Mortality Patterns and Trends in Fars Province, Iran (2015-2024): A Retrospective Analysis of Death Records.

Authors

Owrang Eilami, Ali Sam, Nahid Abolpour, Mehrab Sayadi, Ali Namjoo Moghadam, Ali Mobaien, Zahra Taghados, Alireza Goudarzi, Elham Ahani, Abdolkhalegh Keshavarzi

Published in

Iranian journal of medical sciences. Volume 51. Issue 7. Pages 492-504. Epub Jul 01, 2026.

Abstract

Provincial mortality profiles are essential for local prevention and health-service planning. However, they are reported less frequently than national summaries in Iran. We described cause-of-death patterns and temporal changes in Fars Province from 2015 to 2024, including the disruption during the coronavirus disease 2019 pandemic.
We analyzed death registration records from the Fars provincial civil registration system, including age, sex, residence status, place of death, and an underlying cause coded using the International Classification of Diseases (ICD), 10^th revision, and mapped to major cause groups. We summarized distributions by key strata and assessed temporal patterns using annual counts and within-registry proportions. Trend tests and multivariable logistic regression evaluated associations of calendar year and pandemic period with major cause groups, while unsupervised clustering summarized mortality profiles among non-neonatal records.
After cleaning, 199,107 records were included. Diseases of the circulatory system accounted for 45.4% of deaths, followed by respiratory diseases, neoplasms, and external causes. All-cause deaths rose sharply in 2020-2021, with concurrent increases in respiratory and infectious causes. Cause composition varied by residence status and place of death, and clustering distinguished younger external-cause deaths from older disease-dominant profiles.
Mortality in Fars Province during 2015-2024 was dominated by circulatory diseases, with heterogeneity by demographic and contextual factors and a major pandemic-era increase in deaths. The findings supported prioritizing cardiovascular risk reduction and timely acute care, targeted injury prevention for younger groups, strengthened rural access to prevention and emergency services, and preparedness for future infectious surges.

PMID:
42571084
Bibliographic data and abstract were imported from PubMed on 09 Aug 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.