CD in Albania

Albania:About: 4000000 inhabitants 28000km2 surface Capital: Tirana

CD in Albania

UHC: Tirana with 1200 bedsPediatric Department: 220 bedsService of Pediatric gastrohepatology: 15 beds

CD in Albania

• CD as “medical issue”:

• Diagnostic Facilities:– Serology– Endoscopy/biopsy–Genetics

CD in Albania

• Treatment• GFD (local traditions)• Follow up (about 1oo children)

CD in Albania

Clinical Presentation

• Age of diagnostc: 5.2 yr• g/i (classic) – Celiac crisis– Refractary forms

• Extra g/i

CD in Albania

• Cd and associated disease (syndroms)– DID– Turner Syndrom

– Gaucher Disease?

CD in Albania

• Situation is not optimistic• It is not a priority • There is not a national strategy• Financial support insuficient

CD in Albania

• Awareness and knowhow of GP and FD• Education of general population • CD Foundation?

CD in Albania

• No epidemiologic study

• Case finding study project