1
|
Abramovitch H. When is it time to stop? When good enough becomes bad enough. J Anal Psychol 2021; 66:907-925. [PMID: 34758137 DOI: 10.1111/1468-5922.12700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 06/14/2021] [Indexed: 11/27/2022]
Abstract
This article draws on Winnicott's concept of the good enough mother to discuss how to know whether a therapeutic situation is good enough to continue or bad enough to end. This dilemma is explored in terms of clinical syndromes, such as anorexia and pathological gambling, but focuses mainly on analyst-initiated endings, which are termed the 'Casablanca dilemma', based on an amplification of the ending of the film Casablanca. The author goes on to discuss such one-sided endings, drawing on interviews with 40 analysts and therapists about their clinical experience. A typology of bad enough endings is presented. The psychological differences between a good enough analysis as opposed to a bad enough one are explored through the ideas of Winnicott and Neumann.
Collapse
|
2
|
CHIHEB S, TAZI SAOUD Z, EL IDRISSI SAIK I, DARIF D, HALI F, FATOIKI FZE, DAHBI HS, KIHEL A, HAMMI I, SOUSSI ABDELLAOUI M, RIYAD M. [Generalized old world leishmaniasis: first Moroccan case in an immunocompetent adult?]. Med Trop Sante Int 2021; 1:mtsi.2021.90. [PMID: 35891918 PMCID: PMC9283810 DOI: 10.48327/mtsi.2021.90] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Accepted: 10/11/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Post-kala-azar dermal Leishmaniasis (PKDL) is a rare skin syndrome observed after treatment of visceral Leishmaniasis (VL) with pentavalent antimonial organic salts, never described in Morocco before. Here we report a case in an immunocompetent adult. CASE A 36-year-old-man from Tata in southern Morocco, with a history of visceral Leishmaniasis 2 years before and treated with meglumine antimoniate and amphotericin B with good clinical course, was hospitalized in dermatology for an erythematous papulo-nodular closet of the face. Six months ago, he presented oral mucosa involvement, then 3 months later, cutaneous lesions appeared on the face. The dermatological examination revealed a papulo-nodular erythematous closet extending to the nose and both cheeks, crusty and lupoid lesions on the forehead, around the eyes and chin, associated with an ulcerative and painless lesion on the heeL. The examination of the oral mucosa revealed an ulceration of the posterior third of the tongue and a papillomatous aspect of the soft palate. The skin biopsy and smear found some amastigote forms of Leishmania bodies. ITS1 PCR was positive (genus Leishmania). The HIV serology was negative. The diagnosis of PKDL was then evoked. The patient received intra-muscular injections of meglumine antimoniate with good progress. CONCLUSION To our knowledge, this is the first case of generalised leishmaniasis suggesting PKDL reported in a Moroccan immunocompetent adult.
Collapse
Affiliation(s)
- Soumiya CHIHEB
- Service de dermatologie-vénérologie, Centre hospitalier Ibn Rochd, Casablanca, Maroc,Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc
| | - Zineb TAZI SAOUD
- Service de dermatologie-vénérologie, Centre hospitalier Ibn Rochd, Casablanca, Maroc,Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc
| | - Imane EL IDRISSI SAIK
- Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc,Laboratoire biologie et santé, Faculté des sciences Ain Chock, Université Hassan II de Casablanca, Maroc
| | - Dounia DARIF
- Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc,Laboratoire biologie et santé, Faculté des sciences Ain Chock, Université Hassan II de Casablanca, Maroc
| | - Fouzia HALI
- Service de dermatologie-vénérologie, Centre hospitalier Ibn Rochd, Casablanca, Maroc
| | | | - Hayat Skali DAHBI
- Service de dermatologie-vénérologie, Centre hospitalier Ibn Rochd, Casablanca, Maroc
| | - Ayyoub KIHEL
- Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc,Laboratoire biologie et santé, Faculté des sciences Ain Chock, Université Hassan II de Casablanca, Maroc
| | - Ikram HAMMI
- Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc,Laboratoire biologie et santé, Faculté des sciences Ain Chock, Université Hassan II de Casablanca, Maroc
| | | | - Myriam RIYAD
- Laboratoire de pathologie cellulaire et moléculaire, Equipe: immunopathologie des maladies infectieuses et de système, Faculté de médecine et de pharmacie, Université Hassan II de Casablanca, Maroc,Laboratoire biologie et santé, Faculté des sciences Ain Chock, Université Hassan II de Casablanca, Maroc
