Trachoma eliminated in Timor-Leste.

The elimination of Trachoma, a transmissible Bacterial disease which is thew world's leading infectious cause of blindness, in Timor-Leste (East Timor) has been confirmed by the World Health Organization, according to a press release issued on 3 September 2026. This conformation also marks the elimination of Trachoma across the Southeast Asia Region, with all other countries in that region either having previously eliminated the disease or never having suffered from it. The conformation is therefore a significant step on the way to the World Health Organization's goal of eliminating the disease worldwide by 2030.

The flag of Timor-Leste. Isabel Nolasco/Wikimedia Commons.

The announcement is the result of a campaign of screening which began on Atauro Island in 2015, and which has been rolled out to every region of the country. In 2025, a total of 4949 children aged 0-5 in all 13 municipalities of Timor-Leste did not find a single case of Trachoma, leading to the conclusion that the disease had been eliminated. The country does, however, plan to continue to monitor for Trachoma, and retain the ability to treat the disease.

Trachoma is caused by the Bacterium Chlamydia trachomatis, and spread through contact with mucus emitted from the eyes and nose during infection, and can be spread by Flies. Infections are most common among children, and the disease can spread rapidly in overcrowded environments, particularly where sanitation is poor and access to clean water is limited. The Bacterium infects the inside of the eyelid, causing a roughening which can in turn lead to damage to the surface of the eye. Eventually the disease can lead to the eyelids turning inwards, blinding the patient. Infections are generally fought off fairly quickly, particularly in adults, but having been infected does not offer protection against future infections, and the damage caused by each infection is cumulative. Chlamydia trachomatis is vulnerable to the antibiotics azithromycin and tetracycline.

McCoy cell monolayer micrograph reveals a number of intracellular Chlamydia trachomatis inclusion bodies; Magnified 200 times. The intracellular inclusion body represents the replication phase of the Chlamydia spp. organisms, whereupon, the reorganised reticulate body multiplies through binary fission into 100-500 new reticulate bodies, which mature into elementary bodies. Eugene Arum/Norman Jacobs/Centers for Disease Control and Prevention/Wikimedia Commons.

Timor-Leste is the 33rd country to eliminate Trachoma as a public health risk, with the other countries being Algeria, Australia, Benin, Burundi, Cambodia, China, Egypt, El Salvador, Fiji, The Gambia, Ghana, India, Iraq, Iran, Laos, Libya, Malawi, Mali, Mauritania, Mexico, Morocco, Myanmar, Nepal, Oman, Pakistan, Papua New Guinea, Saudi Arabia, Senegal, Togo, Tunisia, Vanuatu and Vietnam. Trachoma is one of twenty Neglected Tropical Diseases identified by the World Health Organization's Road Map for Neglected Tropical Diseases 2021–2030, with 68 countries now having eliminated at least one of these diseases. 

See also...