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Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results We analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p Conclusion In conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030.

Background: In the world as in North Africa, Sexually Transmitted Infections (STIs) are a public health problem especially for reproductive-age women. Since the quantification of the prevalence of STIs is important for the planning of interventions and the promotion of resources, it is necessary to have current data to evaluate the situation in the Maghreb and to give the answer as to the possibility of reaching the desired WHO goal of ending STIs epidemics as a public health concerns by 2030.The aim of this study was to determine the prevalence and trend of STIs during 11 years in Tunisia (2007-17). Methods: We conducted a descriptive cross-sectional study including all women with STIs diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results: We analyzed 40388 cases of genital infection with a crude prevalence rate and age standardized prevalence rate of 13.93/ 1000 inh and 72.38/ 1000 respectively. The prevalence rate was relatively high and showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a CPR of 11.7/1000. For all syndromes, women of childbearing age (20 to 39 years) were the most affected age group (p Conclusion:Our results were consistent with the global evidence, suggesting a focus on primary prevention reinforcement and STIs surveillance system improving in North Africa countries to achieve the World health organization goal of ending STIs epidemics by 2030.

Background Tuberculosis (TB) is global public health problem and up to 25% of TB cases present extrapulmonary involvement. The incidence of extrapulmonary tuberculosis (EPTB) is increased worldwide. Our study aimed to give an update on the epidemiology, current trends of EPTB from 2000 to 2017 and to predict future trajectories of EPTB up to 2030 in Monastir, Tunisia. Methods We performed an observational study from 2000 to 2017. Data were collected by the regional direction of primary health care. Incidence was estimated by the crude incidence rate (CIR). Poisson regression model was used to calculate the slope 'b' in order to describe trends and was performed to estimate incidence projection for 2030. Data were verified and analyzed using IBM SPSS Statistics version 22.0 software. Results During 18 years, 997 cases of TB were declared in Monastir. Almost 51% (n = 509) were EPTB. Sex ratio was 1.68. The main EPTB forms were lymph nodes in 234 (23.5%) cases, followed by pleural TB in 35 (3.5%) cases and bone and joints in 31 (3.1%) cases. CIR was 5.62/100,000 inhabitants (inh) for EPTB with a highest incidence in patients aged 60 years and above. A positive trend was showed for EPTB with a (b = 0.05; p Conclusions Despite the availability of a treatment and knowledge on prevention measures, EPTB remains a public health problem. Thus, investigating and identifying patients at higher risk is needed in order to improve its management. Key messages Updated epidemiology is important for healthcare experts to improve planning policies attributed to EPTB. Our results are a tool for decision-makers to assess the efficiency of TB control programs.

Background: In the world as in North Africa,Sexually Transmitted Infections (STIs) are a public health problem especiallyfor reproductive-age women.Since the quantification of the prevalence of STIs is important for the planning of interventions and the promotion of resources, it is necessary to have current data to evaluate the situation in the Maghreb and to give the answer as to the possibility of reaching the desired WHO goal of ending STIs epidemics as a public health concerns by 2030.The aim of this study was to determine the prevalence and trend of STIs during 11 yearsin Tunisia (2007-17).Methods: We conducted a descriptive cross-sectional study including all women with STIs diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017.Syndromes included, Pelvic Pain (PP),Vaginal Discharge (VD)and Genital Ulceration (GU). Results: We analyzed 40388 cases of genital infection with a crude prevalence rate and age standardized prevalence rate of13.93/ 1000 inh and 72.38/ 1000 respectively.The prevalence rate was relatively high and showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a CPR of 11.7/1000. For all syndromes, women of childbearing age(20 to 39 years) were the most affected age group(p Conclusion:Our results were consistent with the global evidence, suggesting a focus on primary prevention reinforcement and STIs surveillance system improving in North Africa countries to achieve the World health organization goalof ending STIs epidemics by 2030.

We aimed to describe incidence, trends of tuberculosis (TB) over 18 years and to evaluate the impact of the BCG vaccine after four decades of immunization program according to three protocols. We performed a cohort study including declared cases in Monastir from January 1, 2000 to December 31, 2017. We reported 997 cases of TB. The predominant site was pulmonarylocalization (n = 486). The age standardized incidence of pulmonary and lymph node TB per 100,000 inh were 5.71 and 2.57 respectively. Trends were negative for pulmonary TB (PTB) (b = - 0.82; r = -0.67; p