| |
Collapse
|
3
|
Ait Hamou S, Laboudi M. An analytical study on the awareness and practice relating toxoplasmosis among pregnant women in Casablanca, Morocco. BMC Public Health 2021; 21:507. [PMID: 33726705 PMCID: PMC7962262 DOI: 10.1186/s12889-021-10474-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 02/19/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Although toxoplasmosis is asymptomatic in most cases among pregnant women, it may cause newborn abortions and birth defects if the infection occurs during pregnancy. Therefore, raising awareness and promoting good practices of pregnant women towards toxoplasmosis disease is essential to avoid infection during pregnancy. The aim of this cross-sectional study is to assess toxoplasmosis awareness and its risk-related behavior pregnant women who attended public health centers in one of the biggest Moroccan cities: Casablanca. METHODS A structured questionnaire was used to collect data including socio-demographics data, awareness of etiology, modes of transmission and preventive practices towards toxoplasmosis. RESULTS This study survey showed that among 390 pregnant women interviewed, 41.2% reported having heard or read information regarding toxoplasmosis. Only 8.1% of them knew that toxoplasmosis is a parasitic disease caused by Toxoplasma gondii, and 13.7% of those who gave a correct answer were aware that the host of toxoplasmosis is cats. There is a significant statistical association between age, level of education and profession of pregnant women and toxoplasmosis awareness. Despite of the majority of the interviewed pregnant women had had effective preventive practices towards toxoplasmosis, 17.4% of pregnant women were convinced that Toxoplasmosis can transmit to the fetus and 14.3% stated it is asymptomatic in most cases. CONCLUSION This study highlights the low level of knowledge and awareness of toxoplasmosis among pregnant women in Casablanca/Morocco. Therefore, a special education program targeting all women during their reproductive age is necessary.
Collapse
Affiliation(s)
- S. Ait Hamou
- Laboratory of Ecology and Environment (LEE), Faculty of Sciences Ben M’Sik, Hassan II University, Casablanca, Morocco
| | - M. Laboudi
- Department of Parasitology, National Institute of Hygiene, Rabat, Morocco
| |
Collapse
|
4
|
Akhaddar A. Raphael Acquaviva: The Forgotten Pioneer of Modern Neurosurgery in Morocco. World Neurosurg 2020; 145:168-171. [PMID: 32949804 DOI: 10.1016/j.wneu.2020.09.066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Revised: 09/12/2020] [Accepted: 09/12/2020] [Indexed: 11/28/2022]
Abstract
For the young generations, it is important to state the values that define and recognize the role of leaders and pioneers in neurosurgery, especially in developing countries. This subject seems often overlooked. In Morocco, the real birth of modern neurosurgery as an independent surgical specialty was undoubtedly made thanks to Doctor Raphael Acquaviva during the 1950s and 1960s, when he founded the first neurosurgical department in Casablanca. Acquaviva was born during the First World War in Corsica (France). After finishing his undergraduate medical training in Beirut (Lebanon) in the 1940s, he joined the Maurice Gaud Hospital in Casablanca (Morocco). In 1954, Acquaviva received his medical degree from the Faculty of Medicine of Paris (France) with a thesis on brain tuberculomas. In 1960, Acquaviva became the first chief of neurosurgery at Casablanca and he accepted to train the first team of Moroccan neurosurgeons. Although the resources were limited, Acquaviva's skills and knowledge enabled him to achieve admirable results at those times. He managed to provide numerous clinical, radiologic, surgical, and pathologic descriptions in various fields of neurosurgery, especially in central nervous system infections. He was an excellent operator, very talented organizer, and fluent speaker. Moreover, he was involved in medical publications and education in his host country. In this article, the author reviews Acquaviva's career trajectory in its historical context, highlighting its impact on modern neurosurgery in Morocco and abroad. This contribution could be a good start to collect information to preserve the national neurosurgical memory in many developing countries.
