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Helen Keller International Launches Cataract Program in Senegal

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New York, April 28, 2005 – In collaboration with the Ministry of Health and the National Blindness Prevention Program, Helen Keller International (HKI) launched a new cataract program last week in Ziguinchor (Casamance), Senegal. 

Cataract is the clouding of the normally clear lens in the eye and leads to the progressive decline of visual acuity and a parallel decline in the functional and social activity of the individual.

Cataract develops as a result of aging, trauma, diabetes, or heredity, and in 99% of cases, is linked to the aging of the lens.  While the cause of cataract is unknown, it can be effectively treated by surgery. 

The goal of HKI’s three-year program is to reduce cataract blindness in the Ziguinchor region and to develop a model for improving cataract surgery services that can be adopted by other health regions in Senegal.

Cataract is the number one cause of blindness worldwide and accounts for 50% of all blind adults.  An estimated 18 million people are blind from cataract, and 100 million are in need of a cataract operation to restore full sight. 

According to the World Bank, one year of premature blindness is equivalent to one year of premature death when measuring the amount of healthy life lost.  Unfortunately, observations in sub-Saharan Africa indicate that this underestimates the real toll of blindness, as sighted children are almost invariably removed from school to act as guides for blind adults.  Not only are the blind adults unable to participate in the workforce, but the children who guide them are also denied the education that will enable them to make future contributions to their communities.

Although Senegal boasts a well-developed health system and a solid pool of human resources in ophthalmology, the distribution of these resources is uneven, with the majority of ophthalmologists in the capital of Dakar.  In the southern region of Ziguinchor, with a population of 538,000, approximately 1,730 people are in need of sight-restoring cataract surgery – but only 531 people received it in 2002.

Supported by the United States Agency for International Development (USAID), HKI’s new program seeks to increase awareness of and demand for cataract surgeries, access to eye health services, and the ability of the health system to deliver quality surgeries at minimal cost.

For Mr. Shawn Baker, HKI Vice President and Regional Director for Africa, the program’s strength is its triangular approach: reinforcement of the regional health structure and social and political mobilization to support the right to sight of the visually impaired.  “Our approach is intended to support the Senegalese ministry in establishing measures to promote eye health in general and the accessibility of cataract surgery in particular,” said Mr. Baker.  In line with VISION 2020, a global initiative developed by the World Health Organization and other agencies to eliminate avoidable blindness by the year 2020, the program advocates for the right to sight and for the awareness of cataract blindness as a public health problem. 

From left to right: Mr. Shawn Baker, HKI Vice President and Regional Director for Africa; Mr. Gilbert Kadimpeul, newly appointed cataract surgeon in the first secondary eye health center in the region; Mr. Oumar Samba Ba, Deputy Governor of Ziguinchor; Dr. Boubacar Sarr, National Coordinator of the National Blindness Prevention Program; and Dr. Gaye, ophthamologist in the Ziguinchor regional hospital.