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Kensly Flecher, Speaker at Obesity Conferences
Field Epidemiology Training Program (FETP), Haiti
Title : Epidemiological profile of diabetes, northeast, Haiti, 2017-2021


Background: According to the WHO, diabetes is a public health problem. Its prevalence continues to increase over the years. The number of cases has increased worldwide from 108 million in 1980 to 537 million in 2021. In Haiti, 300,000 cases were reported in 2019. The prevalence was 6,9% in 2019 and in recent years the young population has been increasingly affected. In the department of Northeast of Haiti, the extent of the disease is unknown because no study has been carried out to date. This study is carried out to describe the epidemiological profile of diabetes in the Northeast department to formulate recommendation for decision-making.

Method: Cross-sectional descriptive study carried out from 2017-2021 in the Northeast department of Haiti. Data from the National Diabetes Epidemiological Surveillance Network database were used. Sociodemographic characteristics were considered. Excel and Epi Info 7 were used to analyze the data and frequency and proportion measures were calculated. The results were presented in the form of tables and graphs.

Results: 4048 cases were reported. 2893 cases are female and 1155 male and the Sex Ratio F/M is 2,5. (2635)65% of cases are in the age group 50+, (1412)35% 15-49, (23)0,56% 5-14, and (20)0.05% are of the age group under 5 years. Prevalence: 0,13% in 2017, 0,21% in 2018, 0,26% in 2019, 0,23% in 2020 and 0,28% in 2021. (1334)33% of cases are from the municipality of Fort Liberté, (1120)27,67% from the municipality of Ouanaminthe, and (10)0,24% from the municipality of Vallieres.

Conclusion: The predominance is female, and the number of cases increases with age. The trend is upward between 2017 and 2019 and then decreases in 2020, then increase in 2021.
Prevalence is low during the study period. Diabetes surveillance needs to be reinforced in the northeast department while seeking to understand why low prevalence.


Dr. Kensly Flencher is a young leader, graduated Doctor of Medicine in March 2017 at the Faculty of Medicine and Pharmacy of the State University of Haiti. After his Doctor of Medicine degree, he received training in Field Epidemiology (FETP-Haiti). From March 2020, he was one of the first 3 doctors involved in the fight against Covid-19 in the North-East region of Haiti, whether in care, surveillance and investigation. Dr. FLECHER's dream is to contribute to strengthening the Haitian health system. He is passionate about research and investigation. He has already contributed to the realization of the CASPER Study (Rapid needs assessment) carried out by FETP-Haiti / DELR in August 2021 after the earthquake of August 14 in Haiti, he contributed to the realization of the Rapid community Assessment (RCA) study carried out by the Ministry of Public Health and Population on Covid-19 vaccination in Haiti and also contributed to the study of the evaluation of the Covid-19 surveillance subsystem in Haiti carried out by FETP-Haiti/DELR. In the Northeast region of Haiti, he has already participated in the investigation of several disease outbreaks and public health phenomena placed under surveillance in Haiti. Since March 2020, he has held the position of border epidemiological surveillance coordinator in the Northeast region of Haiti.