Surgical diseases in Sub-Saharan Africa: Is it a public health problem?


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Alimoğlu O. , Çolapkulu N., Leblebici İ. M.

Congress on Health in Africa, İstanbul, Türkiye, 20 - 21 Temmuz 2017, ss.59

  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.59

Özet

İstanbul Medeniyet University,Faculty of Medicine, Department of General Surgery, Turkey E-mail: orhanalimoglu@gmail.com Africa accounts for 24% of the global disease burden but only 3% of the global health workforce. WHO recommends one general surgeon per 13.250 individuals while this number is one surgeon per 400.000 population in some African coutries. According to the 2012 data of WHO; the need for surgical interventions accounts for 4664 per 100.000 individuals. However, this is less then 100 per 100000 in Sub-Saharan Africa (SSA). Almost over one quarter of a million woman died from complications of childbirth, and most of these deaths could have been prevented by providing basic obstetric surgical care for women. According to the estimation of WHO; low- and middle-income countries have 90% of all road traffic deaths and Africa’s road trauma burden, which is the highest in the world, and is expected to increase by the year 2020. The same facts and trends may also be attributed to war surgery as well. The overall disease burden associated with surgical conditions in SSA is estimated at 38 DALYS (disability adjusted life years) lost per 1.000 population. Surgically treatable conditions account for a significant proportion of the disease burden in resource-limited settings, but are underestimated due to lack of trained staff or equipments. Significant perioperative morbidity and mortality in these settings are preventable. An analysis between the diseases defined as concerns of public health and surgical conditions will be presented in this study. Surgically treatable diseases should be acknowleged as a public health issue and this awareness may significantly reduce mortality