Americas make strides in eliminating trachoma blindness

Countries in the Americas have made important strides in their fight against trachoma over the past two years. Trachoma is the leading cause of infectious blindness across the globe. This effort is part of the Initiative for the Elimination of Trachoma in the Americas, which is led by the Pan American Health Organization (PAHO) and works closely with Canada. Trachoma is caused by bacteria called Chlamydia trachomatis. It spreads through contact with eye and nose secretions from infected people. The disease mostly affects rural regions in Brazil, Colombia, Guatemala, and Peru, putting around 5.6 million people at risk. Women and children are particularly vulnerable. Since 2023, countries have been using the SAFE strategy recommended by the World Health Organization. This strategy includes surgeries to prevent blindness, distributing antibiotics, promoting facial cleanliness, and improving environmental conditions. Efforts have also expanded to include nations thought to have trachoma, such as Bolivia, Ecuador, El Salvador, Haiti, and Venezuela. Mexico has already eliminated trachoma as a public health issue in 2017 and continues to work on preventing its return. Surveillance is a key part of this initiative. It helps identify areas with ongoing trachoma issues and confirms where it is not present. Surveys have been conducted in Brazil and Venezuela to assess the disease's spread and to inform future actions. In Bolivia, Ecuador, Guatemala, and El Salvador, assessments in high-risk areas are determining the need for further surveys. In remote communities, over 4,300 people have been examined, and many health services, including surgeries, have been provided. Training local health workers has also been a focus. Programs in several countries have combined theory and practice to equip health personnel in providing surgeries and managing disease control. Efforts are being made to ensure access to clean water and sanitation, which are vital for preventing trachoma. PAHO has been gathering data on these conditions to help plan interventions aimed at improving services and reducing disease risk. Trachoma is one of more than 30 diseases that PAHO aims to eliminate by 2030 through its Elimination Initiative.