Australian Trachoma Surveillance Report 2014

South Australia Results

Page last updated: 30 October 2015

South Australian results - Figures

South Australian results - Tables

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Trachoma program coverage

  • In 2014 SA identified 13 communities in three regions as being at risk of trachoma (Table 3.1).
  • All 13 at-risk communities were screened for trachoma (Table 3.1).
  • In 2014 the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands aggregated nine communities into one single community to simplify surveillance due to small population size of communities and high mobility between communities.
  • SA also screened one not at-risk community in the York and Mid North region.

Screening coverage

  • Population screening coverage of 5-9-year-old children in the 13 at-risk communities screened was 87%, ranging from 85% in the APY Lands to 89% in the Far North region (Table 3.2, Figure 3.4)

Clean face prevalence

  • Clean face prevalence was assessed in all communities that were screened.
  • The overall prevalence of clean faces among 5-9-year-old children in the screened communities was 84%, ranging from 60% in the APY Lands, to 97% in the Far North region (Table 3.2, Figure 3.5).

Trachoma prevalence

  • The prevalence of trachoma in children aged 5-9 years screened was 4%. Prevalence ranged from 1.2% in the Far North region to 9.6% in the APY Lands (Table 3.2, Figure 3.6).
  • No trachoma was reported in 10 communities (Figure 3.7).
  • Endemic levels of trachoma were reported in two communities (Figure 3.7).
  • Non endemic levels of trachoma have been reported for two communities over a period of 5 years which may reclassify these communities as being not at risk for trachoma (Figure 3.8).

Treatment delivery and coverage

  • Trachoma treatment strategies were applied in three communities (Table 3.3).
  • Treatment was delivered to active cases and households in three communities (Table 3.3).
  • The overall treatment coverage in all regions was 98% with 200 doses of azithromycin delivered (Table 3.4).

Trichiasis

  • Screening for trichiasis was undertaken in 13 communities.
  • Overall 1809 adults aged over 15 years were screened.
  • The prevalence of trichiasis in adults aged 15 years and over was 0.7%, and 1% in adults aged 40 years and over.
  • Surgery for trichiasis was reported to be undertaken for 4 adults (Table 3.5).

Health promotion

  • Health promotion activities were reported to have occurred in 14 communities in APY Lands, Eyre and Western, Far North and York and Mid North regions of SA.
  • A total of 30 health promotion activities were reported.
  • The majority of the health promotion activities were delivered to children, teachers, childcare or preschool staff members and care givers (Table 3.6).
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South Australia results - Figures

Figure 3.1 Trachoma prevalence in children aged 5-9 years, number of communities that were screened, treated or both for trachoma and number of at-risk communities, South Australia, 2014

Figure 3.1 is a map of South Australia, divided into the 5 regions, to illustrate the trachoma prevalence in children aged 5 to 9 years. The map indicates between 5% and 10% in the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands, less than 5% in the Far North and the Eyre and Western regions, no trachoma in the Yorke and Mid North, and there was no data collected/no screening/not risk in the South East corner of South Australia.
The map also lists the number of communities per region that were screened and or treated; the remaining number of at-risk communities that did not require screening or treatment; and the percentage of trachoma prevalence in that region.
APY lands screened 1 of 1 at risk community and recorded 9.6% trachoma prevalence. Eyre and Western screened 4 of 4 at-risk communities, and recorded 1.5% trachoma prevalence. Far North screened 8 of 8 at-risk communities, and recorded 1.2% trachoma prevalence rate. Yorke and Mid North screened 1 not at-risk community, and recorded 0% trachoma prevalence.

Figure 3.2 Number of communities at risk, by region, South Australia, 2007-2014

Figure 3.2 is a Line graph illustrating the number of communities at-risk of trachoma for the years 2007 to 2014, by 4 regions (Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western, Far North, and Yorke and Mid North). APY Lands remained consistent at about 10 for the years 2007-2013, decreasing steeply to 1 in 2014. Eyre and Western remained consistent at 23 for the years 2007-2011, decreasing steeply to 6 in 2012, 5 in 2013 and 4 in 2014. Far North remained consistent at 6 for the years 2007-2010, increasing to 13 in 2011, and decreasing to 8 for 2012 to 2014. Yorke and Mid North starts at 29 in 2007, rising to 33 for the years 2008 to 2010, then decreasing to 26 in 2011, 15 in 2012 and to 0 in 2013 and 2014.

