Trachoma

Context:

Recently, Government of India reached a great milestone by eliminating Trachoma as a public health problem.

  • India became the third country in the South-East Asia Region to achieve this milestone.
  • Due to the impact of Trachoma (through blindness and visual impairment), an estimated economic loss of $2.9 to 5.3 billion is accounted annually, owing to reduced productivity.

Relevance:

GS-02 (Health)

About Trachoma:

  • Trachoma is a bacterial infection that affects the eyes.
  • It is caused by the bacterium Chlamydia Trachomatis.
  • Trachoma is contagious, spreading through contact with the eyes, eyelids, nose or throat secretions of infected people, if left untreated it causes irreversible blindness.
  • It is found in underprivileged communities living in poor environmental conditions.
  • It was amongst the leading cause of blindness in the country during 1950-60.
  • The Government of India launched the National Trachoma Control Program in 1963 and later on Trachoma control efforts were integrated into Indiaโ€™s National Program for Control of Blindness (NPCB).

WHO’s stand:

  • WHO has termed Trachoma as a neglected tropical disease.
  • WHO estimates suggest that 150 million people worldwide are affected by Trachoma and 6 million of them are blind or at risk of visually disabling complications.
  • WHO SAFE (adoption of surgery, antibiotics, facial hygiene, environmental cleanliness etc)strategy was implemented throughout the country.
  • Finally, after years of fighting against Trachoma, WHO declared that India has eliminated Trachoma as a public health problem

Economic and Social Significance of Trachoma Elimination

  • Reducing trachoma prevalence is considered more of an economic and social victory.
  • Trachoma-induced blindness meant lost productivity, draining resources and limiting community growth.
  • As infections declined, productivity and economic potential for affected communities surged.
  • This transformation can help break cycles of poverty when coupled alongside supportive government initiatives.
  • With trachoma under control, communities are better positioned to thrive, both economically and in terms of quality of life.

Way forward:

  • Eliminating trachoma as a public health problem doesnโ€™t mean eradication, and thereโ€™s a risk of resurgence. Hence, continuous surveillance, adherence to the SAFE strategy, and improvements in sanitation are essential.
  • The WHO recommends regular national surveys to detect any new cases.
  • Indiaโ€™s success in controlling trachoma should also encourage similar efforts against other diseases like kala-azar and tuberculosis.

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