Measles, mumps, rubella and varicella are diseases that are tracked by the World Health Organization (WHO) as common and serious vaccine-preventable diseases. Aim of the Work: To evaluate the immune status and susceptibility against measles, mumps, rubella, and varicella in primary school children and to study the effects of some sociodemographic factors on the seroprevalence. Subjects and methods: This is a cross-sectional study conducted on 180 children. All children included in this study were subjected to thorough history taking and laboratory investigations; to measure serum levels of specific measles, rubella, mumps and varicella immunoglobulins (IgG) Results: (88.9%) of the surveyed children were seropositive to measles, (77.8%) to mumps, (86.7%) to rubella and (38.9%) to varicella. Seropositivity was higher in males than in females for measles (57.7%), mumps (60.7%), rubella (62.2%) and varicella (68.6%) with significant difference for measles. Younger age groups were less seropositive than older age groups for measles (32.5% vs 35%), mumps (34.4 % vs 37.9%), rubella (30.8 % vs 39.7 %) and for varicella (21.4%) vs 48.6%). The highest level of seronegativity was seen with regard to varicella specific antibodies (61.1%). Conclusion and recommendations: There is an urgent need for a planned program with different strategies to prevent and control these diseases .
Background
Beta-thalassemia major patients are at increased risk of complications including endocrinopathies and bone disease due to iron overload. So, this study aimed to assess the growth parameters, serum levels of 25-OH-vitamin D, calcium, and phosphorous in children with beta-thalassemia major. This was a case-control study that included 55 children with beta-thalassemia major compared with 30 sex- and age-matched healthy children that served as a control group. All enrolled children were subjected to full history taking, clinical examination including anthropometric measurements, and laboratory investigations including complete blood count, serum ferritin, levels of serum calcium, phosphorus, and 25-OH-vitamin D.
Results
Body mass index was statistically significantly lower in the thalassemic group (P < 0.001). It was observed that vitamin D levels were significantly lower in thalassemic patients than in controls (P value < .0001). The mean serum 25-OH-vitamin D levels were 19.84 ± 5.79 ng/ml and 44.98 ± 5.77 ng/ml, respectively; 22 cases (40%) had insufficient vitamin D, and 5 cases (9%) had deficient vitamin D. Regarding serum calcium and phosphorous, there was no significant difference between the thalassemic and control groups.
Conclusion
Children with beta-thalassemia major had low body mass index and metabolic abnormality in the form of lower serum levels of vitamin D that signify the importance of therapeutic interventions.
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