Several messenger ribonucleic acid (mRNA) and inactivated COVID-19 vaccines are available to the global population as of 2022. The acceptance of the COVID-19 vaccine will play a key role in combating the worldwide pandemic. Public confidence in this vaccine is largely based on its safety and effectiveness. This study was designed to provide independent evidence of the adverse effects associated with COVID-19 vaccines among healthcare workers in Iraq and to identify the attitudes of healthcare workers who rejected the vaccination. We conducted a cross-sectional study to collect data on the adverse effects of the Pfizer, AstraZeneca, and Sinopharm vaccines. Data were collected between October 2021 and February 2022. A total of 2,202 participants were enrolled in the study: (89.97%) received injections of the COVID-19 vaccines and (10.03%) were hesitant to receive the vaccination. Participants received either the Pfizer vaccine (62.9%), AstraZeneca vaccine (23.5%) or Sinopharm vaccine (13.6%). Most adverse effects were significantly less prevalent in the second dose than in the first dose. Notably, the adverse effects associated with the Pfizer vaccine were significantly more prevalent in females than in males. Following the first dose, the participants experienced more adverse effects with the AstraZeneca vaccine. Following the second dose, more adverse effects were associated with the Pfizer vaccine. Interestingly, the prevalence of COVID-19 infection in participants who received two doses of the Pfizer vaccine was significantly reduced compared to those who received two doses of either the AstraZeneca or Sinopharm vaccines. According to vaccine-hesitated participants, insufficient knowledge (29.9%), expeditious development (27.6%) and lack of trust in the vaccines (27.1%) were the three major reasons for refusing the vaccines. The results of our study indicated that these adverse effects do not present a significant problem and should not prevent successful control of the COVID-19 pandemic.
Mosul is the provincial capital of the Nineveh Governorate located on the River Tigris, near the ancient city of Nineveh. The study focused on the urban planning of the old Mosul City, which was built hundreds of years ago, or even thousands of years, and its cultural, security, economic, and environmental importance. The city was designed according to the topography of the undulating area, and the slopes and tops of the hills were used for building houses, and the valleys that represent water drainage systems were used to make zukaks. This is evidenced by the passage of the waters of the runways and their movement from the highest areas and their flow to the main streets that represent the highest levels of drainage systems or the main valleys that eventually flow into the Tigris River. This unique design was of great importance in the cleanliness of the city, especially in the rainy seasons. The city was washed from the highest point to the bottom, and there were no floods inside the city except in relatively newly built areas, such as the Tawafa area, which was named as a result of its immersion in water during the winter and spring seasons. The obtained results of the study show a significant match between the natural drainage systems and the urban planning of the old city. This congruence appeared as a result of some geotechnical problems in the buildings and main streets, as there was a large inclination for most of the relatively high commercial buildings in and towards these streets. In these streets over time, there has been numerous successive collapse and settlement. The cause may be attributed to the weakness of the filling materials, as well as the flow of groundwater through them because this water follows the ancient course of the main valleys.
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