Background: Libya has been malaria-free since 1973. The risk of malaria re-introduction to Libya is increasing because of the increase in imported malaria cases due to immigration to Libya from countries where malaria is endemic. Cases are mainly due to P. falciparum and Sub-Saharan Africa is the most common origin. This study was conducted to investigate the prevalence of malaria positive cases among illegal immigrants in the southern region of Libya. Methods: A prospective, observational, multi-center study was conducted. Three hundred and three illegal immigrants from 12 different countries were included. Enzyme-linked immunosorbent assay was used to detect the presence of serum malaria antibodies. Results: A total of 303 immigrants were included in the study with mean age of 25.78±5.92 years. Of them, 195 tested positive for malaria antibodies. Two hundred and sixty nine of the participants came from Brak Al-Shati, 16 from Sebha and 18 from Bergan centers, with 175, 15 and 5 positive cases, respectively. Most of the positive cases (172) arrived in Libya within 1-10 months. The highest number of positive cases (70) came from Ghana followed by (40) from Niger and (39) from Bangladesh. Conclusions: Illegal immigration is a major malaria re-introduction route. The issue of illegal immigration have to be treated urgently to stop the huge influx of illegal immigrants and increase the surveillance activities of infectious diseases in order to keep Libyan territories as a malaria-free lands. Key words: Illegal immigration, Malaria, Libya.
Fadwa Jamaledden Mustafa Kamel Mahanay, Badereddin Bashir K. Annajar, Asma A Ali Oun(11-2021)

More Abstract This work shares Libyan experiences with medical education accreditation, as well as the challenges that the system faced in meeting the criteria of the World Federation of Medical Education (WFME). WFME, which was founded in 1972, is an international organization concerned with the education and training of medical doctors. WFME was initiated on the initiative of the WHO and the World Medical Association (WMA) with the goal of reviewing bodies that accredit basic medical education. The worldwide task force on accreditation in medical education was founded in 2004 by WHO and the WFME. In the same year, 26 members from 23 countries representing all six WHO–WFME regions assembled to discuss how WHO and WFME could assist in the establishment of long-term accrediting systems to ensure high-quality medical education. By 2024, all candidates must obtain a graduation certificate from a program certified by an entity that meets WFME or other international requirements for an accrediting system, according to the Educational Commission for Foreign Medical Graduates. Thereafter, accreditation for all health training programs by 2020 was indorsed as part of the WHO’s Worldwide Strategy on human resources for health: workforce 2030 and was recommended by the WMA. In response to these regulations, the NCQAA has started to prepare “the National Standards Manual for Basic Medical Education” and further connect with all Libyan medical faculties to comply with these criteria, while linking with the WFME. This is based on the WHO endorsement that all countries to apply accreditation mechanisms for health training institutions by 2020. Now it is a time to call for a rigorous auditing system in addition to assessment mechanisms in order to warrant ongoing quality control, and the quality control agency should be self-governing of external encouragement and have only an academic agenda. Finally, all medical schools that have decided to be recognized by the WFME, must have strengthened their ability to face challenges and start adapting these regulations and standards. The construction of networks, alliances, and associations between Libyan medical faculties are encouraged as an efficient approach for implementing and obtaining this accreditation.
Ahmed Elbadri M Atia(11-2021)

Abstract Back ground: Full coverage porcelain fused to metal crowns (PFM) is commonly recommended for restoration of extensively damaged teeth. Ability of the dentist to adequately prepare teeth is necessary to achieve a proper success and longevity of these restoration. Aims: This study aimed to determine the degree of axial taper and total occlusal convergence angles (TOC) for Porcelain Fused To Metal crowns (PFM) prepared with clinically practiced values, that carried out by dental practitioners in Tripoli center, Libya. Materials and Methods: It was a descriptive, cross-sectional study design and held at Alzendah private dental laboratory, Tripoli Libya. A convenience sample (40) models of Porcelain Fused To Metal Crowns (PFM) preparations carried out by private dental practitioners were scanned by employing a 3D model scanner (Ceramill Map300, Amanngirrbach, Austria). Evaluation of the total occlusal convergence (TOC), bucco-lingual and mesio-distal convergence angles of each abutment tooth was proceeded using B&B dental software (Guide system, B&B, Italy). The degree of taper was measured on the axial walls of each crown preparation and the bucco-lingual and mesio-distal convergence angles subsequently calculated. Results: A total of 40 casts having crown preparations (15 anterior, 25 posterior). The mean convergence angles mesio-distally for all preparations was 40.29° (sd 21.8°), and for the bucco-lingual was 29.92° (sd 9.3°), with mean of TOC was 35.10°. In anterior preparations, the mean bucco-lingual convergence angle was 42.32° (sd 12.2°) compared to 24.52° (sd 15.5°) for posterior preparations (p
Dr. Khaled Omar & Abdussalam Eljabali(1-2022)