Communicable Diseases Control Centre, Baghdad, Iraq.
Central Public Health Laboratory, Baghdad, Iraq.
East Mediterr Health J. 2024 Sep 1;30(8):570-576. doi: 10.26719/2024.30.8.570.
Crimean-Congo haemorrhagic fever (CCHF) is the most common tick-borne viral disease worldwide. Its incidence has increased rapidly in the Eastern Mediterranean countries and has been endemic in Iraq since it was first identified in 1979.
To describe the sociodemographic, epidemiologic and clinical characteristics of CCHF patients in Iraq.
This cross-sectional study was conducted using data from the national surveillance system of the Communicable Diseases Control Centre, Baghdad, Iraq, for the period 2021-2023. We included all confirmed cases and analysed the data using SPSS version 27.
A total of 986 cases of CCHF were identified during the period, mean age 36 ± 15.4 years, male 58.9%. The majority of cases were reported in the southern provinces and during the summer months. Animal contact was reported by 52.8% and slaughtering by 45.7% of the patients. Bleeding from injection site was observed in 26.6% of the patients, while 24.8% had ecchymosis. Case fatality rate was 16.8%.
The number of CCHF cases was very high during the study period. We recommend actions to intensify tick control in Iraq, including the control of slaughtering, movement of livestock in and out of Iraq, in addition to health promotion and health education activities especially among high-risk groups.
克里米亚-刚果出血热（CCHF）是全球最常见的蜱传病毒性疾病。其发病率在东地中海国家迅速上升，自 1979 年首次发现以来，该病在伊拉克已呈地方性流行。
描述伊拉克 CCHF 患者的社会人口学、流行病学和临床特征。
本横断面研究使用了伊拉克巴格达传染病控制中心国家监测系统 2021-2023 年的数据。我们纳入了所有确诊病例，并使用 SPSS 版本 27 对数据进行了分析。
在此期间共发现 986 例 CCHF 病例，平均年龄 36 ± 15.4 岁，男性占 58.9%。大多数病例发生在南部省份，且发生在夏季。52.8%的患者报告有动物接触史，45.7%的患者报告有屠宰接触史。26.6%的患者出现注射部位出血，24.8%的患者出现瘀斑。病死率为 16.8%。
在研究期间，CCHF 病例数量非常高。我们建议在伊拉克采取行动加强蜱的控制，包括控制屠宰、伊拉克内外牲畜的流动，以及开展特别针对高危人群的健康促进和健康教育活动。
