RESUMEN
Objectives: To estimate the Disabled-adjusted Life Years [DALYs] of Road Traffic Accidents in patients referred to hospitals in Yazd Province, central Iran
Methods: This cross-sectional study was conducted in Yazd province during 2010. To calculate the Years of Life Lost [YLL] due to premature death and to calculate the incidence of non-fatal injuries and Years Lost due to Disability [YLD], the data were collected from Yazd death registration system and hospital records
The causes of death and nature of non-fatal injuries were classified using International Classification of Diseases [ICD-10]
We estimated Disability Adjusted Life Years [DALYs] on the guidelines of the Global Burden of Disease Study [discount rate: 0.03, age weight: 0.04, constant age weight correction factor: 0.165]. Age and sex composition was taken from the National Statistical Center for the year 2010
Results: During 2009, 483 deaths were caused by traffic accidents in Yazd Province, 382 [79.09%] of which were males, and 101 [20.91%] were females
The mortality rates for males and females were 70.98 and 20.15 in 100,000, respectively. The years of life lost due to premature deaths were 15.84/1000 in men and 4.75/1,000 in women
Total YLLs caused by traffic accidents were 10,908 years. The injuries caused by traffic accidents were calculated as 15.21 and 3.73/1,000 in males and females, respectively. The total YLDs was calculated 1.51/1,000
The total burden of Road Traffic Injuries in Yazd province was 12478 years [DALYs], 87.41% of which was due to premature death, and 12.59% was related to disability. Also, 78.32% was lost in males. The age specific peak of burden was in 15-29 year
Conclusion: This study showed that traffic accidents in Yazd impose a high burden. It seems that it is one of the health sector priorities. It is recommended to revise laws on use of motorcycles, especially on helmet use for motorcyclists, enforce strict laws in residential areas, and review social determinant affecting the incidence of such accidents
RESUMEN
Cancer incidence rate is increasing in the world particularly in developing countries. The awareness regarding cancer incidence and distribution helps policy makers and researchers to design comprehensive plan for controlling cancer. The aim of this study was to determine the incidence rate and trend of cancer in Yazd Province, centeral Iran. Data from Yazd cancer registry were derived from 2005 to 2009. Direct standardization through world standard population produced by the world health organization was used and Age- Standardized Incidence rate [ASR] was calculated. Data were analyzed using ASR, by EXCEL and SPSS software. The new cases of cancer were 4631 patients from 2005 to 2009. Mean age of these patients was 57.98 +/- 27.49 years and 53.5% were male. Female patients were approximately 5 years younger than males. The most frequent cancer was breast in women followed by skin, colorectal, hematologic system and stomach. The 5 most frequent cancers in men were skin, bladder, colorectal, stomach and prostate. The ASR in 2005 to 2009 was respectively 85.2, 86.1, 92.6, 102.2 and 104.7 per 100,000 populations. ASR of cancer is increasing rapidly in Yazd Province. It is necessary to have a comprehensive health policy for prevention and control of this problem