APY: Anangu Pitjantjatjara Yankunytjatjara

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Figure 3.3 Number of at-risk communities, by region, according to trachoma control strategy implemented, South Australia, 2014

Figure 3.3 is a Stacked bar graph illustrating the number of at-risk communities that were screened and/or treated under the Trachoma Control Strategy by 4 regions (Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western, Far North, and Yorke and Mid North). APY Lands data indicates that of 1 at-risk community: 1 was screened and treated. Eyre and Western data indicates that of 4 at-risk communities: 3 were screened; and 1 was screened and treated. Far North data indicates that of 8 at-risk communities: 7 were screened; and 1 screened and treated.

APY: Anangu Pitjantjatjara Yankunytjatjara

Figure 3.4 Population screening coverage of children aged 5-9 years in at-risk communities that required screening for trachoma, by region, South Australia, 2014

Figure 3.4 is a Bar graph illustrating coverage by percentage of children aged 5 to 9 years in communities that required screening in Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western and Far North.
APY Lands indicates 85%. Eyre and Western indicates 87%. Far North indicates 89%.

APY: Anangu Pitjantjatjara Yankunytjatjara

Figure 3.5 Proportion of screened children* aged 5-9 years who had a clean face, by region, South Australia, 2007-2014

Figure 3.5 is a Line graph indicating the proportion of screened children aged 5 to 9 years who had a clean face for the years 2007 to 2014 in Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western and Far North. No data was recorded for the Far North in 2009, and for all regions in 2010. APY Lands indicates data a decrease from 78% in 2007 to 53% in 2008, increasing to 89% in 2011 and decreases to 60% in 2014.  Eyre and Western data indicates a decreasing trend from 100% in 2007 to 47% in 2011, followed by a sharp increase to 91%, a dip to 77% in 2013 and an increase to 90% in 2014. Far North data indicates a consistent trend at about 100% from 2007 to 2013 with a slight decrease to 97% in 2014.

* In at-risk communities
APY: Anangu Pitjantjatjara Yankunytjatjara

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Figure 3.6 Trachoma prevalence among children aged 5-9 years in at-risk communities that were screened, by region, South Australia, 2007-2014

Figure 3.6 is a Line graph illustrating the trachoma prevalence in children aged 5 to 9 years in communities that were screened in the years 2007 to 2014 in Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western and Far North. No data was recorded for the Far North in 2009, and for all regions in 2010. APY Lands data indicates 14% in 2007, 3 % in 2008, 15% in 2009, a decrease to 4% in 2012, 11% in 2013 and 9.6% in 2014.  Eyre and Western data indicates 15% in 2007, 1% in 2008, 11% in 2009, 7% in 2011, 1% in 2012, 4.8% in 2013 and 1.5% in 2014. Far North had 0% in years 2007 to 2012, 0.3% in 2013 and 1.2% in 2014.

APY: Anangu Pitjantjatjara Yankunytjatjara

Figure 3.7 Number of at-risk communities according to level of trachoma prevalence in 5-9-year-old children, by region, South Australia, 2014

Figure 3.7 is a Stacked bar graph indicating prevalence in the number of screened at-risk communities by region in Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western and Far North. APY Lands column indicates that of 1 community: 1 had greater than or equal to 10% but less than 20%. Eyre and Western column indicates that of 4 communities: 1 had greater than or equal to 20%; and 3 had no trachoma. Far North column indicates that of 8 communities:  1 had less than 5%; and 7 had no trachoma.

APY: Anangu Pitjantjatjara Yankunytjatjara

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Figure 3.8 At-risk communities according to number of years* of trachoma prevalence under 5%, by region, South Australia, 2014

Figure 3.8 is a Stacked bar graph indicating trachoma prevalence kept under 5% over 5+ years in Eyre and Western and Far North regions.
Eyre and Western column indicates that from a total of 3 communities: 2 communities for 1 year; and 1 community for 5 years.
Far North column indicates that from a total of 8 communities: 1 community for 1 year; 2 communities for 2 years; 4 communities for 4 years; and 1 community for 5 years.

