1. NCD Control Programmes
IRAN-MINISTERY OF HEALTH & EDUCATION

2. NCDC includes offices:
Surveillance
Genetic diseases & maternal anomalies
Cancer control
Cardiovascular diseases
Endocrine
Oral health control
Eye( vision)
Asthma & CRD
Epidemiology and statistics group

4. Burden attributable to 16 leading risk factors in :Iran, 2003
100000
200000
400000
300000
50000
150000
450000
250000
350000
Obesity and over weight
Blood pressure
Physical inactivity
Cholesterol
Drug abuse
Unsafe water, hygiene
Ergonomic stressor
Anaemia
Tobacco Use
Indoor smoke from fuels
Diabetes Mellitus
COPD
Low fruit &vegetable
Unsafe sex
Alcohol
Underweight
It is perhaps of no surprise that 97% of the deaths attributable to the leading 16 selected risk factors in developed countries in 2000 were related to noncommunicable (NCD) disease risk factors. What is more surprising is that more than one third (38%) of the deaths attributable to these leading risk factors were related to noncommunicable (NCD) disease risk factors in High Mortality Developing countries. The equivalent deaths attributed to NCD risk factors in Low Mortality Developing countries was 77% 4 4

5. DIABETES CONTROL & PREVENTION PROGROM INTEGRATION
planned in: 1997 by INDAC(national diseases control advisory committee )& Center for Disease Control (CDC).
Implemented in pilot areas covering 25 districts in 1999
People aged 30 and above, and pregnant women resident in the area screened.
pilot programme was revised in 2002
The Program was implemented in the
primary health care system (rural) in 2004
Screening & case finding was started in the whole rural areas of the country

6. Cancer registry in Iran
Cancer is the third cause of mortality and morbidity in Iran. The law of obligatory record and report of cancer was approved by Islamic legislature in October 1984
Revised in 1992 by Cancer Office in The CDC
Was implemented in 1995 across the country
Improved and became automated and computerised in 2000
38000 cancer cases collected from pathology centres from all over the country in 2004 as the first result
It is estimated that more than 70,000 of new cases occur in Iran annually
More than 30,000 Iranians die with cancer annually
According to this law, all medicinal agencies, pathology and medical diagnosis laboratories (public or private) are obliged to examine any tissue or organ taken from a human body for any reason to “diagnose, treat, and research”, and report privately the biopsy result and necessary information to the related authorities.
In 2007, about new cases of cancer were registered, the data are being analyzed. (completeness will be over 86.7%)
Common cancers in men : 1-Skin 2-Stomach 3-Bladder 4-Prostate 5-Colon & Rectum
Common cancers in Women : 1-Breast Skin Colon & Rectum Stomach Esophagus

7. High Blood Pressure Control Programme
Main goal: Control of HBP & its complications.
Started in : 1992 in pilot areas covering areas under coverage of the 6 Medical universities.
Integrated in the whole rural areas of Iran in:1994
Main activities: Taking blood pressure of people aged 30 and above, in three years interval.
Results of reviewing and evaluating the programme in 2002: Coverage 92%, HBP 9%, At risk people under care programme 95%

8. The National Newborn Screening Program for Congenital Hypothyroidism
1,200,000 births / Year
Cost-benefit ratio = 1 to 15
Designed in 1382
Piloted in 1383
Implemented in the Health System In Mehr 1388

9. congenital hypothyroidism
Results: from Jun 2004 till march 2008
Newborns Screened : 1,685,672
Male:48.6%
Female:51.4%
Diagnosed Patients: 3990
(both permanent & transient)
Coverage = > 90%

10. Thalassaemia control programme as a model for Iran’s 1997))community genetics programme
Results of Thalassaemia Screening Prognance ( )
Coverage: 100%
Carrier Couples Detected: 86%
PND (Prenatal Diagnosis) Coverage: 800%( Refrence is to year,1997)
Prevention Rate: 75%
Couples Screened: 98,344

11. Pilot programs Colorectal cancer Screening and prevention
General program of cancer control
Cardiovascular prevention programme
Skin cancer Screening and prevention
Institution of Health Providing Sites (HPSs)

12. Proposal ( not yet done )
Cervical cancer screening and prevention
Breast cancer Screening and prevention
MI registry
DIABETES CONTROL & PREVENTION PROGROM in town

13. Thank you for your attention

17. MEAN Waist circumference IN 4 NATIONAL SURVEY IN IRAN