Trachoma impact surveys were carried out in four endemic evaluation units (EUs) of Darfur region, Sudan. These surveys showed results below elimination thresholds.
The conclusions of the study were that no further MDA should be conducted in these four EUs for the next two years, at which point they should be re-surveyed to determine whether the prevalence of trachomatous inflammation-follicular (TF) in one to nine year olds has remained <5%. Active trachomatous trichiasis (TT) case finding is also not indicated.
Environmental improvement and promotion of facial cleanliness measures should continue to be implemented to prevent disease recrudescence.