Collapse
Affiliation(s)
- Ali Akhaddar
- Department of Neurosurgery, Avicenne Military Hospital of Marrakech, Mohammed V University in Rabat, Rabat, Morocco.
| |
Collapse
|
5
|
El Fane M, Sodqi M, Lamdini H, Marih L, Lahsen AO, Chakib A, El Filali KM. [Central Neurological Diagnosis in Patients Infected with HIV in the Infectious Diseases Unit of University Hospital of Casablanca, Morocco]. ACTA ACUST UNITED AC 2019; 111:24-30. [PMID: 30763499 DOI: 10.3166/bspe-2018-0004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2017] [Accepted: 11/22/2017] [Indexed: 11/20/2022]
Abstract
The aim of this work is to study the epidemiology of central neurological system (CNS) diagnosed in the population of people living with HIV in the department of infectious diseases in UHC Ibn Rochd of Casablanca from January 2005 to May 2015. The demographic and clinical profile along with the outcome of these patients were studied. The data were collected from Nadis software. Three hundred and eighty-seven patients were admitted for CNS diagnosis, out of 3496 people living with HIV admitted during this time period, i.e., a prevalence of 11%. The sex ratio (M/F) was 1.27. The average age was 39 years (± 7). Neurological involvement was indicative of HIV infection in 225 cases (68.8%). Neurological disorders were dominated by headache (70%), focal neurological syndrome (35%), and meningeal syndrome (30%). CNS diagnosis noted were CNS tuberculosis (37%), cerebral toxoplasmosis (30%), and cryptococcal meningitis (20%). The median CD4 T-lymphocyte was 184 cells/mm3. Infection with severe immunosuppression was progressive multifocal leucoencephalitis, cryptococcal meningitis, and primary cerebral lymphoma. Lethality was 39%. In the department of infectious diseases of the UHC, the main cause of death among HIV-infected patients is tuberculosis. Collaboration between the national tuberculosis and AIDS programs has been established to improve the detection and management of these patients.
Collapse
Affiliation(s)
- M El Fane
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc ; Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - M Sodqi
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - H Lamdini
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - L Marih
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - A Oulad Lahsen
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - A Chakib
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| | - K Marhoum El Filali
- Service des maladies infectieuses, CHU de Ibn Rochd, Casablanca, Maroc.,Faculté de médecine et de pharmacie, université Ibn Zohr, Agadir, Maroc
| |
Collapse
|
6
|
Boudebouch N, Sarih M, Chakib A, Fadili S, Boumzebra D, Zouizra Z, Mahadji BA, Amarouch H, Raoult D, Fournier PE. Blood Culture-Negative Endocarditis, Morocco. Emerg Infect Dis 2018; 23:1908-1909. [PMID: 29048299 PMCID: PMC5652429 DOI: 10.3201/eid2311.161066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
We investigated the microorganisms causing blood culture–negative endocarditis (BCNE) in Morocco. We tested 19 patients with BCNE by serologic methods, molecular methods, or both and identified Bartonella quintana, Staphylococcus aureus, Streptococcus equi, and Streptococcus oralis in 4 patients. These results highlight the role of these zoonotic agents in BCNE in Morocco.
Collapse
|
7
|
Moustarhfir Elidrissi A, Benjelloun H, Zaghba N, Yassine N. [The primary pulmonary Malt lymphoma: About a case]. Rev Pneumol Clin 2017; 73:156-157. [PMID: 28365048 DOI: 10.1016/j.pneumo.2017.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2016] [Revised: 01/25/2017] [Accepted: 02/01/2017] [Indexed: 06/07/2023]
Affiliation(s)
- A Moustarhfir Elidrissi
- Service des maladies respiratoires, CHU Ibn Rochd, rue Lahcen El Arjoun, 20100 Casablanca, Maroc.
