Proportion of sexually transmitted infections in patients attending the out-patient clinic in Omdurman military hospital

The objective of this study was to study the common sexually transmitted infections in patients attended the urology clinic at Umdurman Military Hospital in the period August, 2000 to March, 2001. Forty patients were selected. The results showed four cases [10%] of gonorrhoea, three cases [7.5%] of chlamydia, two cases [5%] of candida and one case [2.5%] of Trichomonas vaginalis. Five cases of syphilis were associated with gonorrhea

Onchocerciasis in Sundus area: skin and eye manifestation

Onchocerciasis is known in Sudan since 1933. It, now, prevails in three foci: southern, northern and eastern focus [Sundus area]. Sundus area was studied last time in mid 1980s. The actual status of the disease in Sundus area was not clear, because some villages to be hyper-endemic at that time, were abandoned and the population resettled in other areas. This study was designed to provide the actual information of skin and eye lesions due to onchocerciasis, in Sundus area, eastern Sudan. Methodology Two clinics were setup in the area, and all individuals coming to these clinics were included in the study. They were subjected to physical examination for dermatological changes and ophthalmic examination using slit lamp biomicroscope and direct ophthalmoscope. Total number of 302 individuals was examined, of which 87 individuals [28.8%] were found to have onchocercal skin disease. The commonest type was lichenified onchodermatitis [18.5%] and chronic papular onchodermatitis [11.6%]. The localized onchodermatitis [Sowda] was seen in 19 subjects. No case of blindness was recorded; however, ocular changes were seen in 43 individuals [14.2%] including corneal opacity and cataract. Results of this study provide support for the still existence of the disease in Sundus area

APOC Impact Assessment Study: Base-line data on Onchodermatitis in Morogoro, Tanzania and Bushenyi, Uganda

During the APOC/WHO Impact Assessment studies in Nigeria held in 1998 and 1999, one thousand and sixty four randomly selected subjects underwent detailed eye examination in three selected sites namely, Cross River State (rain forest ecological zone), Taraba State (savanna ecological zone) and Kogi State (forest- savanna ecological zone). The general objective of the impact assessment studies was to evaluate the ophthalmological impact of onchocerciasis control (CDTI) in Nigeria, this paper highlights the public health significance of ocular onchocerciasis in three different ecological zones in Nigeria. The presence of ocular onchocerciasis was established in all the study sites, with a predominance of posterior segment manifestations, in the rain forest zone. A blindness prevalenc e of 2.4o/o was recorded in the study, with onchocerciasis being responsible for 13 out of the 43 (30.2%) bilaterally blind subjects identified. Onchocerciasis-induced blindness prevalence was relatively high in the rain forest and forest savanna zones of Cross River and Kogi States with Cross River State having the highest site-specific- prevalence (5/10) 50.0% of onchocercal blindness followed by Kogr with (5/12) 41.7%. Taraba site recorded only 27.3% (3121). Other conditions identified included glaucoma, optic nerve disease and cataract rates of which were also found to be high among the population (6.90/o,6.5 % and8.9oh respectively). Anterior segment onchocercal lesions, punctate and sclerosing keratitis were the predominant features of the infection in Taraba site (14.1o/o and 6.3% respectively), a savanna zone while posterior segment lesions were much more common in the forest zone of Cross-River site. Visual field measurements reflected the predominant posterior segment disease. The need to sustain the present efforts aimed at controlling onchocerciasis through mass ivermectin distribution is fuither highlighted. Integration of other Eye Care Programme for the conffol of glaucoma and cataract, into the community directed treatment initiative of APOC for onchocerciasis control should also be strongly considered, in order to drastically reduce the prevalence and incidence of ocular morbidity and blindness, in Nigeria, especially in the onchocerciasis endemic areas.