Alireza Mirahmadizadeh; Mehdi Sharafi; Abdollah Azizi; Mozhgan Seif
Abstract
Background: It is estimated that in 2025, the cost of diabetes will account for 40% of total health spending. In Iran, 4.5 to 5 million people are afflicted with diabetes, and its prevalence has doubled during the past three decades. The aim of this study was to determine the function and preparedness ...
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Background: It is estimated that in 2025, the cost of diabetes will account for 40% of total health spending. In Iran, 4.5 to 5 million people are afflicted with diabetes, and its prevalence has doubled during the past three decades. The aim of this study was to determine the function and preparedness of diabetes surveillance system in Iran.Methods: In this cross-sectional study, all managers, health policymakers and experts of diabetes(N:125) entered the study and completed a questionnaire on the existence and implementation of the surveillance system domains (from data collection to evaluation) and the relationship between domains of this system and their function. The descriptive statistical method, path analysis, was employed using Amos.Results: A ccording t o m anager’s v iewpoint, t he r ange o f existence and implementation of all domains of surveillance system were 12% to 68.7% in average. They believed that 10-69% of domains of surveillance system were working properly. Most of respondents (59-87%) declared that investing in diabetes at different levels of prevention was less than expected. Satisfaction with both diabetes surveillance system function and diabetic patients was low and they don’t have a good and bright future for diabetes and its various aspects. By modeling analytical structural equations, some components of surveillance system were moderately worked together.Conclusion: we conclude that we must first formulate and prepare a standard surveillance system as well as train the relevant personnel and make clear changes in the existing care system. With the current surveillance system, we have a long way to go to prevent and control diabetes to an acceptable the average level of performance of the care system is lower than expected
Maryam Sarani; Gholamali Javdan; Amin Ghanbarnejad; Ebrahim Eftekhar; Reza Safari; Khojasteh Sharifi- Sarasiabi; Shaghayegh Khojasteh; Habibollah Turki
Abstract
Background: Case finding and malaria foci management is significant strategy for the prosperous performance of amalaria elimination program. Therefore, detection, treatment. and follow-up of all cases (symptomatic & Asymptomatic) in malaria elimination program is necessary. This study aimed to find ...
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Background: Case finding and malaria foci management is significant strategy for the prosperous performance of amalaria elimination program. Therefore, detection, treatment. and follow-up of all cases (symptomatic & Asymptomatic) in malaria elimination program is necessary. This study aimed to find an active cases of malaria in Bashagard (With a previous history of local malaria transmission) with emphasis on the use of molecular methods in order to successfully implement the malaria elimination program.Methods: A cross-sectional study was conducted to examine more precise the positive cases reported and to identify possible cases of additional malaria. In the first stage, all eligible residents of the community were sampled. In the next step, the villagers who had moved to work in the neighboring city were identified and sampled. In this study, 230 people participated to be tested for malaria by microscopic, Rapid Diagnostic Tests and Nested- PCR techniques.Results: In the first phase of the study, three positive cases of Plasmodium vivax were reported using microscopic and RDT methods. In the second step of the survey, an asymptomatic malaria reservoir was identified using molecular technique.Conclusion: The results of this study emphasize the important role of active cases finding using molecular techniques along with routine diagnostic methods in malaria control and elimination programs.
Alireza Mirahmadizadeh; Elham Kavoosi; Marzieh Vakili; Razieh Shenavar; Mohsen Moghadami
Volume 1, Issue 2 , October 2013, , Pages 57-66
Abstract
Background: Iodine deficiency disorders (IDD) have been recognized as a major public health problem worldwide. Consequences of IDD include goiter, hypothyroidism, and intellectual disability followed by retarded growth and development of the brain. This report aimed to determine the state of IDD in Fars ...
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Background: Iodine deficiency disorders (IDD) have been recognized as a major public health problem worldwide. Consequences of IDD include goiter, hypothyroidism, and intellectual disability followed by retarded growth and development of the brain. This report aimed to determine the state of IDD in Fars province, south of Iran.Methods: In this study, we gathered data from all scientific papers, published and unpublished reports of IDD surveillance system, results of IDD-related surveys and all data from the center for disease control (CDC) at provincial and national levels during 1989-2012. Five main IDD indices are summarized, interpreted, and then organized in graphs and tables.Resuits: After formation of national committee of IDD followed by launching of extensive iodine delivery, most of IDD indices have improved. The percentage of iodized salt intake has increased from 0 to near 100%, and that of salt with adequate amount of iodine has increased to 94.5%. Median of urinary iodine concentration (UIC) has always been higher than the acceptable value (≥100 μg/L) and 68% of people had a mean of UIC ≥100 μg/L. The percentage of TSH (Thyroid-Stimulating Hormone) >5 mU/L in the screened newborns has persistently been less than 1% during 2005-11. Prevalence of goiter has declined from 68% in 1989 to 1.3% in 2007.Conclusion: Present findings address those efforts to combat iodine deficiency which were effective. According to the small sample size and also the fact that some data have been derived at the national level, we recommend that a comprehensive populationbased survey should be carried out with sufficient sample size to achieve information with high accuracy and precision.
