AIM: To investigate the incidence of trachoma in children aged 1 to 9y in Hainan Province and determine high-risk trachoma endemic and non-endemic areas in Hainan, and thus provide evidence for developing trachoma control and prevention therapy.

METHODS:The areas of investigation were chosen on the basis of past literatures, expert interviews and survey on the spot. In 2013, Hainan Provincial Office of Blindness Prevention carried out the survey in 7 counties including Dongfang City, Wuzhishan City, Ledong County, Baisha County, Baoting County, Lingao County and Changjiang County. In these districts, 356 pupils including 192 boys and 164 girls were examined, their age ranging from 1 to 9 and their average age being 7 years old. The targeted students received the trachoma rapid assessment by the adoption of simplified trachoma classification system which was recommended by the World Health Organization.

RESULTS: No case of active trachoma was found among the 356 students.

CONCLUSION:The prevalence rate of trachoma in children under 9 years is less than 5% in Hainan Province. Active trachoma is not a public health issue in Hainan Province.