میر سعید عطارچی

 Primary thrombocytosis is a chronic disease that can increase the risk of cardiovascular and cerebrovascular disorders. According to the common age of onset of the disease, this study was conducted to evaluate fitness for work in people with this disease.

 This article reviewed relevant evidence from 12 studies conducted between 1930 and 2023 obtained from authoritative databases such as Scopus, PubMed, Google Scholar, etc.

 The review of these studies showed that to evaluate fitness for work, especially in safety-sensitive jobs, it is necessary to assess the risk of major complications related to this disorder, especially thrombotic and bleeding events. Factors such as age, family history of disorders, clinical symptoms, laboratory findings, history of thrombotic events, and duration of thrombocytosis should be considered. In addition, when evaluating fitness for work in these patients, the possibility of exacerbation of symptoms in working conditions, the risk of thrombotic events and bleeding, and the impact of these disorders on the individual's work and life and injury to colleagues should be considered.

 In people with primary thrombocytosis, related symptoms such as headache, dizziness, tinnitus, weight loss, night sweats, or fever should be investigated and preliminary tests should be requested. It is recommended to evaluate the working conditions in terms of the possibility of aggravation of symptoms, the occurrence of complications related to the disease, access to medical services, and finally making a decision about fitness for work based on the level of risk and the conditions of the work environment.

The high use of pesticides has increased the concern about its possible harm to individual and environment health. Chronic exposure to pesticides has serious effects on different body organs even before the onset of clinical symptoms. In this study, we aim to evaluate clinical and biochemical characteristics of male workers in a pesticide production factory in Guilan province, Iran.

This cross-sectional study was conducted on 99 male workers exposed to pesticide and 107 people without exposure who were employed in a pesticide production factory in Guilan and selected using a convenience sampling method in 2020. Their demographical data as well as clinical characteristics such as respiratory symptoms (cough, shortness of breath, etc.), neurological symptoms (fatigue, tremors, cramps, muscle weakness, etc.), psychological symptoms (sleep disorders, anxiety, etc.) and skin symptoms (redness, itching, etc.) were collected from the occupational health records of the workers. Finally, the biochemical parameters were compared between the two groups. Statistical analysis was performed in SPSS software, version 16.

This study was approved by the Research Ethics committee of Guilan University of Medical Science, Rasht, Iran (Code: IR.GUMS.REC.1399.632). Informed consent was obtained from all participants in this study.

The frequency of symptoms such as headache, itchy skin, cough, and sleep disorders was higher in the exposed group (P<0.05). Based on the biochemical findings, blood urea level, creatinine level, alkaline phosphatase, and fasting blood sugar level were significantly higher in the exposed group (P<0.05). Thrombocytosis was observed in 9.09% of exposed workers, which was higher in those with more than 11 years of work experience.

Chronic exposure to pesticide can cause thrombosis, changes in biochemical parameters, and clinical symptoms. It is recommended that biological monitoring should be conducted in exposed workers at a shorter interval.

The significant increase in the use of pesticides has increased the concern about its possible harm to individual health and the environment. Chronic inflammation with some pesticides and insecticides has serious effects on different organs of the body even before clinical symptoms appear. In this study, we aimed to evaluate biochemical findings in the insecticide production factory in Guilan province, Iran.

This cross-sectional study was conducted on 99 workers exposed to insecticides and 107 people without exposure in an insecticide production factory in Guilan with an available sampling method during 2020. Demographical data and clinical charaterictics of participants, such as symptoms of chronic insecticide poisoning, focusing on the respiratory system (cough, shortness of breath, etc.), neurological system (fatigue, tremors, cramps, muscle weakness, etc), the psychological system (sleep disorder, anxiety, etc.) and the skin system (redness, itching, etc.) were collected from the occupational health records of the employees. Statistical analysis was performed using SPSS software (version 16).

The results of this study showed that the frequency of symptoms such as headache, skin itching, cough, and sleep disorder was higher in the exposure group (P<0.05). Based on the biochemical findings, blood urea and creatinine, alkaline phosphatase, and fasting blood sugar levels were significantly higher in the exposure group than in the non-exposure group (P<0.05). Thrombocytosis was observed in 9.09% of workers in the exposed group and it was more common in workers with more than 11 years of work experience.

Chronic exposure to insecticides may cause thrombosis and changes in biochemical indicators such as increased blood urea and creatinine, alkaline phosphatase, and fasting blood sugar, and may be associated with clinical symptoms such as headache, itching, cough, and sleep disturbance. Be it is suggested that various types of biological monitoring should be done in workers exposed to insecticides in various time duration.

The coronavirus disease 2019 (COVID-19) pandemic led to depression, stress and mental health problems in medical students working in hospitals.

 The present study aims to evaluate the professional quality of life (QoL) of medical interns in Rasht, Iran during the COVID-19 pandemic.

