{"title":"Reclaiming progress on noncommunicable disease and mental health through a renewed vision at the 80th Session of the United Nations General Assembly.","authors":"Hanan H Balkhy","doi":"10.26719/2025.31.9.481","DOIUrl":"10.26719/2025.31.9.481","url":null,"abstract":"<p><p>\"Most households in our country have at least one person living with a noncommunicable disease.\" This is what many ministers of health and officials from the Eastern Mediterranean Region (EMR) tell me when we discuss priority actions. Their words reflect a stark reality: 66% of deaths in the region, reaching as high as 86% in some countries, are attributed to noncommunicable diseases (NCDs).</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"481-483"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Khaddouj El Goundali, Milouda Chebabe, Latifa Mochhoury, Abderraouf Hilali
{"title":"Prevalence and factors contributing to consanguineous marriages in Morocco.","authors":"Khaddouj El Goundali, Milouda Chebabe, Latifa Mochhoury, Abderraouf Hilali","doi":"10.26719/2025.31.8.502","DOIUrl":"https://doi.org/10.26719/2025.31.8.502","url":null,"abstract":"<p><strong>Background: </strong>Consanguinity, the tradition of marrying within ancestral kinship, remains common in many Arab and Middle Eastern countries, despite its well-known health risks.</p><p><strong>Aim: </strong>To explore the prevalence of consanguineous marriage in Settat, Morocco, and the contributing factors.</p><p><strong>Methods: </strong>This cross-sectional analytical study collected data on consanguineous marriage from 453 married Moroccan women aged ≥18 years, using an interviewer-administered structured questionnaire, and analysed the data using SPSS version 26.</p><p><strong>Results: </strong>We found a consanguineous marriage rate of 26.7% (average consanguinity coefficient 0.0145871) among the respondents, with mostly (69.4%) first cousin marriages. Consanguinity was mostly influenced by parental consanguinity, traditional marriage arrangement, age at time of marriage, education level, rural vs urban residence, and socioeconomic status.</p><p><strong>Conclusion: </strong>Our findings show that consanguinity is still prevalent in Morocco due to a combination of reasons. Targeted interventions should be implemented to increase awareness and knowledge about the health risks of consanguinity and reduce its prevalence among the population.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"502-508"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Air pollution with particulate matter and other environmental and endogenous factors.","authors":"F A Scorza, Josef Finsterer, C A Scorza","doi":"10.26719/2025.31.8.524","DOIUrl":"https://doi.org/10.26719/2025.31.8.524","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"524-525"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Ali Jalilvand, Behrooz Madahian, Zahra Afshar Hosseinabadi
{"title":"Addressing refugee health challenges in Islamic Republic of Iran.","authors":"Mohammad Ali Jalilvand, Behrooz Madahian, Zahra Afshar Hosseinabadi","doi":"10.26719/2025.31.8.523","DOIUrl":"https://doi.org/10.26719/2025.31.8.523","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"523"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rab Nawaz Samo, Muhammad Shahid Jamil, Heather Doyle, Umar Riaz, Syed Faisal Mahmood
{"title":"Expanding community-delivered HIV pre-exposure prophylaxis models in Pakistan.","authors":"Rab Nawaz Samo, Muhammad Shahid Jamil, Heather Doyle, Umar Riaz, Syed Faisal Mahmood","doi":"10.26719/2025.31.8.484","DOIUrl":"https://doi.org/10.26719/2025.31.8.484","url":null,"abstract":"","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"484-485"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed A Jalal, Koorosh Etemad, Manoochehr Karami, Mahshid Namdari, Faris Lami, Taqi Mohammed Jwad Taher
