The objective of this study is to measure the state of health of the population of Morocco regarding carbon monoxide (CO) poisoning based on the evolution over time and space of health indicators.
A retrospective analytical study of health indicators related to carbon monoxide poisoning, i.e. incidence, mortality, and lethality at the regional and national population level during the period 1999 to 2013.
The evolution over time of the incidence shows continuous growth at the national level. The highest average is thus observed in the region of Meknes-Tafilalt (0.112 per 1000 inhabitants).
Regarding mortality indicators, the evolutionary study reveals overall continuous growth over time at the national level. At the regional level, we note annual fluctuations in rates in virtually all regions and case fatalities record the highest averages in the regions of Fez-Boulmane, Gharb-Chrarda-Beni Hssen, Rabat-Salé-Zemmour-Zaer, Doukkala-Abda, and Souss-Massa-Draa.
The study highlights, on the one hand, that CO poisoning in Morocco is mainly influenced by weather conditions. Indeed, regions characterized by autumn and especially cold winter temperatures record the highest incidences. On the other hand, the fatal risk in the event of poisoning does not depend on the incidence at the level of regional populations, and the chronological evolution of mortality and case fatality rates at the national level is rather dependent on the unforeseeable accidental nature of the occurrence of deaths.
The present study was aimed at determining the epidemiological profile and risk factors of poisonings in the north central region of Morocco (Meknes-Tafilalet) in 2013-2014. The data collected from a survey that was carried out on the poisonings registered by health delegations and hospitals in the region in 2013 and 2014, in addition to poisonings reported to the poison control and pharmacovigilance center of Morocco (PPCM) during the same period were subjected to a descriptive epidemiological analysis. The survey detected 2530 intoxications of different types outside of the scorpion stings. Following transmission to the PPCM and elimination of 1185 duplicates, our survey was able to list 1345 new cases, to have 4142 cases in 2013 -2014. According to the data analyzed: 58.6% of the intoxicated was adults, the Sex ratio (male / female) = 0.68, 83.37% of cases were recorded in urban areas. 54.49% progressed favorably, while 23 patients died. Poisoning was symptomatic in 40.24% of cases. The highest incidence was recorded in Ifrane city (2.15 ‰), but Meknes city registered the highest fatality rate (1.2%). these poisonings were caused by gaseous products in 41.6% of cases. The number of new poisonings collected during our survey was important: 1345 cases not reported to the PPCM, which means that Health officials should intervene in time to the statements of poisoning, in order to participate in the fight against their harmful effect on the health.
This work aimed to investigate the involvement of helicobactere pylori in the genesis of gastric MALT lymphoma (associated lymphoid tissue in the mucosa) by a retrospective study was performed on cases registered at the Hepato-Gastro Service -ent
Purpose: This study aimed to determine the epidemiological profile of patients with head trauma (HT) resulted in hospitalization in the pediatric surgical emergencies department of Children
The objective of this study is to evaluate the spatial and temporal impact of carbon monoxide-based poisoning on the Moroccan population. This will be fulfilled through the study of the evolution of the impact as morbidity indicator. This assessment will determine the regional populations at risk to better focus the strategic efforts of awareness carried by Poison Control Center and Pharmacovigilance and all health stakeholders in Morocco.
Methods: adoption of analytical and cartographic study of the effects of poisoning caused by carbon monoxide, listed by the CAPM, on the populations of Morocco's 16 regions over a period from 1999 to 2013.
Results: The trend over time shows a continuous growth of the impact at the national level from 0.025 in 1999 to 0.074 per 1000 inhabitants in 2013.
The study of the evolution of regional impacts shows that the people of the Meknes-Tafilalt region are the most exposed to risks of carbon monoxide poisoning in Morocco with an average incidence of 0.112 per 1000 inhabitants. Next come the regions of Tadla-Azilal, Fes-Boulmane, Tanger-Tetouan and the Oriental with an average impact ranging from 0.075 to 0.087 per 1000 inhabitants.
Conclusion: The study shows that carbon monoxide poisoning in Morocco is modulated by the weather. Indeed, the highest incidences are recorded in regions with cold temperatures. However, we should not overlook the accidental nature of poisoning linked to the behavior of people in their careless use of heating systems.
