A global strategy to eliminate blinding trachoma

1. A global strategy to eliminate blinding trachoma

2. We Can Eliminate Trachoma

3. What is trachoma? • Trachoma is the leading cause of preventable blindness worldwide • Mainly affects the poorest areas of the world • Bacterial infection that leads to chronic eye inflammation • Re-infection, scarring and trauma to cornea eventually lead to blindness • Typically, children are infected at an early age and develop vision loss and blindness later in life trachomacoalition.org 2020 INSight

4. What is trachoma? • Every 4 minutes, 1 person experiences severe sight loss; every hour, 4 people become blind • WHO defines blinding trachoma elimination as: • TF prevalence <5% in 1-9 year old children • TT prevalence <1 per 1000 in total population trachomacoalition.org 2020 INSight

5. What is “2020 INSight”?

6. What is “2020 INSight”? • Outline of this strategic plan is structured around four questions: • Where are we? • Where do we want to go? • How do we get there? • What is the cost of eliminating trachoma? trachomacoalition.org 2020 INSight

7. Where are we?

8. Where are we? • 110 million people need treatment in confirmed endemic areas • 210 million more live in areas where trachoma is suspected • Trachoma is suspected to be endemic in 59 countries • 24% of these countries carry 80% of the burden • Using WHO-endorsed SAFE strategy to eliminate trachoma • Surgery, Antibiotics, Facial cleanliness, Environmental improvements • Progress is significant- 9 countries have achieved their UIG • Strong spirit of collaboration among trachoma control programs trachomacoalition.org 2020 INSight

9. Where are we?SAFE Strategy trachomacoalition.org 2020 INSight

10. Where are we? TrachomaCoalition.org trachomacoalition.org 2020 INSight

11. Where are we? TrachomaAtlas.org trachomacoalition.org 2020 INSight

12. Where do we want to go?

13. Where do we want to go? Model for surgery scale-up Model for antibiotics scale-up trachomacoalition.org 2020 INSight

14. How do we get there?

15. How do we get there? Guiding principles of elimination plan: • Urgent need for action • Aim for fastest possible timeline in each district and focus on high-burden countries • Accountable ownership • Countries lead their own elimination process • Integration of trachoma-focused efforts • With other NTDs, Vision 2020, F & E initiatives • Efficient, coordinated partnerships • Tailored local interventions trachomacoalition.org 2020 INSight

16. How do we get there? Milestones to 2020 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Country strategy in place in sync with NTD plans -- high burden countries 50% 100% Assessment complete -- high burden countries 50% 75% 100% Country strategy in place in sync with NTD plans -- other 50% 100% Planning and Funding Assessment complete -- other countries 50% 75% 100% % of countries with impact surveys done 50% 100% % of countries with post-endemic surveillance plan 35% 50% 100% % of surgery backlog addressed 50% 75% 100% % of population in mapped districts with A-started 50% 100% Interventions 50% 100% % of mapped districts with F interventions % of mapped districts with E interventions 50% 100% % of countries having reached UIGs in all districts 35% 50% 100% Certification % of countries having reached certification 35% 50% trachomacoalition.org 2020 INSight

17. What is the cost of elimination?

18. What is the cost of elimination? • Economic burden of trachoma  $3-6 billion in annual productivity loss • Estimated cost of elimination  $430 million for confirmed burden trachomacoalition.org 2020 INSight

19. The challenge for the coming years is large, but with the incredible momentum created through our partnerships, together, we can reach our shared goals. Thank You! www.trachoma.org www.trachomaatlas.org www.trachomacoalition.org trachomacoalition.org 2020 INSight