scholarly journals Speed Management in Iran: A Review Process

2021 ◽  
Vol 32 (3) ◽  
pp. 31-42
Author(s):  
Lori Mooren ◽  
Ray Shuey ◽  
Christoph Hamelmann ◽  
Farhad Mehryari ◽  
Hassan Abdous ◽  
...  

The level of road trauma is high in the Eastern Mediterranean Region with the Islamic Republic of Iran having a particularly high fatality rate at 20.5 per 100,000 population. The Government, assisted by the World Health Organisation (WHO), committed to implementing demonstration projects in three provinces that will form the basis of road safety actions to be advanced by the WHO across the Region. In recognition that speed management is a pivotal factor in achieving a safer road and traffic system, and as a component of the project, a review was carried out in 2019 by a team of international experts in the field in collaboration with national consultants. This review was undertaken in consideration of the Safe System Approach and the Results-Based Management Approach. The findings of this review and their implications for future actions in Iran are discussed in this paper.

2004 ◽  
Vol 10 (6) ◽  
pp. 761-770 ◽  
Author(s):  
F. Azizi ◽  
L. Mehran

Before 1987, iodine deficiency was not considered an issue of major importance in the countries of the Eastern Mediterranean Region [EMR]. Progress began with a systematic national study of goitre and other iodine deficiency disorders [IDD] in the Islamic Republic of Iran in 1983. Following a major review of the prevalence of IDD in member states, Guidelines for national programmes for the control of iodine deficiency disorders in the EMR were published by the World Health Organization [WHO] in 1988. This paper discusses progress towards elimination of iodine deficiency by reviewing the status of IDD in the countries of EMR and programmes for prevention and control of IDD with particular reference to the Islamic Republic of Iran, the first country to be declared IDD-free by WHO


Author(s):  
Ayoub Al-Jawaldeh ◽  
Mandy Taktouk ◽  
Radhouene Doggui ◽  
Zahra Abdollahi ◽  
Baseer Achakzai ◽  
...  

Anemia is a multifactorial condition, with a complex etiology that involves nutritional and non-nutritional factors. The misconception that iron deficiency is equivalent to anemia may mask the need to address other potential causative factors. This review paper aims to (1) assess the burden of anemia vs. iron deficiency anemia (IDA) amongst women of reproductive age (WRA), pregnant women (PW), and children under five years old (underfive children, U5C) in the Eastern Mediterranean region (EMR); (2) evaluate trends in anemia prevalence and whether countries are on track towards meeting the World Health Assembly (WHA) target for 2025; and (3) characterize anemia reduction efforts and provide a road map for future programs. A search of pertinent literature and databases was conducted. Anemia prevalence in the EMR ranged between 22.6% and 63% amongst PW, 27% and 69.6% amongst WRA, and 23.8% and 83.5% amongst U5C. Data showed that the EMR is not on course towards meeting the WHA target. The contribution of IDA to anemia was found to be less than half. Other potential contributors to anemia in the region were identified, including micronutrient deficiencies, parasitic infestations, and poor sanitation. A framework of action was proposed as a roadmap to meet the targets set by the WHA.


Author(s):  
Shamim Ferdous ◽  
Mohammad Deloar Hossain

Children with disabilities (CWDs) are one of the most marginalised and excluded groups in the society. Facing daily discrimination in the form of negative attitudes, lack of adequate policies and legislation, they are effectively barred from realising their rights to healthcare, education and even survival. It has been estimated that exposure towards all forms of violence against CWDs is four-time greater than that of children without disabilities. Bangladesh has an estimated 7–10 million CWDs (out of a total of 72 million children, World Health Organisation Report). Most of the time, these children are treated as a burden to their families or the community and thus become subject to violence. There are very few specialised institutions with residential facility to take care of them. So, they are institutionalised in general residential institutions at a significantly higher rate than other children. But both the special and general residential institutions have lack of skilled human resources and knowledge of the special situation and needs of CWDs. Peer groups of the CWDs are also less sensitised, which result in further stigma and discrimination of CWDs. A 2010 study was done by the Ministry of Women and children Affairs. The findings from interviews with adolescents’ aged 13–16 in 12 locations of Dhaka City revealed their extreme vulnerability. In 2010, a study by Bangladesh Protibondhi Foundation that conducted a survey supported by the Save the Children Sweden–Denmark found that 51.4% of CWDs are either at risk of sexual abuse (12.5%) or have been sexually abused (38.9%).The government of Bangladesh has taken a number of legislative and policy steps that indicate commitment to advancing the rights of persons with disabilities. In terms of international instruments, Department of Social Services under Ministry of Social Welfare operates various types of institutions for the children and also CWDs. The study will adopt qualitative and quantitative methods to collect information from both primary and secondary sources and also assess the situation of government non-government organisations/religious institutions where CWDs have residential facilities in order to understand which factors contribute to increased vulnerability of these children.