{"title":"Ten-year analysis of hepatitis B incidence in Iraq.","authors":"Mohammed A Jalal, Koorosh Etemad, Manoochehr Karami, Mahshid Namdari, Faris Lami, Taqi Mohammed Jwad Taher","doi":"10.26719/2025.31.8.486","DOIUrl":"https://doi.org/10.26719/2025.31.8.486","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis B virus infection is a major health concern globally, with regional and national variations that require context-specific analyses.</p><p><strong>Aim: </strong>To assess trends, including age- and gender-specific variations, of hepatitis B virus incidence in Iraq from 2012 to 2022.</p><p><strong>Methods: </strong>We analysed national surveillance data from 2012 to 2022 on confirmed hepatitis B virus cases among all age groups in Iraq. Joinpoint regression was used to estimate the annual percentage change and average annual percentage change in incidence.</p><p><strong>Results: </strong>Annual incidence decreased from 9.7 per 100 000 population in 2012 to 3.5 in 2022. Incidence was consistently higher among males, however, joinpoint regression showed a significant decrease in incidence among males (-13.8%) and females (-14.9%). The lowest decrease (-41.1%) occurred after 2017 among those aged 0-4 years. Incidence among the 5-14 years age group peaked in 2014 and decreased thereafter (-10.8%). Among individuals aged 15-44 years, incidence increased until 2016 and then decreased significantly (-18.9%). Among those aged >45, incidence increased until 2015 and then stabilised.</p><p><strong>Conclusion: </strong>Age- and gender-specific interventions are needed to strengthen hepatitis B prevention and control in Iraq.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"486-493"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tobacco control as a public health and economic imperative in the Eastern Mediterranean Region.","authors":"Sophia El-Gohary, Chisomo Kasinja, Roy Small, Dudley Tarlton, Fatimah El-Awa, Asmus Hammerich","doi":"10.26719/2025.31.8.516","DOIUrl":"https://doi.org/10.26719/2025.31.8.516","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use is a major contributor to noncommunicable diseases in the Eastern Mediterranean Region, resulting in substantial health care costs and economic losses.</p><p><strong>Aim: </strong>To review investment cases for tobacco control in selected countries of the WHO Eastern Mediterranean Region and estimate the economic benefits of implementing the WHO Framework Convention on Tobacco Control (WHO FCTC) measures.</p><p><strong>Methods: </strong>Using scenario modelling, we compared the WHO-UNDP investment cases for Egypt, Islamic Republic of Iran, Jordan, Lebanon, Pakistan, and Tunisia with implementation of the WHO FCTC measures. We estimated the tobacco-related deaths and economic costs and projected the returns on investing in tobacco control over a 15-year period.</p><p><strong>Results: </strong>Tobacco-related economic losses in the region ranged from US$ 139 million in Lebanon to over US$ 5 billion in Egypt, driven mainly by health care costs and productivity losses. Projected returns on investment in control measures were highest with tax increases (up to 1547:1 in Jordan), followed by smoke-free laws, mass media campaigns and graphic warnings. In countries with available data, lower-income populations had the highest projected health and financial gains.</p><p><strong>Conclusion: </strong>Implementing the WHO FCTC in the WHO Eastern Mediterranean Region offers substantial health and economic benefits. Comprehensive, multisectoral actions should be prioritised to reduce tobacco use, particularly among vulnerable populations, in the region.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"516-522"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zaynab Mahdi, Hicham El Bouri, Faïza Charif, Fadila Bousgheïri, Adil Gourinda, Karima Sammoud, Adil Najdi
{"title":"Policy recommendations for managing stray dogs in Morocco.","authors":"Zaynab Mahdi, Hicham El Bouri, Faïza Charif, Fadila Bousgheïri, Adil Gourinda, Karima Sammoud, Adil Najdi","doi":"10.26719/2025.31.8.509","DOIUrl":"10.26719/2025.31.8.509","url":null,"abstract":"<p><strong>Background: </strong>Stray dogs pose a serious threat to health and safety in Morocco.</p><p><strong>Aim: </strong>To explore policy options for humane management of stray dogs in Morocco.</p><p><strong>Methods: </strong>We conducted a review of relevant literature regarding the management of stray dogs in Morocco and elsewhere and interviewed an animal management expert. Based on our findings, we developed this policy brief for the management of stray dogs in Morocco.</p><p><strong>Results: </strong>We highlight 4 key policy options for humane management of canine populations in Morocco: the treat, neuter, vaccinate and tag method; awareness-raising and education involving community members; canine population management; and partnering with the private sector.</p><p><strong>Conclusion: </strong>There is an urgent need for a new policy approach to managing stray dogs in Morocco, including a robust monitoring and evaluation framework with key indicators that will enhance vaccination coverage, reduction in density and reduction in incidence of rabies and hydatidosis.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"509-515"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mahin Esmaeili-Darmian, Ehsan Mousa-Farkhani, Ali Vafaee-Najar, Fatemeh Kokabi-Saghi, Elaheh Hooshmand
