{"title":"Ten-year estimates of cardiovascular disease mortality risk in Islamic Republic of Iran.","authors":"Hossein Akhondi, Mahdi Zare Sakhvidi, Mahdieh Khayatian, Moslem Taheri Soodejani","doi":"10.26719/2026.32.7.454","DOIUrl":"https://doi.org/10.26719/2026.32.7.454","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease is a leading cause of death globally and a major public health challenge in Islamic Republic of Iran. Risk estimation can help identify high-risk groups and guide prevention.</p><p><strong>Aim: </strong>To estimate the cardiovascular disease mortality risk over a 10-year period among adults aged 30-70 years in Yazd Province, Islamic Republic of Iran.</p><p><strong>Methods: </strong>In 2023, we obtained health data for 2090 adults (809 men and 1281 women) aged 30-70 years in Yazd Province, Islamic Republic of Iran, from the Ministry of Health and Medical Education. We estimated the 10-year risk of cardiovascular disease mortality, using the Framingham risk model, and used independent t test and chi-square test to assess the differences between groups. <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Men had higher systolic blood pressure and smoking prevalence than women, while women had higher total cholesterol (<i>P</i> < 0.001). Men had higher estimated 10-year cardiovascular disease mortality risk than women. Low risk was more common among women than men (95.9% versus 58.6%). Moderate risk was more common among men than among women (29.6% versus 3.3%), as was high risk (11.8% versus 0.8%).</p><p><strong>Conclusion: </strong>The observed differences in cardiovascular disease mortality risk factors among the study population indicate the need for preventive measures tailored to the men and women groups. Prevention should focus on smoking, blood pressure control and cholesterol management.</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":"32 7","pages":"454-458"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803373","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":"Five-year analysis of needlestick and sharps injuries among health care workers in Croatia.","authors":"Đivo Čučević, Antonia Kablar, Mateja Briševac, Vesna Bratić, Robert Baronica, Slobodan Mihaljević","doi":"10.26719/2026.32.7.424","DOIUrl":"https://doi.org/10.26719/2026.32.7.424","url":null,"abstract":"<p><strong>Background: </strong>Needlestick and sharps injuries are common occupational hazards among health care workers and may result in exposure to bloodborne pathogens.</p><p><strong>Aim: </strong>To assess reported needlestick and sharps injuries among health care workers at 2 university hospitals in Croatia.</p><p><strong>Methods: </strong>We collated and analysed national surveillance and hospital data of needlestick and sharps injuries among health workers in 2 university hospitals in Croatia for the period 2018-2022. We compared the pre-COVID-19 pandemic period (2018-2019) with the pandemic period (2020-2022) using descriptive statistics and chi-square tests. <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Between 2018 and 2022, a total of 3554 needlestick and sharps injuries were reported among the health care workers. Needles accounted for 2373 (68.6%) of 3458 reports with complete data on injury type. Nurses and medical technicians were the most affected group, accounting for 2358 of the national reports (51.4%; 95% confidence interval 49.7-53.0). Injury reports were higher during the COVID-19 pandemic than before the pandemic (1930 vs 1624). The difference between the 2 hospitals was not statistically significant (<i>P</i> = 0.41).</p><p><strong>Conclusion: </strong>Needlestick and sharps injuries remain an important occupational risk among health care workers in Croatia, particularly among nurses and medical technicians. Safer handling of sharps, better reporting compliance and targeted education can help reduce this occupational exposure.</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":"32 7","pages":"424-429"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803586","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":"Assessment of depression, anxiety and predictors of mental health burden among pulmonary tuberculosis patients in Ethiopia.","authors":"Gebrhud Berihu Haile, Jinjin Gu, Panpan Wang, Shujing Suo, Peng Wang","doi":"10.26719/2026.32.7.416","DOIUrl":"https://doi.org/10.26719/2026.32.7.416","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are prevalent comorbidities and a major concern for patients with tuberculosis. They are associated with low quality-of-life, poor treatment adherence and increased risk of mortality and morbidity.</p><p><strong>Aim: </strong>To assess the prevalence of depression and anxiety and their predictors among pulmonary tuberculosis patients in Tigray, Northern Ethiopia.