Author(s):  
Emmanuel Mensah Aboagye ◽  
◽  
Nana Osei Owusu ◽  

Air pollution continues to be an environmental problem that poses a lot of health risks to the young and aged. Developed countries have invested heavily to curb this environmental problem, causing severe threats to human lives, yet the results do not look convincing. In developing countries, the situation is difficult than they can imagine, resulting in governments borrowing to fight what looks like a lost battle [1-3]. The in-depth study of this environmental menace - air pollution, suggests that the government enacts stringent measures to help fight this battle. This is because air pollution has natural (volcanic eruption) and anthropogenic (human activities) causes. In December 2019, the deadly Coronavirus (Covid-19) outbreak was soon declared as a global pandemic by the World Health Organisation (WHO) [4]. Majority of countries have had their share of the impact of this outbreak. Many countries resorted to city lockdown to strictly control the movement of people and economic activities as recommended by WHO.


2020 ◽  
Author(s):  
Reza Negarandeh ◽  
Shah Jahan Shayan ◽  
Rajab Nazari ◽  
BSc. Frank Kiwanuka ◽  
MSc. Sanaz Akhavan Rad

Abstract Background Recently, inappropriate use of antibiotics has been correlated with life-threatening side-effects such as adverse effects, increased cost of treatment, and the higher rate of microbial resistance. Besides, it leads to a waste of resources. Therefore, this review sought to determine the pooled prevalence of self-medication with antibiotics, self-medicated illness, reasons for self-medication, antibiotics used for self-medication, source of obtaining antibiotics, the inappropriate practice of antibiotics and suggested recommendations for talking self-medication with antibiotics in the Eastern Mediterranean Region of the World Health Organization (EMRWHO). Methods Review conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. Database search was conducted in PubMed, Scopus, Embase, and Web of Science using a combination of keywords which included; antimicrobial, antibacterial, antibiotic, self-medication, self-treatment, self-prescription, non-prescribed, irrational use, inappropriate use, misuse, abuse and Eastern Mediterranean Region of WHO countries. The lists of references of the selected articles were also hand-searched to obtained additional relevant articles. Studies published in English from 2000 to 2018 were included in the review. Results We report on data from 60 articles and 49629 participants in this review. The overall prevalence of self-medication with antibiotics in EMRWHO was 47.2% (95% CI 41.6% – 52.9%). Yemen has the highest pooled rate with a rate of 75.0% (95% CI 63.4% − 83.9%), whilst Lebanon has the lowest pooled rate with a prevalence of 28.7% (95% CI 18.4% − 41.8%). The most common illnesses implicated in antibiotic self-medication were upper-respiratory infections and the most common antibiotic was Amoxicillin-Clavulanic acid. The commonest reasons for antibiotic self-medication include: saving time and money. Pharmacies pointed out as the most common source of obtaining antibiotics for self-medication. Conclusion Self-medication with antibiotics is significantly high in the member states of EMRWHO. Intervention such as an educational program for communities’ members to change their behaviors, policy on the mechanism of distribution of antibiotics is called for in this area.


Author(s):  
B. A. Haruna ◽  
F. Tahir ◽  
A. F. Umar ◽  
Mohammad M. Ibrahim ◽  
H. J. Balla ◽  
...  

