Tuberculosis in southern Morocco: Retrospective analysis from 2006 to 2012.

INTRODUCTION: Tuberculosis, a global major concern, causes millions of deaths annually despite WHO strategies. A persistent gap in detection and treatment facilitates rapid spread in high-burden countries. AIMS: Analyze the clinical-epidemiological profile of tuberculosis patients in Laayoune and Tarfaya, Morocco, emphasizing risk factors and evolution of the tuberculosis Methods: Retrospective analysis of 1332 tuberculosis cases at the Respiratory Diseases Diagnosis and Treatment Center in Laayoune (2006-2012). Variables with P < 0.10 in univariate analysis were included in multivariate analysis using multiple logistic regression to define the risk factors for tuberculosis, expressed as odds ratios (OR) with a 95% confidence interval (CI). RESULTS: The analysis revealed a pulmonary predominance (≈61%), with pleural (41.3%) and lymph node (31.5%) tuberculosis prevalent among extrapulmonary cases. Among 515 extrapulmonary tuberculosis cases, intestinal tuberculosis (14 cases) showed the highest mortality rate at 14.29%. The 15 to 64 age groups had a significantly higher risk of contracting pulmonary tuberculosis to children, and the 65 and over age group also had the highest risk of developing pulmonary tuberculosis (aOR=5.83 [2.43, 14.00]). Other risk factors included rural origin, personal history of tuberculosis, and smoking, all significantly associated with pulmonary tuberculosis (aOR=2.40 [1.001, 5.76]; aOR=2.00 [1.11, 3.61]; aOR=2.38 [1.40, 4.06]). Conversely, female gender was a protective factor (aOR=0.53 [0.40, 0.70]). Regarding recovery and loss to follow-up rates, they were higher in those with pulmonary tuberculosis (39.0% vs 2.1%; aOR=33.41 [17, 66.52]; 16.9% vs 10.3%; aOR=1.57 [1.02, 2.41], respectively). CONCLUSION: Holistic initiatives across various sectors will be essential to eliminate tuberculosis by 2030.

Epidemiological characteristics and some risk factors of extrapulmonary tuberculosis in Larache, Morocco.

INTRODUCTION: this work aims to bring out the epidemiological characteristics of extrapulmonary tuberculosis (EPTB) in the province of Larache (Morocco) and to investigate the effect of gender and age on its localization and treatment outcome. METHODS: it consists in a retrospective study based on 2962 cases of EPTB, reported during the period 2000 to 2012. RESULTS: the mean age was 31.74 ± 18.83 years, with a median age of 26. Males are more affected by this form of tuberculosis, with a male to female sex-ratio of 1,15. The EPTB affects particularly the young population whose age is between 15 and 34 years. The pleural and lymph node localizations are the most common with 45% and 28% respectively. The statistical analysis reveals that younger patients are preferentially affected by lymph node tuberculosis whereas oldest ones are more likely to suffer from urogenital and pericardial tuberculosis. Regarding the treatment outcome, we demonstrated that age is significantly associated with the treatment outcome and that deaths occur preferentially in the oldest patients. Finally, we found out a significant association between males and pleural ETB localization, and between females and lymph node and peritoneo-itestinal ETB localizations. CONCLUSION: special attention must be paid to the mentioned most vulnerable categories of EPTB patients.

[Epidemiology of cancers in Niger, 1992 to 2009]. / Épidémiologie des cancers au Niger, 1992 à 2009.

The present study aims to determine the various epidemiological characteristics of cancers in Niger from 1992 to 2009. It is a retrospective and descriptive study led from the data of the National cancers Register of Niger country between 1992 and 2009. During that period, 7,031 cases of cancers were collected. The number of registered patients suffering from cancers significantly increased, from 186 cases in 1992 to 646 cases in 2009. The ascendancy was feminine with a sex-ratio of 1.40. The average age was of 43 ± 17.53 years. The majority of the patients (70.2%) lived from the Niamey area. The breast cancer (27.36%) was the most frequent feminine cancer, followed by the cervical cancer (13.41%) and ovary cancer (8.83%). The main localizations in the man were the liver (19%), the skin (8.04%) and the bladder (4.92%). Approximately 7% of the registered cases are due to the child's cancers. The cancer's diagnosis of confirmation represented 42%; the carcinomas constituted (27.03%) the most frequent histological type. The Burkitt lymphoma (15.1%) was the most histological entity met in the child.