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Trends in the drowning mortality rate in Iran
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    Trends in the drowning mortality rate in Iran
    • Ali Davoudikiakalayeh, MD, PhD, Assistant Professor Department of Preventive and Social Medicine, School of Medicine, Guilan University of Medical Sciences. Rasht, Iran,

    The article "Trends in the drowning mortality rate in Iran" by Pegah Derakhshan et al. in Injury Prevention · August 2020 DOI: 10.1136/injuryprev-2019-043225 is a valuable contribution to understanding the trend of drowning in Iran. However, It is true that the authors of the article used statistical methods to estimate the levels and trends of drowning mortality rate based on Death Registry System (DRS) data, which is known to be incomplete and subject to misclassification. In Iran, data sources for attributing fatal and non-fatal drowning are include DRS, FMS and INDR. However, it is important to note that drowning incidents and fatalities are universally underreported in the Iran.
    The Death Registry System (DRS) is a new system, managed by Iran’s Ministry of Health, is currently being expanded to the whole of Iran. Records for this registry system are also generated using death certificate information. If not available – by verbal autopsy. DRS that information is collected from records generated by many other sources: rural health house, health and treatment centres (rural, urban), hospitals, register offices (1). Previous study resulted that DRS registry reported 60% of all rural cases, while the records reported a slight majority of urban cases (about 51%) (2).
    Iran's Forensic Medicine Organization manages the Forensic Medical System (FMS), which is used to identify many injury-related deaths in the country. The FMS records are based on inf...

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    Conflict of Interest:
    None declared.