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PO-0054 Epidemiology Of Type 1 Diabetes Mellitus In Children In Tunisia
  1. M Hachicha1,
  2. H Aloulou1,
  3. L Sfaihi1,
  4. S Ben Becher2,
  5. KH Bousetta2,
  6. N Gandoura3,
  7. N Gueddiche4,
  8. T Gargah5,
  9. N Tbib6,
  10. L Boughammoura7,
  11. A Harbi8,
  12. K Habbouli9,
  13. T Sfar10,
  14. A Bouziri11,
  15. N Bouziri12,
  16. F Bayoudh13,
  17. A Chouaibi14,
  18. H Ben Ameur15,
  19. S Yaich16,
  20. TH Kammoun1
  1. 1Pediatrics, Hédi Chaker University Hospital, Sfax, Tunisia
  2. 2Pediatrics, Children’s Hospital, Tunis, Tunisia
  3. 3Pediatrics, Bizerte Hospital, Bizerte, Tunisia
  4. 4Pediatrics, Monastir Hospital, Monastir, Tunisia
  5. 5Pediatrics, Charle Nicolle Hospital, Tunis, Tunisia
  6. 6Pediatrics, Rabta Hospital, Tunis, Tunisia
  7. 7Pediatrics, Farhat Hachd Hospital, Sousse, Tunisia
  8. 8Pediatrics, Sahloul Hospital, Sousse, Tunisia
  9. 9Pediatrics, Kairouan Hospital, Kairouen, Tunisia
  10. 10Pediatrics, Mahdia Hospital, Mahdia, Tunisia
  11. 11Pediatrics, Nabeul Hospital, Nabeul, Tunisia
  12. 12Pediatrics, Jerba Hospital, Jerba, Tunisia
  13. 13Pediatrics, Miltaire Hospital, Tunis, Tunisia
  14. 14Pediatrics, Sidi Bouzid Hospital Hospital, Sidi Bouzid, Tunisia
  15. 15Pediatrics, Gafsa Hospital, Gafsa, Tunisia
  16. 16Community and Preventive Medecine, Hédi Chaker University Hospital, Sfax, Tunisia

Abstract

Introduction The geographical incidence of type 1 diabetes mellitus in children varies widely worldwide. Both genetic and environmental factors have been implicated.

Objective Evaluated the incidence of type 1 diabetes in children in Tunisia and identified the epidemiologic characteristics.

Patients and methods We conducted a retrospective study of new cases of type 1 diabetes in children (0 -15) years, discovered during the years 2009–2010–2011 in 17 paediatric centre from Tunisia.

We divided our patients into 3 groups: group 1 (0–4 years), Group 2 (5–9 years) and group 3 (10–15 years). These three groups were compared with regard to their epidemiological characteristics.

Results We identified 627 diabetic children. They were 332 boys and 295 girls. The incidence was estimated at 8.5/100 000 children under 15 years and 9.6/100 000 children (0–4 years). The incidence was 7.7/100 000 children (0- 15 years) in 2009, it passed to 8.93/100 000 in 2011.

The patients were aged 0–4 years in 33% of cases, 5–9 years in 34.1% of cases and 10–15 years in 32.9% of cases.

The discovery of diabetes was in winter in 35% of cases. Parental consanguinity was noted in 31.2% of cases.

Conclusion Type 1 diabetes is a public health problem in Tunisia, its incidence increases and the age of diagnosis shifts to ages younger. Winter predominance of discovery supports the hypothesis of a triggering viral infection.

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