 This cross-sectional study was conducted on 152 medical interns working in hospitals affiliated to Guilan University of Medical Sciences in 2020. The professional QoL was assessed using the professional quality of life scale (ProQOL).

 The mean scores of compassion satisfaction, burnout, and secondary traumatic stress were 38.4±8.3, 30.9±5.4, and 25.3±7.5, respectively. Compassion satisfaction had a significant relationship with marital status, history of underlying diseases, being resident of the city, and work shift duration.

 The professional QoL of medical interns in Rasht is low. Considering the differences in the spread of COVID-19 in Iran, it is necessary to conduct more study in other cities and on other medical trainees.

One of the major challenges in road safety is the occurrence of sudden disability attacks while driving. An important point about the occupational health of drivers who have patients who have the potential for sudden disability attacks is to estimate the likelihood and consequences of the attacks. In other words, how likely is an accident to follow a sudden disability while driving? Understanding the types of medical conditions that can cause sudden attacks and whether or not these diseases give the driver ample opportunity to drive safely on the side of the road is important in assessing drivers’ job fit. In this study, in order to answer the question that it is possible to drive a car along the road following the occurrence of sudden disability in drivers, research has been done in the reputable databases of Embase, UpToDate, PubMed, Medline (Ovid), Scopus and Web of Science. A variety of diseases such as heart disease (such as myocardial infarction, arrhythmia, etc.), stroke, epilepsy, diabetes, etc., are associated with sudden disability attacks even while driving. But in most cases, the driver has enough opportunity to drive the car to the side of the road. However, some medical conditions such as syncope, etc. do not provide this opportunity for the driver and can have unfortunate consequences for drivers following these attacks.

 Stroke is considered a relatively common disease in developing societies. This disease is one of the most important causes of sudden non-cardiac incapacity. On the other hand, the disease can naturally occur in working-age and drivers. Therefore evaluation of the fitness for work in a driver with a history of stroke can be a significant challenge for the occupational health physician and road safety. 

 In this study, to identify the main indicators and evaluate job fitness in a driver with stroke history, research has been conducted in valid databases such as Embase, UpToDate, PubMed, Medline (Ovid), Scopus, and web of science. Indicators that should be considered in this evaluation include the type and severity of the stroke, the probability of recurrence of the stroke attack, the degree and type of limb defect in the driver following the stroke, etc. Also in this study has been paid to some guidelines for help in deciding how to continue driving.

Stroke is the most common acute neurological disease among working-age adults. About a quarter of strokes occur at working age. Cerebrovascular disease can lead to sudden disability. Approximately 50% of people with stroke in developed countries want to continue driving.

 Things such as the probability of occurrence of stroke and sudden incapacity in the future and comparing this amount with acceptable risk and the amount of limb defect caused by stroke and its interference with driving should be considered. Also, consumption medications and their side effects and other comorbidities should be considered in this job fitness evaluation.

The extent of development of a country is determined by research indicators such as the number of published articles. Many factors can cause a lack of research.

The present study aimed at identifying obstacles to the implementation of the research from the viewpoint of faculty members of Guilan University of Medical Sciences in 2018.

In this combined research, the quantitative data were collected by the faculty members of the research pathology questionnaire. The appropriate statistical indices were used to describe the data. In the qualitative section, sampling was purposeful and continued until data saturation. Data were collected through semi-structured interviews and data analysis was carried out using a seven-step content analysis approach. The accuracy and accuracy of the data were also determined by Lincoln & Gubachr('39')s proposed criteria.

In the quantitative part, the most important inhibitor factors include management factors (low communication between university and foreign universities), empowerment factors (lack of familiarity with relevant statistical techniques), administrative rules (length of paper publishing stages), and personal factors (teaching too much), social factors (inadequate intellectual incentives) and economic factors (inadequate research budget and lack of research facilities). In the qualitative section, the four main categories (individual challenges, dysfunctional infrastructure, Limited Research Partner, and discouragement of the research result) and fifteen sub-floors were extracted.

According to the results of this study, in order to improve the quantitative and qualitative research among faculty members, it is suggested that the respective authorities consider such issues as strengthening the research motivation of faculty members taking advantage of research facilities and special privileges, and also equivalence of research tasks.

When the patient discharges from the hospital against medical advice because of dissatisfaction, the treatment will not be complete and can lead to serious complications for the patient.

This research is done, with the aim of reviewing the reasons of discharging against medical advice of hospitalized patients in emergency department in Razi hospital, Rasht, 2016-2017.

The type of research is descriptive and retrospective. Sampling of this study was done by census method so that all patients discharged against medical advice from emergency department of Rasht, Razi hospital in 2016-2017, were evaluated. To collect the data, we used the information in discharging forms against medical advice, available in the discharged patient’s files.

In this research, most of the discharged persons against medical advice were males (60/9%), and married (81/3%) with 49/7% of them were admitted at night shift. A number of important reasons for discharging against medical advice were unwillingness to continue treatment (39/4%), general improvement (19/3%) and continued treatment in the private center (11/7%).

