Jean-François Schémann|Doulaye Sacko|Denis Malvy|G Momo|Lassina Traoré|Omar Boré|Sidi Coulibaly|Albert Agro Banou
Risk factors for trachoma in Mali
Institut du Sahel|Mali-Folkecenter|University of Bordeaux|Institut du Sahel|Institut du Sahel
prior commencing campaign eliminate blinding trachoma mali national disease prevalence survey conducted march 1996 june 1997 prevalence trachoma estimated potential risk factors studiedin malis seven regions excluding capital bamako sample 30 clusters taken general population accordance principle probability proportional size community children 10 years age examined simplified clinical coding system proposed world health organization used position village established subsequently related nearest meteorological station socioeconomic environmental information collected village household level mother caretaker child questioned availability use water washing child time examination facial cleanliness presence flies face noteda total 15187 children 10 years age examined prevalence active trachoma follicular tf intense trachoma ti 349 95 ci 323376 prevalence ti 42 95 ci 3550 aridityenvironmental dryness appears risk factor influencing current geographical distribution trachoma small villages considerably higher trachoma prevalence larger neighbours proximity medical centre existence social organizations womens association associated lower levels trachoma crowded living conditions increased risk using monetary marker wealth observed linear inverse relation wealth trachoma prevalence presence dirty face strongly associated trachoma odds ratio 367 presence flies childs face 362 trachoma prevalence increased distance water source disease prevalence decreased higher frequency face washing bathingof risk factors examined facial cleanliness strongest association prevalence trachoma followed presence flies childs face face washing bathing showed beneficial effects socioeconomic factors wealth significantly explanatory likely hygiene education fly control environmental improvement could significant impact prevalence trachoma mali