Author/Authors :
Ebrahimi, Afshin Environment Research Center - Research Institute for Primordial Prevention of Non-communicable disease - Isfahan University of Medical Sciences, Isfahan, Iran , Mahdavi, Mokhtar Environment Research Center - Isfahan University of Medical Sciences, Isfahan, Iran , Ghasemian, Anoosheh Non-communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Poursafa, Parinaz Environment Research Center - Research Institute for Primordial Prevention of Non-communicable disease - Isfahan University of Medical Sciences, Isfahan, Iran , Sharifi, Farshad Elderly Health Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Mohammadi, Rasool Department of Epidmioligy - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Nejatifar, Masoumeh Department of Epidmioligy - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Amin, Mohammad Mehdi Environment Research Center - Research Institute for Primordial Prevention of Non-communicable disease - Isfahan University of Medical Sciences, Isfahan, Iran , Asayesh, Hamid Department of Medical Emergency - Qom University of Medical Sciences, Qom, Iran , Asayesh, Hamid Managerial Epidemiology Research Center - Department of Public Health - School of Nursing and Midwifery - Maragheh University of Medical Sciences, Maragheh, Iran , Safiri, Saeid Managerial Epidemiology Research Center - Department of Public Health - School of Nursing and Midwifery - Maragheh University of Medical Sciences, Maragheh, Iran , Ansari, Hossain Department of Epidemiology and Biostatistics - Health Promotion Research Center - Zahedan University of Medical Sciences, Zahedan, Iran , Qorbani, Mostafa Department of Community Medicine - School of Medicine - Alborz University of Medical Sciences, Karaj, Iran
Abstract :
Background: Water, sanitation and hygiene have a very important role in public health. Poor sanitation is the
cause of water contamination, which causes many types of diseases. The aim of this paper was to present the
attributable death and disability adjusted life year (DALYs) of untreated water and insanitary environments
from 1990 to 2010 in Iran.
Methods: In the Global Burden of Disease 2010 study, using the comparative risk assessment, the proportion
of death and DALYs attributable to untreated water source and insanitary environment has been calculated in
1990 to 2010. The certain outcomes were intestinal infectious diseases for both untreated water source and insanitary
environments. Estimated attributable deaths and DALYs were reported with 95% uncertainty interval
(UI).
Results: DALY number for untreated water source and insanitary environments was 5838 (95% UI: 198-
14837) in 1990, which decreased to 326 (95% UI: 9-863) in 2010 and the percent of decrease was 94.42%. In
addition, DALY rate was 5667 (95% UI: 192-14402) DALY per 100,000 in 1990, which decreased to 453 (95%
UI: 13-1199) DALY per 100,000 in 2010 and the percent of the reduction was 92.01%. The greatest percentage
of decrease in the attributed number of deaths was also found in the late neonatal age group (95.45%).
Conclusion: A significant decrease has occurred in a number of DALYs and deaths between 1990 and 2010,
which was attributed to the development of new water systems and environmental sanitations in Iran.