Iranian Journal of

Background and Objective: Understanding the factors contributing to the mortality of COVID-19 patients can provide comprehensive information for preventive decisions and public health, and will help in better management of the epidemic. In this regard, the present study was conducted with the aim of identifying and introducing risk factors affecting the mortality of COVID-19 patients by modifiable and non-modifiable factors.
Materials and Methods: In this review study, according to the objectives of the study, related papers on risk factors affecting the mortality of COVID-19 patients were searched and collected in the international databases of Web of Science, Scopus, Embase, PubMed, and Google scholar. Then the results were extracted and reported by modifiable and non-modifiable factors.
Results: The results showed that almost all studies conducted in this field address non-modifiable risk factors such as age, sex, and underlying diseases including cardiovascular disease, diabetes, hypertension, respiratory diseases, cancer, self-diseases, autoimmune, and neurological diseases. Although few studies have been conducted on modifiable risk factors, lack of early admission or long waiting for hospital admission, occupancy of hospital beds and ICUs, as well as lack of equipment in hospitals were associated with increased mortality in these studies.
Conclusion: Regarding the situation of different countries in this epidemic, improving the control of the COVID-19 epidemic and reduce the mortality rate is possible by considering modifiable factors and taking appropriate measures. According to the results of studies, allocating sufficient financial, personnel and equipment resources can be effective in reducing COVID-19 mortality. However, controlling the COVID-19 epidemic to reduce morbidity and mortality as well as its economic and social consequences is possible by integrated management in the country. Also, using the experiences and guidance of the World Health Organization and successful countries, and stability in measures with a comprehensive approach should be considered.

Background and Objective: Bioaerosols as small particles enter the body by inhalation and lead to respiratory diseases based on type, concentration, and exposure time. In sensitive workplaces such as medical centers, it is necessary to pay attention to the type and population of these pollutants and the possibility of nosocomial infections. In the present study, the population and type of bioaerosols (bacteria and fungi) in the air of different hospital wards under normal conditions, visiting hours, and Covid-19 pandemic was evaluated.
Materials and Methods: Air sampling was carried out in different wards and ambient air of Valiasr Hospital of Zanjan during September 2019 (morning and visiting hours) and October 2020 (Corona pandemic) using an air sampling pump (Flite 3- SKC Ltd) with a flow of 14.1 L/min and then cultured in Sabaroud dextrose agar and nutrient agar.
Results: The results showed that air pollution in wards such as infectious diseases and clinics in both periods was more than other wards. The microbial density during visiting hours (before the coronavirus outbreak) was almost 30% higher than normal conditions. In October 2020, due to the coronavirus outbreak and reduced traffic, microbial air pollution in the hospital decreased. In both periods of study, the frequency of gram-positive bacteria, especially Staphylococcus species (49%) was higher than other bacteria and among fungal species the frequency of Aspergillus (47%) was higher than others.
Conclusion: This study showed that traffic restrictions caused by the coronavirus pandemic reduce microbial density in hospital space and this achievement can be used in the future with the aim of improving air quality and controlling nosocomial infections.
 

Background and Objective: One of the basic strategies to reduce the prevalence of diseases among people in society, especially children and adolescents, during the epidemic of COVID-19 disease, is to observe hygiene and personal protection behaviors. The present study was conducted to determine the level of compliance with health protocols in primary schools of Ilam city during the outbreak of the SARS-CoV-2 in 1400-1401.
Materials and Methods: This descriptive-cross-sectional study was conducted in primary schools of Ilam city with a statistical sample of 49 schools (25 girls' schools and 24 boys' schools). In this study, the 2019 new coronavirus disease care and control checklist was used in schools, which has 15 questions with a total score of 100. Data with Kolmogorov-Smirnov and T-Test statistical tests using SPSS software. V21 was analyzed.
Results: The results of this study showed that the highest and lowest scores are respectively related to the parameters of school health assessment before reopening (100 percent) and screening of people in terms of vaccination by PCR test (zero percent). The average score of compliance with the checklist was 74.3 in girls' schools and 74.38 in boys' schools. Also, the results of the T-Test showed that there is no significant relationship between the mean scores of girls' and boys' schools (p<0.05).
Conclusion: The results of the present study showed that the score obtained for compliance with the checklist parameters of all schools in Ilam city is less than 85 points, and the main reason for this is the non-compliance of the screening parameter of people in terms of vaccination/PCR test in schools.

Background and Objective: The high risk of Sars-CoV-2 infection in dental centers is a serious problem for doctors and patients. The main purpose of this study was to investigate the environmental health measures related to corona disease in the dental offices of Sari city during the COVID-19 epidemic in 2021.
Materials and Methods: The present study is descriptive and cross-sectional, and the tool used in it is a researcher-made questionnaire collected with the cooperation of the personnel working in 100 active dental service centers in Sari. to determine content validity, two qualitative and quantitative -qualitative methods were used. The qualitative content validity of this questionnaire was confirmed by 8 environmental health experts. Cronbach's alpha was used to determine the reliability of the questionnaire. Data analysis was done using SPSS software V. 25.
Results: Based on the results of this study, personal protective equipment was used continuously in 100% of the centers. In 93% of the centers, sodium hypochlorite and formaldehyde were used to disinfect the equipment, and in 94% of the cases, the frequency of disinfection of the equipment was after each patient. Disinfection of toilets was done daily in 62% of the centers and every two days in the rest. In 72% of the examined dental centers, had no local hood installed or turned on above the units, but in 92% of the offices, there was proper ventilation of public spaces. In addition, according to the results, in 99% of clinics, waste management was carried out in accordance with national laws and regulations and based on the rules and methods of the executive management of medical waste and related waste and related instructions, and also in 100% of clinics, water consumption was healthy and desirable.
Conclusion: Overall, environmental health measures in dental offices were at an optimal level in most cases and in accordance with the instructions of the Ministry of Health. Not installing a hood or not turning it on above the units and improper ventilation of the dentist's office were the most critical problems of the centers, which need to be given more attention and corrective measures should be taken according to the instructions of the Ministry of Health.