Measures of Mortality in Coronavirus (COVID-19) Compared With SARS and MERS

In late 2019, a novel coronavirus, now designated severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was identified as the cause of an outbreak of acute respiratory illness in Wuhan, a city in China. Mortality rate, case fatality rate, and Years of Potential Life Lost can be measured by determining death cases. Much of our information on mortality rates of diseases can be obtained through a regular implementation of care plans that are often developed to screen infectious diseases. In the YLL component, the higher the individuals die at an earlier age, the longer their life is lost. For COVID-19, this component refers to the simple subtraction of age at death due to COVID-19 from the standardized life expectancy for the same age in the same sex. A potential application of health summary indices is to consider the non-fatal consequences of diseases to ensure that they are taken into account in health policy making. Given that COVID-19 has a non-fatal effect on a large number of patients, the estimation of disease burden using the DALYs may be an appropriate index for achieving this goal

Association of fear of COVID-19 and preventive behaviors (PB) against COVID-19 in Iran

Introduction: The world is currently experiencing a pandemic of COVID-19. The pandemic may affect physicaland mental health. Therefore, this study aims to investigate the fear of COVID-19 and study the relationshipbetween fear of COVID-19 and preventive behaviors against COVID-19. Material and methods: We conducted a web-based cross-sectional study to evaluate the fear of COVID-19 andpreventive behaviors against COVID-19 among the volunteer population in Golestan Province, Iran in May 2020 andJune 2020. The online questionnaire included the Fear of COVID-19 Scale (FCV-19S) and the prevention behaviorsagainst COVID-19, which are used to assess the fear and prevention behaviors of the population, respectively.The data were presented by mean and frequency. Multiple linear regression analysis was performed to identifyfactors associated with Fear of COVID-19 at a significant level of 0.05 in Stata 14. Results: A total of 734 of the 900 individuals contacted completed the survey, with a participation rate of 81.5%.The mean age of the participants was 33.97 ± 10.68 years and 375 (51.9%) were females. The mean Fear ofCOVID-19 score in the participants was 19.69 ± 5.96. There was a significant positive correlation between Fearof COVID-19 and preventive behaviors (r = 0.19, p < 0.001). Multiple linear regression analysis showed participantswith a higher perceived threat of COVID-19, women, married participants, health workers and peoplewith underlying diseases had higher levels of fear of COVID-19. Conclusions: The fear of COVID-19 in Iranian society is high, which indicates the need to pay attention tothe mental health in pandemic conditions. Appropriate intervention action can be designed and implementedaccording to the factors that affect fear. In addition, it should be noted that people with less fear are less likelyto observe the COVID-19’s preventative behaviors

Self-management of patients with chronic diseases during COVID 1: a narrative review: Self-management of patients with chronic diseases

Introduction: The present study COVID-19 is a review to investigate the chronic patient self-management challenges during the corona epidemic, and providing solutions to solve this problem. Methods:  in this review in 2020, the relevant literature on chronic patient self-management is investigated during the corona epidemic (from March 2019 to Jan 2021). Databases including Google Scholar, PubMed, Science Direct, Springer were used to search articles from the Latin articles. Also, keywords in this study included self-management, chronic disease, COVID19. Finally, 26 relevant articles were used in this study. Results:  the articles used in this study have been classified into three groups including self-management importance in chronic diseases (8 articles), self-management challenges during the corona epidemics (10 articles), and the role of the health team in patients' self-management during the corona epidemics (8 articles). Conclusion: the main challenges for chronic patients during the corona epidemic include decreased healthcare service and regular follow-ups because of physical restrictions; economic problems, change in lifestyle, and lack of rapid compliance with the changes. In this regard, the health team should provide the best healthcare services using the available resources to reduce suffer and pain of the patients.   &nbsp

Can COVID-19 Be a risk factor for tuberculosis? COVID-19 and tuberculosis

 Most COVID-19 severe cases are presented with uncontrolled elevated level of proinflammatory cytokines such as IL-6, IL-1β, IL-2   IL-8, IL-17, G- CSF, GM- CSF, IP10, MCP1, CCL3, and TNF which is called cytokine storm. Previous studies showed that proinflammatory cytokine overexpression such as TNF and IL-6 exacerbates TB. In COVID-19 patients, we are facing immune system imbalance due to cytokine storm. Thus, COVID-19 may be a predisposing factor to turn latent TB to active TB

Effect of wild rodents control in reduction of zoonotic cutaneous leishmaniasis in Golestan province, north of Iran (2016)

Background and Objective: Leishmaniasis is one of the most important vector-borne diseases which transmitted by sand flies to humans and other animals. This study was conducted to determine the effect of wild rodents control in decreasing zoonotic cutaneous leishmaniasis (ZCL) in Golestan province, north of Iran during 2016. Methods: In this descriptive-analytic study, rodent control operation was conducted using Zinc phosphide 2.5% in May, July and September 2019 in 45 villages of Gonbad Kavous County in Golestan province, north of Iran during 2016. The stages of operation in each of the villages were scored, as we considered 25 score for each stage of destruction of nests (one stage) and baiting in nests (three stages). Also, incidence rate which is reported in each of the villages was extracted. Finally, the relationship between rodenticide scores in each village with the incidence of disease was compared. Results: There were rodent’s active burrows around 45 villages. After the end of rodents control operation, 17 villages got 0-25 scores, 8 villages 26-50, 16 villages 51-75 and 4 villages 76-100. The mean incidence rate in these villages was determined 3466.9±2473.5, 2828±1929.1, 4515.4±3478.4 and 636.3±546.6, respectively. There was a significant relationship between the implementation of  rodents control operation and incidence rate of ZCL, so that in villages with a score of between 76-100, the incidence rate was significantly lower than in the villages with a score of between 51 -75 and 26-50 (P<0.05). Conclusion: Regarding the reduction of the incidence of cutaneous leishmaniasis in villages with high scores in Gonbad-e Kavus County, north of Iran, the implementation of rodents control operation seems to be necessary