TB SITUATION IN ERITREA

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TB SITUATION IN ERITREA
Tesfai Solomon PROVINCIAL HEALTH OFFICER GASH-BA
RKA

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(No Transcript)
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Demographic Data

• Total population 3,500,000
• 65 agriculturists
• 20 pasturalists
• 16 urban dwellers
• Average Growth Rate 3
• Per Capita Income US 200

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Health Indicators

• Infant Mortality Rate 135/1000
• Life expectancy 46 yrs
• Maternal Mortality Rate 985/100,000
• Immunization

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Health Services in Eritrea
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Health Personnel

• Physician/population ratio 119,366
• Nurse/population ratio 15,248
• Nurse assistant/population ratio 13,656

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Notification of TB in Eritrea1996-1999
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TB Burden

• The annual risk of infection is estimated 2-3
  of the population
  
• TB accounts for 3.87 cases for all
  hospitalizations
  
• It is the third leading cause of death (8.35)
• The main reasons for increase in TB are emergence
  of AIDS and treatment failure

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TB Treatment

• Up to 1991 TB was treated in TB centers and
  sanatorium
  
• Since 1992 TB program has been integrated and is
  being treated in all health centers and
  hospitals
  
• Conventional TB treatment has not been regulated
  and variation were common in TB treatment
  
• In 1998 MOH started DOTS as a Pilot in one zone

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Future outlook

• Current war with Ethiopia - displaced 200,000
  people which obviously will be favorable for the
  spread of TB
  
• Sustainability of the program--TB is being
  treated fee of charge--but resources??
  
• Poverty--poor living conditions will adversely
  affect the TB situation in Eritrea

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Future outlook contd..

• Current AIDS epidemic will increase the incidence
  of TB ( out of 100 TB patients 40 are HIV
  positive)
  
• MDR TB is a threat due to poor compliance and
  irregular drug supplies
  
• Only one hospital can do TB culture
• Help is needed NOW!