New data on medically important scorpion species of Iran based on seven physiographic areas.

There are 2612 and 80 scorpion species in the world and Iran, respectively. Iran is rich in climatic conditions and biodiversity. In this study, new data on scorpion fauna of different physiographic areas of Iran were obtained from various databases, including plains and deserts, eastern area of the Caspian Sea, western and central areas of the Caspian Sea, heights and foothills, the west coast of the Persian Gulf and the east coast of the Persian Gulf. Then, spatial distribution maps for scorpion species in different physiographic areas were prepared using ARC GIS software. There are three families (Buthidae, Hemiscorpiidae, and Scorpionidae), 19 genera, and 80 species and subspecies. In plains and deserts, there are three families, 15 genera, and 37 scorpion species; in the Caspian Sea area, there is only one family with four scorpions; in heights and foothills, there are three families, 14 genera, and 35 scorpion species; in the west coast of the Persian Gulf, there are three families, 13 genera, and 31 scorpion species, and finally, in the east coast of the Persian Gulf, there are three families, 14 genera, and 35 scorpion species. The Buthidae is the most prevalent family in Iran. Because of good climatological conditions on the east and west coast of the Persian Gulf, there are three families of scorpions, 18 genera, and 45 species. The majority of scorpion species inhabit this region, and the highest rate of scorpionism and death due to scorpion sting occurs in this part of Iran.

Mapping and Spatial Pattern Analysis of COVID-19 in Central Iran Using the Local Indicators of Spatial Association (LISA).

BACKGROUND: Using geographical analysis to identify geographical factors related to the prevalence of COVID-19 infection can affect public health policies aiming at controlling the virus. This study aimed to determine the spatial analysis of COVID-19 in Qom Province, using the local indicators of spatial association (LISA). METHODS: In a primary descriptive-analytical study, all individuals infected with COVID-19 in Qom Province from February 19th, 2020 to September 30th, 2020 were identified and included in the study. The spatial distribution in urban areas was determined using the Moran coefficient in geographic information systems (GIS); in addition, the spatial autocorrelation of the coronavirus in different urban districts of the province was calculated using the LISA method. RESULTS: The prevalence of COVID-19 in Qom Province was estimated to be 356.75 per 100,000 populations. The pattern of spatial distribution of the prevalence of COVID-19 in Qom was clustered. District 3 (Imam Khomeini St.) and District 6 (Imamzadeh Ebrahim St.) were set in the High-High category of LISA: a high-value area surrounded by high-value areas as the two foci of COVID-19 in Qom Province. District 1 (Bajak) of urban districts was set in the Low-High category: a low-value area surrounded by high values. This district is located in a low-value area surrounded by high values. CONCLUSIONS: According to the results, district 3 (Imam Khomeini St.) and district 6 (Imamzadeh Ebrahim St.) areas are key areas for preventing and controlling interventional measures. In addition, considering the location of District 1 (Bajak) as an urban district in the Low-High category surrounded by high values, it seems that distance and spatial proximity play a major role in the spread of the disease.

Spatial distribution of vaccine-preventable diseases in central Iran in 2015-2018: A GIS-based study.

Vaccination is the second most effective health measure to maintain public health and prevent diseases after providing safe drinking water. This study aimed to determine the geographical distribution of vaccine-preventable diseases (VPDs) in Qom Province in four years (2015-2018) using Geographic Information System (GIS). In this cross-sectional study, the indicators of VPDs surveillance were extracted from the VPDs surveillance system at the Centers for Disease Control and Prevention (CDC) in Qom University of Medical Sciences. They were further evaluated, and the incidences of VPDs in the study years were investigated. Finally, the spatial distribution map of VPDs was provided for surveillance quality in each Qom district by Arc GIS 10.3 software. The annual incidence rate (AIR) was estimated to be 18.47 for hepatitis B, 0.29 for measles, 0.13 for rubella, 0.09 for pertussis, 0.29 for diphtheria and 0.91 for acute flaccid paralysis (AFP). The highest incidences of AFP, rubella and measles were observed in Markazi district. Salafchegan was a district with the highest incidence of diphtheria, and the highest incidence rate of hepatitis B was observed in Khalajestan district. In addition, all pertussis cases were reported from Qom city. According to thematic maps of GIS, the annual incidence rate of VPDs in Qom Province was lower than the mean rate in Iran. Nevertheless, it is highly recommended that a high immunization coverage should be done in the childhood and good surveillance indicators such as non-disease discarded rate, and the proportion of suspected cases with an adequate investigation should be used to monitor VPDs.

