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Journal of Tropical Pediatrics Advance Access originally published online on August 14, 2007
Journal of Tropical Pediatrics 2007 53(5):308-312; doi:10.1093/tropej/fmm039
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© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Relationship between Trachoma and Chronic and Acute Malnutrition in Children in Rural Ethiopia

Andrew G. Smitha, Aimee T. Bromanb, Wondu Alemayehuc, Beatriz E. Munozb, Sheila K. Westb and Emily W. Gowerb

aDepartment of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT
bDana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, and
cORBIS International, Addis Ababa, Ethiopia

Correspondence: Emily W. Gower, PhD, 600 N. Wolfe Street, 116 Wilmer Building, Baltimore, MD 21287, USA. E-mail: < gower{at}jhmi.edu>.


  Abstract

Trachoma is the leading infectious cause of blindness in the world. Areas where it is most prevalent also have some of the highest rates of childhood malnutrition. We examined the relationship between both acute and chronic malnutrition and clinical trachoma. We also explored whether malnutrition alters the clinical manifestations of the disease. Children with chronic malnutrition, but not acute malnutrition, were more likely to have clinical trachoma. Stunted children are 1.96 times more likely to have clinical trachoma than nonstunted children (95% CI: 1.12–3.43), even after controlling for age, gender and infection status of other household members. Host factors including malnutrition may play a role in determining disease manifestations.


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