Traditional henna rarely causes adverse events. However, to obtain a black color, many ingredients are mixed with this plant such as paraphenylene diamine and solvents. The aim of our study is to describe severe cutaneous adverse events caused by black henna collected at the Moroccan Pharmacovigilance Centre. Materials and Methods: We analyzed the coetaneous adverse reactions associated with the use of black henna, collected during 2012 in Morocco. The severity ofreactions wasan inclusion criteria. We analyzed the characteristics of patients, adverse reactions and type of exposure. Results: Nine serious cutaneous cases were collected, which represent 6.42% of all adverse reactions related to cosmetics products. Hospitalization and sequelae were the reason of seriousness. Outcomes were favorable for all cases. Conclusion: the severity of those cases showed the importance of the pharmacovigilance of cosmetics products.
To evaluate the epidemiological characteristics of gastric adenocarcinoma, a retrospective study was conducted on cases admitted at the Hepato-Gastroenterology department at University Hospital, Avicene Rabat between 2000 and 2010 to supported gastric adenocarcinoma.
A total of 197 cases was in registers. Male gender is most affected (63%). The average age of hospitalized patients was 56
Abdominal injuries are a commun cause of consultation in pediatric surgery. They often require non operative treatment when hemodynamics is stable. However, a normal physical examination is not reassuring, and imaging can not be conclusive. Materials and Methods: through a serie of 11 cases, collected in Pediatric Surgical Emergencies Department of the Children's Hospital of Rabat, over a period of 7 years, we analiszed epidemiological, clinical, therapeutic sides and outcomes. Results: The mean age of patients was 10.5 years (6-15 years) with a male predominance (82%). Abdominal contusion are represented in 9 cases versus 2 cases of abdominal wounds. The ragiologic examinations (ultrasound scans and CT) were non conclusive and all patients underwent a laparoscopy for suspected lesions of hollow organ. In 4 cases, there was intestinal perforation. Other causes are found: a splenic contusion, (one case) liver contusion (one case) and one duodenal hematoma. In 4 patients, laparoscopy was negative. Conclusion: laparoscopy both diagnostic and therapeutic avoids unnecessary laparotomy.
Nosocomial infections are considered as a major cause of mortality and morbidity to hospitalized patients. Whose causes are often related to therapeutic procedures, the practice of nursing, material (equipment) available to professionals and users, behavior and habits of patients during hospitalization as well as hospital hygiene measures adopted by the establishment, and their consequences are often serious with a financial, social and psychological impact (the extension of the hospitalzation stay, socio-economic repercussion on both the patient and the healthcare establishment and the deterioration of the health state of the hospitalized...). This study aims to explore the factors inducing the IN-concerning the patienst at the Hospital El Idrissi of Kenitra using a methodology based on a survey including questionnaires addressed to patients hospitalized in the various departments and units care at the hospital El Idrissi Kenitra among a sample of 250 participants. In addition, this work has highlighted a set of risk factors inducing the IN-regarding the patient at the Hospital El Idrissi Kenitra namely: a) cultural and socioeconomic factors, b) factors related to the behavior and habits of patients c) institutional factors. The main results of this study revealed that 54% of surveyed patients not attending school; 61% of patients are from rural rather than from; 54% of participants claim that they use self-medication of antibiotics; given that 70% of patients admitted to use personal objects and materials of another patient; while 66% of patients do not wash their hands with soap after each passage to the bathroom; although 91% of respondents consume cooked meal outside of the hospital; however 62% of patients have attested that caregivers do not wash their hands between patients; Indeed, 66% admited that caregivers did not change gloves between patients. These results were supported by the absence in training and information for patients about the IN and their severity; consequently 77% of participants do not know what are called infections acquired in hospital; At the time that 94% feel badly informed about the wide extent of IN; 45% of participants believe that patients can only be achieved by the IN.
Sorting is a successful management means of medical and pharmaceutical waste. It consists of the separation of hazardous components at source. This paper outlines the factors influencing the aforementioned waste sorting at the Hospital El Idrissi Kenitra. A survey was conducted among 250 participating caregivers practicing at the hospital El Idrissi Kenitra. The results of the survey, we found that 83.33% of staff said that sorting presents the most important step for the successful management of DMP. 58% spoke of awareness and information. 22.22% have devolved the problem with the lack of basic training in triage; 83% claimed the non-suitability of containers on the requirement of the service. 78% reported never having referring to protocols or data sheets. 72% of those surveyed said that the activities related to triage of DMP are monitored and supervised and that regulation is a way to reset the order in the activity of the yard. All of the above will allow us to develop an action plan including planning can solve a serious problem that the hospital is facing.