| | - H Benjelloun
- CHU Ibn Rochd, rue Lahcen El Arjoun, Casablanca, Maroc
| | - N Zaghba
- CHU Ibn Rochd, rue Lahcen El Arjoun, Casablanca, Maroc
| | - N Yassine
- Service des maladies respiratoires, CHU Ibn Rochd, rue Lahcen El Arjoun, 20100 Casablanca, Maroc
| |
Collapse
|
8
|
El Kadmiri N, Bakouri H, Bassir F, Barmaki S, Rachad L, Nadifi S, Kadmiri OE, Amina B. Food hygiene assessment in catering establishments in Hay Hassani district- Casablanca. Pan Afr Med J 2016; 24:335. [PMID: 28154690 PMCID: PMC5267924 DOI: 10.11604/pamj.2016.24.335.9171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2016] [Accepted: 07/21/2016] [Indexed: 11/11/2022] Open
Abstract
Contaminated food is responsible for a significant amount of illnesses. In Morocco, it has become a worrying concern. Numerous awareness campaigns are conducted to warn the population against the risks of such scourge in ways that will prevent foodborne illness. Lawful commissions are in charge of examining and ensuring food safety in production and catering establishments, in addition to the assessment of food poisoning risks. The aim of this study is to evaluate the hygienic quality of food handling, preparation, and storage in catering establishments within Hay Hassani prefecture in Casablanca. During the period 2006-2012 a total of 1765 food samples were taken and examined for microbiological quality tests. As analyzed, 562 per 1765 samples are declared unhealthy for consumption. We note that some products were highly contaminated as compared to other products (p <0.001), specifically vegetable dishes, and meat dishes. In Hay Hassani district food is generally prepared and sold under unhygienic conditions, adequate corrective measures have been announced to improve hygienic practices.
Collapse
Affiliation(s)
- Nadia El Kadmiri
- Faculté Polydisciplinaire de Taroudant, Université IBN ZOHR, Taroudant, Morocco
| | - Halima Bakouri
- The Regional Laboratory of Epidemiology and Environmental Health, Casablanca, Morocco
| | - Fatima Bassir
- The Regional Laboratory of Epidemiology and Environmental Health, Casablanca, Morocco
| | - Saadia Barmaki
- The Regional Laboratory of Epidemiology and Environmental Health, Casablanca, Morocco
| | - Laila Rachad
- Laboratory of Medical Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Sellama Nadifi
- Laboratory of Medical Genetics and Molecular Pathology, Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, Morocco
| | - Omar El Kadmiri
- IST Laboratory, Faculty of Science, Abdelmalek Essaâdi University, Tetouan, Morocco
| | - Bouleghmane Amina
- Medical Delegation, district of Hay Hassani Prefecture, Casablanca, Morocco
| |
Collapse
|
9
|
Abstract
The occurrence of bronchiectasis can involve a combination of many environmental factors, including infection. The aim of our work is to determine the bacteriological profile of bronchiectasis. This is a retrospective study of 100 patients hospitalized in between January 2010 and July 2013. The average age was 48 years with a 58% female predominance. Symptomatology was by a bronchial syndrome in 90% of cases. Bacteriological examination was able to isolate the microbe in 35% of cases. In our study it was through the examination of sputum cytology in 27% of cases, through the examination of liquid bronchial aspiration in 5% of cases, and through direct examination of sputum in search of Mycobacterium tuberculosis in 3% of cases. Microbes isolated were: Streptococcus pneumonia in 11 cases; Pseudomonas aeruginosa in 10 cases, Klebsiella pneumonia and Mycobacterium tuberculosis in 3 cases each; Moraxella catarrhalis, Haemophilus influenzae, Escherichia coli, Citrobacter spp, Serratia marcescens, Mycoplasma pneumoniae, Acinetobacter baumannii and Staphylococcus aureus in one case each. Through this work, the authors highlight that Streptococcus pneumoniae and Pseudomonas aeruginosa are the most commonly- identified microbes in their patients. It is necessary to have a full bacterial examination and to repeat it regularly over the course of the bronchiectasis.
