Skip to main content
padlock icon - secure page this page is secure

Free Content Distance to water source and altitude in relation to active trachoma in Rombo district, Tanzania

Download Article:
(PDF 350.7 kb)
Summary Objectives 

To investigate the relationship between distance to water source, altitude and active trachoma in children in Rombo district, Tanzania. Methods 

In each of Rombo's 64 villages, 10 balozis (groups of 8–40 households) were selected at random and all resident children aged 1–9 years were examined for clinical signs of active trachoma. The households of these children and village water sources were mapped using differentially corrected global positioning system data to determine each household's altitude and distance to the nearest water supply. Results 

We examined 12 415 children and diagnosed 1171 cases of active trachoma (weighted prevalence = 9.1%, 95% CI: 8.0, 10.2%). Active trachoma prevalence ranged from 0% to 33.7% across villages. Increasing distance to the nearest water source was significantly associated with rising trachoma prevalence (age-adjusted odds ratio for infection (OR) for highest quartile compared to lowest = 3.56, 95% CI 2.47, 5.14, P for trend <0.0001). Altitude was significantly inversely associated with trachoma prevalence (age-adjusted OR for highest quartile compared to lowest = 0.55, 95% CI 0.41, 0.75, P for trend <0.0001). These associations remained significant after adjustment in multivariate analysis. Conclusions 

Trachoma is endemic in Rombo district, although the prevalence varies considerably between villages. Spatial mapping is a useful method for analysing risk factors for active trachoma.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: Tanzania; altitude; survey; trachoma; water

Document Type: Research Article

Affiliations: 1: Modelling Unit, Department of Statistics, Modelling and Bioinformatics, Centre for Infections, Health Protection Agency, London, UK 2: Department of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK 3: Huruma Hospital, Rombo District, Tanzania 4: Kilimanjaro Centre for Community Ophthalmology, Kilimanjaro Christian Medical Centre, Tumaini University, Moshi, Tanzania

Publication date: February 1, 2006

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more