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Otitis media in Dar es Salaam, Tanzania

Published online by Cambridge University Press:  29 June 2007

J. J. Manni  and
P. N. Lema
J. J. Manni*
Affiliation:
Department of Otorhinolaryngology, Muhimbili Medical Centre, University of Dar es Salaam.
P. N. Lema
Affiliation:
Department of Otorhinolaryngology, Muhimbili Medical Centre, University of Dar es Salaam.
*
Department of Otorhinolaryngology, St. Radboud Hospital, University of Nijmegen, Philips van Leydenlaan 15, 6500 HB Nijmegen. The Netherlands.
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Abstract

To assess the prevalence of otitis media in Tanzania a study was made of 3772 patients attending for the first time the ENT out-patient department of Muhimbili Medical Centre, University Hospital of Dar es Salaam. Otitis media in one form or another was present in 524 patients (14 per cent). The majority reported a long history of ear discharge.

Hearing loss was a major complaint and was often found to be between 40–60 dB. H.L. Most patients admitted previous treatment, but otoscopy had rarely been performed. The medical profession in Tanzania cannot possibly deal with the large number of cases of chronic otitis media.

With the recent introduction of otorhinolaryngology into the curriculum of the medical school of Tanzania it seems advisable to include otology in the programme for primary health workers.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 3 , March 1987 , pp. 222 - 228
Copyright
Copyright © JLO (1984) Limited 1987

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References

Brody, J. A., Overfield, R. N. and McAlister, R. (1965) Draining ears and deafness among Alaskan Eskimos. Archives of Otolaryngology, 81: 29–33.CrossRefGoogle ScholarPubMed
Clifford, P. (1965) Carcinoma of the nasopharynx in Kenya. East African Medical Journal, 42: 373–396.Google Scholar
Elton, P. and Cornell, J. (1978) Study of otitis media and malaria among pyrexic attenders of an under-fives clinic. Journal of Tropical and Medical Hygiene, 81: 110–112.Google Scholar
Feigin, R. D. (1982) Otitis media: closing the information gap. New England Journal of Medicine, 306: 1417–1418.CrossRefGoogle ScholarPubMed
Jaffé, L. (1951) Zur Hals-Nasen-Ohrenheilkunde der warmen Länder. Zeitschrift für Laryngologie, Rhinolologie und Otologie, 30: 295–301; 404–413.Google Scholar
Lee, J. A. H. (1957) Chronic otitis media among a sample of young men. Journal of Laryngology and Otology, 71: 398–404.Google Scholar
Mahoney, J. L. (1980) Mass management of otitis media in Zaire. The Laryngoscope, 90: 1200–1208.CrossRefGoogle ScholarPubMed
Manni, J. J. (1983) Laryngeal tuberculosis in Tanzania. Journal of Laryngology and Otology, 97: 565–570.Google Scholar
Manni, J. J. (1984) Uvulectomy, a traditional surgical procedure in Tanzania. Annals of Tropical Medical Parasitology, 79: 49–53.Google Scholar
Manni, J. J. (To be published).Google Scholar
Manni, J. J. and Kuylen, K. (1984) Clinical and bacteriological studies in otitis externa in Dar es Salaam, Tanzania. Clinical Otolaryngology, 9: 351–355.CrossRefGoogle ScholarPubMed
Manson-Bahr, Ph. (1961) Tropical diseases affecting the throat, nose and ear. Journal of Laryngology and Otology, 75: 175–195.Google Scholar
Martin, J. A. M. (1967) Diseases of the ear, nose and throat in tropical Africa. A Uganda survey. Journal of Laryngology and Otology, 81: 1079–1098.CrossRefGoogle Scholar
Mawson, R. S. (1974) Diseases of the ear pp 307–311. Edward Arnold, London.Google Scholar
Miller, S. A., Omene, J. A., Bluestone, C. D. and Torkelson, D. W. (1983) A point of prevalence of otitis media in a Nigerian village. International Journal of Pediatrics in Otorhinolaryngology, 5: 19–29.CrossRefGoogle Scholar
Okafor, B. C. (1984) The chronic discharging ear in Nigeria. Journal of Laryngology and Otology, 98: 113–119.Google Scholar
Okeowo, P. A. (1978) Observations of non-suppurative middle ear problems in Nigerian children. Journal of Tropical Pediatrics, 24: 4–6.Google Scholar
Paradise, J. L. (1980) Otitis media in infants and children. Pediatrics, 65: 917–943.CrossRefGoogle ScholarPubMed
Proctor, B. and Lindsay, J. R. (1942) Tuberculosis of the ear. Archives of Otolaryngology, 35: 221–249.CrossRefGoogle Scholar
Reis, C. S. (1978) Demographic and epidemiological transition in Africa. Tropical Doctor, 8: 229–233.Google Scholar
Roland, P. E. (1960) Otological problems in Uganda. Journal of Laryngology and Otology, 74: 678–684.Google Scholar
Shurin, P. A., Pelton, S. J. and Donner, A. (1979) Persistance of middle-ear effusion after acute otitis media. New England Journal of Medicine, 300: 1121–1123.CrossRefGoogle ScholarPubMed
Sunderman, J. and Dyer, H. (1984) Chronic ear disease in Australian Aborigines. Medicial Journal of Australia, 140: 708–711.CrossRefGoogle ScholarPubMed
Tos, M., Holm-Jensen, S., Sorensen, C. H. and Mogensen, C. (1982) Spontaneous course and frequency of secretory otitis in 4-year-old children. Archives of Otolaryngology, 108: 4–10.CrossRefGoogle ScholarPubMed
Walfowitz, B. L. (1972) Tuberculous mastoiditis. Archives of Otolaryngology, 95: 109–114.CrossRefGoogle Scholar
Wiet, R. J., De Blanc, G. B., Stewart, J. and Weider, D. J. (1980) Natural history of otitis media in the American native. The Annals of Otology, Rhinology and Laryngology, 68: 14–18.CrossRefGoogle Scholar
Wilson, J. (1985) Deafness in developing countries. Archives of Otolaryngology, 111: 2–9.CrossRefGoogle ScholarPubMed