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[Strategies to control trachoma].

Epidemiological data for trachoma in Mali have suggested a number of ways in which blindness caused by trachoma could be prevented or cured: improvements in domestic and urban environments (e.g. sanitation), the provision of household water supplies, improvements in personal hygiene (through health education to promote the washing of children's faces), mass administration of local (tetracycline) or general (azithromycin) antibiotics and eyelid surgery using the method of Trabut. A cost-benefit analysis was performed for antibiotic distribution and eyelid surgery. Such a study is required to assess the value of environmental improvements and the provision of water supplies. Improvements in personal hygiene and environment are the only effective ways to reduce the incidence of trachoma, but eyelid surgery should be developed to prevent the blindness caused by trachoma.