Le registre des maladies coronaires en Tunisie: organisation et premiers resultats
Reference Type: Journal Article
Record Number: 1
Author: Ben Romdhane, H.; Bougatef, S.; Skhiri, H.; Gharbi, D.; Kafsi, M. N.; Belhani, A.;
Mechmeche, R.; Haoula, H.; Boujnah, R.; Kachboura, S.; Hamdoun, M.; Achour, N.
Year: 2004
Title: Le registre des maladies coronaires en Tunisie: organisation et premiers resultats.
Journal: Rev Epidemiol Sante Publique
Volume: 52
Issue: 6
Pages: 558-64
Date: Dec
Original Publication: Le registre des maladies coronaires en Tunisie: organisation et
premiers resultats.
Accession Number: 15741917
Abstract: BACKGROUND: In Tunisia, cardiovascular diseases are the leading causes of
death (30%) and a few studies conducted in the population have demonstrated that the level of
their risk factors is increasing. For policy makers, the health system impact of these diseases
is currently a crucial issue. The National Public Health Institute has identified the
implementation of a morbidity register as a priority. METHODS: A CVD morbidity register
is implemented since 2001, in 3 different geographical populations having contrasted levels of
health status (Tunis, Ariana and Ben Arous). The 3 regions are covering about 2 millions
inhabitants which is the fifth of the overall Tunisian population. All coronary heart events
occurring among adults 25 years old and above in the 3 populations are recorded. The
diagnosis of events, case fatality and classification are defined according to MONICA criteria.
The data are recorded from public and private hospitals, death certificates and autopsies.
RESULTS: During the year 2001, the total number of myocardial infarction events was
estimated at 942: in men, the age-standardized rates were 163.8/100000 in Tunis population
vs. 161.9 in Ariana and 170.5 in Ben Arous. In women, the rates were respectively 43.4, 61.1
and 44.6. Medical causes of death registration was the most crucial problem in spite of the
implementation of the death certificate designed according to WHO model. Specific surveys
for clinical assessment and surveillance of risk factors were conducted in the register
populations. CONCLUSION: It is the first time that data on coronary heart disease incidence
and fatality are available in Tunisia through this experience which highlights the practical
difficulties experienced in registering and coding coronary events in a developing country.
The data source quality should be improved and the register should be integrated in the local
health system.
Notes: 0398-7620
Journal Article
URL:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&
list_uids=15741917
Author Address: Laboratoire de Recherche en Epidemiologie et Prevention des Maladies
Cardiovasculaires en Tunisie, Institut National de Sante Publique, Le Diplomate (10e etage),
5-7, rue Khartoum, Belvedere, 1002 Tunis, Tunisie. habiba.benromd-hane@rns.tn