Impact of Environmental and Climate Factors on Spatial Distribution of Cutaneous Leishmaniasis in Northeastern Iran: Utilizing Remote Sensing.

BACKGROUND: Cutaneous leishmaniasis (CL) is a dermal and parasitic disease.. The aim of this study was to determine the effect of environmental and climate factors on spatial distribution of CL in northeastern Iran by utilizing remote sensing from 20 March 2016 to 19 March 2017. METHODS: In this ecological study, the data were divided into two parts: The descriptive data on human CL cases were gathered from Communicable Diseases center of Iran. The remote sensing techniques and satellite imagery data (TRMM, MODIS-Aqua, MODIS-Terra and AMSR-2 with spatial resolution 0.25°, 0.05°, 5600m and 10km) of environmental and climate factors were used to determine the spatial pattern changes of cutaneous leishmaniasis incidence. RESULTS: The incidence of CL in North Khorasan, Razavi Khorasan, and South Khorasan was 35.80 per 100,000 people (309/863092), 34.14 per 100,000 people (2197/6,434,501) and 7.67 per 100,000 people (59/768,898), respectively. The incidence of CL had the highest correlation with soil moisture and evapotranspiration. Moreover, the incidence of disease was significantly correlated with Normalized Difference Vegetation Index (NDVI) and air humidity while it had the lowest correlation with rainfall. Furthermore, the CL incidence had an indirect correlation relation with the air temperature meaning that with an increase in the temperature, the incidence of disease decreased. CONCLUSION: As such, the incidence of disease was also higher in the northern regions; most areas of North Khorasan and northern regions of Razavi Khorasan; where the rainfall, vegetation, specific humidity, evapotranspiration, and soil moisture was higher than the southern areas.

Geographical Distribution, Biodiversity, and Species Richness of Medically Important Necrophagous Flies in Central Iran.

There have been some investigations carried out about necrophagous flies and their biodiversity indices in Iran. In the present study, the species composition of flies, their richness, and biodiversity were investigated in central Iran. In a cross-sectional study, specimens were collected monthly in three different climate areas of Qom Province. Species diversity, species richness, and species evenness were calculated to estimate the species biodiversity of flies. In total, 7,291 flies were collected and identified using valid identification keys that classified flies into four families and 15 different species. The largest collection of flies was obtained in the mountainous areas comprising 36.2% of specimens. Moreover, five forensically important species of fly were collected in this region with the potential to cause human and animal myiasis: Calliphora vicina, Lucilia sericata, Musca domestica, Wohlfahrtia nuba, and Chrysomya albiceps. There were slight differences in species richness and diversity indices in the areas. In mountainous areas, the Shannon-Wiener index and richness were maximum (H' = 1.87, S = 13). The evenness based on the Shannon evenness index in the mountainous areas was 0.728 and 0.719 in desert areas, whereas it was the highest (0.764) in the semidesert areas. Moreover, high values of the Jaccard similarity index were observed in captured necrophagous fly species in all the areas. The necrophagous fly fauna and species diversity indices were high because of an increase in the evenness. In general, some well-known forensically important species of flies were collected that proved the potential of myiasis occurrence in this area.

Spatial Distribution of Cutaneous Leishmaniasis Cases Referred to Health Centers of Three Khorasan Provinces in Iran Using Geographical Information System.

BACKGROUND: Nowadays, geographic information system (GIS) is one of the most useful epidemiological tools for identifying high-risk areas of cutaneous leishmaniasis. The aim of this study was to determine the spatial distribution of cutaneous leishmaniasis in northeastern Iran. METHODS: In this cross-sectional study, information on positive cases of cutaneous leishmaniasis in the three provinces located in northeastern Iran during Jul 2011 to Jul 2017 was obtained from the Iranian Ministry of Health. Based on the postal address of each case, the geographical coordinates of each patient were determined for spatial analysis of cutaneous leishmaniasis. For spatial analysis, Moran's index autocorrelation and Kriging interpolation method were used in GIS software. RESULTS: Moran's index autocorrelation showed that spatial distribution of disease incidence in the study area was cluster pattern (Z-score > 1). In addition, Kriging interpolation method revealed that 90% of southern parts of North Khorasan province and northern parts of Razavi Khorasan Province formed hot spots. CONCLUSION: The CL incidence is a function of spatial and geographical trends. In addition, spatial trends in the disease incidence distribution indicate that it is not greatly increased or decreased from one area to another. It appears as hot spots areas. Spatial analysis by showing high risk areas can be useful tools for controlling and preventing CL incidence.

