Center for Infectious Disease Control, Ministry of Health and Medical Education, Tehran, Islamic Republic of Iran.
Arch Iran Med. 2010 Mar;13(2):91-8.
Since the declaration of a swine flu pandemic by the World Health Organization (WHO), the Islamic Republic of Iran has launched a surveillance system to test all suspected cases, both in community and hospital settings.
From June 1st to November 11th, 2009, there were 2662 (1307 females and 1355 males) RT-PCR confirmed cases of pandemic influenza A (H1N1) detected in Iran. Of these cases, 75% were 5-40 years-old. During this period, 58 patients (2.18%) died. Of the total number of cases, 33 were pregnant women with no reported mortalities amongst them. The prevalence of death had no significance correlation with sex and age (P=0.720 and 0.194, respectively).
Geographic distribution of the reported cases showed the highest rates in central and eastern provinces of Iran. There were two disease phases until November 2009, including an initial exogenous wave which blended into a second wave of indigenous disease, with a peak of cases after the start of the educational year. A review of the epidemiology of these initial phases of disease in Iran can help for better planning and more efficient action in future phases of the disease.
It is of utmost importance to strengthen the surveillance system for this disease and appropriately transfer the resultant knowledge to the medical professionals, stakeholders and the general population, accordingly.
自世界卫生组织（WHO）宣布猪流感大流行以来，伊朗伊斯兰共和国已启动了一个监测系统，以测试社区和医院环境中的所有疑似病例。
2009 年 6 月 1 日至 11 月 11 日，伊朗共检测到 2662 例（1307 例女性和 1355 例男性）经 RT-PCR 确诊的甲型 H1N1 流感大流行病例。这些病例中有 75%的患者年龄在 5-40 岁之间。在此期间，有 58 例患者（2.18%）死亡。在所有病例中，有 33 例为孕妇，她们中没有死亡报告。死亡的总人数与性别和年龄均无显著相关性（P=0.720 和 0.194）。
报告病例的地理分布显示，伊朗中部和东部省份的发病率最高。截至 2009 年 11 月，该病有两个阶段，包括初始外来波，随后是第二波本地疾病，在学年开始后病例达到高峰。回顾伊朗疾病的这些初始阶段的流行病学可以帮助更好地规划和更有效地采取未来阶段的疾病应对措施。
加强对该病的监测系统，并相应地将由此产生的知识适当地传递给医疗专业人员、利益相关者和公众，这一点至关重要。
