Aitolia_Acarnania, (Greek: Αιτωλοακαρνανία) also Aetoloacarnania, rarely Aetolia and Acarnania or Aitoloakarnania is one of the fifty_one prefectures of Greece. It is located in the western part of Greece. The prefecture is a combination of Aetolia and Acarnania. Its capital is Messolongi located in the south. The area is now connected with the Peloponnese peninsula with Rio-Antirio bridge. The surrounding prefectures are Arta in Epirus, a narrow length bordering Karditsa of Thessaly, Evrytania/Eurytania to the northeast and Phokida (Phokis) to the east. It is the largest prefecture in area in Greece.
Monuntains dominate the north, northeast, west and southeast especially the Acarnanian Mountains. The longest and main river is the Acheloos which ends as a delta in a wetlands in the southwest. The prefecture excludes islands lying in the west and belongs to the Kefallinia prefecture. There is one reservoir and a lake in the central part. Its mountains inclodes the Panaitoliko in the northeast and the Acarnanian Mountains where a spring water company is founded.
Climate
Its climate varies from hot summers to mild winters in the low lying areas, cool winters dominate the mountain areas while in the highest elevations, summers are cool and snow and cold weather dominate the winter months in the Panaitoliko.
For the purpose of evaluation of the completeness of TB notifications, records from two representative tertiary care hospitals the Specialised Hospital for Pulmonary Diseases (Thorax-H) and the University Hospital of Rio Patras (Uni H) were compared with the statutory notifications to the PHDs in W-GR.
During the 4-year study period a total of 161 cases of TB were reported to the PHDs in W-GR, 50 in Achaia, 55 in Aitoloakarnania and 56 in Ilia.
In contrast to the reported data, the hospital-documented cases were significantly higher: from the 155 recorded TB cases in the Thorax-H only 5% were reported to the PHD of Achaia, 45% to Aitoloakarnania and 67% to Ilia, whereas the notifications rates for the 46 documented cases in the Uni-H were 75, 70 and 50%, respectively.