Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 Supple 1 2019 03 04 44 52 Ghobad MORADI Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Bakhtiar PIROOZI Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Cyrus ALINIA Department of Public Health, School of Health, Urmia University of Medical Sciences, Urmia, Iran Hossein SAFARI Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran Mahmood NABAVI Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran Mohammad ZEINALI Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran Mahbobeh Katohn GHANBRI Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran Amjad MOHAMADI BOLBANABAD Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Bushra ZAREI Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran Mohammad Mehdi GOUYA Center for Communicable Diseases Control, Ministry of Health and Medical Education, Tehran, Iran 2019 03 04 Background: This study aimed at estimating the incidence, mortality, burden, and geographical distribution of Crimean Congo Hemorrhagic Fever (CCHF) using Disability Adjusted Life Years (DALYs) in Iran 2009-2015. Methods: CCHF-related DALYs was calculated using a method developed by WHO for the investigation of Global Burden of Diseases (GBD). DALYs was calculated through adding years of life lost due to premature death (YLLs) to years lived with disability (YLDs). To calculate YLD, the average duration of the disease and its disability weight were set at 25 d and 0.613, respectively. The data on the incidence and mortality were collected from the CCHF surveillance system from the governmental section. Results: The highest and the lowest incidence rates of CCHF were observed in 2009 (122 cases) and 2010 (254 cases), respectively. Moreover, the lowest and highest mortality rates were reported in 2009 (20 cases) and 2012 (52 cases), respectively. The mean rate of fatality from CCHF observed between 2009 and 2015 was about 21.1%. In addition, the lowest and highest DALYs were observed in 2009 (483 cases) and 2010 (1156 cases), respectively. CCHF incidence, DALYs, and mortality rate over the studied period were higher among males than females. CCHF-related DALYs did not have an equal distribution in all provinces of Iran; some provinces were suffering from a higher burden of the disease. Conclusion: It is recommended to improve the CCHF surveillance system, identify high-risk areas, practice early diagnosis and intervention, develop vaccines, control, and fight tick, and screen livestock to control and prevent the spread of this disease.    https://ijph.tums.ac.ir/index.php/ijph/article/view/16420 https://ijph.tums.ac.ir/index.php/ijph/article/download/16420/6311