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UNIVERSITY CL I NICAL CENTE R TUZLA DEPARTMENT OF PEDIATRICS BOSNIA AND HERZEGOVINA

UNIVERSITY CL I NICAL CENTE R TUZLA DEPARTMENT OF PEDIATRICS BOSNIA AND HERZEGOVINA Dr. SELMA TERZIĆ, pediatrician. Bosnia and Herzegovina. Bosnia and Herzegovina has a 4.5 millions in habitants and it is divided in 10 Cantons

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UNIVERSITY CL I NICAL CENTE R TUZLA DEPARTMENT OF PEDIATRICS BOSNIA AND HERZEGOVINA

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  1. UNIVERSITY CLINICAL CENTER TUZLA DEPARTMENT OF PEDIATRICS BOSNIA AND HERZEGOVINA Dr. SELMA TERZIĆ, pediatrician

  2. Bosnia and Herzegovina • Bosnia and Herzegovina has a 4.5 millions inhabitants and it is divided in 10 Cantons • Each Canton has the Association of patients with Celiac disease

  3. Bosnia and Herzegovina CD can be diagnosed in four towns:Tuzla, Sarajevo, Mostar and Banja Luka • Serological tests: • Anti-gliadin antibodies: IgA, IgG • Anti-endomysial antibodies IgA • Anti-tissue transglutaminase antibodies IgA • Endoscopy for a small bowel mucosal biopsy • Human leukocyte antibodies (HLA)

  4. Bosnia and Herzegovina • Children who suffer from Celiac disease have a social support of 20€ per month • Depending on age, they also get from 5 to 10 kilos of gluten- free flour

  5. Bosnia and Herzegovina Children without health insurance have to pay for following finding: • Anti-tissue transglutaminase antibodies assay: 112 € • Small Intestinal Biopsy: 25 € • Pathology exam of the biopsy: 30 € • Gluten-free flour, 1 kilo 5.5 €

  6. Bosnia and Herzegovina • The University Clinical Center Tuzla was conducted study about epidemiology of celiac disease in Tuzla Canton for the period of 1995-2007. and obtained the following results:

  7. Bosnia and Herzegovina From the total of 68 celiac disease affected children: • 44 children have typical forme, • 16 children have atypical forme, • 8 children have asymptomatic forms and they were diagnosed in the screening of children with DMT1 and Hashimoto thyroiditis L.Osmančević, S.Terzić, 2009

  8. Bosnia and Herzegovina • The overall average incidence rate of celiac disease in 1995 was 0.05/1000 children • Serological screening for Celiac disease at the Clinical Center Tuzla started to work from year 2000 • The prevalence of celiac disease in 2007 was 0.73/1000 children L.Osmančević, S.Terzić, 2009.

  9. Bosnia and Herzegovina • Unfortunately, there is no statistical data about the prevalence of Celiac disease in Bosnia and Herzegovina or from each Canton • Today in Bosnia and Herzegovina has registered about 300 ill children

  10. Bosnia and Herzegovina • Social conditions and prices for gluten-free food are unfavourable for patients with celiac disease, but I hope that this is going to be changed for better in futur

  11. Thank you!

  12. Tuzla,Bosnia and Herzegovina terzic_selma@hotmail.com

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