Ibrahim Bani MD DTM&H Ph.D. is a public health physician by training with experience in International Public Health. His teaching experience is extensive, including faculty appointments as an Assistant and Associate Professor (Community Health) at King Saud University Kingdom of Saudi Arabia (KSA), and as a lecturer at Jazeera Medical School Sudan, which is internationally recognized for its innovative community-based training. In addition, he also worked as part-time faculty at the International Health Department at George Washington University, adjunct Associate Professor Family Medicine Department, the University of Chicago at Illinois (UIC), and visiting Professor /Community Health at the American University Beirut. Currently, is an Associate Professor (adjunct) at Chronic Disease Epidemiology Department, Yale School of Public Health, USA and Global Health Department, Rollins School of Public Health Emory University, Atlanta, GA, USA. During 2018-2020 was Associate Professor and Chairperson of Community Medicine and Health Care, Faculty of Medicine at Al-qunfudah, Umm Alqura University (KSA). He was the ex- Associate Dean for Research and Graduate Studies Faculty of Medicine, Jazan University, KSA. He was an adviser in academic development and accreditation to the VP King Saud bin Abdelaziz University for Health Sciences, KSA. Dr. Bani is a member of the Board of Trustees for Sub-Saharan College, and EDaen University, Sudan. Dr. Bani is a member of the Editorial Board for the following Journals: Editor Section Tropical Medicine Reports J. Food and Nutrition Disorders J., Sudan Journal of Surgical Sciences and Research, and Sudan J Medical education. He was a reviewer of the Saudi Medical Journal and Saudi Family and Community Medicine Journal and J Harm Reduction. Dr. Bani International experience is also extensive, including association with the Micronutrient Initiative (MI), World Bank, WHO, UNICEF, USAID, WFP, and UN Humanitarian Mission in Iraq. He also worked with WHO as a consultant to evaluate regional management training programs in the Middle East and North Africa Region, and recently joined a WHO consultative group for developing Public Health Leadership and Networking. He has been a Professional Associate with the Institute of International Programs (Johns Hopkins School of Public Health) as a technical reviewer to assess Child Survival Programs funded by USAID. He has also been associated with UNHCR, to evaluate Health Manpower Needs for Ethiopian Refugee Camps in Sudan.
ackground: Pesticide applicators are at risk of developing neurological symptoms and neurobehavioral deficits. This risk may increase if the applicator chews stimulant plants like khat. Objective: To examine the sociodemographic and exposure determinants of neurological symptoms presentation, neurobehavioral performance, and cholinesterase activity among pesticide applicators in a vector control unit, Saudi Arabia. Methods: In a cross-sectional study, 30 pesticide applicators and 32 non-applicators from a vector control unit in Jazan region, Saudi Arabia, were studied. The study participants completed an exposure and medical questionnaire, and a neurobehavioral test battery. Their blood samples were also tested for the measurement of butyryl cholinesterase (BChE). Results: The mean blood BChE level was no significantly different between the applicators and non-applicators. Working in pesticide application …
At a time of unpredictable challenges for health, whether from a changing climate, emerging infectious diseases, or the next microbe that develops drug resistance, one trend is certain: the ageing of populations is rapidly accelerating worldwide. For the first time in history, most people can expect to live into their 60s and beyond. The consequences for health, health systems, their workforce and budgets are profound. A healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and developing to their maximum potential. Aim: This presentation focuses on the city as a setting for health promotion and on the role of healthy city projects in promoting healthy aging.
urpose: Brucellosis is responsible for considerable public health issues involving economic losses due to abortion, loss of milk production and infertility in adult males. The purpose of this study was to determine the sero-prevalence of brucellosis in Jazan Province, Saudi Arabia and assess the possible risk factors. Methods: An observational cross-sectional study was conducted in three geographical areas of Jazan Province, Saudi Arabia. The study sample included 400 participants from randomly selected primary health care centres. A standardised questionnaire was used to collect information on demographics and risk factors for brucellosis. A 5 ml blood sample was collected from each study participant. The SPSS statistical program was utilised for data analysis. Results: The overall sero-prevalence of brucellosis in Jazan Province was 13.4% and was higher among participants≥ 40 years old (20%) than those< 40 years (12%). Prevalence was significantly higher among rural (39.3%; 95% confidence interval [CI], 29.8–49.7) than urban populations (4.6%; 95% CI, 2.7–7.9), in Saudis (14.5%; 95% CI, 11.1–18.8) than non-Saudis (3.0%; 95% CI, 7.0–15.3) and in males (16.4%; 95% CI, 12.2–21.6) than females (7.1%; 95% CI, 3.7–13.4). Conclusion: These results indicate the need for a vaccination program in Jazan Province and for public awareness campaign activities to combat and eradicate the disease.
