Children's right to sight
BMJ 2003; 327 doi: https://doi.org/10.1136/sbmj.0312454 (Published 01 December 2003) Cite this as: BMJ 2003;327:0312454- Clare Gilbert, senior lecturer1,
- Haroon Awan, country representative2
- 1International Centre for Eye Health, Clinical Research Unit, London School of Hygiene and Tropical Medicine, London
- 2Sight Savers International, House No 2, Street 10, F-7/3, Islamabad, Pakistan
Blindness in childhood is a priority of Vision 2020, a global initiative for the elimination of avoidable blindness (www.v2020.org), even though the worldwide total of 45 million blind people includes only 1.4 million blind children.12 But blind children have a lifetime of blindness ahead, which affects their opportunities for education, employment, and earning. Blindness that starts early in life adversely affects psychomotor, social, and emotional development. And blind children have a higher death rate than their sighted counterparts.
An estimated 500 000 children become blind each year, but, in developing countries, up to 60% are thought to die within a year of becoming blind.2 Almost half of all blindness in children--particularly those in the poorest communities--is due to avoidable causes that are amenable to cost effective interventions.3
Causes in developing countries
Blindness is more common in developing countries firstly because potentially blinding conditions such as vitamin A deficiency, harmful traditional eye remedies, or cerebral malaria are prevalent; these do not occur in affluent societies. Secondly, preventive measures for conditions that have been controlled elsewhere, such as measles, congenital rubella, or ophthalmia neonatorum, …
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