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TB SITUATION IN ERITREA. Tesfai Solomon PROVINCIAL HEALTH OFFICER GASH-BARKA . Demographic Data. Total population = 3,500,000 65% agriculturists 20% pasturalists 16% urban dwellers Average Growth Rate = 3% Per Capita Income = US $200. Health Indicators.

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tb situation in eritrea

TB SITUATION IN ERITREA

Tesfai Solomon

PROVINCIAL HEALTH OFFICER

GASH-BARKA

demographic data
Demographic Data
  • Total population = 3,500,000
    • 65% agriculturists
    • 20% pasturalists
    • 16% urban dwellers
  • Average Growth Rate = 3%
  • Per Capita Income = US $200
health indicators
Health Indicators
  • Infant Mortality Rate = 135/1000
  • Life expectancy = 46 yrs
  • Maternal Mortality Rate = 985/100,000
  • Immunization <2yrs = 41%
health personnel
Health Personnel
  • Physician/population ratio = 1:19,366
  • Nurse/population ratio = 1:5,248
  • Nurse assistant/population ratio = 1:3,656
tb burden
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
tb treatment
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
future outlook
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
future outlook cont d
Future outlook cont’d..
  • 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!
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