* 5 years with a prevalence below 5% classifies a community as not at risk of trachoma
APY: Anangu Pitjantjatjara Yankunytjatjara

Figure 3.9 Number of doses of azithromycin administered for the treatment of trachoma, by region, South Australia, 2007-2014

Figure 3.9 is a line graph indicating the number of doses of azithromycin administered for the treatment of trachoma in Anangu Pitjantjatjara Yankunytatjara (APY) Lands, Eyre and Western and Far North. No data was recorded for APY Lands, and Eyre and Western in 2010. APY Lands data indicates 12 doses in 2007, 4 in 2008, 13 in 2009, 146 in 2011, 90 in 2012, 93 in 2013 and 178 in 2014.  Eyre and Western data indicates under 10 for 2007 to 2009, 322 in 2011, 22 in 2012, 106 in 2013 and 11 in 2014.  Far North shows 0 in years 2007 to 2012, 4 in 2013 and 11 in 2014.

APY: Anangu Pitjantjatjara Yankunytjatjara

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South Australia results Tables

Table 3.1 Trachoma control delivery, South Australia, 2014
At risk
Not at risk
Number of communities
APY Lands
Eyre and Western
Far North
Total
York and Mid North
* In 2014 APY Lands aggregated 9 communities into one community for presentation data
† Communities treated without screening in 2014 as per guideline instructions

APY: Anangu Pitjantjatjara Yankunytjatjara
At risk* (A)
4
8
13
0
Requiring screening for trachoma (B)
1
4
8
13
0
Screened for trachoma (C)
1
4
8
13
1
Requiring treatment only (D)
0
0
0
0
0
Treated (E)
0
0
0
0
0
Screened and/or treated for trachoma (F = C+E)
1
4
8
13
1
Requiring neither screening or treatment for trachoma (G=A-B-D)
0
0
0
0
0
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Table 3.2 Trachoma screening coverage, trachoma prevalence and clean face prevalence in children, by age group, by region, South Australia, 2014
APY Lands
Eyre and Western
Far North
Total
York and Mid North

*In 2014 APY Lands aggregated 9 communities into one community for presentation of data
† ABS estimate
‡ In communities that were screened for trachoma

APY: Anangu Pitjantjatjara Yankunytjatjara

Number of communities screened
1*
4
8
13
1
Age group (years)
0-4
5-9
10-14
0-14
0-4
5-9
10-14
0-14
0-4
5-9
10-14
0-14
0-4
5-9
10-14
0-14
0-4
5-9
10-14
0-14
Children examined for clean face
0
219
0
219
5
135
57
197
50
327
210
587
55
681
267
1003
0
58
60
118
Children with clean face
..
132
..
132
3
121
51
175
49
316
207
572
52
569
258
879
..
58
60
118
Clean face prevalence (%)
..
60
..
..
60
90
89
89
98
97
99
97
95
84
97
88
..
100
100
100
Estimated number of Aboriginal children in communities
..
258
..
258
114
156
146
416
88
369
283
740
202
783
429
1414
..
85
75
160
Children examined for trachoma
0
219
0
219
5
135
57
197
50
327
210
587
55
681
267
1003
0
58
60
118
Trachoma screening coverage (%)
..
85
..
85
4
87
39
47
57
89
74
79
27
87
62
71
..
68
80
74
Children with active trachoma
..
21
..
21
0
2
0
2
1
4
1
6
1
27
1
29
..
0
0
0
Active Trachoma Prevalence (%)
..
9.6
..
9.6
0.0
1.5
0.0
1.0
2.0
1.2
0.5
1.0
1.8
4.0
0.4
2.9
..
0.0
0.0
0.0
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Table 3.3 Treatment strategies, by region, South Australia, 2014
Number of communities
APY Lands
Eyre and Western
Far North
Yorke and Mid North
Total*
* In 2014 APY Lands aggregated 9 communities into one community for presentation of data, details of the specific number of communities requiring treatment or treated were not supplied

