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5 Epidemiology of multiple sclerosis in Tuzla canton, Bosnia and Herzegovina

Published online by Cambridge University Press:  24 June 2014

Mirjana Vidović,
Osman Sinanović and
Sanela Zukić
Mirjana Vidović
Affiliation:
Department of Neurology, University Clinical Center Tuzla, Trnovac b.b. 75 000 Tuzla, Bosnia and Herzegovina, E-mail: vidovic_mirjana@hotmail.com
Osman Sinanović
Affiliation:
Department of Neurology, University Clinical Center Tuzla, Trnovac b.b. 75 000 Tuzla, Bosnia and Herzegovina, E-mail: vidovic_mirjana@hotmail.com
Sanela Zukić
Affiliation:
Department of Neurology, University Clinical Center Tuzla, Trnovac b.b. 75 000 Tuzla, Bosnia and Herzegovina, E-mail: vidovic_mirjana@hotmail.com
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Abstract

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Objective:

To determine the incidence and prevalence of multiple sclerosis in the Tuzla canton, Bosnia and Herzegovina.

Patients and methods:

The area of the Tuzla canton is 2649 km2 and consists of 13 municipalities. After the war (1992–1995), there was no population census in Bosnia and Herzegovina. According to the report from Institute for statistics of federation Bosnia and Herzegovina in 2005, the Tuzla canton had an estimated population of 502 862 residents. Our Departmant of Neurology is the only one capable to diagnose and treat people suffering from multiple sclerosis in the canton. We have calculated the incidence and prevalence of Multiple sclerosis by analysing existing medical documentation (history of illness and hospital protocols).

Results:

In the Tuzla canton total number of people suffering from Multiple Sclerosis (on 31.12.2008.) is 140, average age of 40.37 years (± SD 10.65). Average age of patients was 34.69 (± SD 10.54) years when the illnes was diagnosed. The youngest patient was 12 year old, and the oldest 73 years. Diseases were twice more frequent in women then in men (94; 67.1%/46; 32.9%). The prevalence was 27.84 patients per 100 000 population. The average incidence for the 10-year period (1999–2009) was 2.38/100 000. The lowest incidence was 0.59/100 000 population (1999), and the highest 4.78/100 000 population (2007).

Conclusion:

The results show that the Tuzla canton belong to the area with a midlle prevalence of multiple sclerosis (upper limit). Moreover, the incidence of illnes has the tendency to increase in the last ten years.