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Conference 9 invitation (Liver and Environment) Risks& Solutions Tanta University, Faculty of Medicine and the Egyptian Society of Liver& Environment (ELSE) kindly invite you October 1st – 2nd /2014 Tanta Faculty of Medicine Hall of Conferences Risks of HBV, HCV and HIV infection in street children By Prof Dr Abdel Raouf Abou El Azm Tanta University President of the Egyptian Society of liver and Environment [email protected] Street children??? No rights? Number in Egypt? Security Reports? Press reports - 600 000 - 1 Million - 2 Millions - 5 Millions A report mentioned (must be killed as dogs) Street children problems Social Economic Health Security Famous triad is applied Poverty Ignorance Disease Living in Polluted environment Food, water and air: Living in train stations - parking - cinemas - Markets - buildings under construction and near large mosques Food and water: parasites - diarrhea - a common intestinal - dysentery - and food poisoning Air: TB Street children تغذيةHunger, pollution and malnutrition Food Not clean (dirty sources: gift- stolen or from rubbish) Expired Little (not sufficient to satisfy hunger) 83% of street children are malnourished since birth and anemia The risk of HBV, HCV and HIV infection in the community Blood and blood products Instruments contaminated with blood or secretions Sex Drug abuse From the mother to her children Why street children are the highest incidence of infection? More than 25- 30 % of street children infected with viral hepatitis B, C (Asmaa Mohamed) 1 - Blood and blood products The exercise of physical violence leading to the occurrence of injuries 2- Use tools possible contamination of blood Street children 3- Sex (mostly at the age of sexually active) - 58.4% of children had sex and 79% of them had sex under threat - Subjected to sexual abuse - Rape - prostitution - Multiplicity of partnership - Sex outside genitals Street children 5 4- Different kinds of drug abuse Street children Street children 5- From the mother to her children - Where an unwanted pregnancy - Aborting the Ripper unhealthy ways Street children What is the solution?