Volume 15, Issue 2 (Vol.15, No.2 2019)
irje 2019, 15(2): 195-203 |
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Moradi G, Vahedi S, Rahmani K, Zeinali M, Mostafavi E, Erfani H, et al . Brucellosis Surveillance System in the Islamic Republic of Iran: History, Structures and Processes. irje 2019; 15 (2) :195-203
URL: http://irje.tums.ac.ir/article-1-6348-en.html
URL: http://irje.tums.ac.ir/article-1-6348-en.html
GH Moradi1 
, S Vahedi2 , KH Rahmani3 , M Zeinali4 , E Mostafavi5 , H Erfani6 , F Bonakdar7 , MKH Ghanbari8 , B Amiri9 , E Ghaderi * 10, MM Gouya11
, S Vahedi2 , KH Rahmani3 , M Zeinali4 , E Mostafavi5 , H Erfani6 , F Bonakdar7 , MKH Ghanbari8 , B Amiri9 , E Ghaderi * 10, MM Gouya11
1- Associate Professor of Epidemiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Assistant Professor of Cardiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Assistant Professor of Epidemiology, Liver and Digestive Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Senior Expert of Zoonoses Control Program, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
5- Associate Professor of Epidemiology, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
6- MD, Head of Surveillance Office, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
7- MD, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
8- MSc of Health Education and Promotion, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
9- Assistant Professor of Infectious Diseases, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
10- Associate Professor of Epidemiology, Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran ,ebrahimghaderi@yahoo.com
11- MD, Head of Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
2- Assistant Professor of Cardiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
3- Assistant Professor of Epidemiology, Liver and Digestive Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences, Sanandaj, Iran
4- Senior Expert of Zoonoses Control Program, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
5- Associate Professor of Epidemiology, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran
6- MD, Head of Surveillance Office, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
7- MD, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
8- MSc of Health Education and Promotion, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
9- Assistant Professor of Infectious Diseases, Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
10- Associate Professor of Epidemiology, Zoonoses Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran ,
11- MD, Head of Centre for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran
Abstract: (4323 Views)
Background and Objectives: Iran has long been considered to be one of the countries in the world with endemic brucellosis. The aim of this study was to review the surveillance system of brucellosis in Iran.
Methods: Data of this study were obtained from the surveillance system of the Center for Communicable Disease Control, the review of records, documents, books and published articles and also interviews with process owners and experts of brucellosis surveillance in 2017-2019.
Results: In the current surveillance system in Iran, all patients with brucellosis will undergo standard treatment for at least 2 months. The patient identified at each site, private or public sector, reports to the health center of the city. After reporting cases to higher levels, city health center carried out required epidemiologic investigation in the place of reported case in collaboration with its environmental levels. Finally, the individual assessment form, epidemiologic investigation form, for reported case is completed and registered in national surveillance database.
Conclusion: Although integration of the brucellosis surveillance program into the health system of the country and reporting and treatment of human cases in accordance with the country's protocol in recent years is well executed, brucellosis control in Iran requires the one health approach. Accordingly, it can be concluded that despite the decrease in the number of brucellosis cases in recent years, the weakness in livestock surveillance has led to many fluctuations in the health system's success in providing surveillance for human cases of brucellosis.
Methods: Data of this study were obtained from the surveillance system of the Center for Communicable Disease Control, the review of records, documents, books and published articles and also interviews with process owners and experts of brucellosis surveillance in 2017-2019.
Results: In the current surveillance system in Iran, all patients with brucellosis will undergo standard treatment for at least 2 months. The patient identified at each site, private or public sector, reports to the health center of the city. After reporting cases to higher levels, city health center carried out required epidemiologic investigation in the place of reported case in collaboration with its environmental levels. Finally, the individual assessment form, epidemiologic investigation form, for reported case is completed and registered in national surveillance database.
Conclusion: Although integration of the brucellosis surveillance program into the health system of the country and reporting and treatment of human cases in accordance with the country's protocol in recent years is well executed, brucellosis control in Iran requires the one health approach. Accordingly, it can be concluded that despite the decrease in the number of brucellosis cases in recent years, the weakness in livestock surveillance has led to many fluctuations in the health system's success in providing surveillance for human cases of brucellosis.
Type of Study: Research |
Subject:
Epidemiology
Received: 2019/10/15 | Accepted: 2019/10/15 | Published: 2019/10/15
Received: 2019/10/15 | Accepted: 2019/10/15 | Published: 2019/10/15
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