RESUMEN
Background: Since 1990, the maternal mortality significantly decreased at global scale as well as the North Africa and Middle East. However, estimates for mortality and morbidity by cause and age at national scale in this region are not available. Method(s): This study is part of the Global Burden of Diseases, Injuries, and Risk Factors study (GBD) 2019. Here we report maternal mortality and morbidity by age and cause across 21 countries in the region from 1990 to 2019. Result(s): Between 1990 and 2019, maternal mortality ratio (MMR) dropped from 148.8 (129.6-171.2) to 94.3 (73.4-121.1) per 100 000 live births in North Africa and Middle East. In 1990, MMR ranged from 6.0 (5.3-6.8) in Kuwait to 502.9 (375.2-655.3) per 100 000 live births in Afghanistan. Respective figures for 2019 were 5.1 (4.0-6.4) in Kuwait to 269.9 (195.8-368.6) in Afghanistan. Percentages of deaths under 25 years was 26.0% in 1990 and 23.8% in 2019. Maternal hemorrhage, indirect maternal deaths, and other maternal disorders rank 1st to 3rd in the entire region. Ultimately, there was an evident decrease in MMR along with increase in socio-demographic index from 1990 to 2019 in all countries in the region and an evident convergence across nations. Conclusion(s): MMR has significantly declined in the region since 1990 and only five countries (Afghanistan, Sudan, Yemen, Morocco, and Algeria) out of 21 nations didn't achieve the Sustainable Development Goal (SDG) target of 70 deaths per 100 000 live births in 2019. Despite the convergence in trends, there are still disparities across countries.Copyright © 2022 Academy of Medical Sciences of I.R. Iran. All rights reserved.
RESUMEN
Background and purpose: Protecting healthcare workers on the front line of Coronavirus disease 2019 (COVID-19) is very important. The aim of this study was to investigate the incidence of COVID-19 in hospital staff and its relationship with influenza vaccine in 2020. Materials and methods: A descriptive-analytical study was performed in 4446 staff working in public hospitals in Mazandaran province, Iran. The sample size was calculated using the Cochran's formula and the participants were selected by simple random sampling. Demographic and therapeutic information were collected using an electronic checklist. Data were analyzed by descriptive statistics and Chi-square test and analysis of variance using SPSS V21. Results: In this study, 1388 (31.21%) cases were infected with COVID-19 and 3058 (68.79%) had no history of the disease. In people with and without COVID-19, 384 (27.66%) and 761 (24.88%) were men, respectively. According to findings, the rate of COVID-19 infection was lower in individuals who received influenza vaccine compared to non-infected people, but there was no significant difference between these groups in receiving influenza vaccine within a year ago (P = 0.07). Conclusion: In present study, the influenza vaccine did not have a protective role against COVID-19. Moreover, it did not influence the severity of the disease and cannot be helpful in making a prognosis of COVID-19.