Mass Drug Administration for Trachoma: How Long Is Not Long Enough?
Publication Date
March 23, 2015
Journal
PLOS Neglected Tropical Diseases
Authors
Violeta Jimenez, Huub C. Gelderblom, Rebecca Mann Flueckiger, Paul M. Emerson, et al
Volume
9
Issue
3
Pages
e0003610
DOI
https://dx.plos.org/10.1371/journal.pntd.0003610
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0003610
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/25799168
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370651
Europe PMC
http://europepmc.org/abstract/MED/25799168
Web of Science
000352199400073
Scopus
84928800018
Mendeley
http://www.mendeley.com/research/mass-drug-administration-trachoma-long-not-long-enough-2
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Mendeley | Further Information

{"title"=>"Mass Drug Administration for Trachoma: How Long Is Not Long Enough?", "type"=>"journal", "authors"=>[{"first_name"=>"Violeta", "last_name"=>"Jimenez", "scopus_author_id"=>"56612999500"}, {"first_name"=>"Huub C.", "last_name"=>"Gelderblom", "scopus_author_id"=>"7006631988"}, {"first_name"=>"Rebecca", "last_name"=>"Mann Flueckiger", "scopus_author_id"=>"56176740300"}, {"first_name"=>"Paul M.", "last_name"=>"Emerson", "scopus_author_id"=>"7006957525"}, {"first_name"=>"Danny", "last_name"=>"Haddad", "scopus_author_id"=>"36637420600"}], "year"=>2015, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"sgr"=>"84928800018", "doi"=>"10.1371/journal.pntd.0003610", "pui"=>"604101491", "pmid"=>"25799168", "scopus"=>"2-s2.0-84928800018", "issn"=>"19352735", "isbn"=>"1935-2735"}, "id"=>"2a0b9c11-793d-366d-a604-3ddbfdd8089b", "abstract"=>"BACKGROUND: Blinding trachoma is targeted for elimination by 2020 using the SAFE strategy (Surgery, Antibiotics, Facial cleanliness, and Environmental improvements). Annual mass drug administration (MDA) with azithromycin is a cornerstone of this strategy. If baseline prevalence of clinical signs of trachomatous inflammation - follicular among 1-9 year-olds (TF1-9) is ≥ 10% but <30%, the World Health Organization guidelines are for at least 3 annual MDAs; if ≥ 30%, 5. We assessed the likelihood of achieving the global elimination target of TF1-9 <5% at 3 and 5 year evaluations using program reports.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: We used the International Trachoma Initiative's prevalence and treatment database. Of 283 cross-sectional survey pairs with baseline and follow-up data, MDA was conducted in 170 districts. Linear and logistic regression modeling was applied to these to investigate the effect of MDA on baseline prevalence. Reduction to <5% was less likely, though not impossible, at higher baseline TF1-9 prevalences. Increased number of annual MDAs, as well as no skipped MDAs, were significant predictors of reduced TF1-9 at follow-up. The probability of achieving the <5% target was <50% for areas with ≥ 30% TF1-9 prevalence at baseline, even with 7 or more continuous annual MDAs.\\n\\nCONCLUSIONS: Number of annual MDAs alone appears insufficient to predict program progress; more information on the effects of baseline prevalence, coverage, and underlying environmental and hygienic conditions is needed. Programs should not skip MDAs, and at prevalences >30%, 7 or more annual MDAs may be required to achieve the target. There are five years left before the 2020 deadline to eliminate blinding trachoma. Low endemic settings are poised to succeed in their elimination goals. However, newly-identified high prevalence districts warrant immediate inclusion in the global program. Intensified application of the SAFE strategy is needed in order to guarantee blinding trachoma elimination by 2020.", "link"=>"http://www.mendeley.com/research/mass-drug-administration-trachoma-long-not-long-enough-2", "reader_count"=>25, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>1, "Researcher"=>8, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>8, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1}, "reader_count_by_user_role"=>{"Professor > Associate Professor"=>1, "Researcher"=>8, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>2, "Student > Master"=>8, "Other"=>1, "Student > Bachelor"=>1, "Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>12, "Agricultural and Biological Sciences"=>6, "Philosophy"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>12}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>6}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Environmental Science"=>{"Environmental Science"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "group_count"=>2}

Scopus | Further Information

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Figshare

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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