Benin and Mali Eliminate Trachoma

May 17, 2023

Trachoma, a debilitating eye infection caused by the bacterium Chlamydia trachomatis, has been a longstanding public health concern in numerous countries worldwide. Recently, Benin and Mali have successfully eliminated trachoma as a public health problem.

Trachoma Elimination in West Africa

Benin and Mali, two West African countries, have emerged as trailblazers in the fight against trachoma. Through rigorous efforts and the implementation of WHO’s recommended strategies, these nations have eradicated trachoma as a public health problem.

The SAFE Strategy

To combat trachoma effectively, the WHO promotes the implementation of the SAFE strategy, consisting of four essential steps. The acronym SAFE stands for:

Surgery: Timely surgical interventions are crucial to treat late trachoma complications and prevent irreversible blindness.
Antibiotics: The administration of antibiotics plays a vital role in clearing trachoma infections and preventing its spread.
Facial Cleanliness: Promoting proper facial hygiene practices, particularly among children, helps reduce the transmission of trachoma.
Environmental Improvement: Improving access to water and sanitation is paramount in reducing trachoma transmission rates.

Trachoma Transmission and Impact

Trachoma spreads through the direct or indirect transfer of eye and nose discharges, primarily from infected individuals, especially young children who serve as a reservoir for the bacterium. Flies can also contribute to the spread of these discharges. As of June 2022, approximately 125 million people live in trachoma-endemic areas, putting them at risk of trachoma-related blindness.

Remaining Challenges in the WHO African Region

While Benin and Mali celebrate their successes, it is essential to recognize that trachoma remains endemic in 23 countries within the WHO African Region. The persistent presence of trachoma necessitates continued efforts to achieve the elimination target outlined in the neglected tropical diseases roadmap for 2021-2030.

Global Validation for Trachoma Elimination

Globally, 15 countries, including Ghana, Gambia, Togo, and Malawi, have received WHO validation for successfully eliminating trachoma. These countries have demonstrated the effectiveness of comprehensive strategies and the importance of sustained commitment to public health initiatives.

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