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Gastrointestinal helminths of the lizard Chalcides ocellatus from Benghazi, Libya.

Chalcides ocellatus, a scincid lizard, sampled during October 1998 to December 1999 from Benina (farmland) and Al-Kueffia (a rocky area) in Benghazi, Libya, was found to harbour three intestinal nematodes, Pharyngodon mamillatus, Thelandros alatus and Parapharyngodon micipsae, and an intestinal cestode, Oochoristica tuberculata. Thelandros alatus, P. micipsae and O. tuberculata were recorded for the first time in C. ocellatus. Parapharyngodon micipsae was detected in C. ocellatus from Benina and O. tuberculata from lizards in Al-Kueffia. The majority (87.6%) of C. ocellatus were infected with helminth parasites and the levels of infection were higher in males than in females but this difference was not significant. Pharyngodon mamillatus recorded the highest number of nematode parasites in C. ocellatus, although there was no relationship between the number of nematode parasites recovered and host density. In lizards infected with the cestode O. tuberculata, males had shorter snout-vent lengths than females. From a total of 153 C. ocellatus, 120 (78.4%) showed single and 14 (9.2%) showed mixed parasitic infections. Mixed infections between different species of nematodes were not observed.

Animals↗

Studies on the sero-epidemiology of endemic diseases in Libya. II. Rubella.

No epidemiological information concerning the prevalence of rubella previously existed in Libya, thus precluding policy decisions in respect of possible immunization programme options. A random serological survey of school children, using the single-radial haemolysis-test, gave the following IgG positive rates. In Benghazi, 621 subjects yielded 58.8% at six years, the point of entry to the school system, rising to 78.3% at 12 years; in Gharian, 188 subjects yielded 61.1% at six years rising to 89.3% at 12 years. An additional random group of 70 Benghazi children, bled annually for four years, yielded positive rates of 55.7% at six years rising to 78.6% at nine years.

Adolescent↗

Echinococcosis in Libya. III. Further studies on the prevalence of Echinococcus granulosus in dogs.

Of 92 dogs examined for Echinococcus granulosus at five sites in Libya from April 1985 to September 1988 33 (35.9%) were infected, the prevalences ranging from 60% (Zawiyah) and 52.0% (Tripoli) in the north-west, to 28.6% (Benghazi) and 28.5% (Darna) in the north-east. None of eight dogs at Al-Kufra, in the south-eastern desert, were infected. Twenty dogs each had two to 200 worms, nine had 201-1000 worms and four each had over 1000 worms (one dog in Tripoli had 17,120 worms). Most infections were seen in dogs aged three to four years; 45.4% of bitches and 35.4% of males were infected.

Age Factors↗

A survey of mites on farm animals in Libya.

In 1985-1988, 2287 farm animals (cattle, camels, sheep, goats, horses, donkeys, dogs and rabbits) suspected of carrying parasitic mites were examined at 58 farms throughout Libya. Mites were identified on 1303 of these animals. The commonest parasites on cattle were Psoroptes and Chorioptes, on camels and sheep were Sarcoptes and Psoroptes, and on goats were Sarcoptes and Demodex. Infested horses carrier Psoroptes or Chorioptes, and one donkey carried Sarcoptes. Otodectes was common on dogs, but Sarcoptes was rare and no Demodex were seen. Rabbits often had psoroptic ear mange or sarcoptic body mange. Dermanyssus gallinae and Ornithonyssus bursa were seen on chickens, but no mites were found on pigeons, ducks or turkeys.

Animals↗

Viral hepatitis in children: a study in Libya.

Serum surveys in Gharian and Derna, Libya, assessed by radioimmunoassay, indicated that 100% of children of seven years and older, were HAV immune, as were 60-70% of three-year old children revealing that infection occurs below the latter age. HBV infection occurs erratically in time and appears to be uncommon in young children, affects school children somewhat more frequently and adults more so. Non-A non-B hepatitis also occurs but in the absence of specific tests it is impossible to assess its incidence.

Child↗

Hydatid disease in children in Libya.

Hydatid disease is a common condition in Libya. Between 1971 and 1976, hydatid disease accounted for 0.85% of total hospital admissions to Al-Jalah General Hospital, Benghazi. The incidence of hydatid disease reported in children below ten years of age was 11.7%. In this paper the experience of treating 56 children with hydatid disease is described. The presenting features, complications, surgical techniques and results are reported and discussed.

Adolescent↗

Visceral leishmaniasis in Libya--review of 21 cases.

