Download UNIVERSITY CLINICAL CENTER TUZLA DEPARTMENT

UNIVERSITY CLINICAL CENTER TUZLA
DEPARTMENT OF PEDIATRICS
BOSNIA AND HERZEGOVINA
Dr. SELMA TERZIĆ, pediatrician
Bosnia and Herzegovina
• Bosnia and Herzegovina has a
4.5 millions inhabitants and it is
divided in 10 Cantons
• Each Canton has the Association
of patients with Celiac disease
Bosnia and Herzegovina
CD can be diagnosed in four towns:Tuzla,
Sarajevo, Mostar and Banja Luka
 Serological tests:
• Anti-gliadin antibodies: IgA, IgG
• Anti-endomysial antibodies IgA
• Anti-tissue transglutaminase antibodies
IgA
 Endoscopy for a small bowel mucosal
biopsy
 Human leukocyte antibodies (HLA)
Bosnia and Herzegovina
• Children who suffer from Celiac
disease have a social support of
20€ per month
• Depending on age, they also get
from 5 to 10 kilos of gluten- free
flour
Bosnia and Herzegovina
Children without health insurance
have to pay for following finding:
 Anti-tissue transglutaminase
antibodies assay: 112 €
 Small Intestinal Biopsy: 25 €
 Pathology exam of the biopsy: 30 €
 Gluten-free flour, 1 kilo 5.5 €
Bosnia and Herzegovina
• The University Clinical Center
Tuzla was conducted study about
epidemiology of celiac disease in
Tuzla Canton for the period of
1995-2007. and obtained the
following results:
Bosnia and Herzegovina
From the total of 68 celiac disease
affected children:
• 44 children have typical forme,
• 16 children have atypical forme,
• 8 children have asymptomatic
forms and they were diagnosed
in the screening of children with
DMT1 and Hashimoto thyroiditis
L.Osmančević, S.Terzić, 2009
Bosnia and Herzegovina
• The overall average incidence rate
of celiac disease in 1995 was
0.05/1000 children
• Serological screening for Celiac
disease at the Clinical Center Tuzla
started to work from year 2000
• The prevalence of celiac disease in
2007 was 0.73/1000 children
L.Osmančević, S.Terzić, 2009.
Bosnia and Herzegovina
 Unfortunately, there is no
statistical data about the
prevalence of Celiac disease in
Bosnia and Herzegovina or from
each Canton
 Today in Bosnia and Herzegovina
has registered about 300 ill
children
Bosnia and Herzegovina
• Social conditions and prices for
gluten-free food are
unfavourable for patients with
celiac disease, but I hope that
this is going to be changed for
better in futur
Thank you!
Tuzla,Bosnia and Herzegovina
[email protected]