Trachoma was one of the health problems in the aftermath of the Second World War, requiring international control efforts. During the 1950s, WHO developed an extensive field research programme. The achievements were impressive. We learnt the invaluable lesson that success depended on our ability to accompany medical intervention with an emphasis on social development. We see the consequences even today.
Trachoma is still around, but now as a disease mainly in areas of severe poverty.
This is the way to future successful elimination of blinding trachoma. We have since learned a lot about what it takes to make a lasting success. The concept of primary health care underscores that it takes more than a disease control campaign to achieve lasting change. The community must be the driving force in achieving health, in terms of awareness, motivation, and support to health care delivery. Today we have gained more knowledge, not only about the major global causes of blindness, but also about the socio-economic and other consequences of disability.