Tackling trachoma in Ethiopia: a World Water Week update

One of the biggest challenges Orbis faces is in tackling trachoma, a bacterial eye infection and one of the leading causes of preventable blindness worldwide. If left untreated, trachoma develops into trachomatous triachiasis, which turns the eyelids inwards, meaning eyelashes scrape the eyeball, causing permanent scarring to the cornea.

44% of the world’s trachoma is found in Ethiopia. Almost 70 million people in Ethiopia live in areas needing mass drug administration and other interventions to address trachoma infections. Nearly 75% of surgeries for trachomatous trichiasis (a 20 minute routine operation) are carried out there.

During World Water Week, we’re focusing on this painful disease, which thrives in places with poor sanitation and limited access to clean water for personal hygiene - trachoma is caused by bacteria spread through contact with eye discharge from an infected person.

Orbis follows the World Health Organisation (WHO)’s ‘SAFE’ strategy (Surgery, Antibiotics, Facial cleanliness and Environmental improvement) for trachoma elimination, focusing on ‘S’ and ‘A’. Our overall work in Ethiopia is Orbis’s largest portfolio of comprehensive eye care programmes, including training, governance and health system strengthening, ranging from urban hospitals to rural eye care clinics.

In the 21 years that we have been working in Ethiopia, Orbis and our partners have distributed 44.5m doses of antibiotics to prevent and treat trachoma, and Orbis-supported facilities have carried out nearly 140,500 trachoma surgeries.

But we don’t simply provide treatments and surgeries – we make sure that we’re fighting trachoma at every level. Education is key, and Orbis shares messages about eye health and hygiene in the community through school eye care clubs and women’s groups.

Over two decades, Orbis’s work has expanded due to the generous support of donors and partners, including the Department for International Development, the Ethiopian Federal Ministry of Health and the Ophthalmological Society of Ethiopia, as well as many international and local partners.

Update as of July 2019

We're delighted to announce that trachoma, a terrible blinding condition, has decreased by 91% in endemic areas!

Dr. Danny Haddad, Orbis Chief of Programs, said: “We are thrilled to learn that the number of people living in areas endemic for trachoma has decreased by 91% since 2002 thanks to the enormous, collaborative efforts of partners who have helped make this possible. We are determined to step up our efforts in Ethiopia, doing our part to free the SNNPR region of this blinding scourge, and aim to reach over 10 million people this year alone. With 142 million people still at risk from trachoma globally, we must continue to innovate and collaborate with the eye health community to finally consign this painful and blinding disease to the history bin.”