Faunistic Composition and Spatial Distribution of Scorpions in North Khorasan Province Northeast of Iran.

BACKGROUND: Scorpions pose one of the most important public health and medical problems in tropical and subtropical regions of the world, especially in developing countries. This study was conducted to determine the fauna and spatial distribution of scorpions. METHODS: In this descriptive study, scorpions were captured using ultra-violet (UV) light, pitfall traps and digging methods in North Khorasan Province, northeastern Iran in 2017. After being encoded, the collected scorpions were stored in plastic containers of 70% ethanol and then transferred to the medical entomology lab of Tehran University of Medical Sciences for species identification based on morphological keys. In addition, Arc Geographic Information System (GIS) 9.3 software was utilized for mapping spatial distribution of scorpions. RESULTS: Overall, 143 scorpions were captured and identified. All of collected scorpions belonged only to Buthidae family. They were also classified into four genera (Androctonus, Mesobuthus, Odontobuthus, Orthochirus) and five species: M. eupeus (59.44%), A. crassicauda (16.78%), O. doriae (12.59), M. (Olivierus) caucasicus (9.09%), and O. farzanpayi (2.10%). Furthermore, spatial distribution of scorpions was performed in this area. CONCLUSION: Regarding the diversity, high frequency and wide geographical distribution of scorpions and their long-term seasonal activity in this area, the probability of occurrence of scorpion sting is high. Therefore, in order to prevent the occurrence of this public health problem, health educational programs be implemented by health- care providers in the area.

Scorpions and Their Human Mortality Report in Iran: A Review Article.

BACKGROUND: The scorpions have enjoyed medical importance from ancient times because of their morphological structure and venom. The identification of the species of these arthropods has been more emphasized than any other aspects. The purpose of this study was to determine scorpion's fauna and mortality rates of their victims as reported in Iran. METHODS: In this review, published documents during 1966-2018 related to medically important scorpions and mortality reports due to scorpionism were searched in the data bases such as Web of Science, PubMed, Scopus, Google Scholar and etc., using key words including scorpion, species, classification, Iran, family, species, and the names of all 31 provinces of Iran. RESULTS: Overall, 169 sources were found. Based on the STROBE checklist, the quality of the documents was also considered, and ultimately, 95 sources were selected. Sixty-four species of scorpions have been identified in Iran and 86% of the species belong to the Buthidae family, and the rest (9.5%, 4.5%) belong to the Hemiscorpiidae and Scorpionidae families, respectively. These species live mostly in tropical regions of Iran. The dangerous scorpions and their mortality reports are often recorded from southern regions such as Khuzestan and Hormozgan provinces. CONCLUSION: Due to the significant increase in the abundance of scorpions in Iran over the past 30 years, it is expected that this trend will continue by researchers, and the fauna of scorpions is regularly reconsidered.

Spatio-temporal distribution analysis of zoonotic cutaneous leishmaniasis in Qom Province, Iran.

Geographic information system (GIS) nowadays is one of the most helpful epidemiological tools for identifying the high risk areas of cutaneous leishmaniasis (CL). This study was conducted to determine the spatio-temporal distribution of CL in Qom province during 2009-2017. In a cross-sectional study, for the survey of spatial dispersion of CL in the study region, the incidence rate of disease was calculated in all of 23 villages during 2009-2017. Then, spatial analysis of the infection was performed using two methods: spatial autocorrelation (Moran's I) in order to determine the special distribution pattern of disease and Kriging method to reveal high risk areas for disease. The incidence of CL in Qom province has been decreasing as of 2009-2015 and increasing in 2015-2017. The highest incidence was stated in 2009 (36.5 per 100,000) and the least was reported in 2015 (13.3 per 100,000). The Moran autocorrelation index revealed that the study area has a cluster pattern. The temporal distribution of disease incidence showed that northeast, southwest and northwest parts of Qom province involved highest incidence of CL in 90% significant level. Leishmaniasis incidence is a function of spatial and geographical trends, thus spatial variations of the infection incidence illustrate that the incidence rate does not increase or decrease from one region to another intensively. The results of this study indicate that marking high risk areas using spatial analysis can be helpful as a main tool in CL control and prevention.

