Data Resource Profile: Global Trachoma Serology Data Repository
Trachoma, a neglected tropical disease, is caused by repeated infection with the bacterium Chlamydia trachomatis (Ct) and is the most common infectious cause of blindness [1].Trachoma is targeted for global elimination as a public health problem by the year 2030; by 19 May 2025, 23 countries had been validated by the World Health Organization (WHO) as having eliminated trachoma as a public health problem [2].Surveillance of trachoma has traditionally relied on measurement of the clinical signs trachomatous inflammation-follicular (TF) and trachomatous trichiasis (TT) [3].Country health ministries are encouraged to share point prevalence data of TF and TT with the open-access Trachoma Atlas (https://www.trachomaatlas.org/)and, for countries in the WHO's Africa region, the ESPEN (Expanded Special Project for Elimination of Neglected Tropical Diseases) portal (https://espen.afro.who.int/)[4].This is one example of trachoma prevalence data sharing.At low levels of transmission and after antibiotic mass drug administration, TF is an imperfect marker of Ct transmission.Serological testing-the detection of specific antibodies in blood-is an approach that is under consideration to monitor programmatic recrudescence (the return of active trachoma infection), including in post-validation surveillance.Serology is central to pathogen surveillance and the inference of infection history [5] and, in trachoma, monitoring transmission by incorporating dried blood samples into standard trachoma surveys has proven useful in supporting programs as populations approach elimination [6][7][8][9][10].We set out to map the trajectory of trachoma to elimination through the analysis of population-level antibody Key Features The Global Trachoma Serology Data Repository includes harmonized survey data with individual-level data on immunoglobulin G (IgG) antibodies to Pgp3 and CT694 Chlamydia trachomatis antigens, created to support operational research on the use of serosurveillance for the trachoma elimination endgame. The repository is unique in its scale: >60 000 anonymized individual records collected from children (1-9 years old) in 48 surveys in 15 countries, between 2012 and 2023, and across a range of trachoma endemicity from high-transmission settings to post-elimination. Featured variables include age, year of survey, geography (country, region, and/or district), and whether or not antibiotic mass drug administration was done prior to the survey.Individual-level records are linked to their sampling cluster, which is fundamental for population-level analyses. The repository also contains accompanying data for clinical signs of trachoma and nucleic acid amplification test-based measures of ocular C. trachomatis infection, which, together with IgG measurements, enable a more comprehensive understanding of trachoma epidemiology.
Authors
- Diana L. Martin (ORCID: https://orcid.org/0000-0001-9417-5562)
- Catherine E. Oldenburg (ORCID: https://orcid.org/0000-0002-0763-399X)
- Ahmed M. Arzika (ORCID: https://orcid.org/0000-0001-7022-282X)
- Laura Senyonjo (ORCID: https://orcid.org/0000-0002-4533-3162)
- Benjamin F. Arnold (ORCID: https://orcid.org/0000-0001-6105-7295)
- Andrés G. Lescano (ORCID: https://orcid.org/0000-0001-9779-633X)
- Pearl Anne Ante-Testard (ORCID: https://orcid.org/0000-0002-3416-0817)
- Kristen Aiemjoy (ORCID: https://orcid.org/0000-0003-1886-2699)
- Adisu Abebe Dawed
- Sarjo Kanyi
- Scott D. Nash (ORCID: https://orcid.org/0000-0001-5741-8537)
- Fasihah Taleo
- Michael Masika
