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E Akbari, E Mayvaneh, A Entezari, M Nazari,
Volume 10, Issue 3 (12-2014)
Abstract

  Background & Objectives : Leishmaniasis is a disease of the skin caused by a variety of protozoa. Leishmaniasis can be seen in any geographic region. This study investigated the role of climate on the prevalence of cutaneous leishmaniasis in the city of Sabzevar between 2003 and 2009.

  Methods : Daily meteorological data (minimum, maximum and mean temperature, sunshine hours, precipitation, and humidity) and city-level data on the prevalence of cutaneous leishmaniasis between 2003 and 2009 were prepared and analyzed using Pearson correlation, time delay, and time series methods.

  Results: The maximum incidence of the disease was observed during the second half of the year, especially in the autumn, in the age group 10 to 20 years. The highest incidence was seen among women and for the wet (rural) type. In addition, the disease showed a weak positive correlation with relative humidity and rainfall, and a weak inverse correlation with sunshine and temperature. It is noteworthy that in the delay analysis, correlations increased with a confidence interval of 95%. In the time delay of three months, the correlation of leishmaniasis incidence and prevalence with relative humidity and rainfall was positive and strong (r=0.82 and P=0.006, r=0.88 and P=0.002, respectively) and the correlation of the disease with temperature and sunshine hours was inverse and strong (r=0.80 and P=0.01, r=0.77 and P=0.01, respectively).

  Conclusion : Considering the significant relationship between climatic factors and leishmaniasis in desert regions, we recommend appropriate measures should be taken to identify and control these factors.


N Mohammadsalehi, K Holakouie Naieni , B Eshrati, A Mohammadbeigi, E Ahmadnezhad, Sh Arsangjang,
Volume 14, Issue 1 (6-2018)
Abstract

Background and Objectives: Cholera is one of the public health ththat has received attention due to climate change and weather variables. In the current study, the trend of cholera and its epidemics was assessed in the last 50 years in Iran based on climatic variables.
Methods: In a retrospective cohort study, all cholera cases and epidemics of the disease in the country (Iran) were assessed using the registry system of the Center for Communicable Disease Control in the Ministry of Health and Medical education (MOH&ME) from 1964 to 2014. Furthermore, the incidence of cholera was evaluated in 2005-2014 by province. The temperature and rainfall data were obtained from the provincial Meteorological Organization. The correlation coefficient test and mixed-effects binomial regression model were used for data analysis.
Results: A significant positive correlation was found between cholera and rainfall (r = 0.168, P = 0.008). A one-millimeter increase in rainfall increased the incidence of cholera by 10.9% but temperature changes had no effect on cholera outbreaks. The incidence of cholera declined significantly by 14.7% each year from 2005 to 2014. The highest incidence of cholera was reported in Sistan-Baluchestan, Qom, Tehran, Kerman and Hormozgan provinces in a descending order.
Conclusion: In recent years, the the overall incidence of cholera has decreased. The occurrence of cholera is an outcome of rainfall in the previous year. Therefore, increased rainfall increases the number of cholera cases in the next year. However, temperature changes are not related to cholera outbreaks.

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