en Health Health Original Article Original Article <span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:14pt"><b><i><span style="color:blue">Background</span></i></b><i><span style="color:blue">:</span></i> The trend of measles and rubella has changed over the last two decades, with the increase in vaccination coverage and the establishment of the surveillance system. This study aimed to demonstrate the current status of the surveillance system and the epidemiological trend of measles and rubella.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Methods:</span></i></b> This cross-sectional study retrospectively investigated the status of the surveillance system and the epidemiological patterns of measles and rubella in Babol Mazandaran, during 2014-2023. The study included 348 patients diagnosed with rubella and measles (suspected and definite). Their information was obtained and analyzed from the health department&#39;s information registration system.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Results:</span></i></b> <span lang="EN">Out of 348 suspected cases (</span>272 <span lang="EN">suspected</span> cases of rubella and 76 <span lang="EN">suspected</span> cases of measles<span lang="EN">), 2 cases were identified as rubella and 1 case as confirmed measles. 108 (31.03%) cases of suspected cases were in the age group below one year and 153(43.97%) cases were in the age group of 1 to 6 years. The age-specific incidence has decreased with increasing age (p <0.001),</span> <span lang="EN">and the incidence of suspected cases has increased from 2014 to 2023 (p <0.001).</span> The proportion of appropriate laboratory sample collection before and after COVID-19 was 100%. However, the source of infection remained unknown for all confirmed cases.</span><br> <span style="line-height:14pt"><b><i><span style="color:blue">Conclusion</span></i></b><i><span style="color:blue">:</span></i> The quality of data, timeliness, and sensitivity of the health surveillance system in the region under study are acceptable. However, continuous training for healthcare providers and upgrading the equipment and facilities at the regional level are needed to maintain and improve this situation.</span></span></span><br> &nbsp; Measles, Rubella, Surveillance System, Data Base Management Systems 424 436 http://caspjim.com/browse.php?a_code=A-10-1864-7&slc_lang=en&sid=1 Amir-hossein Alizadeh alizadeamirhoseyn0@gmail.com 100319475328460053112 100319475328460053112 No Student Research Committee, Babol University of Medical Sciences, Babol, Iran Hossein-Ali Nikbakht ep.nikbakht@gmail.com 100319475328460053113 100319475328460053113 No Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I R Iran Mohammad–Ali Jahani drmajahani@yahoo.com 100319475328460053114 100319475328460053114 Yes Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I R Iran Seyedeh-Niko Hashemi nikuhashemi@gmail.com 100319475328460053115 100319475328460053115 No Doctorate of Medicine Shiraz university of medical sciences, Shiraz, Iran Sharareh Asadi sh.asady@yahoo.com 100319475328460053116 100319475328460053116 No Master of Science, Babol University of Medical Sciences, Babol, I R Iran