Aim: We determine the prevalence of TB and MDRTB within the study population. Methodology: The sampling consists of 192 (54.4%) males and 161 (45.6%) females.  Ziehel Neelsen staining method was used for the detection of Acid Fast Bacilli (AFB) in the sputum samples collected. Rifampicin resistant (MDRTB) isolates were detected by GeneXpert and the conventional PCR technique. Results: In this study, 6 (9.5%) out of the 63 positive samples were rifampicin resistant Mycobacterium tuberculosis in which 4(6.3%) were found among females and 2 (3.2%) were found among males. Infection with Mycobacterium tuberculosis was not dependent on gender statistically in this study P>0.05. Secondary institution among the health care centers had highest cases of tuberculosis18 (33.3%) while tertiary institute had higher rifampicin resistant tuberculosis 5(2.5%). Statistically there was significant relationship between occurrence of tuberculosis and health care centers p<0.05. Conclusion: There is need to establish more reference laboratories within the country in order to address the rising cases of tuberculosis. There is also need for urgent attention of the government and other developmental partners to address the rising cases of MTB and MDRTB which is outside the expected ratio of 3:1 (male : female) stipulated by the World Health Organisation (WHO) and to conduct a national tuberculosis drug resistance survey so as to determine the actual burden of MDRTB in Nigeria.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1464
Author(s):  
Laura Dean ◽  
Janet Njelesani ◽  
Charles Mulamba ◽  
Russell Dacombe ◽  
Pamela S. Mbabazi ◽  
...  

Background. Limited laboratory capacity is a significant bottleneck in meeting global targets for the control and elimination of neglected tropical diseases (NTD). Laboratories are essential for providing clinical data and monitoring data about the status and changes in NTD prevalence, and for detecting early drug resistance. Currently NTD laboratory networks are informal and specialist laboratory expertise is not well publicised, making it difficult to share global expertise and provide training, supervision, and quality assurance for NTD diagnosis and research. This study aimed to identify laboratories within five World Health Organisation regions (South-East Asia, Eastern Mediterranean, Americas, Western Pacific and Europe) that provide NTD services and could be regarded as national or regional reference laboratories, and to conduct a survey to document their networks and capacity to support NTD programmes. Methods. Potential NTD reference laboratories were identified through systematic searches, snowball sampling and key informants. Results. Thirty-two laboratories responded to the survey. The laboratories covered 25 different NTDs and their main regional and national roles were to provide technical support and training, research, test validation and standard setting. Two thirds of the laboratories were based in academic institutions and almost half had less than 11 staff. Although greater than 90 per cent of the laboratories had adequate technical skills to function as an NTD reference laboratory, almost all laboratories lacked systems for external verification that their results met international standards. Conclusions. This study highlights that although  many laboratories believed they could act as a reference laboratory, only a few had all the characteristics required to fulfil this role as they fell short in the standard and quality assurance of laboratory processes. Networks of high quality laboratories are essential for the control and elimination of disease and this study presents a critical first step in the development of such networks for NTDs.


2021 ◽  
Vol 05 ◽  
Author(s):  
Nima Norouzi

: One of the focal points of the global energy struggle in recent years has been storytelling in the Eastern Mediterranean. Greece and the Greek Cypriot government (GCA), in cooperation with Egypt and Israel, are implementing a containment strategy against Turkey and the Turkish Republic of Northern Cyprus (TRNC) in the region. Turkey’s response to this plan was an exclusive agreement with Libya. Turkey and Libya have signed a memorandum of understanding between the government of national reconciliation on limiting the maritime jurisdiction of the new continental shelf in the Eastern Mediterranean - the only borders of the lottery’s economic zone. Greece could act with other countries, and it is said that Turkey’s competence will be ratified in the face of agreements that may restrict movement. The United States and the European Union (EU) also sought to share gas with European countries against Turkey, Israel, and the GCA. This article focuses on Libya’s ongoing competition, given Libya’s oil geopolitics and challenges in the eastern Mediterranean region. This paper briefly investigates the energy geopolitics in the eastern Mediterranean and North African region; this paper aims to conclude the diverse opinions led by various interests and points of view and propose a solution for the ever-growing tensions in this region.


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