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الصفات الوبائية لمرض الاسهال الحاد في الاطفال دون سن الخامسة في العراق 2016 == Epidemiological Characteristics of Acute Diarrhea in Children under Five Years in Iraq, 2016

اسم المؤلف: عمار عبد الله حمد

اسم المشرف: ايمان عدنان القصير

الموضوع العام: الطب

السنة: 2017

الموضوع الدقيق: الوبائيات التطبيقية

الدرجة: دبلوم عالي

الجامعة: جامعة بغداد - كلية الطب

اللغة: الانكليزية

مكان الجامعة: بغداد

الصفحات الاولى: 📎 19T1441 - p.pdf

المستخلص: Background : Diarrhea is one of the principle causes of morbidity and mortality among children in developing countries. It was the second leading cause of death in children under five years, accounting for 9 % of all deaths among children under age 5 worldwide in 2015. Despite the availability of simple effective treatment, about 1,400 young children die each day which is equivalent to 526,000 children a year. According to Multiple Indicator Cluster Survey (MICS - 4), the incidence of diarrhea in Iraq was 15% .Theobjective of this study was to identify the incidence and deaths of acute diarrhea in children under five year in Iraq, 2016. Methods : A descriptive cross - sectional study by reviewing all reported data from the directorate of health all over Iraq to the surveillance section in the Communicable Diseases Control Center in Baghdad. Incidence and case fatality rate (CFR) for <5 years population were calculated.Results : The total number of acute diarrheal cases was 251,388. A total of outpatient was 211,665(84%) and 39723(16%) was admitted cases. Male to female ratio was 1.1 : 1. Incidence of acute diarrhea was 47/1,000, the highest incidence was in Diwaniya (119.2 / 1,000), Erbil (89.8 /1,000), and Thiqar (77/1,000). The total death due to acute diarrhea was 154, male : female ratio was 1.2 : 1 and most deaths occur in children <1year (60.4%). CFR was 0. 77/1,000, the highest case fatality rate was in : Baghdad - Karkh (3.70/1,000), Diyala (2.49/1,000), and Diwaniya (1.14/1,000).Proportional mortality rate (PMR) was 7.7/1,000; the highest PMR was in Diwaniya (24.8/1,000), Salah aldin (18.9/1,000), and Diyala (17.5/1,000). Percentage of ORS used was 85%.The completeness of reported site for all provinces was 88%.Conclusion Diarrhea is still a major cause of morbidity and mortality in children under five years, which need to pay more attention for PHC intersectoral cooperation and community participation, and encouragement of Breast feeding.