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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 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 • Infant Mortality Rate = 135/1000 • Life expectancy = 46 yrs • Maternal Mortality Rate = 985/100,000 • Immunization <2yrs = 41%
Health Personnel • Physician/population ratio = 1:19,366 • Nurse/population ratio = 1:5,248 • Nurse assistant/population ratio = 1:3,656
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 • 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 • 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.. • 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!