he draft Global Technical Strategy for malaria aims to eliminate malaria from at least 10 countries by 2020. Yemen and Saudi Arabia remain the last two countries on the Arabian Peninsula yet to achieve elimination. Over the last 50 years, systematic efforts to control malaria in the Kingdom of Saudi Arabia has successfully reduced malaria cases to a point where malaria is now constrained largely to Jazan Province, the most south-western area along the Red Sea. The progress toward elimination in this province is reviewed between 2000 and 2014. Data were obtained from the Ministry of Health case-reporting systems, activity reports, unpublished consultants reports, and relevant scientific published papers. Sub-provincial population data were obtained the national household censuses undertaken in 2004 and 2010. Rainfall data were obtained from the Meteorological Department in Jazan. Between 2000 and 2014 there were 5522 locally acquired cases of malaria and 9936 cases of imported malaria. A significant reduction in locally acquired malaria cases was observed from 2000 to 2014, resulting in an average annual incidence (2010–2014) of 0.3 cases per 10,000 population. Conversely imported cases, since 2000, remain consistent and higher than locally acquired cases, averaging between 250 and 830 cases per year. The incidence of locally acquired cases is heterogeneous across the Province, with only a few health districts contributing the majority of the cases. The overall decline in malaria case incidence can be attributed to coincidental expansion of control efforts and periods of exceptionally low rainfall. Jazan province is poise
Purpose This study aimed to assess car-driving behaviors and attitudes and to measure the changes in the knowledge and behavioral practices associated with road safety measures of 1333 randomly selected young-adult participants (aged 18–24 years) from Jazan University in Gizan city, Saudi Arabia. Methods Data were collected using cross-sectional survey and quasi experimental pre- and post-evaluation educational. intervention study including structured questionnaire and take-home educational material. Results Results revealed that low compliance with the safety index significantly increased the risk of traffic injuries by 20% [OR = 0.80, 95% CI = (0.59–1.01)]. Whereas the medium category of the safety compliance index is significantly associated with an increasing number of injuries by 6% [OR = 0.94, 95% CI = (0.61–1.52)]. In contrast, both high and medium categories of risk behavior index increased the risk of traffic injuries [OR = 1.08, 95% CI = (0.82–1.43); OR = 0.80, 95% CI = (0.57–1.10), respectively]. Some improvement in risky behavioral practices was seen after the intervention including ‘not playing loud music’ [86.3%, (P = 0.05)], ‘not using mobile phones’ [89.4%, (P < 0.05)], and ‘not using unprofessional checkups of the car’ [71.5%, (P < 0.05)]. Conclusion Ultimately, this unpleasant situation may recommend avoidance of these kinds of intermittent awareness programs; instead, embedding a continuous road safety learning within the life-long educational system as a better and more realistic intervention for reducing the number of road accidents and injuries. Further, establishing various modes of highcapacity city-link public transportation remains among the most recommended strategic and effective options that can curb road traffic injuries in the long run. Keywords Car crashes · Causalities prevention · Road traffic accidents (RTA) · Road traffic injuries (RTI), Health Education
he United Arab Emirates has been very successful in its vaccination campaign for the COVID-19 injection, and vaccine hesitancy is not currently a major concern. Nevertheless, the motivations of residents in the UAE to receive the COVID-19 vaccine are varied. In this study with 426 vaccinated participants, 55% expressed health motivations to receive the vaccine, whereas 45% expressed non-health motivations. Nationality was a predictive factor in motivation, as expatriates from South Asian countries expressed the lowest motivation to get the vaccine on the basis of intrinsic health reasons, followed by expatriates from Arab countries, Emiratis, and expatriates from the rest of the world. The same nationality pattern was observed in vaccine readiness and vaccine knowledge. Both of these variables had a correlation with intrinsic health motivation in receiving the vaccine. No significant difference across nationalities was observed regarding vaccine conspiracy beliefs, and this variable only had a weak negative correlation with motivations to receive the vaccine. Keywords: COVID-19; Motivation; Nationality; UAE; Vaccine.
