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Headache in the Tropics: Sub-Saharan Africa

  • Redda Tekle Haimanot
Reference work entry

Abstract

Relatively very limited studies have addressed the epidemiology of headache in tropical countries. The few that have been published are mainly on migraine. Headache in general and migraine in particular, are under-recognized and underdiagnosed in the tropics. Nevertheless, chronic headache appears to be less prevalent in the tropics than in North America and Europe. There are a number of clinical features that make headache in the tropics different from the rest of the world. Headaches due to organic causes, mainly infectious, are common occurrences in the tropics. Contrary to beliefs in the past, migraine is not a rare entity among Africans. Its clinical manifestations are similar to other countries but classical migraine appears to be rare. Food items seem to play a minor role as triggering factors of migraine. Hot climatic conditions tend to exacerbate all types of headache. Due to lack of awareness and limited access to health care facilities, only a small percentage of the headache sufferers in the tropics get modern treatment. Headache symptoms are either tolerated or the sufferer uses herbal medication or goes to the traditional healer for treatment. The disability impact of headache and its effect on quality of life have not been very well evaluated in tropical countries. Considering the paucity of evidence-based data, there is a need for future population-based epidemiological studies of headaches in different tropical countries using standardized protocols in conformity with the classification of the International Headache Society.

Keywords

Cluster Headache Sickness Absence Traditional Healer Migraine With Aura Tropical Country 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Lifting The Burden 2011

Authors and Affiliations

  • Redda Tekle Haimanot
    • 1
  1. 1.Department of Internal MedicineAddis Ababa UniversityAddis AbabaEthiopia

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