Conference 9 invitationConference 9 invitation

(Liver and (Liver and Environment)Environment)Risks& SolutionsRisks& Solutions

Tanta University, Faculty of Tanta University, Faculty of Medicine and the Egyptian Medicine and the Egyptian Society Society of Liver& Environment (ELSE) of Liver& Environment (ELSE)

kindly invite youkindly invite you

October 1October 1stst – 2 – 2ndnd /2014 /2014Tanta Faculty of Medicine Hall of ConferencesTanta Faculty of Medicine Hall of Conferences

Risks of HBV, HCV and Risks of HBV, HCV and HIV infectionHIV infection

in street childrenin street children

ByBy

Prof Dr Abdel Raouf Abou El Prof Dr Abdel Raouf Abou El AzmAzm

Tanta UniversityTanta UniversityPresident of the Egyptian Society of liver and President of the Egyptian Society of liver and

EnvironmentEnvironment

else.eg.liver@gmail.comelse.eg.liver@gmail.com

Street children???Street children???

No rights?No rights?

Number in EgyptNumber in Egypt??

Security Reports?Security Reports?

Press reportsPress reports

- 600 000- 600 000

- 1 Million- 1 Million

- 2 Millions- 2 Millions

- 5 Millions- 5 Millions

A report mentioned (A report mentioned (must be killed must be killed as dogs)as dogs)

Street children problemsStreet children problems

SocialSocial EconomicEconomic HealthHealth SecuritySecurity

Famous triad is appliedFamous triad is applied

PovertyPoverty IgnoranceIgnorance DiseaseDisease

Living in Polluted Living in Polluted environmentenvironment

Food, water and air: Food, water and air: Living in train stations - parking - Living in train stations - parking - cinemas - Markets - buildings under cinemas - Markets - buildings under construction - and near large construction - and near large mosques mosques

Food and water: parasites - diarrhea Food and water: parasites - diarrhea - a common intestinal - dysentery - - a common intestinal - dysentery - and food poisoning and food poisoning Air: TBAir: TB

Street childrenStreet children

Hunger, pollution and Hunger, pollution andتغذيةتغذيةmalnutritionmalnutrition

FoodFood

Not clean (dirty sources: gift- stolen Not clean (dirty sources: gift- stolen or from rubbish)or from rubbish)

ExpiredExpired Little (not sufficient to satisfy Little (not sufficient to satisfy

hunger) hunger) 83% of street children are 83% of street children are

malnourished since birth and malnourished since birth and anemiaanemia

The risk of HBV, HCV and The risk of HBV, HCV and HIV infection in the HIV infection in the

communitycommunity

Blood and blood products Blood and blood products Instruments contaminated with blood Instruments contaminated with blood

or secretions or secretions Sex Sex Drug abuse Drug abuse From the mother to her childrenFrom the mother to her children

Why street children are Why street children are the highest incidence of the highest incidence of

infectioninfection??

More than More than 25- 30 % of street children 25- 30 % of street children infected with viral hepatitis B, Cinfected with viral hepatitis B, C

((Asmaa MohamedAsmaa Mohamed))1 - Blood and blood products 1 - Blood and blood products The exercise of physical violence The exercise of physical violence leading to the occurrence of injuriesleading to the occurrence of injuries2- Use tools possible contamination 2- Use tools possible contamination of bloodof blood

Street childrenStreet children

33- - Sex (mostly at the age of Sex (mostly at the age of sexually active) sexually active) - 58.4% of children had sex and - 58.4% of children had sex and 79% 79%

of them had sex under threat of them had sex under threat - Subjected to sexual abuse - Subjected to sexual abuse - Rape - Rape - prostitution- prostitution- Multiplicity of partnership - Multiplicity of partnership - Sex outside genitals- Sex outside genitals

Street childrenStreet children

55

4- Different kinds of drug 4- Different kinds of drug abuseabuse

Street childrenStreet children

Street childrenStreet children

5- From the mother to her 5- From the mother to her childrenchildren

- Where an unwanted - Where an unwanted pregnancy pregnancy - Aborting the Ripper - Aborting the Ripper unhealthy waysunhealthy ways

Street childrenStreet children

What What

is the is the

solution?solution?