Visceral leishmaniasis is an important public health problem in Libya, but its exact prevalence is not known. Prompted by the paucity of information in the literature relevant to Libyan children, we reviewed the records of 21 children treated at El-Fatah Children's Hospital, Benghazi between March 1982 and May 1990. Visceral leishmaniasis was diagnosed on the basis of the history, physical findings and confirmatory laboratory tests including examination of bone marrow. The duration of illness before seeking medical advice ranged from 3 months to 1.5 years. The commonest presenting features were fever, abdominal distension, anorexia with weight loss, hepatosplenomegaly and pallor. The consistent laboratory findings were anaemia with reticulocytosis and normal serum iron, neutropenia, thrombocytopenia, high ESR and hyperglobulinaemia. The bone marrow was positive for L. donovani in 86% of cases and the indirect haemagglutination test was positive in all patients. Bronchopneumonia was the most common complication and responded rapidly to antibiotics. All patients were treated with sodium stibogluconate 10 mg/kg/day. There were no major side-effects or complications of drug therapy. The relative paucity of cases and their late presentation may reflect a lack of awareness of the occurrence of visceral leishmaniasis by doctors in the community.

Antimony Sodium Gluconate↗

Coeliac disease in north-eastern Libya.

We studied 243 children aged between 6 months and 18 years presenting with features suggestive of coeliac disease to Al-Fateh Children's Hospital, Benghazi, Libya from 1976 to 1993. The diagnosis of coeliac disease was made using the revised diagnostic criteria of the European Society of Paediatric Gastroenterology and Nutrition. Seventy-seven of the children conformed to these criteria. The demographic and clinical features of the disease were studied and compared with other studies in Arab countries and elsewhere. The male:female ratio was 1:1.3. Weight loss, anaemia, anorexia, diarrhoea and abdominal distention, in descending order of frequency, were the most frequently occurring clinical features. Jejunal biopsy is mandatory for the diagnosis of coeliac disease.

Adolescent↗

Prevalence and pattern of spinocerebellar degenerations in northeastern Libya.

An intensive search over a two-year period for cases of cerebellar and spinocerebellar degenerations in Benghazi, Libya, made through polyclinics, university hospitals and a centre for the handicapped, revealed a total of 52 patients, among whom 30 were index cases; the remainder were detected on family study. Twenty-five patients lived in Benghazi, giving a crude prevalence of 4.8/100 000 population. There were 24 patients (10 families) with hereditary spastic paraplegia (HSP), 13 (9 families) with early onset cerebellar ataxia with retained tendon reflexes (EOCA), 3 with Friedreich's ataxia (FA), 5 (1 family) with late onset cerebellar ataxia (LOCA) with pigmentary retinal degeneration and autosomal dominant inheritance, 6 single cases of LOCA and 1 with ataxia telangiectasia. There were 14 families with definite autosomal recessive inheritance and only 2 with dominant transmission. The large family size (average of 6.2 children per married woman in the patient group) and the high rate of consanguineous marriages contribute to the high incidence of familial cases, especially those with autosomal recessive inheritance. Nerve conduction studies were normal in HSP and abnormal in EOCA and FA. Computed tomographic scans revealed atrophy of the brainstem and cerebellum in 3 cases of EOCA and 2 with LOCA. No indigenous forms of the disease were observed and the clinical features differed little from the descriptions in literature. However, the relative rarity of patients with FA, in comparison with other types of hereditary ataxias, is striking.

Adolescent↗

Analysis of the human sex ratio. Factors influencing family size in Libya.

In 1981, data were obtained on sex of children and family size for 502 University of Garyounis, Benghazi, Libya, students and their parents. Secondary sex ratios (males: 100 females) were 105.1 for the parental and 106.7 for the present generations. Average numbers of children per family were 10.67 (5.48 males, 5.19 females) and 7.77 (4.01 males, 3.76 females) for the parental and present generations, respectively. Average number of children per family was influenced by level of formal education of the parents, especially that of the mother. The percentages of families stopping with three, four, five, and six children were greater when both sexes were present than when existing children were of the same sex; however, these differences associated with combinations of sexes were not significant. The lack of significant correlations between sexes of children within families, the absence of consistent patterns of significant chi-squares in the factorial analysis of associations between sexes of different births, and the agreement between observed and expected frequencies of sexes of children within families indicated a high degree of independence between sexes of children within families of the Libyan population.

Education↗

Desired family size and sex of children in Libya.

During 1982, 600 Arabian students (300 females, 300 males) at the University of Garyounis (Benghazi, Libya) were surveyed to determine their preferences for family size and for combination and permutation of sexes of children. For families of the projected generation, the average number of children was 4.4, the sex ratio was 143.5 males: 100 females, the most preferred combination of sexes was 2m2f, and the most preferred permutation of sexes was mfmf. Strong preferences were indicated for the first-born to be male followed by an alternation of sexes.

