National Trachoma Surveillance and Reporting Unit Trachoma Surveillance Report 2008 ACKNOWLEDGEMENTS
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NATIONAL TRACHOMA SURVEILLANCE AND REPORTING UNIT TRACHOMA SURVEILLANCE REPORT 2008 AUGUST 2009 Prepared by Ms Betty Tellis Ms Kathy Fotis Mr Ross Dunn Professor Jill Keeffe Professor Hugh Taylor Centre for Eye Research Australia, University of Melbourne National Trachoma Surveillance and Reporting Unit Trachoma Surveillance Report 2008 ACKNOWLEDGEMENTS The National Trachoma Surveillance and Reporting Unit’s third Surveillance Report 2008 was compiled using data collected and/or reported by the following organisations and departments. STATE AND TERRITORY CONTRIBUTIONS NORTHERN TERRITORY • Australian Government Emergency Intervention (AGEI) • Aboriginal Community Controlled Health Services (ACCHS) • Centre for Disease Control, Northern Territory Department of Health and Families, Northern Territory • Healthy School Age Kids (HSAK) program: Top End • HSAK: Central Australia SOUTH AUSTRALIA • Aboriginal Health Council of South Australia, Eye Health and Chronic Disease Specialist Support Program (EH&CDSSP) • Country Health South Australia • Ceduna/Koonibba Health Service • Nganampa Health Council • Oak Valley (Maralinga Tjarutja) Health Service • Pika Wiya Health Service • Tullawon Health Service • Umoona Tjutagku Health Service WESTERN AUSTRALIA • Communicable Diseases Control Directorate, Department of Health, Western Australia • Population Health Units and Aboriginal Community Controlled Health Services staff in the Goldfields, Kimberley, Midwest and Pilbara regions OTHER CONTRIBUTIONS ANTIBIOTIC RESISTANCE • Institute of Medical Veterinary Science (IMVS) • Northern Territory Government Pathology Service (NTGPS) • Western Diagnostics Pathology Service (WDPS) The National Indigenous Eye Health Survey (NIEHS) data were collected by the Centre for Eye Research Australia. The National Trachoma Surveillance Reference Group ( Table F.1, page 157) provided input into the development of the report. i National Trachoma Surveillance and Reporting Unit Trachoma Surveillance Report 2008 CONTENTS ACKNOWLEDGEMENTS....................................................................................................................... I CONTENTS........................................................................................................................................... II LIST OF TABLES................................................................................................................................. IV LIST OF FIGURES .............................................................................................................................. XII DEFINITIONS.....................................................................................................................................XIV ABBREVIATIONS ..............................................................................................................................XVI EXECUTIVE SUMMARY ..................................................................................................................XVIII INTRODUCTION ................................................................................................................................... 1 METHODS............................................................................................................................................. 3 1. DATA COLLECTION ................................................................................................................. 3 Antibiotic resistance ................................................................................................................ 4 2. SCREENING.............................................................................................................................. 5 Northern Territory.................................................................................................................... 5 South Australia........................................................................................................................ 5 Western Australia.................................................................................................................... 6 3. DATA ANALYSIS AND REPORTING........................................................................................ 6 RESULTS.............................................................................................................................................. 9 1. NATIONAL OVERVIEW............................................................................................................. 9 2. NORTHERN TERRITORY ....................................................................................................... 15 Screening for active trachoma ............................................................................................... 18 Treatment.............................................................................................................................. 23 Comparison of 2006, 2007 and 2008 active trachoma data................................................... 24 Trichiasis............................................................................................................................... 25 Trachoma control activities.................................................................................................... 26 3. SOUTH AUSTRALIA............................................................................................................... 27 Screening for active trachoma ............................................................................................... 30 Comparison of 2006, 2007 and 2008 active trachoma data................................................... 36 Trichiasis............................................................................................................................... 37 Trachoma control activities.................................................................................................... 38 ii National Trachoma Surveillance and Reporting Unit Trachoma Surveillance Report 2008 4. WESTERN AUSTRALIA.......................................................................................................... 39 Screening for active trachoma ............................................................................................... 42 Treatment.............................................................................................................................. 45 Comparison of 2006, 2007 and 2008 active trachoma data................................................... 46 Trichiasis............................................................................................................................... 47 Trachoma control activities.................................................................................................... 48 5. ANTIBIOTIC RESISTANCE..................................................................................................... 49 DISCUSSION ...................................................................................................................................... 53 REFERENCES .................................................................................................................................... 57 APPENDICES ..................................................................................................................................... 59 A. NORTHERN TERRITORY COMMUNITY LEVEL DATA BY REGION..................................... 61 I. ALICE SPRINGS REMOTE............................................................................................. 61 II. BARKLY .......................................................................................................................... 70 III. DARWIN RURAL............................................................................................................. 76 IV. EAST ARNHEM............................................................................................................... 83 V. KATHERINE.................................................................................................................... 88 B. SOUTH AUSTRALIA COMMUNITY LEVEL DATA BY REGION ............................................ 95 I. CEDUNA/KOONIBBA...................................................................................................... 98 II. NGANAMPA.................................................................................................................. 101 III. OAK VALLEY (MARALINGA TJARUTJA)...................................................................... 104 IV. PIKA WIYA.................................................................................................................... 106 V. TULLAWON .................................................................................................................. 109 VI. UMOONA TJUTAGKU................................................................................................... 111 C. WESTERN AUSTRALIA COMMUNITY LEVEL DATA BY REGION ..................................... 115 I. GOLDFIELDS................................................................................................................ 115 II. KIMBERLEY.................................................................................................................. 123 III. MIDWEST ..................................................................................................................... 132 IV. PILBARA ......................................................................................................................