In order to describe the epidemiological profile of trauma victims of road traffic accidents and to determine the risk factors associated with severity of road accidents, a descriptive cross-sectional study was carried out in the pediatric surgical emergencies department of Children's hospital in Rabat, Morocco. During 2010, the clinical and epidemiological data of 163 patients was gathered from the admission records and then analyzed. The males represented the 67% of all the victims. The days in which recorded the maximum of cases were the working days (645%). Eighty eight percent of the cases occurred within the urban perimeter and the majority (78%) of the victims belonged to that perimeter. The head injuries were the most frequent injury (51.5%), followed by lesions of the lower limbs (47.2%). As for the degree of severity, the children mainly presented moderate lesions (26.8%). The transportation of the victims to the hospital was provided by the families themselves in 43.6% of the times; 28.8% by the public ambulance and 11% of the times by Civil Protection Department. The delay of reaching the pediatric surgical emergencies department of Children's Hospital in Rabat remained under the mark of one hour for 34.1% of the patients. The outcome was favorable in 92% for cases without sequel and 8% for cases with sequel.
Falls represent one of the most frequent causes of unintentional home injuries. To determine the prevalence of children who were hospitalized in the surgical pediatric emergencies department, in the Children's hospital of Rabat, Morocco, secondary to falls. Methods: a transversal retrospective study about children with home-related injuries secondary to falls carried out between January 1 and June 30, 2014. Indicators included: age, gender, cause, month, lesions, duration and location of hospital staying, surgery and evolution. The data entered on Excel and analyzed by SPSS 13. Results: 498 files related to falls from 900 hospitalizations were studied. Male were 77,9% and the median of age was 9 years [4 years; 13 years]. The lesions were head injuries (116 cases), fractures (329 cases), and bipolar trauma (43patients). Length of stay is 24 hours in 74.3%. The majority of patients was hospitalized in the emergency department and received nonoperative treatment with a simple evolution (respectively 96.4%, 77.5% and 90.5%).
The aim of this study was to determine the epidemiological profile of accidental poisoning isolated food-related. A retrospective study of poisoning cases, declared between January 2004 and December 2011 in delegation of health Errachidia province located in the region of Meknes-Tafilalet Morocco. During the study period, 142 cases were collected. The average age of patients was 28
The craft sector in Morocco, being the second largest jobs' creator after agriculture, reflects the cultural wealth and expertise of master craftsmen. Pottery, especially, is one of the oldest crafts in the world, this activity employs a large number of artisans, and contributes greatly to the growth of the craft sector. This report, resulting from a survey regarding potters in El Oulja, is the study of the influence of the surface of the production unit, the number of people employed and the different types of products manufactured by the production units, compared to the turnover achieved by the latter. Statistical analysis of all variables shows that the number of employees is the only factor to significantly influence the turnover.
This work aims to investigate the influence of patients' gender on the repartition of cancer types and on death according to cancer types. It consists in a retrospective study based on 3915 cases of males and females common cancers, diagnosed and treated in Al Azhar oncology centre of Rabat between 1994 and 2004. Results showed that males display a significantly higher risk for cancer of larynx, lung and bladder, with relative risks of 5.5, 4.5 and 2.3 respectively, whereas females have a significantly higher risk for thyroid cancer, with a relative risk of 6.3, and cancers of gall bladder, liver, bone, colon-rectum, Hodgkin lymphoma, soft tissue and non Hodgkin lymphoma. As far as death is concerned, gall bladder cancer displays a death risk 4 times higher in men. Also, non Hodgkin lymphoma and larynx cancer in men are significantly associated with death, then they constitute risk factors of death in men. On the other hand, cutaneous cancers and bone cancers show higher death risk in women, with relative risks of 2.5 and 2.4 respectively. Nevertheless, we found no significant association between cancer type and death in females. In conclusion, anti-cancer strategies in Morocco and elsewhere should take into consideration the gender difference in cancer risk and death risk for common cancers, and fit their priorities to the gender of target population.
The aim of this study was to determine the epidemiological profile and evaluate risk factors of acute pesticide poisoning. A retrospective study of poisoning cases, declared between January 2000 and December 2008 in different sanitary structure in Tadla-Azilal, then brought together in the Moroccan Poison Control Center, was conducted. This region is characterized by an important agricultural activity and knows a frequency of poisoning raised by this toxin. During the study period, 1027 acute pesticides poisoning cases were collected. Most resulted from the province of Beni-Mellal. The average age was of patients 27.15
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