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CD in Albania
Albania:About: 4000000 inhabitants 28000km2 surface Capital: Tirana
CD in Albania
UHC: Tirana with 1200 bedsPediatric Department: 220 bedsService of Pediatric gastrohepatology: 15 beds
CD in Albania
• CD as “medical issue”:
• Diagnostic Facilities:– Serology– Endoscopy/biopsy–Genetics
CD in Albania
• Treatment• GFD (local traditions)• Follow up (about 1oo children)
CD in Albania
Clinical Presentation
• Age of diagnostc: 5.2 yr• g/i (classic) – Celiac crisis– Refractary forms
• Extra g/i
CD in Albania
• Cd and associated disease (syndroms)– DID– Turner Syndrom
– Gaucher Disease?
CD in Albania
• Situation is not optimistic• It is not a priority • There is not a national strategy• Financial support insuficient
CD in Albania
• Awareness and knowhow of GP and FD• Education of general population • CD Foundation?
CD in Albania
• No epidemiologic study
• Case finding study project