Cp.39 General Practice / Family Medicine In Rural Area: Outcast Medicine Or Privileged Point Of Observation?

Author(s): 
O. Di Andrea
FIMMG, Arsita (TE), Italy
Text: 
Since 1991, the local General Practitioner (GP) of a rural area located in the central part of Italy, Arsita, applied in the clinical management the Quality Assurance method. In particular, he recorded all the medical acts of 1200/1000 inhabitants by an appropriate data base. From these data base the following findings deserve to be highlighted: 403 people have fasting plasma glucose more than 105 mg/dL, 163 people have glycosylated haemoglobin more than 6%; 372 people have plasma uric acid concentration more than 6 mg/dL; 648 people have HDL Cholesterol more than 55 mg/dL, 234 people have HDL Cholesterol more than 70 mg/dL; 199 people are affected by thyroid illnesses. 114 people are infected by HCV; only 7 people have hepatocellular carcinoma secondary to chronic HCV infection; The found prevalence of these illnesses is not in accordance to those of the Italian population. In particular, this population presents higher prevalence of diabetes and gout, higher HDL Cholesterol levels, and lower incidence of hepatocellular carcinoma less than expected by the higher diffusion of HCV infection. These results could depend on the dietetic and social background of the inhabitants or on the environmental characteristics, such as cold weather, freezing temperature for most part of the year, tough road condition and being far from other inhabited areas. These conditions make this population a genetic isolate. Further studies with the University of L’Aquila (Prof. Maria Chiaramonte) and University of Ancona (Prof. Roberto Testa) will help to clarify the existing relationships between the above mentioned illnesses and the genetic isolation.
Literature: 
CP.39 GENERAL PRACTICE / FAMILY MEDICINE IN RURAL AREA: OUTCAST MEDICINE OR PRIVILEGED POINT OF OBSERVATION?