I’ve been reading this good epidemiolgical study released in 2018.
It focuses on reforming the education system with a focus on Asia, essentially ground zero of this epidemic. Got a whole bunch of really good data.
published location: https://pubmed.ncbi.nlm.nih.gov/28951126/
Accepted PDF manuscript: https://openresearch-repository.anu.edu.au/bitstream/1885/139488/1/1-s2.0-S1350946217300393-main.pdf
Obviously EMers will know a bunch more stuff than what’s covered in this paper but what I found particularly intersting is the idea of educational reform to prevent myopia. Many of these initiative have already started to take place WITH good results. Taiwan and China for example has already had promising reductions in myopia rates in test schools.
“These two school-based clinical trials (one in Guangzhou, China and the other in Kaohsiung, Taiwan) have shown that this approach can produce reductions of 25-50% in cases of incident myopia”
Their reccomendations to halt the myopia epidemic. Help the KEEEEEDDS. (As jake would say)
In a nutshell:
1. Reform of myopigenic education systems - i.e. asia is the worst with a focus on nearwork, repetitive study and memorisation with little to know active or outdoor focused education.
2. Increase time outdoors - self explanatory
3. Pharmacological and optic interventions - This bit is underwealming with a stardard ortho-k and atrophine drops stuff. But they do touch on myopic defocus which is where EM would step in.
4. A systematic school-based approach - A way to measure and monitor myopia prevention in schools for more scientific rigor.
Enjoy and thoughts!