Collapse
Affiliation(s)
- Régis Gothard Bopaka
- Department of Respiratory Diseases, Hospital on August 20, UHC Ibn Rochd, Casablanca, Morocco
| | - Wiam El Khattabi
- Department of Respiratory Diseases, Hospital on August 20, UHC Ibn Rochd, Casablanca, Morocco
| | - Hind Janah
- Department of Respiratory Diseases, Hospital on August 20, UHC Ibn Rochd, Casablanca, Morocco
| | - Hasna Jabri
- Department of Respiratory Diseases, Hospital on August 20, UHC Ibn Rochd, Casablanca, Morocco
| | - Hicham Afif
- Department of Respiratory Diseases, Hospital on August 20, UHC Ibn Rochd, Casablanca, Morocco
| |
Collapse
|
10
|
Farouqi A, Chadli A. Clinical experience with insulin detemir, biphasic insulin aspart and insulin aspart in people with type 2 diabetes: Results from the Casablanca cohort of the A1chieve study. Indian J Endocrinol Metab 2013; 17:S408-S412. [PMID: 24404469 PMCID: PMC3872877 DOI: 10.4103/2230-8210.122042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The A1chieve, a multicentric (28 countries), 24-week, non-interventional study evaluated the safety and effectiveness of insulin detemir, biphasic insulin aspart and insulin aspart in people with T2DM (n = 66,726) in routine clinical care across four continents. MATERIALS AND METHODS Data was collected at baseline, at 12 weeks and at 24 weeks. This short communication presents the results for patients enrolled from Casablanca, Morocco. RESULTS A total of 495 patients were enrolled in the study. Four different insulin analogue regimens were used in the study. Study patients had started on or were switched to biphasic insulin aspart (n = 231), insulin detemir (n = 151), insulin aspart (n = 19), basal insulin plus insulin aspart (n = 53) and other insulin combinations (n = 41). At baseline glycaemic control was poor for both insulin naïve (mean HbA1c: 10.2%) and insulin user (mean HbA1c: 9.4%) groups. After 24 weeks of treatment, both groups showed improvement in HbA1c (insulin naïve: -2.3%, insulin users: -1.8%). Major hypoglycaemia was observed in the insulin naïve group after 24 weeks. SADRs were reported in 1.2% of insulin naïve and 2.1% of insulin user groups. CONCLUSION Starting or switching to insulin analogues was associated with improvement in glycaemic control with a low rate of hypoglycaemia.
Collapse
Affiliation(s)
- Ahmed Farouqi
- Departments of Diabetes, Endocrinology and Nutrition, Ibnou Rochd University Hospital, Casablanca, Morocco
| | - Asmae Chadli
- Departments of Diabetes, Endocrinology and Nutrition, Ibnou Rochd University Hospital, Casablanca, Morocco
| |
Collapse
|
11
|
Bouchbika Z, Haddad H, Benchakroun N, Eddakaoui H, Kotbi S, Megrini A, Bourezgui H, Sahraoui S, Corbex M, Harif M, Benider A. Cancer incidence in Morocco: report from Casablanca registry 2005-2007. Pan Afr Med J 2013; 16:31. [PMID: 24570792 PMCID: PMC3932129 DOI: 10.11604/pamj.2013.16.31.2791] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2013] [Accepted: 07/16/2013] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION Few population-based cancer registries are in place in developing countries. In order to know the burden of cancer in Moroccan population, cancer registry initiative was put in place in the Casablanca district, the biggest city of Morocco. METHODS The data collected covers 3.6 millions inhabitant and included Casablanca city and the administrative region. RESULTS The data collected in the years 2005-07 show that the top 5 forms of cancers in women were breast (ASR: 36.4 per 100,000), cervical (15.0), thyroid (6.7), colon-rectum (5.8), and ovarian (5.3); the top 5 cancers in men were lung (25.9), prostate (13.5), bladder (8.7), colon-rectum (8.1) and non-Hodgkin lymphoma (7.2). Tumours of haematopoietic and lymphoid tissues represented 11% of all cancers (skin excluded); some presented unusual sex ratios. For breast, cervical, colorectal and thyroid cancer, respectively 57%, 42%, 28% and 60% of the cases were under 50 years of age. This was attributable to particularly low numbers of cases recorded among old people, and the young age of the general population; the observed age-specific incidences under age 50 were not higher than in western countries. Cancers at young ages were particularly common in women: 67% of the cases were under 50. Stage at diagnosis could be obtained for 82% of the breast cancer cases and was as follows: 28% local, 63% regional and 9% distant, in the absence of screening. CONCLUSION These first population-based data have provided an invaluable resource for the national cancer control plan of Morocco, and will be useful tool to its future evaluation.
Collapse
Affiliation(s)
- Zineb Bouchbika
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Houssam Haddad
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Nadia Benchakroun
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Houda Eddakaoui
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Souad Kotbi
- Registry team, Regional Directorate of Health of Casablanca, Morocco
| | - Anis Megrini
- Registry team, Regional Directorate of Health of Casablanca, Morocco
| | - Hanane Bourezgui
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Souha Sahraoui
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| | - Marilys Corbex
- Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
| | - Mhamed Harif
- Centre Hospitalier Mohammed VI, Marrakech, Morocco
| | - Abdellatif Benider
- Department of Radiotherapy-oncology, Ibn Rochd University Hospital, Casablanca, Hassan II University, Morocco
| |
Collapse
|