{"title":"Immunisation coverage among refugee Afghan children in Islamic Republic of Iran.","authors":"Mahin Esmaeili-Darmian, Ehsan Mousa-Farkhani, Ali Vafaee-Najar, Fatemeh Kokabi-Saghi, Elaheh Hooshmand","doi":"10.26719/2025.8.494","DOIUrl":"https://doi.org/10.26719/2025.8.494","url":null,"abstract":"<p><strong>Background: </strong>Although immunisation services are free in Islamic Republic of Iran, coverage among refugee Afghan children remains suboptimal.</p><p><strong>Aim: </strong>To assess immunisation coverage among refugee Afghan children aged ˂2 years in suburban Mashhad, Islamic Republic of Iran.</p><p><strong>Methods: </strong>Using a locally adapted version of the WHO standard immunisation coverage questionnaire, we collected immunisation data from 313 refugee Afghan children aged ˂2 years in suburban Mashhad, Islamic Republic of Iran. Immunisation status was confirmed using immunisation cards or maternal recall if cards were unavailable. We analysed the data using SPSS version 21 and conducted chi-square tests to examine associations between categorical variables, analysis of variance for continuous variables, and unadjusted linear regression to identify predictors of immunisation status. P ≤ 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Of the children, 79.9% were fully vaccinated. Immunisation status was associated with maternal age, number of children, child's sex, religion, and duration of residence in the country. Main barriers to immunisation were fear of sideeffects, low confidence in vaccines, illness, and scheduling challenges.</p><p><strong>Conclusion: </strong>The approximately 20% immunisation gap found in this study highlights the need for tailored interventions to address the structural and behavioural barriers to immunisation among this population group, including education campaigns to counter common misconceptions about vaccines.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 8","pages":"494-501"},"PeriodicalIF":1.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A cost of illness study of the economic burden of diabetes in the Eastern Mediterranean Region.","authors":"Khalifa Elmusharaf, Maisoon Mairghani, Sébastien Poix, Emil Scaria, Pyi Pyi Phyo, Win Thu, Slim Slama, Matilda Byström, Hicham El Berri, Asmus Hammerich","doi":"10.26719/2025.31.7.426","DOIUrl":"https://doi.org/10.26719/2025.31.7.426","url":null,"abstract":"<p><strong>Background: </strong>Diabetes poses an increasing public health and economic challenge in the Eastern Mediterranean Region (EMR), yet its full financial impact across the region remains poorly quantified.</p><p><strong>Aim: </strong>To estimate the economic burden of diabetes, including direct and indirect costs, in the 22 EMR countries and territories.</p><p><strong>Methods: </strong>A prevalence-based approach was used to estimate the annual direct and indirect costs of diabetes in the EMR from 2023 to 2050. Data were sourced from international, open-access databases. Mortality costs were estimated using the value of a statistical life-year approach.</p><p><strong>Results: </strong>In 2023, diabetes affected more than 74 million people in the EMR and caused approximately 833 000 deaths. By 2050, diabetes cases are projected to reach 150 million, with associated deaths rising to 2 million. The economic burden in 2023 was estimated at 639 billion international dollars (Int$), 89% of which was attributable to indirect costs. By 2050, the burden is expected to reach Int$ 1.5 trillion.</p><p><strong>Conclusion: </strong>Without urgent intervention, diabetes will place increasing strain on healthcare systems, hinder economic growth and widen health inequalities. Implementing cost-effective public health strategies can significantly reduce its societal and economic burden.</p>","PeriodicalId":93985,"journal":{"name":"Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit","volume":"31 7","pages":"426-435"},"PeriodicalIF":1.9,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}