Till March 9, 2020, there have been 237 deaths (3.31%, case fatality rate). From the GIS-based maps, it is clear that spreading in the country is occurring from north-central provinces such as Tehran and Qom.

Qom is the border with Markazi and Semnan, provinces with rates from 27.2 to 34.9 cases/100,000 population. 1), followed by Qom, 712, and by Mazandaran, with 633. The highest number of cases have been reported in Tehran, 1945 ( Fig. At Qom, the first two cases were reported. All the provinces have been affected, and rates ranged from 0.8 (Boushehr) to 61.8 cases/100,000 population (Qom) ( Fig. Surveillance cases data from February 19 to March 9, 2020, officially reported by the Iranian health authorities were used to estimate the cumulated incidence rates using reference population data on SARS-CoV-2 confirmed infections (cases/100,000 pop) and to develop the maps by provinces, using the GIS software Kosmo® 3.1.ĭuring the first 20 days of epidemics, 7161 cases of COVID-19 were reported in the country, for a cumulated rate of 8.9 cases/100,000 population, reaching up to 1234 cases during Ma( Fig. For these reasons, we have developed epidemiological maps of cases but also of incidence rates using official populations, by provinces, for COVID-19 in Iran using geographical information systems (GIS). This is the case of Iran in the Middle East. Nevertheless, there are countries, with a rapid increase and a high number of cases, with a lack of studies. After the first two months of the epidemics of Coronavirus Disease 2019 (COVID-19) in the world, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), multiple epidemiological assessments in countries from Asia, Pacific, Europe, and North America have been published.

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