The World Health Organization developed the SAFE strategy to eliminate trachoma; Surgery to correct the in-turned eye lashes that rub on the eye and lead to blindness, Antibiotics to reduce level of infection, promotion of Facial Cleanliness to stop transmission, and Environmental Improvements in water and sanitation for supporting good hygiene. 
The antibiotic treatment, Azithromycin, is making definite progress. It is given every 6 to 12 months to all household members or everybody in the community. This brings down the level of infection, but without stopping the possibility of transmission, trachoma will bounce back and this is why keeping every child’s face clean is so important. The essential and sustainable strategy comes back to clean faces, and having safe and functional bathrooms and washing facilities. Improved hygiene will also help to reduce other common, but very serious infections in remote Indigenous communities.
