Australia is the only high income country where trachoma is endemic. It occurs primarily in remote and very remote Aboriginal communities in the Northern Territory (NT), South Australia (SA) and Western Australia (WA). In 2008, cases were also found in New South Wales (NSW) and Queensland (Qld), where trachoma was believed to have been eliminated. In 2009, the Australian Government invested in the Closing the Gap - Improving Eye and Ear Health Services for Indigenous Australians measure which included committing $16 million over a 4-year period towards eliminating trachoma in Australia. The funding is for improving and expanding screening and control activities, as well as establishing a strong framework for monitoring and evaluation. As a result, an increased level of funding was provided to NT, SA and WA for trachoma control activities from 1 July 2010 and to Qld and NSW in 2012.
The surveillance and management of trachoma is guided by the Communicable Disease Network of Australia (CDNA) 2006 Guidelines for the public health management of trachoma in Australia. This document was developed in the context of the WHO SAFE strategy and makes recommendations for improving data collection, collation and reporting systems.