Evidence map›Paper›PMID 21673038›Full record

ArticleThe Journal of infectious diseases2011

Number of years of annual mass treatment with azithromycin needed to control trachoma in hyper-endemic communities in Tanzania.

Sheila K West, Beatriz Munoz, Harran Mkocha, Charlotte A Gaydos, Thomas C Quinn

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trachoma.Lancet (London, England) · 2025
    Review
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  14. Toward the Elimination of Disease: the 2019 Weisenfeld Award Lecture.Investigative ophthalmology & visual science · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Sheila K WestDepartment of Opthalmology, Dana Center for Preventive Ophthalmology, Johns Hopkins Medical Institutions, Baltimore, MD, USA. shwest@jhmi.edu
Beatriz Munoz
Harran Mkocha
Charlotte A Gaydos
Thomas C Quinn
Johns Hopkins University · US

Funding

Immunopathogenesis Of Chlamydia trachomatis InfectionZIAAI000358 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI QUINN, THOMAS · 2009 to 2022
$7.0M
Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI HAO, LINGXIN · 2003 to 2017
$5.1M
Yearly Mass Treatment C. Trachomatis: When Can We Stop?R01EY016429 · NEI · JOHNS HOPKINS UNIVERSITY · PI WEST, SHEILA K · 2006 to 2008
$1.2M
Intramural NIH HHS ZIA AI000358NEI NIH HHS EY16429NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

backgroundThe World Health Organization recommends mass treatment as part of a trachoma control strategy. However, scant empirical data from hyperendemic communities exist on the number of rounds of treatment needed to reach a goal of <5% prevalence in children. We determined the prevalence of trachoma and infection with Chlamydia trachomatis in communities after 3-7 years of annual mass treatment in Tanzania.

methodsSeventy-one communities with trachoma and annual azithromycin coverage data were enrolled. A cross-sectional survey of ≥100 randomly selected children aged <5 years in each community was performed. Children were examined for clinical trachoma, and swab samples were taken for determination of ocular C. trachomatis infection.

resultsAfter 3 years of mass treatment, the prevalence of trachoma decreased in a linear fashion with number of years of mass treatment, whereas decreased prevalences of C. trachomatis infection were related to the extent of the previous year's azithromycin coverage. Our model suggests that, for communities with baseline trachoma prevalence of 50% and annual treatment coverage of 75%, >7 years of annual mass treatment will be needed to reach a prevalence of trachoma of <5%.

conclusionsCountry programs in trachoma-endemic regions must realistically expect that several years of annual mass treatment may be necessary to eliminate trachoma.

Indexed as

Endemic DiseasesAnti-Bacterial AgentsAzithromycinChild, PreschoolChlamydia trachomatisCross-Sectional StudiesDrug TherapyDrug UtilizationFemaleHumansInfantInfant, NewbornMalePrevalenceTanzaniaTime FactorsAnti-Bacterial AgentsAzithromycin

Identifiers

PMID21673038
PMCPMC3114471
OpenAlexW2126819253

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.