Salah Ottmani

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Globally, the incidence of tuberculosis (TB) is declining very slowly, and the noncommunicable disease (NCD) burden for many countries is steadily increasing. Several NCDs, such as diabetes mellitus, alcohol use disorders and smoking-related conditions, are responsible for a significant proportion of TB cases globally, and in the European region, represent(More)
Respiratory disease has never received priority in relation to its impact on health. Estimated DALYs lost in 2002 were 12% globally (similar for industrialized and developing countries). Chronic airflow limitation (due mainly to asthma and COPD) alone affects more than 100 million persons in the world and the majority of them live in developing countries.(More)
" S trikingly, up to one third of all patients attending primary healthcare (PHC) facilities present with respiratory symptoms and are seeking care [1–4]. Underlying causes are wide-ranging, spanning from common cold to pulmonary tumours and their frequencies of occurrence differ widely [1]. Whereas .50% of those seeking respiratory care suffer from acute(More)
This study assessed whether training physicians on the Practical Approach to Lung Health (PAL) reduces drug prescribing and the cost of drugs prescribed to respiratory patients in the primary health care setting. Data were compared before and after training general practitioners on standard guidelines for case management of respiratory conditions in primary(More)
he World Health Organization (WHO) estimates that approximately 50% of people with tuberculosis (TB) are never diagnosed as having the disease and so cannot benefit from treatment, leaving the epidemic unchecked despite increasing global coverage by treatment programmes [1, 2]. Improved passive case detection is fundamental to the control of the TB epidemic(More)
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