key: cord-0855537-ieoala2y
authors: Badrfam, R.; Zandifar, A.
title: Coronavirus disease 2019 in Iran: the need for more attention to primary health care
date: 2020-05-31
journal: Public Health
DOI: 10.1016/j.puhe.2020.03.010
sha: de4db81283f790339aa5c5266d68d16eefe5fcae
doc_id: 855537
cord_uid: ieoala2y

nan

Letter to the Editor Coronavirus disease 2019 in Iran: the need for more attention to primary health care While the global effort to prevent coronavirus disease 2019 (COVID-19) spread continues, some experts have suggested that the disease may be in its first stages. 1 After initial reports of the disease from China, recent reports of this contagious disease have also been reported elsewhere in the world, including in the World Health Organization (WHO) Eastern Mediterranean region such as Iran. 2 The Eastern Mediterranean is an area that has many public health problems. 3 On February 20, the Iranian Ministry of Health reported the first cases of the disease. In fact, in Iran, the initial report, in addition to reporting two cases, also reported deaths. 4 Given that the incidence of these cases was unrelated to any direct source outside of Iran, and on the other hand, given the geographical location of the provinces where the Iranian Ministry of Health reported cases (central areas of the country), the probability of the epidemic situation of the disease could be considered.

In fact, it could be argued in the epidemiology of the current situation that despite the low number of the reported primary deaths, their importance in the secondary or tertiary transmission position could be very worrying. This was a prediction that came with the rapid spread of the disease throughout Iran in a short span. According to WHO statistics, at the end of March 9 and in less than three weeks after the first new case report in Iran, the total number of confirmed cases of COVID-19 in Iran was more than 6500 and the total deaths from COVID-19 was 194. 5 In these situations, in addition to providing high-quality medical services to patients, there is a serious need for basic care, including education for the general public in various areas of prevention and related health care. In addition to considerations regarding the ability to manage the conditions ahead, given the wide scope of the issue across the country, the primary care system is important in identifying and correctly referring cases. The primary healthcare system in Iran has had a good standing over the past few years. The structure has, implemented many WHO and other public health programs, including the polio eradication program. 6 Over the past few years, the capacity of primary health care in Iran has been maintained at an acceptable level owing to the use of appropriate and efficient methods, and the WHO has reported significant progress in this area, even as a model for some countries. 7 But the important issue has been the shortage of resources in the health sector over the last few years, and especially in the last two years, owing to the numerous economic bottlenecks in Iran.

This, mostly, includes other issues related to the supply of needed medicines and the possibility of developing specialized hospital settings, including intensive care units that are necessary in these critical conditions. 8 The use of high-capacity primary health care along with increased awareness of preventive methods is an effective step in the effort to control COVID-19 in Iran especially after the recent widespread epidemic situation. Increasing international cooperation and reducing economic constraints can be an effective step toward improving the current situation.

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