Preparedness and health risks associated with Moulay Abdellah Amghar moussem, Morocco, 2009-2010

The objective of this study was to describe the risks and human health outcomes associated with attendance at the Moulay Abdellah Amghar moussem [a pre-planned mass gathering attracting more than 360 000 participants] for the purposes of public health prevention, planning, preparedness and response. We performed an environmental health risk assessment and retrospectively reviewed local health centre records before, during and after the event. In addition, standardized interviews with key stakeholders were performed to qualitatively evaluate local public health preparedness and response capacities. During the event, average daily health centre visits increased 5-fold. The sex ratio of health-care visits changed significantly from an average of 1.8:1 female:male visits per day to 1.2:1. The proportion of injuries varied from an average of 3.7% pre- and post-event to 14.8% [P < 0.01] during the event. A significant increase in digestive diseases was also observed during the event. Recommendations include increasing accessibility to free sanitation and hygiene facilities and improving health communications concerning hand washing and food and water safety

[Schistosomiasis in Morocco: from discovery to after elimination]

This paper outlines the history of schistosomiasis in Morocco and the efforts made to eliminate it from the country. Since it was first diagnosed in 1914 in Marrakesh, schistosomiasis remained for decades a public health problem in Morocco. A national control programme was launched in 1982 and it led to a considerable reduction in the incidence and morbidity associated with the disease. Consequently, the programme shifted from disease control to an elimination process launched in 1994. This process aimed to eliminate the disease transmission by the end of 2004 and has helped to clear all known foci. Today, the challenge is to maintain schistosomiasis elimination and to be certified schistosomiasis-free by the World Health Organization

[Prevalence of intestinal parasites disease in three provinces in Morocco]

A study of intestinal parasites was carried out in Taounate, Beni Mellal and Tizinit provinces in Morocco on a sample of 1682 individuals who were representative of the urban and rural area population. For each stool specimen, three microscopic examinations and a Kato test were performed. In the three provinces, about two-thirds of the study participants from rural areas and around 50% of those from urban areas had parasites. The reproducibility of the prevalence figures allowed the study results be generalized to the other provinces of the country. Among the parasite groups encountered, amoebas were the most frequent, followed by flagellates and helminths. Concerning pathogenic species, Entamoeba histolytica, in the amoebic group, was the most commonly found. All the positive cases were treated by specific medication

La pyelo-ureterite kystique a propos de trois cas

Cystic uretero-pyelitis this an anatomo-radiologic entity is rare. It presents diagnostic, pathogenic, therapeutic and prognostic problems which are discussed about three c personnel cases and the review of the literature

Bilan de 154 uretero-neo-cystosomies

A good uretero-neo-cystostomy must have an efficace anti-reflux system. The study of 154 personnal cases and the review of the litterature demonstrate the successful results given by Cohen's [88%] and Politano-Leadbetter's [85%] techniques, with or whithout psoas bladder hitch, in management of pathologic uretero-vesical junction