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Incidence of recovery rate and predictors among hospitalized COVID- 19 infected patients in Ethiopia; a systemic review and meta-analysis

Fassikaw Kebede Bizuneh, Getaye Tizazu Biwota, Tsheten Tsheten & Tsehay Kebede Bizuneh
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-025-22841-x

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Incidence of Prolonged extubation after GAETT.pdf
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Incidence of prolonged time to tracheal extubation and its associated factors among adult patients undergoing elective surgery at Jimma Medical Center, Jimma, Oromia, Ethiopia, 2024.

Gemechisa Akuma Wayesa, Mitiku Berhanu Wedajo, Wondu Reta Demissie, Admasu Belay Gizaw, Assefa Hika Gudeta & Guteta Gudina Gula
https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-025-00520-0

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White coat ceremony of Debre Berhan University (AWHSC), 2025

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Ambo University white coat ceremony, 2025

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Clinical_Case_Reports_2025_Gebrehana_Superinfected_Cystic_Omental.pdf
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Superinfected Cystic Omental Lymphangioma: A Rare Cause of Acute Abdomen in Children

Alazar Wogayehu Gebrehana, Wondwosen Mengist Dereje, Nestanet Gete Kasawudeg, Andualem Getie Alemahu, Belete Chaklu, Mesfin Tesera Wassie, Bethlehem Aliye Asfaw

Link: http://dx.doi.org/10.1002/ccr3.70529

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A Rare Case of Subhepatic Acute Appendicitis: A Case Report

Author list: Abdi Tesemma, Miheret Adane, Mohammid Hamid, Girma Beressa, Demisu Zenbaba and Abdulhafiz Mohammed Kedir

https://www.researchgate.net/publication/390776964_A_rare_case_of_sub_hepatic_acute_appendicitis_a_case_report

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The Health and Economic Burden of Alcohol in Ethiopia:

Diseases, Costs, and Strategic Solutions:--
Alcohol consumption remains a significant public health challenge in Ethiopia, contributing to a spectrum of preventable diseases, injuries, and socio-economic issues. While alcohol sales generate government revenue, the associated health-related costs and productivity losses substantially outweigh these financial gains.

This report synthesizes recent research findings on the health implications, economic burden, and proposed strategies to mitigate alcohol-related harm in Ethiopia.

1. Major Diseases Linked to Alcohol Use in Ethiopia

Excessive alcohol consumption is associated with various acute and chronic health conditions that place immense pressure on Ethiopia’s healthcare system.

A. Liver Disease & Cirrhosis
- 30% of liver cirrhosis cases are alcohol-attributable (Addis Ababa University, 2020).
- Eastern Ethiopia study (2024): Alcohol users have 3.14x higher odds of liver disease.

B. Cardiovascular Disease & Hypertension
- 10% of hypertension cases are caused by alcohol (WHO).
- Heavy drinking increases stroke risk by 35% (Global Burden of Disease Study, 2023).

C. Cancer
- 15% of cancers (liver, esophagus, breast) are alcohol-related (Ethiopian Cancer Registry, 2022).

D. Mental Health & Addiction
- 20% of psychiatric admissions involve alcohol use disorders (MoH, 2021).
- <5% of patients access treatment due to limited rehab infrastructure.

E. Infectious Disease Complications
- Alcohol triples TB risk (WHO) and accelerates HIV progression.

2. Economic Burden: Alcohol Revenue vs. Health and Productivity Costs

A. Government Revenue
The Ethiopian government generates approximately $500 million USD annually from alcohol taxes, primarily from beer and traditional beverages such as Tella and Areke.

B. Healthcare and Productivity Costs
Cost Category Estimated Annual Cost (USD) Source
Hospitalizations $120 million Ministry of Health, 2022
Liver disease treatment $50 million Ethiopian Journal of Health Development, 2021
Mental health and addiction services $30 million WHO, 2023
Lost productivity (absenteeism, disability) $200 million International Labour Organization, 2022
Total Estimated Burden $400+ million Compiled Estimates

C. Broader Economic Impact
Non-communicable diseases (NCDs), many linked to alcohol use, cost Ethiopia at least 31.3 billion birr (approximately US$1.1 billion) annually, representing 1.8% of the country's GDP.Out-of-pocket expenditures account for 68% of NCD-related healthcare costs, placing a significant financial strain on households.

3. Strategic Solutions to Mitigate Alcohol-Related Harms

Policy and Regulatory Approaches

1. Increase Alcohol Taxes: Implement higher taxes on alcoholic beverages to reduce affordability and consumption.

2. Enforce Advertising Bans: Restrict alcohol marketing, particularly those targeting youth.

3. Regulate Traditional Alcohol Production: Improve safety and quality control for locally brewed drinks such as Areke.

4. Nationwide Awareness Campaigns: Educate communities about the health risks associated with alcohol consumption.

5. Expand Treatment Infrastructure: Increase access to rehabilitation centers and integrate alcohol use disorder services into primary healthcare.

6. Allocate Alcohol Tax Revenue to Health Services: Channel a portion of alcohol taxes to fund prevention and treatment programs.

7. Provide Alternative Livelihoods: Support economic alternatives for traditional alcohol producers through small business loans and vocational training.

Conclusion:
While alcohol sales generate substantial government revenue, the public health and economic consequences significantly outweigh these financial benefits. Alcohol-related diseases, injuries, and productivity losses impose a heavy burden on Ethiopia's healthcare system and economy.
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