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INTRODUCTION. Tuberculosis (TB) is a major public health problem that has threatened the health of human beings worldwide, especially in developing countries. In Iraq, WHO estimates 45/100000 new and relapsed TB cases of which 31% were unreported.
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INTRODUCTION Tuberculosis (TB) is a major public health problem that has threatened the health of human beings worldwide, especially in developing countries. In Iraq, WHO estimates 45/100000 new and relapsed TB cases of which 31% were unreported. The South of Iraq consists of Al-Muthana, Missan, Thiqar and Basra, the latter three governorates containing marshlands with a total population exceeds five millions, more than 20% of them is marshland population. These Marshlands had been almost entirely destroyed, by drainage operations undertaken by the former Iraqi regime and as a consequence of the that; extensive ecological damage to this area accompanied by displacement of much of the indigenous population, was identified as one of Iraq’s major environmental and humanitarian disasters in post-conflict assessments by international organizations.
INTRODUCTION Progress in tuberculosis control will require not only investment in strengthening tuberculosis control programs, diagnostics, and treatment but also action on the social determinants of tuberculosis. The aim of this study was to evaluate the role of demographic , socio-economic and health-related factorswith TB.
METHODS Settings This study was conducted in the Basra , Thiqar and Missan. Study design: This is Case Control Study that cases (new TB cases) registered in NTP during time of data collection from the three governorates and control neither TB nor presumptive TB attending PHCCs belong to same locality of cases during the period of data collection .within 2 weeks from case registration. Inclusion criteria: 1-Case: All TB cases older than 14 years who were newly registered in National TB Control Program in southern governorates from the day of the implementation of the study 2-Control: All Patients older than 14 years attended PHCCs in the same locality of cases without being a case of TB and or presumptive TB. Controls were chosen in a way they match cases in age (not more than five years older or younger than TB cases), sex, and locality (nearest PHCC to the cases locality). Data collected by a trained team of physicians using a standardized questionnaire form.
Main Study Findings & Recommendations: • Predictors for tuberculosis according to this study are: • Age older than 65, under weight, single status, low education level, hard work/farming, student status and unemployment,family history of TB, long duration of Dexamethasone use, non-urban residence (rural, marshland or displace people), homes built from mud, homes not provided with windows (i.e. not proper ventilation or sun-light illumination), large family size, drinking non-sterile milk, use of kerosene as s cooking fuel.
Main Study Findings & Recommendations: Interventions focused on poverty are undoubtedly useful. Therefore, the fight against TB should be accompanied by the additional participation of any structures that tailor health policy and by the involvement of the entire community. Mass education about the diseases and its risk factors, healthy indoor environment and risk of prolonged used of corticosteroid medications should be considered.
