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Gallery|Health

Faces of women with trachoma

Doctors in Ethiopia walk from village to village to help eradicate eye disease that can lead to permanent blindness.

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Shashetu, 25, was in agony every day with trachoma before getting medical treatment. Both her children were carrying the infection. [Michael Amendolia/The Fred Hollows Foundation]
By Michael Amendolia
Published On 23 Mar 201523 Mar 2015
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Oromia Province, Ethiopia – Ethiopia is facing a health crisis, with 800,000 people at risk of becoming permanently blind from the infectious eye disease trachoma, if they do not receive eye surgery urgently.

Another 76 million people live in areas where they are in danger of becoming infected. This is the epicentre of the trachoma scourge with the highest infection rates in the world.

Trachoma is one of the world’s oldest diseases which has become a modern affliction as well. Over years or decades, repeated infections make the eyelid curl inwards. As the eyelashes scratch the surface of the eye, the damage slowly leads to blindness. Without medical care, the impairment can be irreversible.


Life cycle: Trachoma – The infectious eye disease can be cured in its early stages yet many are blinded by it.


Trachoma affects overwhelmingly more women than men because it is often carried by young children, who reinfect their mothers, sisters, aunts and grandmothers.

Dr Wondu Alemayehu, a world-renowned Ethiopian eye surgeon, is working with international development NGO The Fred Hollows Foundation to eradicate blinding trachoma in Ethiopia.

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“It’s heartbreaking. Mothers, who are the pillars of their families in Ethiopia, are shouldering the burden of this crisis,” Dr Wondu told Al Jazeera.

“We must urgently provide more antibiotics, more mobile surgical teams, and better access to clean water and sanitation. I’ve spent 30 years fighting trachoma and I hate this disease so much.”

Brian Doolan, chief executive of The Fred Hollows Foundation, said trachoma is known as the “quiet disease” because it destroys eyesight very slowly.

“This is not a typical emergency, it’s not a war or a natural disaster, but it could still have a devastating impact on millions of people.”


The End is in Sight – What is causing hundreds of thousands of people to go blind in Ethiopia?


 

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Trachoma is a slow, agonising path to blindness. Infected people often carry tweezers to pluck out their eyelashes, in a desperate attempt to ease the pain. [Michael Amendolia/The Fred Hollows Foundation]
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Medical teams from The Fred Hollows Foundation travel on foot to reach isolated villages, carrying a loudspeaker to announce their arrival. [Michael Amendolia/The Fred Hollows Foundation]
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Dr Wondu is working to eradicate trachoma in Ethiopia by travelling from village to village and offering free treatment. [Michael Amendolia/The Fred Hollows Foundation]
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With the arrival of free of charge medical care, those infected queue up for an eye examination for trachoma or other eye conditions such as cataracts and receive treatment. [Michael Amendolia/The Fred Hollows Foundation]
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For the past six years, Azmera, 25, has been in constant pain with trachoma. 'I thought I was going to go blind one day,' said Azmera who can see again after surgery. 'I will now work and live my life and I can take care of my kids better.' Usually trachoma attacks the upper eyelid, but in Azmera’s case it was a rare infection in the lower lid. [Michael Amendolia/The Fred Hollows Foundation]
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Women wait for an eye doctor at the mobile clinic set up by the surgical team in a remote village in Oromia province. Trachoma affects more women than men. [Michael Amendolia/The Fred Hollows Foundation]
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Trachoma can infect the eyes of anyone -young and old. [Michael Amendolia/The Fred Hollows Foundation]
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Women in many parts of rural Ethiopia often live with trachoma while caring for children in crowded, smoky huts, as well as helping in the fields. [Daniel Jesus Vignolli/The Fred Hollows Foundation]
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Shashetu finally has trachoma eye surgery, performed by 23-year-old Kebede Sheberu, who was trained by The Fred Hollows Foundation. [Michael Amendolia/The Fred Hollows Foundation]
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Shashetu returns home, free of pain and no longer facing the risk of losing her sight permanently. 'This is a special smile and to put a price on it is impossible,' said Dr Wondu. [Michael Amendolia/The Fred Hollows Foundation]


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