{"title":"Staying and delivering: WHO's enduring commitment to healthcare delivery in emergencies and humanitarian settings in the Eastern Mediterranean Region.","authors":"Hanan Balkhy","doi":"10.26719/2025.31.1.3","DOIUrl":"10.26719/2025.31.1.3","url":null,"abstract":"<p><p>For more than a decade, the WHO Eastern Mediterranean Region (EMR) has faced multiple protracted crises that have plunged nearly half of its 22 countries and territories into severe turmoil. The political conflicts, escalating hostilities and natural disasters have shattered communities, triggered disease outbreaks and placed immense strain on the health systems. In 2022 and 2023 alone, 5 of the world's 10 deadliest natural disasters occurred in the region, often as a result of extreme weather-related events.</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 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412016","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":"Cross-sectional, laboratory-based study of measles seroprevalence in Oman.","authors":"Bader Al-Rawahi, Prakash Patel, Noura Al-Farsi, Hanan Al-Kindi, Amina Al-Jardani, Intisar Al-Shukri, Samira Al-Mahruqi, Aisha Al-Busaidy, Anitha Hangarge, Seif Al-Abri","doi":"10.26719/2025.31.1.30","DOIUrl":"10.26719/2025.31.1.30","url":null,"abstract":"<p><strong>Background: </strong>Since the introduction of vaccination in Oman in 1981, measles incidence has decreased, and Oman achieved measles elimination in 2019. Measles cases in the country are currently import-related.</p><p><strong>Aim: </strong>To understand the measles immunity profile of the Omani population and identify high-risk groups.</p><p><strong>Methods: </strong>A total of 1990 anonymous blood samples out of 2032 samples collected from all regional referral hospitals and one private laboratory in Oman from November 2015 to January 2016 were tested for measles immunoglobulin G. We grouped the study population into 4 birth cohorts and analysed the data using SPSS version 16.0. We used the χ<sup>2</sup> to test for statistical significance and used Kruskal-Wallis test to calculate the geometric mean for each age group. P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The overall measles seropositivity was 84.0%. Seronegativity was significantly higher among the 15-20 years (34.0%) and 20-35 years (24.0%) age groups. There was no significant difference in seropositivity by gender and nationality. Seropositivity was 72.7% in the 1987-1996 cohort and 70.1% in the 1997-2006 cohort. The mean measles antibody level was 2318.5 IU/ml.</p><p><strong>Conclusion: </strong>This study revealed a measles immunity gap among some age groups in Oman, indicating the need for sustained high vaccination coverage, robust surveillance, targeted vaccination campaigns, and timely outbreak response.</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 1","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411859","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}
Shiraz Shaikh, Greesh Maheshwari, Aroosa Nighat, Lubna Mazharullah, Allah N Samoo, Ghulam M Soomro
{"title":"Educational intervention to increase childhood immunization uptake in rural Pakistan.","authors":"Shiraz Shaikh, Greesh Maheshwari, Aroosa Nighat, Lubna Mazharullah, Allah N Samoo, Ghulam M Soomro","doi":"10.26719/2025.31.1.16","DOIUrl":"10.26719/2025.31.1.16","url":null,"abstract":"<p><strong>Background: </strong>Childhood immunization uptake in rural Pakistan is low, due mostly to myths and misunderstanding regarding its importance.</p><p><strong>Aim: </strong>To determine the effect of an educational intervention on childhood immunization uptake for infants aged ≤ 16 weeks in 5 rural districts of Sindh Province, Pakistan.</p><p><strong>Methods: </strong>This quasi-experimental study was conducted from September 2023 to January 2024 among parents of 1200 children aged 3-5 weeks enrolled in intervention and control villages. Education campaigns that included face-to-face sessions and distribution of print and video information materials were conducted with families of children in the intervention group. Multivariable Cox regression was used to assess the effect of the intervention on immunization uptake.</p><p><strong>Results: </strong>After the initial immunization at birth, 19.8% of infants in the intervention villages and 24.8% in the control villages had not completed their Expanded Programme on Immunization vaccinations at age 16 weeks. Children in the intervention villages were significantly more likely to have been completely vaccinated at 14 weeks. Age, gender, household monthly income, place of birth, maternal education, and distance from immunization facility were not significantly associated with uptake.</p><p><strong>Conclusion: </strong>Educational interventions, including use of social media, can help increase childhood immunization uptake in rural areas of developing countries like Pakistan.