Objectives: To describe the trends in the incidence rates of 5 most common cancers, communicable diseases, and non-communicable diseases in Saudi Arabia over the last decade. Methods: The incidence rates of cancers (2001-2014), communicable diseases (2003-2016), and non-communicable diseases (1990-2017) were retrieved, classified, and analyzed retrospectively during November 2017, based on data available with the Ministry of Health and were analyzed at the Imam Abdulrahman Bin Faisal University in Dammam, Kingdom of Saudi Arabia. Results: Age-standardized incidence rate (ASR) (per 100,000 population) of breast cancer among women increased dramatically from 11.8 in 2001 to 22.7 in 2014, indicating a 92.4% increase over the decade. Colorectal cancer incidence was the highest among men, and its ASR per 100,000 population increased from 5.0 to 10.6 in men and from 5.0 to 8.2 in women. Among communicable diseases, incidences of hepatitis B, measles, chickenpox, and brucellosis decreased while dengue fever increased. An alarming increase was observed in the incidence rate of non-communicable diseases namely, obesity, diabetes, and hypertension. Conclusion: The incidence rate of non-communicable diseases increased over the decade and was associated with increased mortality and disability, reduced quality of life, and increased health-care costs, indicating an urgent need to establish prevention and control programs. The rising trend in the incidence of cancers may also become a health care issue in Saudi Arabia in the coming years.

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BACKGROUND Epilepsy is probably as old as man himself. Jackson (1931) described epilepsy "as a sudden excessive rapid discharge of grey matter of some part of the brain". Seizures are common disorders, the average incidence rate in most studies is 20-70/1,00,000 per year (range 11 "134/1,00 000 per year). Incidence varies considerably with age, rates are greatest in early childhood, reach a nadir in early adult life, and rise again in elderly person. The aims and objective of the study are: 1) To investigate for the aetiology of First episode of seizures in adults. 2) To study the clinical course of admitted cases with First time seizures. MATERIALS AND METHODS Inclusion Criteria-Patients in the medical wards with history and clinical features suggestive of seizures for the first time are included in the study. A provisional diagnosis made on clinical grounds and substantiated by carrying out appropriate Biochemical, Pathological, and Radiological investigation. A detailed analysis for aetiology and the clinical presentation will be studied. Exclusion Criteria-Patients with past history of seizures, head injury on anti-epileptic drug treatment were excluded. RESULTS This study included 45 patients examined and treated in the Dept. of Medicine. Their ages ranged from 15 to 75 years. The 45 patients studied were divided into 6 age groups. CONCLUSION This study included 45 patients (more than 15 years of age) presenting with seizures. Patients with past history of seizures, head injury on anti-epileptic drug treatment were excluded. There were 33 males 12 females and ages ranged from 15 to 75 years. Detailed history was obtained and physical examination was done in each patient.