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6 45/ Fair E, Hopwell P, Pia M. International Standards For Tuberculosis Care: revisiting The Cornerstones Of tuberculosis Care and Control. Expert Rer Anti Infect Ther. 27; 5: World Health Organization 27: Tuberculosis Facts Accessed January available at pdf. 3. Frieden T, Sterling T, Munsiff S, Watt C, Dye C. Tuberculosis. Lancet. 23; 362: Center Disease Management. Handbook of Tuberculosis Compaign. 1st ed. Tehran.seda publish center; [Tubercolusis situation in Islamic Republic of Iran] 1 st. Tehran: Publication, CDC of Health deputy of Iranian Health Ministery. 22;: Vesosky B, Torner J. The influence of age on immunity to infection with Mycobacterium tuberclusis. Immunol Rev. 25; 205: Ozbay B, Uzun K. Extra pulmonary tuberculosis in high prevalence of tuberculosis and low prevalence of HIV. Clin Chest Med 22; 23: منابع 8. Alrajhi AA, Albarrak AM. Extra pulmonary tuberculosis epidemiology and patterns in Saudi Arabia. Saudi Med J 22; 23: Raviglione CM. Tuberculosis. In: Braunwald, Fauci, Kasper. Harrison s Principles of Internal Medicine. 15th ed. USA, New York: Mc Grow-Hill 21: Mandell G, Bennett J, Dolin R. Tuberculosis. In: Pranciple and practice infectious disease.6th ed. USA: Elsevier; 25: Steigart K, Henry M, Ng V, Hopwell P, Ramsay A, Cunnigham J. Flourescence versus conventional sputum smear microscopy for tuberculosis: a systemic review. Lancet Infect Dis. 26; 6: Arsang S, Kazemnejad A, Amani F. Epidemiology of Tuberculosis in Iran (21-08) Journal of Gorgan University of Medical Sciences. 2011; 13: Geiter LJ. TB epidemiology. Available from:http: // 14. Harries AD. Integration of oprational research into national tuberculosis control programes. Tuberculosis. 23;83: Rezaeian M. Geographical epidemiology, spatial analysis and geographicsal information systems: a multidisciplinary

7 /46 glossary. J Epidemiology Community Health 27; 61: Masjedi M, Farnia P, Sorooch S. Extensively Drug Resistance Tuberculosis: 2 years of surveillance in Iran. Clin Infect Dis. 26; 43: Hosseni M, Tabatabaei G, Salek S, Velayati A. Guideline of prevention 0f tuberculosis. TB research center, Tehran-Iran Yaznani J, Kazemnejad A, Mosazadeh M. An epidemiological study on the reported cases of tuberculosis in Mazandaran( ) using spatial design. Mazand Univ Med Sci 29; 20: Firooz Amani JB, Sabzevari A, Garoosi B,Nahan Moghadam N. Epidemiologic survey of Tuberculosis Disease In Ardebil between 22 and 25. Medical Survey Journal of Ardebi Medical Science University 27; 7: Ebrahimzadeh A SG, Eshaghi S. The epidemiology of Tuberculosis in Birjand ( ). Journal of BirJand Medical Science University 29; 1: Weiss M, Somma D, Kraim F, Aboulhia A, Auer C, Kemp J, et al. Cultural epidemiology of TB with refrence to gender in Bangladesh, Indian and Malawi. The Internatinal Journal of Tuberculosis and and lung Disease 28; 12: Iranian Journal of Epidemiology 2014; 9(4): Original Article

8 Epidemiology of Tuberculosis in Lorestan between 22 and 28 Yazdani Cherati J 1,2, Ahmadi Baseri D 3,4, saki J 5, Etemadinejad S 6 1 Department of Biostatistics, Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran 2- Psychiatry & Behavioral Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran 3- MSc in Biostatistics, Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran 4- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran 5- Lorestan university of Medical sciences, Khoram Abad,Iran 6- Department of Occupational Health, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran Corresponding author: Yazdani Cherati J, jamshid_1380@yahoo.com Background & Objectives: Tuberculosis (TB) is one of the major infectious diseases in Iran and has pulmonary and extra-pulmonary manifestations. Considering the differences in the distribution of the cases across different regions, we decided to study the geographical distribution, epidemiologic characteristics, and disease pattern in Lorestan. Methods: This ecologic (descriptive analytical) survey was done in Lorestan between 22 and 28. The data was collected from the Health Department of Lorestan University of Medical Sciences and included the history of 1481 patients suffering from TB. The study variables were sex, disease type, residential location, age, and year. The data were analyzed using statistical package SAS 9.2 and descriptive and inferential statistics were applied. Results: From 1481 registered patients 58.4% were male and 41.6% were female among which 68.74% and 29.98% lived in urban and rural areas and 1.28% were nomads. The mean age of the patients was The highest and lowest incidence rates were observed in Khoram Abad (19.38 per 10) and Azna (7.04 per 10), respectively. Using Poisson regression, it was observed that the effects of age structure and residency on the incidence rate were significant. Conclusion: The percentage of nomads was identified as the most important demographic factor in the incidence rate of TB in Lorestan. Allocation of better resources and appropriate training can be effective in controlling and preventing the disease. Keywords: Tuberculosis disease, Pulmonary tuberculosis, Extra pulmonary tuberculosis, Lorestan, Poisson regression