Sunlight is the main source of vitamin D. Almost 80% of vitamin D3 is produced in the skin. The region of Draa Tafilalet benefits from long daily sunshine time. As such, vitamin D deficiency should be low in this region. However, dressing habits can highly influence vitamin D status. This study aimed to evaluate sun exposure and its relation to vitamin D status among the general population in the region of Draa-Tafilalet, Morocco. Clinical, biological, and sociodemographic data were obtained from 331 adults visiting local healthcare units during the summers of 2019 and 2020. Plasma 25(OH)D2/D3 was measured by immunofluorescence. The prevalence of vitamin D deficiency was 37.5%, while Vitamin D insufficiency represented 56.5%. Most of the studied population (76.4%) had restricting dressing habits and exposed only their faces. statistic tests showed a correlation of vitamin D levels with daily sun exposure (r= 0.308, p<0.001), dressing habits (p<0.001), age (r= -0.141, p=0.01), sex (p<0.001), physical activity level (p=0.003), and BMI (r= -0.298, p<0.001). The study showed a high prevalence of vitamin D deficiency in this region. Similarly, it exposed the effects of restricting clothes and low daily sun exposure on vitamin D status.

BackgroundDrug overdose, either accidental or intentional, is the most common cause of acute poisoning worldwide.ObjectiveThe aim of this study was to determine the epidemiological profile of drug poisoning recorded in the south east of Morocco and to identify the proportion of intentional versus accidental drug overdose.MethodsThis was an epidemiological study of 180 cases of medicinal poisoning registered with the Provincial Delegation of Health in Errachidia between January 2004 and December 2016. Information on demographic and drug overdose characteristics was obtained from the regional poison center. Drugs were categorized according to the anatomical therapeutic chemical (ATC) classification system.ResultsAdults were the most affected group, with a median age of 21 years and a sex ratio of three females to every male. Drug poisoning mainly occurred in urban areas (83% of cases). Regarding clinical signs, 55.2% of patients presented with digestive signs and 27.6% with neurological signs. Other signs were also present: respiratory (5.1%), combined neurological and digestive (4.5%), cardiovascular (3.8%), and general (3.8%). Women represented 88.9% of those who had intentionally overdosed and 64.3% of those who had unintentionally overdosed. Benzodiazepine derivatives and other related drugs were involved in 21.5% of cases of drug poisoning, with other drugs found in patients with drug overdose as follows: paracetamol 3.3%, ethinyl estradiol/levonorgestrel 5%, and cyproheptadine 1.6%.ConclusionOur results indicate that the number of reported cases of drug poisoning in south-east Morocco increased between 2004 and 2016. The intentional use of drugs in overdose was mostly  among adults, especially women. The drugs involved were predominantly psycholeptic drugs, followed by analgesics. Mortality was low, but investigation in a representative sample will show  the real severity and outcomes of drug overdoses.

Background: Dietary patterns, eating behaviour and lifestyle are changing in Morocco. It would be interesting to identify and evaluate this transition in its Mediterranean context. Aims: To assess adherence to the Mediterranean diet (MedDiet) and analyse associated factors in school-age children living in oasis environments. Methods: A cross-sectional survey was conducted among 3684 school-age children between May 2015 and November 2017 in Tafilalet Oasis. The mean age was 9.81 (2.13), 51.3% were girls, and 62.7% were from urban areas. Participants were recruited from public primary schools. Adherence to the MedDiet was evaluated by Mediterranean Diet Quality (KID-MED) index. Socioeconomic characteristics and anthropometric measurements were obtained. Results: Only 2.12% had a poor KIDMED index, 57.9% had an average index and 39.98% had a high index. Maternal ethnicity was associated with degree of adherence to the MedDiet. Poor adherence was seen in 2.17% of urban participants compared with 2.04% of rural participants. Participants with high income were more likely to have good adherence to the MedDiet. Low levels of parental education were more likely to result in higher levels of poor adherence. There was no significant correlation between body weight and KIDMED index. Conclusions: Most of the study population had medium to good adherence to MedDiet, but low KIDMED index was observed. Interventions and strategies should be devised for preserving and promoting healthy eating habits in this target population.

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Vitamin A has several important functions such as preventing childhood blindness and strengthening the immune system against common diseases in children. The purpose of the present work was to assess the nutritional intake of vitamin A in oasis school-age children. A cross-sectional survey was carried out among children enrolled in public primary education establishments. 4244 school-aged children were randomly selected to take part in the study. Data on dietary vitamin A intake was assessed by the 24-hour dietary recall. Socio-economic characteristics were got using an appropriate questionnaire. Over the entire sample, the median vitamin A intake was around 409.3 μg for girls and 294.5 μg for boys. The prevalence of insufficient vitamin A intake was observed in 58.3%. The prevalence of inadequate intake according to socio-demographic and economic characteristics shows girls tend to develop vitamin A deficiency compared to boys. Children from urban areas show significant percentages of inadequacy. School-aged children with illiterate parents with low monthly income were identified as at risk of having insufficient dietary intake of vitamin A. In conclusion, we have revealed an important level of inadequacy for vitamin A in the overall processed results that must be considered.