- Zeinab Abdalla
- Emma Michele Harding-Esch (ORCID: https://orcid.org/0000-0002-1432-8109)
- Eshetu Sata
- Robert Ko
- Mabula Kasubi (ORCID: https://orcid.org/0000-0001-8303-7295)
- Amir Bedri Kello (ORCID: https://orcid.org/0000-0003-0150-9186)
- E. Brook Goodhew
- John M. Nesemann (ORCID: https://orcid.org/0000-0002-9948-6498)
- Jaouad Hammou (ORCID: https://orcid.org/0000-0001-7535-7520)
- Dorothy Yeboah‐Manu (ORCID: https://orcid.org/0000-0002-1663-6287)
- CHRIS J. DRAKELEY (ORCID: https://orcid.org/0000-0003-4863-075X)
- Kwamy Togbey (ORCID: https://orcid.org/0000-0002-2243-4788)
- Kimberly Fornace (ORCID: https://orcid.org/0000-0002-5484-241X)
- Rabebe Tekeraoi
- Seth Blumberg (ORCID: https://orcid.org/0000-0001-5495-4238)
- Timothy William (ORCID: https://orcid.org/0000-0002-2195-6736)
- Benjamin Marfo
- Dionna M. Wittberg (ORCID: https://orcid.org/0000-0002-9887-5993)
- Fikre Seife (ORCID: https://orcid.org/0000-0001-7417-3877)
- Katherine Gass (ORCID: https://orcid.org/0000-0002-2084-8039)
- David Chaima (ORCID: https://orcid.org/0000-0002-5480-7542)
- Ansumana Sillah
- Marcel S Awoussi
- Ramatou Maliki
- Solomon Aragie (ORCID: https://orcid.org/0000-0003-4967-9627)
- Oliver Sokana (ORCID: https://orcid.org/0000-0002-3567-6305)
- Patrick J. Lammie (ORCID: https://orcid.org/0000-0002-2139-6564)
- E. Kelly Callahan (ORCID: https://orcid.org/0000-0002-4057-9411)
- Robert Butcher (ORCID: https://orcid.org/0000-0003-0435-2655)
- Tàye Zeru (ORCID: https://orcid.org/0000-0003-0736-2955)
- Anthony W. Solomon (ORCID: https://orcid.org/0000-0001-7101-6649)
- Chrissy h. Roberts (ORCID: https://orcid.org/0000-0003-1064-5980)
- Jeremy D. Keenan (ORCID: https://orcid.org/0000-0002-7118-1457)
- Sarah Gwyn (ORCID: https://orcid.org/0000-0002-1856-3165)
- Thomas M. Lietman (ORCID: https://orcid.org/0000-0001-8216-0240)
- Belgesa E Elshafie
- Stephanie J Migchelsen (ORCID: https://orcid.org/0000-0003-2049-9040)
- Everlyn Kamau (ORCID: https://orcid.org/0000-0003-4285-2255)
- Kristen K. Renneker (ORCID: https://orcid.org/0000-0001-8036-4776)
- Nishanth Parameswaran (ORCID: https://orcid.org/0000-0001-6807-7264)
- Robin L. Bailey (ORCID: https://orcid.org/0000-0002-8770-1680)
- Martha Idalí Saboyá-Díaz (ORCID: https://orcid.org/0000-0003-4324-9618)
- Sheila K. West (ORCID: https://orcid.org/0000-0003-0818-8100)
- Beido Nassirou
- Ariktha Srivathsan
- Zerihun Tadesse
- Prudence Rymil
- Boubacar Kadri
- PJ Hooper
- Emma Michelle Taylor
- Abdou Amza
- Mohammed Youbi
- Khumbo Kalua
- Karana Wickens (ORCID: https://orcid.org/0000-0003-1437-4321)
- Abou-Bakr Sidik Domingo
- Willie Pomat
- Harran Mkocha
- Julianna Colado
Institutions
- Carter Center (US)
- University of California, San Francisco (US)
- San Francisco Foundation (US)
- San Francisco Department of Public Health (US)
- Berkeley Public Health Division (US)
- Global Brain Health Institute (US)
- Division of Parasitic Diseases and Malaria (US)
- University of California, Berkeley (US)
Publication Details
- Journal
- International Journal of Epidemiology
- Published
- 2025-10-14
- DOI
- https://doi.org/10.1093/ije/dyaf183
- Citations
- 2
- Primary Topic
- Reproductive tract infections research
- Type
- article
- Field-Weighted Citation Impact
- 2.37
Funders
- World Health Organization
- Carter Center
- Bundesministerium für Gesundheit
- University of Ghana
- Amhara Regional Health Bureau
- National Institutes of Health
- Centers for Disease Control and Prevention
- Noguchi Memorial Institute for Medical Research, University of Ghana
- National Institute of Allergy and Infectious Diseases