Iranian Journal of

Normal 0 false false false EN-US X-NONE AR-SA Normal 0 false false false EN-US X-NONE AR-SA Background & Objectives: Epidemiological surveillance of infectious diseases through the mandatory-reporting system is crucial for disease prevention program and success in it related to physician, partnership. The aim of this study was to identify statues of notification system among general practitioners (physicians) in Qom.
Methods: In this analytical cross section study a self-administered questionnaire was used to assess knowledge and attitude of notifiable diseases, self-reported practices, reasons for noncompliance with reporting requirements, and suggestions to improve compliance. A total 140 general physicians completed the questionnaire. Appropriate statistical analyses were performed.
Results: 14/3% and 13/6% had a good knowledge and attitude about notification and only 47% had good performance. There was significant association between the participants' self-reported practices and knowledge total scores and participating in continuing medical education. The major barrier of reporting notifiable diseases was poor knowledge of the list of reportable diseases and reporting requirements. The most frequent suggestions for improving physicians' compliance with disease reporting were to simplify the reporting process and giving awareness about list of notifiable diseases.
Conclusion: Our findings suggest inappropriate knowledge, attitude and practices about disease notification requirements among GPs. Modifying physisicans' knowledge and motivation, eliminating barriers to disease reporting, and promoting some facilitating factors could help reduce the underreporting of notifiable diseases.

Background & Objectives: Measuring the impact of various diseases on Life Expectancy( LE) is an important step toward prioritization in health. The present study was conducted to measure the impact of heart diseases, neoplasm, and respiratory diseases on life expectancy (LE) in 2010.

Methods: Data on death and population for all 22 districts of Tehran were obtained from the main cemetery of Tehran and statistical center of Iran, respectively. Age-specific mortality rates and consequently LE were calculated for all 22 districts and both genders. Finally, the death probability assuming complete elimination of the diseases was calculated and the resulting life tables were obtained.

Results: The LE at birth was estimated 74.6 and 78.4 years for total males and females in Tehran, respectively. The maximum and minimum LE at birth was 80 years in females and 72.7 years in males, respectively. Assuming complete elimination of heart diseases, the LE increased to 82.39 and 85.51 years in males and females, respectively while complete elimination of neoplasm resulted in an increase in LE to 76.27 years in men and 80.49 years in women. Finally, elimination of respiratory diseases increased the LE of men to 75.98 years and the LE of women to 79.97 years.

Conclusion: The results indicated the high impact of the diseases on LE, especially the heart diseases. As a main result, LE will upgrade to more focus on this category.