</p><p><strong>Methods: </strong>Between January and April 2025, we interviewed 360 patients aged ≥ 18 years, who were confirmed to have pulmonary tuberculosis and had been receiving treatment and follow-up for at least 2 weeks in 10 outpatient tuberculosis clinics in Tigray, Ethiopia. We used the Patient Health Questionnaire 9 and Generalized Anxiety Disorder 7 for data collection, and used SPSS version 29 to analyse the data. Binary logistic regression model was used to identify the predictors of depression and anxiety.</p><p><strong>Results: </strong>P revalence of depression among the patients was 56.7% while prevalence of anxiety was 54.2%. Multivariable regression analysis revealed that smoking, alcohol consumption, adverse drug effects, and perceived stigma were significant risk factors for depression, while treatment support was a protective factor. Smoking, adverse drug effects, HIV/AIDS coinfection, and perceived stigma were significant risk factors for anxiety.</p><p><strong>Conclusion: </strong>The prevalence of depression and anxiety among patients with pulmonary tuberculosis in this study was significantly higher than in other studies. Therefore, there is a need to encourage tuberculosis patients with the identified risk factors to undergo screening for depression and anxiety and to incorporate psychological interventions into their treatment plan.</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":"32 7","pages":"416-423"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803604","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":"Three-year analysis of suspected child abuse and neglect at a regional hospital in Oman.","authors":"Shamsa Al Balushi, Ronald Wesonga","doi":"10.26719/2026.32.7.430","DOIUrl":"https://doi.org/10.26719/2026.32.7.430","url":null,"abstract":"<p><strong>Background: </strong>Evidence on the patterns and sociodemographic characteristics of suspected child abuse and neglect in Oman remains limited, particularly outside the national capital region.</p><p><strong>Aim: </strong>To assess the patterns and sociodemographic characteristics of suspected child abuse and neglect cases at a regional hospital in Oman.</p><p><strong>Methods: </strong>We collated and analysed data on suspected child abuse and neglect cases among children aged 0-18 years from Rustaq Hospital, Oman, for the period August 2020 to August 2023. Descriptive statistics and chi-square tests were used to assess associations between abuse type, age, sex and parental marital status. <i>P</i> < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Neglect was most frequently reported (58.2%) among the 256 suspected cases, especially among children aged 0-4 years. Physical and sexual abuse were more frequent among older children, and emotional abuse among children from single-parent households. Neglect was higher among boys than girls (69.2% vs 48.9%; <i>P</i> = 0.001), while sexual abuse was more common among girls (34.5% vs 11.1%; <i>P</i> < 0.001). Overall, abuse type was significantly associated with age, sex and parental marital status.</p><p><strong>Conclusion: </strong>Age, sex and parental marital status were associated with patterns of suspected child abuse and neglect in this regional hospital. Strengthening early detection, family support and targeted prevention may help improve child protection in this setting.</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":"32 7","pages":"430-436"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803506","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}
Rajaa Al-Raddadi, Hani A Almalki, Shaymaa Abdalal, Ashraf Amir, Suzan Almalki, Majid S Al-Thaqafy, Sami Almudarra, Huda Bukhari
{"title":"Preventing invasive meningococcal disease during Hajj in Saudi Arabia.","authors":"Rajaa Al-Raddadi, Hani A Almalki, Shaymaa Abdalal, Ashraf Amir, Suzan Almalki, Majid S Al-Thaqafy, Sami Almudarra, Huda Bukhari","doi":"10.26719/2026.32.7.459","DOIUrl":"10.26719/2026.32.7.459","url":null,"abstract":"<p><strong>Background: </strong>Hajj is associated with an increased risk of invasive meningococcal disease, because of close contact among large numbers of pilgrims from diverse geographic regions.</p><p><strong>Aim: </strong>To recommend evidence-based vaccination strategies for strengthening the prevention of invasive meningococcal disease during Hajj.</p><p><strong>Methods: </strong>We convened a panel of experts from 4 medical societies to review epidemiologic data, immunisation policies and other evidence on PubMed on meningococcal vaccines, including the quadrivalent conjugate vaccine against serogroups A, C, W and Y and meningococcal serogroup B vaccine (MenB), available in Saudi Arabia. Based on their findings they drafted a consensus statement of recommendations for the prevention of meningococcal disease during Hajj.