{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:07:14Z","timestamp":1773029234088,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Influenza Resp Viruses"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Industrial and coastal regions may experience unique pandemic\u2010related mortality patterns, yet data from Middle Eastern occupational cohorts are extremely limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, we analyzed 58,976 deaths in Bushehr Province, Iran (2014\u20132023). Autoregressive integrated moving average (ARIMA) models were used to estimate excess mortality, and Poisson regression calculated standardized mortality ratios (SMRs) by occupation and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the pandemic period (2020\u20132022), excess mortality reached 15.1%, peaking at 75% during the Delta wave. Males had 2.2 times higher mortality than females. The highest occupational mortality was among fishermen (SMR\u2009=\u20091.89, 95% CI: 1.75\u20132.04). Despite 78% vaccination coverage, acute myocardial infarction deaths increased by 27.3% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), comprising 41% of deaths during the BA.5 wave.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant disparities in COVID\u201019 mortality were observed by sex and occupation. Industrial workers, particularly males, require targeted public health strategies, including workplace\u2010based vaccination and cardiovascular screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/irv.70220","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T07:40:41Z","timestamp":1770018041000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of the COVID\u201019 Pandemic on Mortality Patterns in Bushehr Port of Iran: A Comparative Analysis of the Prepandemic Period (2014\u20132019) and the Pandemic Era (2020\u20132023)"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0909-1952","authenticated-orcid":false,"given":"Ali","family":"Soleimaninejad","sequence":"first","affiliation":[{"name":"Bushehr University of Medical Sciences  Bushehr Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7733-2116","authenticated-orcid":false,"given":"Mouhebat","family":"Vali","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Research Center Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7004-6782","authenticated-orcid":false,"given":"Mohammad","family":"Al\u00a0Qadire","sequence":"additional","affiliation":[{"name":"Dept. of Adult Health, School of Nursing Al Al\u2010Bayt University  Mafraq Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2265-5641","authenticated-orcid":false,"given":"Abdolrahim","family":"Asadollahi","sequence":"additional","affiliation":[{"name":"Dept. of Gerontology, School of Health Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,1]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.7326\/M20\u20106306"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1108\/CRR\u201009\u20102021\u20100031"},{"key":"e_1_2_13_4_1","doi-asserted-by":"crossref","unstructured":"L. R.Kalankesh K.Golamnia A.Hajighasemkhani et\u00a0al. \u201cGeospatial Analysis of Covid\u201019 Mortality Linked to Environmental Risk Factors in Iran\u20102019\u20102021 \u201d (2024) https:\/\/doi.org\/10.18502\/jbe.v10i1.17152.","DOI":"10.21203\/rs.3.rs-4081153\/v1"},{"issue":"3","key":"e_1_2_13_5_1","first-page":"487","article-title":"Prevalence of Tobacco Smoking in Bushehr Province: Comparison of Two Phases of the Persian Gulf Healthy Heart Study","volume":"17","author":"Yousefi F.","year":"2014","journal-title":"Iranian South Medical Journal"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010019\u20104443\u20100"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.30465\/jnet.2024.48079.2118"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2024.107167"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201017819\u20100"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2020.12.054"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.obmed.2021.100352"},{"key":"e_1_2_13_12_1","volume-title":"Iran\u2014WHO Data [Internet]","author":"World Health Organization","year":"2025"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11442\u2010021\u20101859\u20103"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss7208a1"},{"key":"e_1_2_13_15_1","doi-asserted-by":"crossref","unstructured":"E. 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