(1) In addition, diarrhoea and diseases such as scabies, conjunctivitis, and trachoma are associated with poor hygiene and result from a breakdown in sanitation if water resources become depleted.(2) In Gambia the prevalence of the chlamydial disease trachoma in villages with frequent spraying to reduce flies is significantly lower than in villages without spraying.(3) The biggest health problems are tuberculosis, venereal diseases, malaria, trachoma , typhoid fever, and dysentery.(4) Other diseases include hepatitis, trachoma , and tuberculosis.(5) I saw the Chlamydial eye disease trachoma in the poor of Glasgow and lymphogranuloma in soldiers from a military hospital STD clinic in 1940 before the cause was known.(6) The distribution of abnormal eyelashes by the severity of trachomatous trichiasis is given in Table 3.(7) A total of 708 eyes with moderate trachomatous entropion and major trichiasis underwent this surgery, but only 508 of these were followed up during a 6-month period.(8) About 7.6 million people have trachomatous trichiasis, the blinding stage of this infectious disease.(9) There was no significant difference between the mycotic flora of the active and healed trachomatous cases.(10) Management of trachomatous cicatricial entropion of the upper eye lid presents a difficult problem.