</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 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411874","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":"Effects of COVID-19 and pneumococcal conjugate vaccines on hospitalized older COVID-19 patients in Türkiye.","authors":"Güzin Z Öztürk, İlknur Demir, Zeynep U Yılmaz","doi":"10.26719/2025.31.1.24","DOIUrl":"10.26719/2025.31.1.24","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 vaccine, CoronaVac, and pneumococcal conjugate vaccine, PCV13, are part of Türkiye's adult immunization programme to reduce COVID-19 severity and mortality among older adults.</p><p><strong>Aim: </strong>To evaluate the effects of CoronaVac and PCV13 vaccines on hospitalized patients aged ≥ 65 years in Türkiye.</p><p><strong>Methods: </strong>This retrospective descriptive study included 365 patients aged ≥ 65 years admitted to the COVID-19 wards and intensive care unit of Şişli Hamidiye Etfal Training and Research Hospital in Türkiye between March and June 2021. We evaluated vaccine efficacy among patients at ≥ 14 days and < 14 days after the second dose. We analysed the data using SPSS version 20.0 and compared proportions in independent groups using χ<sup>2</sup> test. P < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Intensive care unit admission was lower (25.3%) among patients vaccinated with CoronaVac than among unvaccinated patients (38.5%), and mortality rate was significantly lower (16.9% vs 32.7%) among vaccinated patients. Mortality decreased significantly with the number of vaccine doses. No significant relationship was found between PCV13 vaccination and mortality or intensive care unit admission, but mortality was lower among vaccinated patients.</p><p><strong>Conclusion: </strong>CoronaVac significantly reduced intensive care unit admissions and mortality among older COVID-19 patients. Although PCV13 did not show a significant reduction in mortality, its observed benefit supports continued pneumococcal vaccination among older populations.</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 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411878","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":"Putting governance into practice: The engagement of private health sector for Universal Health Coverage and health security.","authors":"Hanan Balkhy, Bruce Aylward","doi":"10.26719/2024.30.12.807","DOIUrl":"10.26719/2024.30.12.807","url":null,"abstract":"<p><p>The 'next pandemic' has become a common terminology increasingly used in media and academic literature. Emerging pathogens pose a considerable risk to our increasingly globalised communities and there is a need for adequate preparedness for them. However, in Lebanon, like in many countries, the 'next' pathogens, such as the measles pathogen, posing a dire threat to public health are neither emerging nor re-emerging; they are common, endemic and vaccine-preventable. What then are the barriers to vaccination and other prevention interventions against these pathogens?</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":"30 12","pages":"807-809"},"PeriodicalIF":0.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384573","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}
Nihaya A Al-Sheyab, Yousef Khader, Mohammad S Alyahya, Nadia Sweis, Maryam Mirza
{"title":"Comparative analysis of the impact of cigarette taxation on consumption, revenue and mortality in Jordan.","authors":"Nihaya A Al-Sheyab, Yousef Khader, Mohammad S Alyahya, Nadia Sweis, Maryam Mirza","doi":"10.26719/2024.30.11.788","DOIUrl":"https://doi.org/10.26719/2024.30.11.788","url":null,"abstract":"<p><strong>Background: </strong>Tobacco taxes are a powerful tool for reducing tobacco consumption and a reliable source of revenue for government.</p><p><strong>Aim: </strong>To investigate the potential efficacy of tobacco taxation strategies in Jordan in relation to their fiscal and health-related outcomes.</p><p><strong>Methods: </strong>Using Tobacconomics, we conducted a comparative analysis of several taxation scenarios: maintaining the status quo; increasing both specific excise and tiered taxes; increasing tiered tax rates alone; and raising specific excise taxes only.</p><p><strong>Results: </strong>We obtained the projected fiscal and health outcomes under the different tax policy scenarios: current scenario with no adjustments; 20% increase in specific excise taxes coupled with a 10% boost in tiered tax rates; raising tier tax by 20%; and raising specific excise by 20%. A 20% increase in excise taxes will decrease cigarette consumption, increase government revenues and reduce deaths among adults and adolescents. It can provide up to 87.5% reduction in adolescent deaths if coupled with a 10% boost in tiered tax rates.</p><p><strong>Conclusion: </strong>A consistent and aggressive approach to tobacco taxation can effectively decrease tobacco consumption and increase government revenue if Jordan's multi-tiered specific excise tax system is adjusted according to retail price.