Survival Study over 5 Years of Digestive Cancers in Tlemcen Province during 2011-2017

In the world,digestive cancers represent a major public health problem by their frequency and severity.Digestive tract cancers are very common malignant tumors worldwide and are an important cause of cancer-related death.The objective of our study was to determinate the survival of digestive cancers in the province of Tlemcen over a period of 5 years.This is a prognostic historical-prospective study with an exhaustive collection data,which consists of studying the 5-year survival of digestive cancers in the province of Tlemcen,of all patients with digestive cancers whatever the stage,diagnosed between 2011 and 2012 and histologically confirmed in subjects residing in the province of Tlemcen at the moment of diagnosis.The subjects of our study were identified from the cancer registry of Tlemcen.In total,408 cases of digestive cancers were diagnosed over 2 years in Tlemcen province.Most digestive cancers were characterized by a predominance of men except for cancer of the liver,gallbladder and bile ducts but whatever the sex,these cancers occur mainly in subjects whose age is greater than or equal to 45 years.Topographically,for both sexes combined,the colorectum followed by the stomach were the organs most affected by digestive cancers.Histopathologically,a predominance of adenocarcinoma has been noted.The 5-year global survival rate of all digestive cancers was 55.4%,depending on the localization;colorectal cancer,small bowel cancer,gallbladder and bile ducts cancer,stomach and esophagus cancers are cancers of intermediate prognosis whose survival in 5 years is between 40%and 80%.Liver cancer and pancreatic cancer remain poor prognosis cancers with 5-year survival rates of 23.08%and 33.3%respectively.The survival of digestive cancers must be improved by adequate care and surveillance of patients.The prevention of colorectal cancers which occupy the first place among the digestive cancers is based essentially on the knowledge of the risk factors and the screening allowing the improvement of the survival rate.The registry of cancer remains a fundamental tool of any cancer control program;it constitutes a starting source for the analysis of survival.

Human Hydatidosis: A Negliged Zoonosis and Underdeclared at the University Hospital Center of Tlemcen, Algeria: 16 Years of Registration from 2003 to 2018

Hydatid disease is considered as an important emerging neglected disease worldwide.Cystic echinococcosis is a neglected disease of public health significance in many low and middle-income countries.The objective of our study was to determine the epidemiological profile of human hydatidosis in Tlemcen.A prospective study was conducted at University Hospital Center(UHC)of Tlemcen,from 2003 to 2018 from the declaration of notifiable diseases.Data entry and analysis was done using Epi-info software 6.One hundred and fifty-eight(158)patients were declared during 16 years of registartion at the UHC of Tlemcen.Ninety three point zero three percent(93.03%)of the reports of cases were received from the surgical services and 6 cases from the pneumology department.A slight female predominance was noted with sex-ratio(Females/Males):1.15.More than half of the patients were subjects over 40 years old.Three cases were noted in children.The average age was 42.38±17.14 years.The liver was the most frequent organ involved in our study followed by pulmonary localization.Fifty one point eight seven(51.87%)of cases were from rural areas and 46.2%from urban areas.Human hydatidosis remains an under-reported and neglected disease in Tlemcen whose fight is essentially based on preventive measures and requires multisectoral collaboration.

Cutaneous Leishmaniasis: Endemic Regions and Epidemiological Characteristics of Cases Declared at University Hospital Center of Tlemcen, Algeria, 2012-2016

Cutaneous leishmaniasis (CL) is a widespread parasitic disease and a public health problem worldwide. It is an endemic and notifiable disease in Algeria. Our objective was to know the epidemiological characteristics and to determine the endemic regions of the CL in the town of Tlemcen. A descriptive study was conducted with a prospective collection over five years, from 2012 to 2016, based on the systematic declaration of CL cases received from the various departments of the University Hospital center (UHC) of Tlemcen. Data entry and analysis was done by Epi-info 6 software. Thirty-four cases of cutaneous leishmaniasis, 27 of which are autochthonous were reported at the UHC of Tlemcen during 5 years with a female predominance;sex ratio (h/f): 0.79. The most affected age group was 40-50 years old. Six cases occurred in children under 16 years, 80% of the reports were received by the dermatology department. The highest peak was recorded in 2013;autumnal predominance was noted in 30% of cases. All patients lived or had been in endemic areas. Vector control campaigns must be reinforced to fight against leishmaniasis in the town of Tlemcen, also, the improvement of habitat conditions for populations at risk.