rft.volume=16&rft.issue=3&rft.spage=e0010282&rft_id=info:doi/10.1371%2Fjournal.pntd.0010282&rft.externalDBID=n%2Fa&rft.externalDocID=10_1371_journal_pntd_0010282
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1935-2735&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1935-2735&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1935-2735&client=summon