</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":"30 11","pages":"788-797"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901313","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":"Global status of WHO FCTC implementation and the way forward on tobacco products taxes.","authors":"Douglas Bettcher, Juliette McHardy","doi":"10.26719/2024.30.11.714","DOIUrl":"10.26719/2024.30.11.714","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":"30 11","pages":"714-717"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901366","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":"High-level meeting of ministers of health and ministers of finance from the Eastern Mediterranean Region on taxation of tobacco and nicotine products.","authors":"","doi":"10.26719/2024.30.11.803","DOIUrl":"https://doi.org/10.26719/2024.30.11.803","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":"30 11","pages":"803-804"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901370","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}
Marwa Ms Abbass, Anne-Marie Perucic, Eman T Ibrahim, Ayoub Al-Jawaldeh
{"title":"Situation analysis of sugar‑sweetened beverages taxation in Eastern Mediterranean Region.","authors":"Marwa Ms Abbass, Anne-Marie Perucic, Eman T Ibrahim, Ayoub Al-Jawaldeh","doi":"10.26719/2024.30.11.720","DOIUrl":"10.26719/2024.30.11.720","url":null,"abstract":"<p><strong>Background: </strong>Significant attention is being given to the role of sugar-sweetened beverages (SSBs) in the increasing rates of obesity and diet-related noncommunicable diseases in the Eastern Mediterranean Region (EMR).</p><p><strong>Aim: </strong>To document the different approaches being used by EMR countries in implementing the sugar-sweetened beverages taxation.</p><p><strong>Methods: </strong>This study used data on indirect taxes levied on SSBs by the 22 EMR countries and territories collected by WHO between July 2022 and June 2023. For comparison between countries, all applicable taxes were converted to a percentage of the tax-inclusive retail prices and standardized.</p><p><strong>Results: </strong>Eleven EMR countries imposed the national excise tax on carbonated SSBs and 10 imposed excise tax on at least one type of beverage other than carbonated SSBs. Ad valorem excise taxes were the most-used type for carbonated SSBs, with 10 of the 11 countries applying them. Morocco applied volume-based specific excise taxes with different rates depending on the sugar content. Excise tax represented the highest tax proportion (31.7%) in Oman and United Arab Emirates, while total tax represented the highest proportion (42.0%) of the retail price in Saudi Arabia and 36.5% in Oman and United Arab Emirates.</p><p><strong>Conclusion: </strong>Only half of the EMR countries are currently implementing SSBs taxation, and the imposed tax is less than 20% in half of these countries. All EMR countries should start implementing SSBs taxation as part of their national disease control policy frameworks to help reverse the increasing trend of obesity and other diet-related noncommunicable diseases 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":"30 11","pages":"720-729"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901382","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":"Taxing tobacco as a strategy to reduce consumption and increase public health benefits in Pakistan.","authors":"Namra Aziz, Aysha Almas, Tariq Mahmood, Gerald S Bloomfield, Zainab Samad","doi":"10.26719/2024.30.11.772","DOIUrl":"10.26719/2024.30.11.772","url":null,"abstract":"<p><strong>Background: </strong>Tobacco consumption poses a significant challenge to global health and contributes to the increase in noncommunicable diseases and premature deaths.</p><p><strong>Aim: </strong>To investigate the potential impact of a 70% tobacco tax on consumption and government revenue in Pakistan.</p><p><strong>Methods: </strong>We analysed secondary data from 2011 to 2022 (after imposition of a 70% excise tax) from the Pakistan Bureau of Statistics, Pakistan Social and Living Standard Survey, financial yearbooks and Federal Board of Revenue reports for tobacco consumption and government revenue. Variables included tobacco price inflation, per capita income, cigarette price, federal excise duty, and government revenue.</p><p><strong>Results: </strong>The higher taxes reduced tobacco production by PKR 3.72 billion (≈US$ 13.4 million). Price elasticity analysis indicated an inelastic demand for cigarettes, mostly among the rural populations. Imposition of excise duty of 70% of the retail price caused a decrease in government revenue by PKR 390 million (≈US$ 1.4 million).</p><p><strong>Conclusion: </strong>Implementing 70% taxation on tobacco products is beneficial, however, to fully realize its benefit, there is a need for strict regulation on brand shifting and illegal trade.</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":"30 11","pages":"772-778"},"PeriodicalIF":0.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}