Burden of non-communicable diseases in Iran: past, present, and future
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RESEARCH ARTICLE
Burden of non-communicable diseases in Iran: past, present, and future Arya Aminorroaya 1,2 & Nima Fattahi 1 & Sina Azadnajafabad 1 & Esmaeil Mohammadi 1 & Kosar Jamshidi 1 & Mahtab Rouhifard Khalilabad 1,3 & Sahar Mohammadi Fateh 1 & Shohreh Naderimagham 1,4 & Negar Rezaei 1,4 & Bagher Larijani 4 & Farshad Farzadfar 1,4 Received: 29 July 2020 / Accepted: 19 October 2020 # Springer Nature Switzerland AG 2020
Abstract Iran, as an in-transition country, tackled communicable diseases and now is confronting emerging challenges of noncommunicable diseases (NCDs) in the path to reach health for everyone at all ages by 2030. Across Iran, death-averting treatments of NCDs have been expanded recently which might cause a shift toward a greater share of years lived with disability (YLDs) compared to years of life lost (YLLs) in the disability-adjusted life years of NCDs. Since the management of disability differs from the reduction of mortality in terms of public health policies, depicting the current picture of the burden of NCDs is principal for policymakers in achieving health for all. In this communication, we briefly reviewed our current knowledge about the burden of NCDs in Iran and found that burdens of cardiovascular diseases and asthma are shifting toward greater YLDs than YLLs. In addition to expanding preventive measures and maintenance of the current system, this profile calls policymakers for the development of more rehabilitation centers for patients with ischemic heart disease, stroke, and respiratory diseases to mitigate their disabilities. The consistent increase in the age-standardized YLD rate of neoplasms necessitates providing rehabilitation centers as well. Morbidity and mortality of diabetes have increased robustly which warrant extensive preventive and control measures. It should be noted that the estimates of the Global Burden of Disease study offer us invaluable insights on the burden of diseases in Iran; nonetheless, efforts for gathering nationally-representative data, e.g., National and Subnational Burden of Diseases, Injuries, and Risk Factors study, are strongly encouraged in the future. Keywords Non-communicable diseases . Mortality . Years lived with disability . Years of life lost . Disability-adjusted life years . Iran * Negar Rezaei [email protected]
Sahar Mohammadi Fateh [email protected]
* Bagher Larijani [email protected]
Shohreh Naderimagham [email protected] Farshad Farzadfar [email protected]
Arya Aminorroaya [email protected] 1
Sina Azadnajafabad [email protected]
Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Second Floor, No.10, Jalal Al-e-Ahmad Highway, Tehran 1411713137, Iran
2
Esmaeil Mohammadi [email protected]
Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
3
Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran
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