Countries across the Americas are making steady progress toward eliminating trachoma as a public health problem, according to the Pan American Health Organization (PAHO), which reviewed regional results during the third year of its elimination initiative. The update was shared following a virtual meeting held on 27–28 May 2026 with participation from 11 countries.
The initiative is a joint effort between PAHO and the Government of Canada and focuses on eliminating trachoma through the WHO-recommended SAFE strategy, which combines surgery, antibiotics, facial cleanliness, and environmental improvements. The programme is part of a wider regional goal to eliminate more than 30 communicable diseases by 2030.
Participating countries include Bolivia, Brazil, Colombia, Ecuador, El Salvador, Guatemala, Guyana, Mexico, Panama, Paraguay, and Venezuela. These countries reported progress in surveillance, field assessments, and integrated health interventions aimed at reaching remote and underserved communities.
A key achievement highlighted by PAHO is the expansion of epidemiological surveys and monitoring activities that provide updated data on disease prevalence and transmission patterns. These data are helping governments better target interventions and measure progress toward elimination goals.
Countries also reported integrating trachoma control activities with other health services. In many outreach campaigns, communities are receiving combined services such as eye care, vaccinations, nutrition support, and hygiene promotion during a single visit, improving efficiency and coverage in hard-to-reach areas.
The initiative also places strong emphasis on community participation, gender considerations, and culturally adapted approaches. Health authorities have worked with Indigenous communities to develop tailored education materials and strengthen trust between health systems and local populations.
Despite progress, challenges remain, particularly in expanding access to clean water, improving sanitation infrastructure, and maintaining consistent surveillance in remote regions. These factors are critical components of the SAFE strategy, especially the “F” and “E” pillars focused on facial cleanliness and environmental improvement.
Looking ahead, countries plan to strengthen implementation of the SAFE strategy, expand water and sanitation interventions, and compile the necessary evidence for formal validation of elimination status. Communication and community engagement are also being prioritized to sustain political commitment and public awareness.
Trachoma remains one of the leading infectious causes of blindness globally, but sustained multi-country efforts in the Americas are bringing the region closer to elimination by 2030, supported by coordinated public health strategies and international partnerships.
