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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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Dr ali ahmed ba omer epidemiologist directorate general of health affairs ministry of health l.jpg

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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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


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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


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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


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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


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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.


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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


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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


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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


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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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SULTANATE OF OMAN


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SULTANATE OF OMAN


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SULTANATE OF OMAN


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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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