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The Great Egyptian Hepatitis Disaster
It is a health crisis of alarming proportions. Up to nine million Egyptians have been exposed to hepatitis C, and tens of thousands will die each year unless they receive a liver transplant.Health authorities are taking steps to stop the spread of the blood-borne virus, but must also contend with higher liver failure mortality rates as the disease advances in those infected decades ago. "The prevalence of hepatitis C is not growing, but the impact of an outbreak in the 1960s and 70s is appearing now as a clinical outcome," says Dr. Mostafa Kamal Mohamed, professor of community medicine at Ain Shams University in Cairo. "Liver disease has become the number one healthcare priority for the country and will continue to be so for the next decade. About 70 percent of all liver deaths here are due to hepatitis C." Egypt has the highest prevalence of hepatitis C in the world, the legacy of a well-intended health campaign that went horribly wrong. In the 1960s, the government turned to modern medicine in the hope of eradicating bilharzia, a water-borne parasite that has plagued Egyptian farmers since the dawn of time. In a tragic irony, the tartar-emetic injections given to Egyptians living in rural areas cured their bilharzia, but spread another deadly disease among the population, the hepatitis C virus (HCV). "At that time, bilharzia treatment was administered intravenously," recalls Dr. Refaat Kamel, a prominent surgeon and specialist in tropical diseases. "There were no disposable syringes, so once the needle got infected, the disease spread quickly from one person to another." Posted by: Anonymoose 2009-05-07 |
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