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Dr. Ali Ahmed Ba-Omer, Epidemiologist, Directorate General of Health Affairs Ministry of Health

Dr. Ali Ahmed Ba-Omer, Epidemiologist, Directorate General of Health Affairs Ministry of Health. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001. SULTANATE OF OMAN.

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Dr. Ali Ahmed Ba-Omer, Epidemiologist, Directorate General of Health Affairs Ministry of Health

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  1. Dr. Ali Ahmed Ba-Omer,Epidemiologist, Directorate General of Health Affairs Ministry of Health Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 SULTANATE OF OMAN

  2. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 ·Background ·The National Tuberculosis Control Program was launched 1981. ·The program has achieved remarkable success. ·The introduction of DOTS from January 1996. ·The regional component of TBCP was strengthened. ·    The TB elimination initiative luanched in 1997 and the targets were set as under: 1.Cure rate > 90%, Incidence rate 5/100,000 by 1999 2.Cure rate > 90%, Incidence rate 3/100,000 by 2005 3.Cure rate > 90%, Incidence rate 1 or < 1/100,000 by 2010 SULTANATE OF OMAN

  3. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 • Study Rationale • A national team in 1998/99 visited a number of health institution in Oman to assess the weaknesses and strengths of tuberculosis surveillance. • Following are some of the significant observations from the report:- • The incidence of tuberculosis is not uniform throughout the country. Some of the regions have not reported any positive cases since the last 2 to 3 years. • Case detection mechanism in several district is not functioning optimally. • Contact screening component is poor in some regions SULTANATE OF OMAN

  4. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 TB MORBIDITY, OMAN, 1981 - 2000 SULTANATE OF OMAN

  5. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 • Active case finding:- • Sputum Survey, 1985 • Symptomatic Survey, 1992 • Tuberculin Survey, 1996 • Qantab Village Survey, 2000 • Mattrah District Survey (Pilot Survey), 2001 SULTANATE OF OMAN

  6. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 Sultanate of Oman Map Healthy Lifestyle Week planned in Qanatb village, 2000 Case-Study in Qantab Village .. Population Muscat Province : 636,560 Population Muscat District : 48,090 Population of Qantab Village : 1,896 Total clients attending the camp .. Tuberculosis and associated diseases : 246 Other health promoting activities : 244 Qantab SULTANATE OF OMAN Muscat • To detect TB suspects in Qanatab village. • To detect any associated diseases e.g. DM, HT etc. • To detect ear and eye morbidity. • Referral of selected cases to tertiary care hospitals. • Health education and community awareness. • To recommend MOH the policy on case-finding campaign or surveys in Oman.

  7. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 • Healthy Lifestyle Week planned in Qanatb village, 2000 • To detect TB suspects in Qanatab village. • To detect any associated diseases e.g. DM, HT etc. • To detect ear and eye morbidity. • Referral of selected cases to tertiary care hospitals. • Health education and community awareness. • To recommend MOH the policy on case-finding campaign or surveys in Oman. SULTANATE OF OMAN

  8. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 A.    Tuberculosis and Associated Diseases 1. Total clients attending the camp … … … : 246 2. TB Suspects …… : 31 3. Did not attend for investigations inspite of repeated reminders … … : 10 4. Any TB case(s) detected … : 0 Note : ‘20’ TB suspects and ‘11’ clients were diabetic. B.    Other health promoting activities 1.     Total clients attending the camp: 244 ·       Normal … 107 ·       Refused examination … 65 ·       Cataract … … 13 ·       Pterygium … … 2 ·       Conjuntival FB … … 2 ·       Corneal opacities … … 2 ·       Squint … … 1 ·       Conjunctivitis … … 38 ·       Trachoma TF … … 3 TS … … 10 ·       Referral … … 3 ·       Wax … … 36 ·       Perforated ear drum … … 1 SULTANATE OF OMAN

  9. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 Sultanate of Oman Map Community-Based Survey in Muttrah District, 2000 Muttrah Distric (Tawyan) Community Based Survey in Muttrah District .. Population Muscat Province : 636,560 Population Muttrah District : 198,930 Population Tawyan Area : 1,439 SULTANATE OF OMAN Muscat • The observed increase in the incidence could be due to the increased awareness amongst the health staff. • Similarly in recent years, there has been a general improvement in the laboratory support • Hence a community-based survey is proposed to identify missed cases and to ensure that whether or not there is a true increase in the incidence of tuberculosis in Oman

  10. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 • Methodolopgy • House-to-House visits. • Field Work Study Team: Doctor, Staff Nurse, Member of Community Support Group and driver. • Questionnaire include few other health care aspects. • Collection of Samples • A single sputum sample from the suspected individual. • Storage, Transport & Processing of Samples • Samples will be transported to CPHL(Darseit) or in Regional Hospital Laboratories on a daily basis for processing. • Supervision, Monitoring & Data Analysis • Tuberculosis Control Programme, MOH, (HQ) • Logistics • Time of survey: In the evenings • Home Visits Per Day: Each team expected to cover about 5 to 6 household • Transport: 4x4 vehicle with a driver for each team SULTANATE OF OMAN

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  14. Meeting of National Managers of Tuberculosis Control Programme in the Eastern Mediterranean Region - Beirut, Lebanon, May 28 - 31, 2001 SULTANATE OF OMAN Thank you

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