Objectives: To study acute respiratory infections of children less than 2 years of age in Riyadh City and their sociodemographic and anthropometric correlates. Methods: Study subjects included 250 mothers selected by systematic random sampling from mothers attending 5 Primary Health Care Centers selected by simple random sampling from the 5 geographical zones (one from each zone) in Riyadh during a one month period. Data was collected via a structured pilot tested modified questionnaire filled in by trained research assistants who interviewed mothers regarding acute respiratory infections during the past 2 weeks in their children aged less than 2 years. Heights and weights of both children and mothers were measured and the necessary sociodemographic characteristics of the mothers, and children were collected by the research assistants in addition to mothers' practices concerning their child's acute respiratory infections. Results: The prevalence of acute respiratory infection in children was 24%, mostly in children whose mothers are less educated, aged 35 years or more, married at age 25 years or more and whose relatives take care of their children while working outside the home. The children affected were mostly 7 - 12 months of age, lighter in weight, not vaccinated, with no follow up cards and not weighed during the last 4 months. About 3 quarters of the mothers consulted somebody about acute respiratory infections, mostly at modern health facilities particularly government Primary Health Care Centers. Tachypnea, or diarrhea or both were the most important symptoms urging mothers to seek medical advice. Working mothers whose children are taken care of by relatives is the only significant predictor of acute respiratory infections, and children with a follow up card is the only significant predictor for consulting somebody about acute respiratory infections. Conclusion: Intervention strategies to control acute respiratory infections in children less than 2 years of age should target working mothers, less educated mothers, malnourished unvaccinated children and encourage periodic follow up visits for children.
Background: The term iodine deficiency disorders (IDD) refers to all the effects of iodine deficiency on growth and development in human and animal populations that can be prevented by correction of the iodine deficiency. The objective of this paper was to determine the iodine nutrition status among schoolchildren in the Jazan Region of the Kingdom of Saudi Arabia (KSA), by measuring urinary iodine concentrations and by clinical assessments of goiter rate. Methods: A school-based cross-sectional survey was conducted in the Jazan region of southwestern KSA from May to November 2010. A total of 311 children, aged 6–13 years, drawn from 12 schools, were selected by a three-stage cluster random sampling method. Data on sociodemographic characteristics were collected using a structured questionnaire. Urine samples were collected and physical examinations were conducted to determine the presence or absence of goiter. Data were analyzed using SPSS version 17.0. Chi square and independent t-tests were used for proportions and mean comparisons between groups. Results: Out of 360 selected children, 311 were examined. There were 131 males (42%) and 180 females (58%). The median urinary iodine concentration (UIC) of the study group was 421 μg/L. The study population proportion with UIC > 300 μg/L was 74% with a higher proportion among males and urban populations. The proportion of children with UIC of 100–300 μg/L was only 21% and was significantly higher among females compared with males (p < 0.001). Only about 3% of the children had a median UIC less than 50 μg/L. The prevalence of total goiter rate (TGR) among the sample of schoolchildren in Jazan was 11%, with significant variations between rural and urban populations and by gender. Conclusions: The present study demonstrates a remarkable achievement in Universal Salt Iodization (USI) and IDD elimination goals in the Jazan area. However, UIC levels reflect excessive iodine intake and may put the population at risk of adverse health consequences like iodine-induced hyperthyroidism and autoimmune thyroid diseases. Keywords: Iodine nutrition, Saudi Arabia, Jazan, USI
A robust public health workforce in Sudan is essential for accelerating progress toward the Sustainable Development Goals, and strengthening public health education is a priority for the Ministries of Health and Higher Education. Faculty at public health training institutions are a critical resource. Globally, development programs for junior to midlevel public health faculty have been well documented. However, most involved direct partnership between a university from the Global North and only one or two universities from the Global South, only one included an explicit focus on creation of a leadership network, and none were launched as fully virtual collaborations. Therefore, we conducted a mixed-method evaluation of the fully virtual Yale–Sudan Program for Research Leadership in Public Health.We used program records, participant feedback, competency assessment, and network analysis to evaluate 1) participant engagement, 2) change in skill, and 3) change in collaboration. The program achieved a 93% graduation rate. All participants would “definitely” recommend the program and described the live virtual sessions as engaging, effective, and accessible. We observed progress toward learning objectives and significant increases in 13 of 14 leadership and mentorship competency domains. Collaboration across Sudanese institutions increased, including an almost doubling in the number of pairs reporting scholarly collaboration. Eight authorship teams are actively working toward peer-reviewed publications. The program engaged scholars and policymakers from across Sudan and the Sudanese diaspora achieved high levels of co-creation and continues despite significant political unrest in the country, serving as a promising model for strengthening. of public health education in Sudan.