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Trends and Burden of Human Rabies in Iran 2012-2021: A Cross-Sectional Study
Aliasghar Fakhri-Demeshghieh1, Hesameddin Akbarein2, Rouzbeh Bashar3
1Department of Food Hygiene and Quality Control, Epidemiology & Zoonoses Division of Faculty of Veterinary Medicine, DVM, Specialty board-certified in Epidemiology University of Tehran Tehran Iran.
Human rabies deaths in Iran, particularly among males aged 10-14, show a significant association with sex and age. The incidence of rabies deaths increased over the study period, with a notable rise in 2021.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Background:
- Rabies remains an endemic threat in Iran.
- Understanding demographic patterns is crucial for targeted prevention.
Purpose of the Study:
- To analyze the association between sex and age in human rabies deaths.
- To identify incidence trends and disease burden from 2012 to 2021.
Main Methods:
- Cross-sectional study analyzing 69 rabies deaths.
- Fisher's exact test for sex-age association.
- Joinpoint regression for trend analysis.
- Disability-Adjusted Life Years (DALY) calculation.
Main Results:
- A statistically significant association between sex and age (p=0.003), with highest frequency in males aged 10-14.
- An overall increasing trend in rabies deaths, peaking in 2021.
- Increased DALYs for both sexes between 2019 and 2021.
Conclusions:
- The link between sex and age in rabies cases is significant in Iran.
- Increasing incidence and burden highlight the need for continued rabies control efforts.
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