CD in Albania Albania: About: inhabitants 28000km2 surface Capital: Tirana

CD in Albania UHC: Tirana with 1200 beds Pediatric Department: 220 beds Service of Pediatric gastrohepatology: 15 beds

CD in Albania CD as “medical issue”: Diagnostic Facilities: – Serology – Endoscopy/biopsy – Genetics

CD in Albania Treatment GFD (local traditions) Follow up (about 1oo children)

CD in Albania Clinical Presentation Age of diagnostc: 5.2 yr g/i (classic) – Celiac crisis – Refractary forms Extra g/i

CD in Albania Cd and associated disease (syndroms) – DID – Turner Syndrom – Gaucher Disease?

CD in Albania Situation is not optimistic It is not a priority There is not a national strategy Financial support insuficient

CD in Albania Awareness and knowhow of GP and FD Education of general population CD Foundation?

CD in Albania No epidemiologic study Case finding study project