Spatial Distribution of Necrophagous Flies of Infraorder Muscomorpha in Iran Using Geographical Information System.

Medically important flies that majority of them are classified to synanthropic flies can be mechanical vectors for some of contagious diseases to human and many animals. Also some species of their larvae are cause of myiasis in human and livestock animals. The aim of this study was to determine the geographical distribution of medically important flies in Iran using Geographical Information System (GIS). All published English and Persian documents on medically important flies of Iran from reliable medical sciences resources were gathered. A database was then designed in Excel format, including all available information regarding flies. The valid data were transferred to ArcGIS 10.3 to prepare the first spatial database of medically important flies and human myiasis foci of Iran. The Iran Medical Important Flies base includes 71 papers and three PhD/MSc theses, reporting studies conducted during 1977-2017. This database contains different available data covering their faunistic and all myiasis data reports related to flies of 102 species in nine families of medical important flies in Iran. Twenty-three out of the 31 provinces of Iran, had some reports of medically important flies. However, these flies have high species diversity, wide geographical distribution and with various ecological niches in different provinces in Iran. Besides that, there are many high-risk foci of human myiasis in a number of provinces of Iran.

Scorpions and scorpionism in Iran's central desert.

Venomous scorpions have extreme importance in field of medicine and public health. This descriptive - analytic study was done to identify scorpion fauna, their ecological aspects as well as scorpionism for risk management and prevention of this health problem in Iran's central desert. Four urban and fifteen rural areas with various climates and topography locations were selected for monthly scorpion collection through a randomly cluster sampling in 2013. The clinical data was obtained from questionnaires provided in 2009-2014. Totally, 1481 scorpion sting cases were recorded. The majority were treated less than 6h after the sting. Statistical tests showed significant difference between season, scorpion's color, living place of patients and scorpionism cases. Plain areas had the most occurrence of scorpionism followed by foothills. Moreover, 311 scorpion samples belonged to 7 species of Buthidae were collected. Mesobuthus eupeus was the dominant species in both rural and urban areas. Most of the collected samples were from indoors, yards and around the houses. The most scorpion activity was recorded in the summer. The studied areas had rich scorpion fauna due to various climates and topography locations. Scorpion stings can be important and fatal in this area, particularly in the plain regions with semi-desert climate. An investigation for assessment of peoples' awareness on prevention methods of scorpionism and also the determination and the assessment of effective factors on reducing the elapsed time between scorpion stings and receiving medical care are here recommended.

Physicochemical Characteristics of Larval Habitat Waters of Mosquitoes (Diptera: Culicidae) in Qom Province, Central Iran.

BACKGROUND: Mosquitoes lay eggs in a wide range of habitats with different physicochemical parameters. Ecological data, including physicochemical factors of oviposition sites, play an important role in integrated vector management. Those data help the managers to make the best decision in controlling the aquatic stages of vectors especially using source reduction. METHODS: To study some physicochemical characteristics of larval habitat waters, an investigation was carried out in Qom Province, central Iran, during spring and summer 2008 and 2009. Water samples were collected during larval collection from ten localities. The chemical parameters of water samples were analyzed based on mg/l using standard methods. Water temperature (°C), turbidity (NTU), total dissolved solids (ppm), electrical conductivity (µS/cm), and acidity (pH) were measured using digital testers. Thermotolerant coliforms of water samples were analyzed based on MPN/100ml. Data were assessed by Kruskal-Wallis test and Spearman Correlation analysis. RESULTS: In total, 371 mosquito larvae were collected including 14 species representing four genera. Some physicochemical parameters of water in Emamzadeh Esmail, Qomrood, Qom City, and Rahjerd showed significant differences among localities (P< 0.05). The physicochemical and microbial parameters did not show any significant differences among different species (P> 0.05). There was no significant correlation between the abundance of larvae and the different physicochemical and microbial parameters (P> 0.05). CONCLUSION: The means of EC, TDS, and phosphate of localities and species were remarkably higher than those of the previous studies. Other parameters seem to be in the range of other investigations.