APY: Anangu Pitjantjatjara Yankunytjatjara
Required treatment for trachoma
1*
1
1
0
3
Treated for trachoma
3
1
1
0
3
Screened and treated
1
1
1
0
3
Received treatment only
0
0
0
0
0
Received 6-monthly treatment
0
0
0
0
0
Did not require treatment
0
3
7
0
10
Treated active cases and households
1
1
1
0
3
Treated the whole of community
0
0
0
0
0
Not treated according to CDNA guidelines
0
0
0
0
0
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Table 3.4 Trachoma treatment coverage, by region, South Australia, 2014
APY Lands
Eyre and Western
Far North
Total
APY: Anangu Pitjantjatjara Yankunytjatjara
Age group (years)
0-4
5-9
10-14
15+
All
0-4
5-9
10-14
15+
All
0-4
5-9
10-14
15+
All
0-4
5-9
10-14
15+
All
Active cases requiring treatment
0
21
0
..
21
0
2
3
..
2
1
4
1
..
6
1
27
1
..
29
Active cases who received treatment
0
21
0
..
21
0
2
0
..
2
1
4
1
..
6
1
27
1
..
29
Active cases who received treatment (%)
..
100
..
..
100
..
100
..
..
100
100
100
100
..
100
100
100
100
..
100
Estimated contacts requiring treatment
15
12
25
109
161
1
3
1
4
9
0
0
0
5
5
16
15
26
118
175
Number of contacts who received treatment
15
12
25
105
157
1
3
1
4
9
0
0
0
5
5
16
15
26
114
171
Estimated contacts who received treatment (%)
100
100
100
96
98
100
100
100
100
100
..
..
..
100
100
100
100
100
97
98
Total number of doses of azithromycin delivered
15
33
25
105
178
1
5
1
4
11
1
4
1
5
11
17
42
27
114
200
Estimated overall treatment coverage (%)
100
100
100
96
98
100
100
100
100
100
100
100
100
100
100
100
100
100
97
98
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Table 3.5 Trichiasis screening coverage, prevalence and treatment among Aboriginal adults, by region, South Australia, 2014
APY Lands
Eyre and Western
Far North
Total
* In 2014 APY Lands aggregated 9 communities into one community for presentation of data
† Population estimate linited to trachoma endemic regions and does not take into account changing endemic regions over time and transiency between regions
‡ Number of adults examined limited to numbers reported. This number does not account for adults who may be examined in toutine adualt health checks, and may also include multiple screening
Number of communities screened for trichiasis
1*
4
8
2
Age group (years)
15-39
40+
15-39
40+
15-39
40+
15-39
40+
15+
Estimated population in region
1656
506
1256
454
2172
867
5084
1827
6911
Adults examined
520
433
132
245
65
414
717
1092
1809
With trichiasis (% of adults examined)
1 (0.2)
11(2.5)
0
0
0
0
1 (0.1)
11(1)
12 (0.7)
Offered ophthalmic consultation
1
11
0
0
0
0
1
11
12
Declined ophthalmic consultation
0
0
0
0
0
0
0
0
0
Surgery in past 12 months
1
3
0
0
0
0
1
3
4
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Table 3.6 Health promotion activities, by region, South Australia, 2014
APY Lands
Eyre and Western
Far North
York and Midnorth
Total
* 2-4 times per year
† 5-12 times per year
Number of communities at risk
1
4
8
0
13
Number of communities who reported health promotion activities
1
4
8
1
14
Total number of programs reported
2
10
13
5
30
Methods of Health Promotion
One-on-one discussion
1
2
13
4
20
Presentation to group
1
6
2
5
14
Interactive group session
0
8
0
0
8
Social marketing
0
6
4
0
10
Print material/mass media
0
8
13
5
26
Sporting/community events
0
5
2
0
7
Other
0
0
2
0
2
Target audience
Health professionals/staff
1
4
2
0
7
Children
1
10
13
5
29
Youth
0
10
6
0
16
Teachers/childcare/preschool staff
0
10
13
0
23
Caregivers/parents
1
7
13
5
26
Community members
0
7
7
0
14
Community educators/health promoters
0
8
4
0
12
Interagency members
1
7
3
1
12
Frequency of health promotion activities
Once
0
0
0
0
0
Occasional*
1
3
11
5
20
Regular
1
2
1
0
4
Ongoing/routine
0
5
1
0
6
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