title: [Dynamics of disease in Senegal: epidemiological transition or health transition?].
abstract: In Senegal, the evolution of disease as recorded by the public health care system confirms the preponderance of seeking care for infectious diseases (malaria, respiratory and diarrheal diseases) and reveals the emergence of chronic diseases. However, while the incidence of hypertension diagnosed by the public system increased from 14 to 81 per thousand inhabitants aged over 40, between 1995 and 2009, the diabetes appears only at 0.4‰, thus in contradiction with hospital data and general population surveys. For instance, diabetes prevalence was estimated at 10.4% in Saint-Louis in 2010 (8). This difference recalls the limitations of this data source as regards epidemiological information, but sheds light on the challenges facing the health care system, both in terms of detection, medical care, access to health care and treatment as well as cost recovery.
authors.affiliation: Département de géographie, Université Cheikh Anta Diop de Dakar, BP 5005, Dakar-Fann, Sénégal, aminata.niang@ucad.edu.sn.
authors.forename: A
authors.initials: A
authors.lastname: Niang-Diene
authors.forename: G
authors.initials: G
authors.lastname: Salem
mesh_terms: D002423:Cause of Death; D002908:Chronic Disease / Q000453:epidemiology; D003141:Communicable Diseases / Q000453:epidemiology; D000068598:Data Accuracy; D003920:Diabetes Mellitus / Q000453:epidemiology; D062305:Geographic Mapping; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015994:Incidence; D044342:Malnutrition / Q000453:epidemiology; D009017:Morbidity / Q000639:trends*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D011634:Public Health; D012675:Senegal / Q000453:epidemiology; D012922:Social Change; D062211:Spatio-Temporal Analysis