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Congenital Malformations in the Moroccan Surveillance System: Contribution to Prevalence Estimation
Soukaina Kannane1, Samia Boussaa2, Jamila El Mendili3
1Polyvalent Team of Research and Development (PTRD), Polydisciplinary Faculty, Sultan Moulay Slimane University, 23000 Beni Mellal, Morocco.
Insights
Congenital malformations (CMs) impact child health significantly. This study found a prevalence of 3.91/1000 live births in Morocco, with neural tube defects and orofacial clefts being common.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Congenital malformations (CMs) are a significant cause of child mortality, morbidity, and disability globally.
- Morocco has implemented a CMs surveillance system since 2011 to monitor these conditions.
- CMs represent a substantial public health challenge, burdening healthcare systems worldwide.
Purpose of the Study:
- To determine the prevalence of congenital malformations (CMs) in Morocco.
- To analyze the epidemiological trends of CMs within the Moroccan population.
- To identify specific types and geographical distribution of CMs in Morocco.
Main Methods:
- Retrospective analysis of congenital malformations (CMs) data.
- Utilized the national surveillance system data from 2017 to 2021.
- Data collected from case notification forms for epidemiological assessment.
Main Results:
- The national prevalence of congenital malformations (CMs) in Morocco was 3.91 per 1000 live births (LBs).
- Prevalence varied annually, with a minimum of 3.10/1000 LBs in 2017 and a maximum of 4.55/1000 LBs in 2018.
- Neural tube defects (21.13%) and orofacial clefts (10.32%) were the most common specified CMs, with unspecified CMs comprising 68.55%.
Conclusions:
- The national prevalence of congenital malformations (CMs) in Morocco is notably high and potentially underestimated.
- A significant proportion of reported CMs are unspecified, highlighting a need for more detailed reporting.
- Recommendations include establishing a comprehensive CM registry and promoting preventive measures for congenital malformations.
Background:
Congenital malformations (CMs) are a group of structural or functional anomalies present at birth. These anomalies result in a high rate of mortality, morbidity, and disability in children. CMs are a major public health problem and place a heavy burden on healthcare systems in both developed and developing countries including Morocco, which has had a CMs surveillance system in place since 2011. The aim of this study is to determine the prevalence of CMs in Morocco.
Methods:
In this study, the epidemiology of CMs in Morocco was assessed retrospectively using the national surveillance system data gathered from case notification forms from 2017 to 2021.
Results:
The main results showed that the prevalence of CMs in Morocco is 3.91/1000 live births (LBs), and the minimum annual prevalence of CMs was reached in 2017 (3.10/1000 LBs) while the maximum annual prevalence was recorded in 2018 (4.55/1000 LBs). The majority of CMs are unspecified CMs (68.55%), neural tube defects (NTDs) account for (21.13%), and orofacial clefts (OFCs) account for (10.32%). In addition, the majority of CMs (61.73%) were from rural areas. According to region, the Dakhla-Oued Eddahab region recorded the highest prevalence of CMs in Morocco, with 8.81/1000 LBs, while the lowest prevalence was recorded in the Rabat-Sale-Kenitra region, with 2.02/1000 LB.
Conclusions:
This study reveals that the national prevalence of CMs is high and may be underestimated, as most of the CMS reported is unspecified. The use of a CM registry with detailed reporting of all CMs and the promotion of preventive measures are urgently recommended.
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