Contents Letter from the Editor ................................................................................................................................................................ 583 Research articles Cholera outbreak in Baghdad in 2007:an epidemiological study ..............................................................................584 Burden of Haemophilus influenzae type b disease in Pakistani children ....................................................................590 Fever prevalence and management among three rural communities in the North West Zone, Somalia ............. 595 Analyse coût-efficacité des stratégies de dépistage du cancer du col utérin en Tunisie ........................................ 602 Hyperglycaemia, hypertension and their risk factors among Palestine refugees served by UNRWA ...................609 Eastern Mediterranean Comparison of artificial neural network and binary logistic regression for determination of impaired glucose tolerance/diabetes ........................................................................................................................ 615 Health Journal Control of diabetes mellitus in the Eastern province of Saudi Arabia: results of screening campaign ................... 621 Allaitement maternel exclusif et allaitement mixte : connaissances, attitudes et pratiques des mères primipares ................................................................................................................................................. 630 La Revue de Santé de Volume 16 Number 6 16 Number Volume Predictors of gestational diabetes mellitus in a high-parity community in Saudi Arabia ....................................... 636 la Méditerranée orientale Evaluation of effect of silymarin on granulosa cell apoptosis and follicular development in patients undergoing in vitro fertilization .................................................................................................................................. 642 Insulin-like growth factor-1 and zinc status of goitrous primary-school children in Arak, Islamic Republic of Iran .............................................................................................................................................. 646 Prevalence of asthma among schoolchildren in Ahvaz, Islamic Republic of Iran ................................................... 651 Prevalence of overweight and obesity among adolescents in Irbid governorate, Jordan .......................................657 J une 2010 une Could the employment-based targeting approach serve Egypt in moving towards a social health insurance model? ...................................................................................................................................................... 663 Prevalence of current smoking in Eastern province, Saudi Arabia ............................................................................ 671 Burden of smoking in Moroccan rural areas ..............................................................................................................677 Implementing a gatekeeper system to strengthen primary care in Egypt: pilot study ............................................ 684 Review Triage systems: a review of the literature with reference to Saudi Arabia ...............................................................690 Case reports Pseudo-Bartter as an initial presentation of cystic fibrosis. A case report and review of the literature .................699 First report on Leishmania major/HIV coinfection in a Sudanese patient ............................................................... 702 Obituary Midwife training in Sudan Abdel-Monem M. Aly ................................................................................................................................................ 704 Each year in the Eastern Mediterranean Region over 50 000 women die in childbirth. Training of midwives will reduce this figure and help towards achieving Millennium Development Goals No. 5, whose targets include “reduce maternal mortality by three-quarters by 2015” املجلد السادس عرش / عدد Volume 16 / No. 6 6 حزيران / يونيو June / Juin 2010 Members of the WHO Regional Committee for the Eastern Mediterranean املجلة الصحية لرشق املتوسط Afghanistan . Bahrain . Djibouti . Egypt . Islamic Republic of Iran . Iraq . Jordan . Kuwait . Lebanon هى املجلة الرسمية التى تصدر عن املكتب اﻹقليمى لرشق املتوسط بمنظمة الصحة العاملية. وهى منرب لتقديم Libyan Arab Jamahiriya . Morocco . Oman . Pakistan . Palestine . Qatar . Saudi Arabia . Somalia السياسات واملبادرات اجلديدة ىف اخلدمات الصحية والرتويج هلا، ولتبادل اﻵراء واملفاهيم واملعطيات الوبائية Sudan . Syrian Arab Republic . Tunisia . United Arab Emirates . Republic of Yemen ونتائج اﻷبحاث وغري ذلك من املعلومات، وخاصة ما يتعلق منها بإقليم رشق املتوسط. وهى موجهة إىل كل أعضاء املهن الصحية، والكليات الطبية وسائر املعاهد التعليمية، وكذا املنظامت غري احلكومية املعنية، واملراكز املتعاونة مع منظمة الصحة العاملية واﻷفراد املهتمني بالصحة ىف اﻹقليم وخارجه. EASTERN MEDITERRANEAN HEALTH JOURNAL البلدان أعضاء اللجنة اﻹقليمية ملنظمة الصحة العاملية لرشق املتوسط IS the official health journal published by the Eastern Mediterranean Regional Office of the World Health Organization. It is a forum for the presentation and promotion of new policies and initiatives in health services; and for the exchange of ideas, con- cepts, epidemiological data, research findings and other information, with special reference to the Eastern Mediterranean Region. اﻷردن أفغانستان اﻹمارات العربية املتحدة باكستان البحرين تونس اجلامهريية العربية الليبية مجهورية إيران اﻹسﻻمية It addresses all members of the health profession, medical and other health educational institutes, interested NGOs, WHO Col- . اجلمهورية العربية السورية اجلمهورية اليمنية جيبويت السودان الصومال العراق عُ امن فلسطني قطر الكويت لبنان مرص laborating Centres and individuals within and outside the Region. املغرب اململكة العربية السعودية LA REVUE DE SANTÉ DE LA MÉDITERRANÉE ORIENTALE EST une revue de santé officielle publiée par le Bureau régional de l’Organisation mondiale de la Santé pour la Méditerranée orientale. Elle offre une tribune pour la présentation et la promotion de nouvelles politiques et initiatives dans le domaine des ser-vices de santé ainsi qu’à l’échange d’idées, de concepts, de données épidémiologiques, de résultats de recherches et d’autres Membres du Comité régional de l’OMS pour la Méditerranée orientale informations, se rapportant plus particulièrement à la Région de la Méditerranée orientale. Elle s’adresse à tous les professionnels de la santé, aux membres des instituts médicaux et autres instituts de formation médico-sanitaire, aux ONG, Centres collabora- Afghanistan . Arabie saoudite . Bahreïn . Djibouti . Égypte . Émirats arabes unis . République islamique d’Iran teurs de l’OMS et personnes concernés au sein et hors de la Région. Iraq . Jamahiriya arabe libyenne . Jordanie . Koweït . Liban . Maroc . Oman . Pakistan . Palestine . Qatar République arabe syrienne . Somalie . Soudan . Tunisie . République du Yémen EMHJ is a trilingual, peer reviewed, open access journal and the full contents are freely available at its website: http://www/emro.who.int/emhj.htm EMHJ is abstracted/indexed in the Index Medicus and MEDLINE (Medical Literature Analysis and Retrieval Systems on Line) and the ExtraMed-Full text on CD-ROM, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), CAB International, Lexis Nexis, Scopus and the Index Medicus for the WHO Eastern Mediterranean Region (IMEMR). Correspondence Editor-in-chief ©World Health Organization 2010 EMHJ All rights reserved WHO Regional Office for the Eastern Mediterranean P.O. 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