WAO White Book on Allergy

Page 202

194

Pawankar, Canonica, Holgate and Lockey

QUICK LOOK: Morocco Report by Moroccan Society of Allergology and Clinical Immunology General National population

30,000,000

Year population figure was reported

2004

Health service systems

National and Private Services

Allergy & Allergic Diseases Allergic disease prevalence trends

Overall prevalence is increased. ––Childhood Asthma - increased ––Adult Asthma - increased ––Severe Asthma – remained the same ––Allergic Rhinitis - increased ––Atopic Eczema - increased ––Anaphylaxis - remained the same ––Food Allergy - increased ––Complex, multi-organ allergic disease – increased Data Source: International Study of Asthma and Allergies in Childhood (ISAAC) study

Percentage of population with one or more 8% of adult population allergic diseases 12% of childhood population 10% of total population Data Source: International Study of Asthma and Allergies in Childhood (ISAAC) study Major allergen triggers that are implicated in the development or exacerbation of allergic disease

Dust mites (Dermatophagoides pteronyssinus, Dermatophagoides farinae) Blomia tropicalis Graminae pollen Olive pollen Cockroach Data Source: Moroccan Society of Allergology and Clinical Immunology

Major (indoor/outdoor) environmental pollutants that are implicated in the development or exacerbation of allergic disease

Diesel exhaust particulates Data Source: Moroccan Society of Allergology and Clinical Immunology

The annual socio-economic costs of allergic diseases

No data available.

Allergy Care: Treatment & Training Recognition of the specialty of allergy or allergy/clinical immunology

Allergy is not a separate specialty, it is part of other specialties such as pneumology, pediatrics, dermatology, otorhinolaryngology.

Number of certified allergists AND/OR allergist/clinical immunologists currently practicing nationally

Estimated figure: 300

General practitioner training in allergy diagnosis and treatment

Most General Practitioners are able to diagnose and treat asthma, rhinitis and atopic dermatitis. They do not practice skin tests or specific immunotherapy. They have to refer patients to allergist for that purpose. SMAIC regularly organizes workshops for General Practitioners and also participates in meetings of GP’s in several cities of Morocco.

Regional differences in allergy/clinical immunology service provision between urban and rural areas

Most allergists practice in large cities mainly Casablanca and Rabat (200). The rest are in other cities. Rural areas are neighboring urban areas where allergy services are provided, and most patients would have to travel less than 150 miles for an allergy service.

Enhancements required for improved patient care

We need to include allergy teaching in medical university programs and to recognize allergy as a specialty. The population needs to receive regular information about all aspects of allergy diagnosis, treatment and prevention.

Copyright 2011 World Allergy Organization


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