Family Characteristics↗

Lice of farm animals in Libya.

This first report on the lice of farm animals in Libya lists a total of fifteen species, as follows: Haematopinus quadripertusus and Linognathus vituli from cattle, Bovicola ovis, Linognathus pedalis, L. africanus and L. ovillus from sheep, L. stenopsis, L. africanus and Bovicola caprae from goats. Poultry harboured Lipeurus caponis, L. heterographus, Menacanthus stramineus, Menopon gallinae, Goniocotes gallinae, Goniodes gigas and G. dissimilis.

Animals↗

Pediculosis capitis in Benghazi, Libya. A school survey.

A school survey of pediculosis capitis in Benghazi, Libya, revealed an alarmingly high prevalence of 78.6%. The percentage of infestation was 67.2% for boys and 88.1% for girls. It was more frequent in schools located in rural areas (85.55%) as compared with those in urban areas (44.28%). There was no significant difference in infestation in younger and older children of either sex. Besides other factors for such a high prevalence, the lack of health education of family members may play a crucial role in transference and louse infestation.

Adolescent↗

Epidemiological and clinical study of epilepsy in Benghazi, Libya.

An epidemiologic study of adult patients (aged greater than 15 years) with epilepsy was made over a 2-year period, through the policlinics, EEG laboratory, and university hospitals in Benghazi, northeastern Libya. Based on a total of 568 patients (310 male and 258 female), the prevalence rate on 31 December 1984 was 2.3/1,000 in the population above the age of 15 years (1.9, if age standardized). The age-specific prevalence per 1,000 population decreased from 3.6 in the 15-24 year age group to 1 in the greater than 60-year age group. For 70.8% of the patients the onset of epilepsy occurred in the first 2 decades of life, and for 7.6% it commenced after the age of 40. The duration of epilepsy when first seen in the study period was less than 1 year in 14.6%, and greater than 10 years in 25.7%. The percentages of primary generalized, partial seizures secondarily generalized, simple partial, and partial complex seizures were 55.6, 18.8, 10.4, and 14.6%, respectively. Antecedents that could be considered potential causes of epilepsy were found in 17.5% of cases. Fifty-five patients had status epilepticus, 24 of whom had symptomatic epilepsy and eight recurrent status. EEG revealed generalized epileptic activity in 199 cases and focal seizure activity in 118. Computerized tomography (CT) scan, done in 219 patients, disclosed abnormal results in 50. Among those with abnormal CT scans, 84% had partial seizures. Monotherapy with carbamazepine or phenytoin was used in the majority of cases. The influence of social, cultural, and religious factors in the diagnosis and management of epilepsy as seen in Benghazi are discussed.

Adolescent↗

Incidence and pattern of cerebrovascular diseases in Benghazi, Libya.

During a 12 month study period, a total of 329 incident cases of stroke occurred in Benghazi, Libya. This provided an unadjusted annual incidence rate for stroke of 63 per 100,000 population; the corresponding rates for the male and female were 69 and 58 per 100,000 respectively. The sex dependent difference in the incidence was not statistically significant. Cerebral infarction was the commonest type of stroke accounting for 80.9%. The incidence rates increased with age in all categories of stroke. Hypertension and ischaemic heart disease were common risk factors among the male patients, while diabetes and hypercholesterolaemia were more frequent in the female patients.

Adult↗

The screwworm fly in Libya: a threat to the livestock industry of the Old World.

The screwworm fly, Cochliomyia hominivorax (Coquerel), is the most serious insect pest of cattle in the New World. It has recently been recorded in Libya, where it appears to have become established. This article documents these recent finds, and provides background information on the recognition of the fly, its biology, distribution and importance.

Animals↗

Descriptive epidemiology of motor neuron disease in Benghazi, Libya.

A total of 23 patients with motor neuron disease (MND), encompassing 17 cases of amyotrophic lateral sclerosis, 4 of progressive muscular atrophy and 2 of progressive bulbar palsy, was diagnosed in Benghazi, north-eastern Libya, between 1980 and 1985. The male to female ratio was 2.3:1. The average incidence of MND was 0.89/100,000 population/year (0.87 when age and sex-adjusted to the Libyan population). Eighteen patients were alive on the prevalence day, September 15, 1985, which provided a prevalence rate of 3.47/100,000 population (3.42 if adjusted). Age-specific incidence rates were highest in the 50- to 59-year-old age group, 8.14/100,000/year for men and 6.10/100,000/year for women. The median age at the time of diagnosis was 51 years, and the median duration for the 5 dead MND patients after the onset of the disease was 30 months. The median survival time for all MND cases combined was 42 months.

Adult↗