Tunisia validated by WHO as having eliminated trachoma as a public health problem

The World Health Organization (WHO) has validated Tunisia as having eliminated trachoma as a public health problem. This is a major milestone in the country’s public health journey, coming after decades of sustained national effort. “I congratulate Tunisia on this historic public health achievement,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Eliminating trachoma shows what long-term political commitment, strong primary health care and teamwork can do. Tunisia has proven that even the world’s leading infectious cause of blindness can be overcome." Trachoma is closely linked to limited access to water, sanitation and hygiene, and hits vulnerable populations hardest. In the early to mid-20th century, trachoma was endemic in Tunisia, affecting at least half of the population, especially in its southern regions.  "I congratulate Tunisia on the elimination of trachoma as a public health problem. This is a major achievement that reflects sustained and consistent national commitment over many years and shows what is possible when a country remains focused on addressing preventable causes of blindness," said WHO Regional Director for the Eastern Mediterranean Dr Hanan Balkhy. For decades, Tunisia ran a comprehensive and sustained response to trachoma that turned a once-heavy health burden into a success story. The country adopted and scaled up the WHO-recommended SAFE strategy: Surgery for advanced cases, Antibiotics to clear infection, Facial cleanliness to reduce spread, and Environmental improvement, particularly better access to water and sanitation. Tunisia also ran nationwide screening and treatment campaigns, integrated eye care into primary care and school health programmes, and worked with communities to promote good hygiene. “Validation marks a historic achievement for Tunisia and reflects our country’s long-standing commitment to public health, prevention and equity,” said Dr Mustapha Ferjani, Minister of Health of Tunisia. “This milestone is the result of decades of coordinated national efforts, with the dedication of generations of health-care professionals, local communities who worked tirelessly to expand access to care, strengthen prevention and improve eye health across the country. Tunisia remains committed to sustaining these gains and protecting future generations.” Tunisia’s achievement followed a long campaign led by the Ministry of Health, supported by WHO and partners, anchored in strong public health policies and social development. Strong health system foundations, including wide access to primary health care and significant progress in water and sanitation coverage, helped reduce transmission and push disease prevalence down. A robust post-validation surveillance system is now in place to detect any return of disease at an early stage.