</p><p><strong>Results: </strong>We found from our review that invasive meningococcal disease remains a significant health risk during Hajj. Based on the findings, we recommend MenB vaccination for adults intending to perform Hajj. Vaccination should specifically target vulnerable populations, particularly people with chronic disease, immunocompromised individuals, those with occupational risk, children aged 2 months to 18 years and adults aged ≥ 60 years. Integration of vaccination into Hajj and Umrah registration systems, clear communication, adverse event monitoring and evaluation of programme impact may support uptake.</p><p><strong>Conclusion: </strong>Adding MenB vaccination to existing quadrivalent meningococcal conjugate vaccine recommendations can strengthen protection and reduce the risk of invasive meningococcal disease outbreaks during Hajj.</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":"32 7","pages":"459-465"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803540","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":"Strengthening the integration of rehabilitation into health systems for Universal Health Coverage in the Eastern Mediterranean Region.","authors":"Maryam Hedayati, Kianoush Abdi","doi":"10.26719/2026.32.7.466","DOIUrl":"https://doi.org/10.26719/2026.32.7.466","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":"32 7","pages":"466-469"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803338","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}
Haytham A Sheerah, Moath M Aldossari, Mohammed R Alhayyay, Maram B Alotaibi, Fatimah Al-Shehri, Yasir Almuzaini, Ada Al-Qunaibet, Weam M Banjar, Abdulaziz H Abdulbaqi, Ahmed Arafa, Keyang Liu
{"title":"Road traffic injuries and road safety efforts in Saudi Arabia.","authors":"Haytham A Sheerah, Moath M Aldossari, Mohammed R Alhayyay, Maram B Alotaibi, Fatimah Al-Shehri, Yasir Almuzaini, Ada Al-Qunaibet, Weam M Banjar, Abdulaziz H Abdulbaqi, Ahmed Arafa, Keyang Liu","doi":"10.26719/2026.32.7.470","DOIUrl":"https://doi.org/10.26719/2026.32.7.470","url":null,"abstract":"<p><strong>Background: </strong>Road traffic injuries and deaths remain a major public health concern in Saudi Arabia.</p><p><strong>Aim: </strong>To review the burden and risk factors for road traffic injuries in Saudi Arabia and describe recent government road safety efforts.</p><p><strong>Methods: </strong>We reviewed official government documents and published literature on national trends, risk factors, emergency response and injury patterns of road traffic injuries and road safety efforts by the Government of Saudi Arabia.</p><p><strong>Results: </strong>Between 2013 and 2023, serious road traffic accidents decreased by 46% in Saudi Arabia, fatalities by 44% and injuries by 40% as a result of stricter traffic monitoring and public awareness campaigns. In spite of this progress, the burden remains concentrated among specific population groups and regions. The key challenges include non-compliance to safety measures and non-completion of infrastructure upgrades.</p><p><strong>Conclusion: </strong>Saudi Arabia has achieved measurable reductions in road traffic accidents, injuries and fatalities. However, achieving the Vision 2030 road safety target will require sustained enforcement, safer infrastructure, stronger road safety education, and wider use of data-driven technologies.</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":"32 7","pages":"470-476"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803614","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":"The implications of <i>Naegleria fowleri</i> outbreaks for surveillance and public health preparedness in climate-vulnerable regions.","authors":"Ashish William","doi":"10.26719/2026.32.7.413","DOIUrl":"https://doi.org/10.26719/2026.32.7.413","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":"32 7","pages":"413-415"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803523","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":"Enhancing the capacity of rural health workers for brucellosis prevention and control in livestock-reliant communities.","authors":"Arvin Rahmanpour, Ghalavezh Ghafouri","doi":"10.26719/2026.32.7.479","DOIUrl":"https://doi.org/10.26719/2026.32.7.479","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":"32 7","pages":"479"},"PeriodicalIF":1.9,"publicationDate":"2026-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803591","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 message from the founder of primary health care in Islamic Republic of Iran on honouring Behvarz Day.","authors":"Hossain Malek Afzali, Mohammad Assai Ardakani","doi":"10.26719/2026.32.6.400","DOIUrl":"https://doi.org/10.26719/2026.32.6.400","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":"32 6","pages":"400-401"},"PeriodicalIF":1.9,"publicationDate":"2026-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564157","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}