Libya's Triumph Over Trachoma: A Public Health Milestone
In a remarkable achievement, Libya has been validated by the World Health Organization (WHO) as having eliminated trachoma as a public health problem, marking a significant milestone in the fight against neglected tropical diseases in the Eastern Mediterranean Region. This victory is a testament to the country's unwavering commitment to safeguarding the health of its citizens and the power of coordinated global efforts.
Trachoma, a disease that has plagued Libya for over a century, has been a persistent challenge, particularly in the southern regions. However, through dedicated efforts and collaboration, Libya has achieved a breakthrough that will protect future generations from preventable blindness.
A Century-Old Battle: Trachoma's history in Libya dates back to the early 20th century, with high prevalence rates reported across the country, especially in the south. The early 1970s and 1980s saw initial attempts by the Ministry of Health to control the disease, followed by a period of health system strengthening.
Elimination Efforts: In 2017, the Ministry of Health prioritized trachoma elimination as part of the National Prevention of Blindness Programme, with support from WHO, Sightsavers, the International Trachoma Initiative, and Tropical Data. New surveys in 2022 revealed that active trachoma and trichiasis (a condition linked to trachoma) had fallen below WHO's elimination thresholds in most areas, except for trichiasis in Wadi Al Hayaa/Ghat, which prompted a successful surgery campaign.
Overcoming Adversity: Libya's success is even more remarkable considering the years of political instability and humanitarian crises. These challenges strained health services, displaced populations, and increased the demand for essential services. Despite these obstacles, the national trachoma elimination programme excelled in surveillance, surgical care access, capacity building, and collaboration with local and international partners.
A Collective Triumph: Dr. Mohamed Al-Ghoj, Acting Minister of Health, expressed pride in Libya's achievement, attributing it to the dedication of health workers and communities. Dr. Ahmed Zouiten, WHO Representative in Libya, emphasized the collective effort, stating that the collaboration between the Ministry of Health and WHO teams has led to this public health triumph.
Global Impact: Trachoma, caused by the bacterium Chlamydia trachomatis, spreads through contact with infected eye discharge. Repeated infections can lead to trichiasis, a condition causing inward-turning eyelashes that scratch the eyeball, potentially resulting in blindness. While Libya's achievement is a significant step, trachoma remains endemic in many vulnerable communities globally, with limited access to water and sanitation.
Neglected Tropical Diseases: Trachoma is one of the 21 neglected tropical diseases affecting over a billion people worldwide, primarily in impoverished tropical areas. The 2021-2030 roadmap set public health targets for controlling, eliminating, and eradicating these diseases. In 2025 alone, nine countries were validated by WHO for achieving these targets, and Libya's success brings the total to 59 countries globally that have eliminated at least one neglected tropical disease.
