<prompt> Mass treatment with azithromycin is indicated if prevalence of follicular trachomatous inflammation TF In 1-9 years population is more than:46810  <response>: Ans. d. 10 Ref: Park 23e p308; WHO Trachoma Control: A guide for programme managers, 2006; p21-22Mass treatment with azithromycin is indicated if prevalence of follicular trachomatous inflammation TF in 1-9 year population is more than 10.TrachomaCausative agent: Chlamydia trachomatis immune types A, B, CSexually transmitted C. trachomatis serotypes D, E, F, G, H, I, J, K may cause a milder infection Inclusion conjunctivitisIncubation period: 5-12 daysQMode of transmission:Direct or indirect contact with ocular discharges or fomitesQEye seeking fliesQVenereal transmissionQCharacteristic Features:MC infected age group: 2-5 years aged childrenCommunicability: Trachoma is a disease of low infectivityReservoir of infection: Children with active disease, chronically infected older children and adultsPredisposing factors: Direct sunlight, dust, smoke and irritants such as kajal or surmaField diagnosis of Trachoma:At least 2 of following diagnostic criteria in children 0-10 years ageQFollicles on upper tarsal conjunctivaLimbal follicles or their sequelae Herberts PitsQConjunctival scarring Trichiasis, EntropionVascular pannusWHO Classification of TrachomaTIF Trachomatous Inflammation FollicularTII Trachomatous Inflammation Intense Presence of 5 large follicles on upper tarsal conjunctivaQ Obscuration of 50 of deep tarsal vessels of upper tarsal conjunctivaTreatment:Treatment of choke for Trachoma: Azithromycin 20 mg kg oral statQCurrent WHO Recommendations for Antibiotic Treatment of TrachomaDistrict level prevalence 10 in 1-9 years old children Mass treatment with AzithromycinQDistrict level prevalence 5-10 in 1-9 years old children Targeted treatment with Azithromycin the identification and treatment of all members of any family in whom one or more members have follicular trachomaDistrict level prevalence 5 in 1-9 years old children Azithromycin distribution may not be necessaryMass Treatment for TrachomaIndication of mass treatment in Trachoma: 10 prevalence of severe and moderate Trachoma in children 10 years of age New Guidelines-WHOQTreatment: 1 tetracycline ointment BD for 5 consecutive days each month or OD for 10 days each month for 6 consecutive months, or for 60 consecutive daysQSAFE StrategyQ WHOSurgery: for Trichiasis and EntropionQAntibiotic use: Azithromycin is drug of choiceFacial cleanlinessEnvironmental improvementQ 