In a heartening achievement for public health, Egypt has successfully eradicated trachoma as a public health concern, joining a small but growing number of countries dedicated to combating neglected tropical diseases. This story showcases the power of unwavering commitment and collaboration among health professionals, governments, and communities, all working towards a common goal of a healthier future for all.
For centuries, Egypt has grappled with trachoma, a disease caused by the Chlamydia trachomatis bacteria, famously known as the leading cause of infectious blindness worldwide. In fact, historical records indicate its presence in Egypt for over 3,000 years.
Efforts to address this challenge date back to the early 20th century. Visionary ophthalmologist Arthur Ferguson MacCallan established Egypt’s first mobile and permanent eye hospitals, paving the way for organized trachoma control globally. Despite these early beginnings, by the 1980s, trachoma was still blinding many adults and affecting over half of children in certain Nile Delta communities.
Fast forward to 2002, when a determined partnership was forged between the Ministry of Health and Population in Egypt and the World Health Organization (WHO). Together, they initiated a comprehensive strategy known as SAFE, which stands for Surgery, Antibiotics, Facial cleanliness, and Environmental improvement. This multifaceted approach aimed to combat the disease at every level.
Between 2015 and 2025, rigorous mapping and continued surveillance across Egypt’s 27 governorates provided promising updates. A notable decline in active trachoma cases among children aged 1 to 9 was recorded, and the worrying complications affecting adults diminished significantly. By 2024, the nation accomplished the remarkable feat of integrating trachoma surveillance into its national electronic disease-reporting system, ensuring swift responses to any future cases.
Dr. Khaled Abdel Ghaffar, Egypt’s Deputy Prime Minister and Minister of Health and Population, expressed immense pride in this accomplishment. “This achievement is a testament to our commitment to equitable healthcare delivery and the transformative impact of initiatives like Haya Karima, which have bolstered access to safe water, sanitation, and primary care in rural areas,” he said. His words resonated deeply, acknowledging the collective effort of health workers, communities, and global partners. Everyone played a role in eradicating this ancient disease.
Egypt now stands as the seventh country in the WHO’s Eastern Mediterranean region to eliminate trachoma as a public health problem. This milestone is a part of a broader narrative of success in battling communicable diseases, where Egypt has previously triumphed over polio, measles, and even malaria.
Dr. Nima Abid, WHO Representative to Egypt, emphasized that Egypt’s achievement not only highlights the possibilities within its borders but serves as an inspiration for other nations facing similar challenges. “It shows the results of political commitment and robust partnerships,” he remarked, encouraging others to look at this victory as a beacon of hope.
While the world celebrates this remarkable achievement, it’s worth noting that trachoma still affects many, particularly in 30 remaining countries. Millions remain at risk of blindness, with a staggering 103 million individuals living in areas endemic to trachoma.
But Egypt’s success serves as proof that progress is possible, even in the most challenging circumstances. Countries like Togo, Papua New Guinea, and Mauritania have also made strides similar to Egypt in the continual fight against disease.
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