Conclusions & Recommendations
25.3.4 - Next steps for Zithromax® decision-making in districts with persistent (Category 1) & recrudescent (Category 2) trachoma
Conclusion/Recommendation:
TEC recommends that ITI Management track Category 1 & 2 requests, TEC allocation decisions in those districts, and lessons learned as this new TEC guidance is implemented
Action:
This is ongoing.
TEC 25
2021
alternative treatment strategies, persistence, recommendations for ITI management, Zithromax® donation criteria
25.4.1 - Future TEC Meetings
Conclusion/Recommendation:
TEC 26: March 29-31, 2022 in London, UK – This meeting will focus on reconsidering TEC decisions for 2022 in Category 1 & 2 districts. Participants will include TEC, implementing partners and donors and program managers in countries with 2022 Applications in Category 1 & 2 districts that would like to propose a different strategy
Action:
No action required
TEC 25
2021
TEC meeting management
25.4.2 - Future TEC Meetings
Conclusion/Recommendation:
TEC 27: June 13 – 16, 2022 in Atlanta, GA, USA – an extra day has been added to allow more discussion time for Category 1 & 2 district decision-making.
Action:
No action required
TEC 25
2021
TEC meeting management
25.4.3 - Future TEC Meetings
Conclusion/Recommendation:
TEC 28: November 15 – 17, 2022 in Cape Town, South Africa – suggested agenda items include:
- Reviewing data from co-administration trials
- Updates from REACH trials (particularly Côte d’Ivoire, ideally including participation by the national program coordinator)
- A focus on Antimicrobial Resistance (AMR) monitoring and how it may affect communication between TEC members and partners
Action:
No action required
TEC 25
2021
TEC meeting management
24.1.1 - General Recommendations
Conclusion/Recommendation:
Include district-level data on infection, where available, to provide a more complete picture of trachoma in these areas (using publicly-available data and/or with permission from the MOH/researchers)
Action:
A new column to track this has been added to the TEMFs and publicly-available data is included in the Notes column on the Zithromax® Applications
TEC 24
2021
alternative indicators (Ct, serology), TEC meeting management
24.1.2 - General Recommendations
Conclusion/Recommendation:
include Zithromax® requests for research as rows on the applications (e.g., REACH; Stronger SAFE; KETFO)
Action:
A research request form has been added to the surgery request form to track these requests with greater detail
TEC 24
2021
TEC meeting management, research
24.1.3 - General Recommendations
Conclusion/Recommendation:
include regional prevalence maps in the TEC book, behind each regional tab, so that the cross-border situation can be taken into account when reviewing applications
Action:
These regional prevalence maps will be included beginning TEC 27
TEC 24
2021
TEC meeting management, COVID
24.1.4 - General Recommendations
Conclusion/Recommendation:
add the definition of coverage to the ‘cheat sheet’
Action:
The definition of Zithromax® coverage has been edited and is included on the TEC cheat sheet
TEC 24
2021
TEC meeting management, coverage
24.1.5 - General Recommendations
Conclusion/Recommendation:
add more details regarding requests for Zithromax® post-TT surgery (funders and implementing partners)
Action:
This information is being collected in the 2023 Zithromax® for TT-Surgery application form.
TEC 24
2021
TEC meeting management, trichiasis
24.10.1 - Peru
Conclusion/Recommendation:
TEC notes that despite several consecutive years of approving the Zithromax® request, MDA has not yet started. TEC recommends that ITI continue to monitor this situation closely and follow-up to ensure the MOU is signed.
Action:
ITI presented on these challenges in September 2021 during the PAHO Americas meetings and continues to discuss the challenges with PAHO and the MOH in Peru. ITI and PAHO hope that an agreement to ship Zithromax® via PAHO will replace the highly bureaucratic MOU process, which has been stalled for several years.
TEC 24
2021
Americas
Peru
recommendations for ITI management