Syndemic Geographic Patterns of Integrated Diseases During the Libyan Armed Conflict; A New Aspect for Public Health Care Intervention?

Mohamed Ali DAW^1,2*H El-Bouzedi³Saleh Ali Abumahara⁴Abdurrahman Khalifa Najjar⁴Nouri R Ben Ashur⁴Alaa Grebi⁵Amnnh Mohammed Dhu⁵Emad Elsgair Alzahra⁵Ali Fathi Alkarghali⁶Shahid Husayn Mohammed⁶Raja Khalid Miftah⁶Najimuldin Alsamad⁶Mohammed Saad Elbasha⁶Asawer Seifennaser Doukali⁶Nosieba Taher Elmhidwi⁶Esra Othman Albouzaidi⁶Said Emhamed Wareg⁷Mohamed OMAR Ahmed⁸

• ¹Consultant, Department of Medical Microbiology & Immunology, Faculty of Medicine, University of Tripoli-Libya, Libya
• ²Department of Medical Microbiology & Immunology, Faculty of Medicine, University of Tripoli, CC 82668, Tripoli, Libya, Tripoli, Libya
• ³Department of Statistics, Faculty of Science, Tripoli University, CC 82668, Tripoli, Libya, Tripoli, Libya
• ⁴Department of Surgery, Faculty of Medicine , Tripoli, Libya, Tripoli, Libya
• ⁵Department of Gynecology, Tripoli Medical Centre, Faculty of Medicine , Tripoli, Libya, Tripoli, Libya
• ⁶Faculty of Medicine, University of Tripoli, Tripoli, Libya, Tripoli, Libya
• ⁷Department of Biology, University of Nalout, Nalout Libya, Nalout, Libya
• ⁸Department of Microbiology & Parasitology, Faculty of Veterinary Medicine, University of Tripoli, CC 82668Libya., Tripoli, Libya

High co-occurrence of TB and COVID-19 was evident. The southern region (i.e. Sebha), Tripoli, and Benghazi consistently portrayed higher incorporation patterns of the two intertwined infections. Conversely, the western mountain region and the Southeast region exhibited a lower concordance during the pandemic period. The co-occurrence of HIV and HCV infections was clear all over the country. The highest condensation of the concomitant is in the Western region, particularly the western mountains, Zawia followed by Jufra and Ghat. Followed by the Eastern region, particularly Deana and Benghazi. This was less tense in the Southern and Med region municipalities. Mortality and morbidity show a visible syndemic geographic pattern. The highest density of these two concomitant patterns was Benghazi, Derna and, Ajdabia in the Eastern region and Sirt, Musrta, Baniwaled in the Western region and to a lesser extent in Zawia and Shati.This study highlights the need syndemic geographic patterns of integrated diseases to focus on wellbeing beyond standard health parameters.Clear decisions about prioritisation of health care to be provided based the geographic region in need.