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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 l.jpg

TB SITUATION IN ERITREA

Tesfai Solomon

PROVINCIAL HEALTH OFFICER

GASH-BARKA


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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 <2yrs = 41%



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Health Personnel

  • Physician/population ratio = 1:19,366

  • Nurse/population ratio = 1:5,248

  • Nurse assistant/population ratio = 1:3,656



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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 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!