ALBANIAN MEDICAL JOURNAL SUPPLEMENTThe situation of children with autism <strong>in</strong> Shkodra cityZamira Shabani 1 , Arben Hoxha 2 , Fatmir Vadahi 1 , Kujtim Pel<strong>in</strong>ku 1 ,R<strong>in</strong>a Gera 11University Luigj Gurakuqi , Shkodër, <strong>Albania</strong>;2Development Center, Shkodër, <strong>Albania</strong>.Aim: Autism is a group of developmental bra<strong>in</strong>disorders, collectively called autism spectrumdisorder (ASD). The term spectrum refers to thewide range of symptoms, skills, and levels ofimpairment or disability that children with ASD mayexhibit. We conducted a review of the autism cases<strong>in</strong> Shkodra city. We aimed to describe thedistribution of this condition accord<strong>in</strong>g to gender,area of residence, and age-groups of these children<strong>in</strong> two <strong>in</strong>stitutions <strong>in</strong> Shkodra city.Methods: A survey was conducted <strong>in</strong>clud<strong>in</strong>g allchildren <strong>in</strong> two <strong>in</strong>stitutions that provide services forchildren with autism. More specifically, the<strong>in</strong>formation was collected from the follow<strong>in</strong>g two<strong>in</strong>stitutions: Development Center of Children andthe Special School <strong>in</strong> Shkodra city. A descriptivemethod was used and the data was analyzed <strong>in</strong>Microsoft Excel 2007.Results: There were 49 cases <strong>in</strong> total diagnosedwith autism that attend studies <strong>in</strong> these two<strong>in</strong>stitutions (34 of the children attend theDevelopment Center of Children , whereas therema<strong>in</strong><strong>in</strong>g 15 children attend the Special School ).This study has evidenced that males are moreaffected than females (79% male and 21% female).The vast majority of the diagnosed cases were fromurban areas of Shkodra (86%).Conclusion: Even though autism is not well-studied<strong>in</strong> <strong>Albania</strong>, our f<strong>in</strong>d<strong>in</strong>gs <strong>in</strong>dicate that this conditionhas serious implications for the children who areaffected and for their respective families. Socialservices and health care system <strong>in</strong> <strong>Albania</strong> should beprepared to tackle autism <strong>in</strong> terms of earlydiagnosisand provision of appropriate social services andhealth care services for the affected children.Keywords: autism, children, mental health, Shkodra.66 ALBANIAN MEDICAL JOURNAL SUPPLEMENT
INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIAHealth risks from water and new challenges for thefutureArben Luzati 1 , Valbona Bara 1 , Oltiana Petri 1 , Anilda Kokali 1 , Anjeza Çoku 1 ,Mimoza Luzati 11Institute of Public Health, Tirana, <strong>Albania</strong>.Water is a very important element for the humanexistence, as a necessity for the economy, <strong>in</strong>dustryand agriculture. Water sources occupy 71% of theland surface and only 1% of this amount, locatedunderground, consists of dr<strong>in</strong>k<strong>in</strong>g water, while therest is salt water. The ma<strong>in</strong> water reserves arerepresented by: i) surface waters <strong>in</strong>clud<strong>in</strong>g waters ofthe oceans, seas, rivers, lakes and pools; ii)groundwater <strong>in</strong>clud<strong>in</strong>g natural groundwaterresources, hydro-geological, <strong>in</strong>dividual or collectivewater wells, and; iii) free water, which is constantlypresent <strong>in</strong> the air (water vapour).<strong>Albania</strong> is one of the first countries <strong>in</strong> Europe forpossession of abundant water resources, which varyfrom 5-1500 L/ sec. Although the quantities aresufficient to meet current needs, water quality is oftenproblematic due to pollution, especially <strong>in</strong> lowlandareas, where most of the <strong>Albania</strong>n population residescurrently. Also, <strong>in</strong> these areas take place most of theurban and agricultural <strong>in</strong>dustrial activities. Waterpollution implies the presence of microorganisms andchemical substances, toxic and radioactive substancesthat are classified as harmful for humans.Water pollution may be bacteriological, physicalchemical,toxic and radioactive. Bacteriologicalpollution of water is caused by bacteria, viruses,parasites eggs, which cause serious diseases such astyphoid, cholera, hepatitis A, salmonella, etc.Chemical pollution is caused by waste waterchlorides, nitrates, nitrites, ammonia, sulphates andphosphates. Toxic pollution is due to the presenceof heavy metals such as nickel, lead, cadmium,mercury, arsenic, z<strong>in</strong>c, and the presence of polycyclicaromatic hydrocarbons, artificial chemical fertilizers,pesticides, or oil products with high sulphurconcentration. The ma<strong>in</strong> means of radioactivepollution consist of nuclear explosions result<strong>in</strong>g <strong>in</strong>radioactive precipitations, which may contam<strong>in</strong>atenatural water sources. The radiation causes anioniz<strong>in</strong>g action to liv<strong>in</strong>g cells, lead<strong>in</strong>g to differentchanges <strong>in</strong> the molecular structure that are associatedwith subsequently somatic and genetic consequences.The monitor<strong>in</strong>g of dr<strong>in</strong>k<strong>in</strong>g water still rema<strong>in</strong>s anirreplaceable activity <strong>in</strong> provid<strong>in</strong>g <strong>in</strong>formation onwater quality. Monitor<strong>in</strong>g activities can also beenriched with <strong>in</strong>novative tools, such as genotyp<strong>in</strong>gand bio-molecular methods, particularly usefuldur<strong>in</strong>g <strong>in</strong>cident and outbreak <strong>in</strong>vestigations <strong>in</strong>attribut<strong>in</strong>g sources and establish<strong>in</strong>g correct<strong>in</strong>terventions.In most of the developed countries, but also <strong>in</strong>transitional countries such as <strong>Albania</strong>, there are nosurveillance systems on water-borne diseasesprobably reflect<strong>in</strong>g the belief that these diseasesbelong to the past.A fairly recent argument of public concern is dueto the awareness of the possible simultaneousoccurrence <strong>in</strong> water of a wide variety of substancessuch as pharmaceuticals, pesticides <strong>in</strong> non-agriculturalareas, chemical substances that <strong>in</strong>teract with theendocr<strong>in</strong>e system, personal care products, surfactants,etc. New challenges are also posed from theexpansion of potentially harmful microalgae andciuanobacteria <strong>in</strong> new ecosystems as a consequenceof <strong>in</strong>tensification of <strong>in</strong>tercont<strong>in</strong>ental trafficand climate change.Keywords: dr<strong>in</strong>k<strong>in</strong>g water, pollution, risk assessment, water.ALBANIAN MEDICAL JOURNAL SUPPLEMENT67