Estimating the Incidence of Typhoid Fever and Other Febrile Illnesses in Developing Countries

To measure the incidence of typhoid fever and other febrile illnesses in Bilbeis District, Egypt, we conducted a household survey to determine patterns of health seeking among persons with fever. Then we established surveillance for 4 months among a representative sample of health providers who saw febrile patients. Health providers collected epidemiologic information and blood (for culture and serologic testing) from eligible patients. After adjusting for the provider sampling scheme, test sensitivity, and seasonality, we estimated that the incidence of typhoid fever was 13/100,000 persons per year and the incidence of brucellosis was 18/100,000 persons per year in the district. This surveillance tool could have wide applications for surveillance for febrile illness in developing countries

EFFECT OF LOW FODMAP DIETARY PROGRAM ON SYMPTOMS CONTROL OF IRRITABLE BOWEL SYNDROME AND QUALITY OF LIFE AMONG SAMPLE OF EGYPTIAN PATIENTS AT AIN SHAMS UNIVERSITY HOSPITALS.

Background: A low-fermentable oligosaccharide, disaccharides, monosaccharides, and polyols (FODMAP) diet has been reported to be associated with improving the symptoms of irritable bowel syndrome (IBS); however, comparison between low FODMAP and the UK National Institute for Health and Clinical Excellence (NICE) dietary guideline for IBS still limited. Objectives: to determine the impact of low a FODMAP diet on symptom control and satisfaction of improvement in patients with IBS according to ROME IV criteria and IBS related quality of life and disability before and after participation; and to compare the impact of low FODMAP diet and NICE guidelines on symptoms control and quality of life among IBS patients. Methods: A randomized two-arm clinical trial had been conducted on 60 IBS patients who were randomized either to an intervention group (n=30) followed low FODMAP diet or a control group (n=30) followed NICE dietary guideline. Results: After 12 weeks of intervention, there was a statistically significant difference in (QOL) score and improvement of IBS symptoms (p<0.001) between the intervention group and the control group, and there was a significant reduction (p<0.001) in waist circumference among the intervention group versus the control group. In addition, patients in the intervention group were strongly satisfied (p<0.001) than the control group Conclusion: a low FODMAP diet can improve global symptoms of IBS and quality of life more than NICE dietary guideline among group of Egyptian patients at Ain Shams University Hospitals