1. Coeliac disease in Croatia Zrinjka Mišak Referral Center for Paediatric Gastroenterology and Nutrition Children’s Hospital Zagreb

2. CD in Croatia  Croatia – 4,3 mil inhabitants  Zagreb – near 1 mil Zagreb Rijeka Split Osijek 4 university medical centres

3. CD in Croatia  Children’s Hospital Zagreb Referral Center for Paediatric Gastroenterology and Nutrition Ongoing studies: PreventCD Chromosomal abberations

4. Epidemiology of CD in Croatia  Incidence of clinically recognized CD pts 1:519 (Matek et al, Coll Antropol 1999)  Screening: 1:461 (Jungvirth et al, Acta Med Croat 2001) Zagreb Rijeka Split Osijek

5. Clinical picture of CD in Croatia  Majority of patients (70%) younger than 2 y of age  classical clinical picture

6. Clinical picture of CD in Croatia

7. CD in Croatia After the diagnosis  10 kg of gluten free flour per month free of charges (covered by the health insurance)  Mother of a patient can prolong a maternity leave up to 3 y of age

8. CD in Croatia - Problems  The exact number of diagnosed pts unknown (no registry)  Several societies - not collaborating well  Awareness of the problem is low