Based on the results, it seems better to review and rewrite the form of discharge from the hospital against medical advice. The option of unwillingness to continue treatment that is ambiguous should be replaced with more detailed questions and further details. Also, giving the necessary information to the treatment staff about discharging against medical advice and its outcomes, how to properly write the forms of discharging against medical advice and legal issues related to this matter, are all highly recommended.

Diabetes mellitus is a common disease in Iran and all around the world. A number of diabetic patients are in occupational age range and employed. Occupational health physician with the aim of decreasing both the acute and chronic complication of Diabetes mellitus in diabetic employees, play an important role in evaluation of these individuals. Decision on the appropriateness of a job for diabetic individual is a very complex and important issue. The least benefit which occupation could have for a diabetic individual is to earn money and cover the expensed associated with their illness, a point which indirectly improves their mental health including preventing depression, etc. Several factors such as diet, job-related tasks, type of work shift, history of hypoglycemia, etc. could affect the decision on the appropriateness of an occupation. However, in developing countries such as Iran because of lack of job opportunities and the probability of hiding the issue of hypoglycemia by job-seekers, job suitability assessment is difficult. Overall it seems that by making the work environment slightly suitable for diabetic patients, most of them could continue with their job. In this article, job-suitability is evaluated in regard to hypoglycemia condition in diabetic individuals.

Diabetes is a prevalent disease in our country and in the world. Hyperglycemia complications can impact on ability to work. Decision making about fitness for work in diabetic patients is important and complicated.

The aim of this study was assessment scientific evidence and present suitable approach for fitness for work in diabetic patients.

In this review article the last evidence from Scopus, Science Direct, Pub Med, Google Scholar, SID and Magiran Data Bass was evaluated and different aspects of  fitness for work in hyperglycemia of diabetics  of diabetic patients was analyzed.

Assessment of personal risk and diabetic patient abilities in comparison with inherent requirements of the job is important in decision making about fitness for work. Most of these patients can work and have acceptable efficacy and safety in most of the jobs. In most of job situations, with support of the employer and job environment modifications, diabetic patients can work with acceptable efficacy and safety.

Few quantitative studies in our country have been conducted to investigate the status of cardiovascular fitness in firefighters. The objective of this study was evaluation of aerobic capacity and its relation with the lifestyle of firefighters.   This study was conducted in 2014 and 165 male firefighters participated in the study. Information such as demographic data as well as medical and occupational records was collected through direct interview. The subjects’ lifestyle was assessed in three areas of physical activity, smoking and Body Mass Index (BMI) status. To assess the aerobic capacity of the participants and to perform the submaximal aerobic fitness test, the ACSM (the American College of Sports Medicine) was used. Using the Persian version of the International Physical Activity Questionnaire (IPAQ), the level of physical activity of the individuals was assessed by direct interview. Analyses were performed using SPSS 22.0 and a P<0.05 was considered significant. The mean aerobic capacity of the participants was observed to be 34.47 VO2max ml.kg-1.min-1. In terms of physical activity, the mean amount of energy consumed for work-related physical activity was 2534.00 MET-minutes/week. The results of the linear regression analysis showed a significant relationship between physical activity, smoking, BMI and the aerobic capacity (P<0.05). This study showed that maximum physical activity is related to aerobic capacity. Reducing the risk of acute ischemic events in firefighters and increasing maximum aerobic capacity needs focus on the physical activity and life style of firefighters.

In order to provide quality and safety, the ministry of Health has developed accreditation standards for hospitals in Iran. According to these standards, a hospital is required to have a specific check list of all the actions and treatments that need to obtain written consent from the recipient of services, and informed consent should be taken accordingly.
Investigate the quality of recording informed consent of patients in teaching hospitals of Guilan University.
This descriptive- analytical study was conducted in teaching hospitals of Guilan University in 1393, according to 303 records available in the archives of the hospitals. Data were collected using questionnaires and the quality of recording the data in the informed consent form was investigated in accordance with the objectives of this study.
Recording the type of invasive procedure at 59.6%, recording the benefits of invasive procedures transparently and understandably at 31.4%, recording the possible complications of invasive procedures transparently and understandably at 45.5%, recording the explanations for alternative methods of invasive procedures at 8.6% and recording the explanations for possible risks of non- invasive treatments at 22.1% of the time revealed a good quality.
the most important issue in completing informed consent forms in the studied hospitals is recording the signature of consenting parties to make it legal, however in general, providing information to the patients about the upcoming treatment did not yield a good quality.

In occupational health field, the role of occupational risk factors in disease development is very important. Estimation of job role in disease development in the presence of multiple risk factors is essential in legal and judicial issues especially in legal medicine commissions and in response to inquiry of insurer organizations. In Iran, there is no unique method for estimation of job role in disease development and it seems that an academic and executive defect exists in regard to this issue. In this article, we introduce an epidemiological method for estimation of job role in a disease in the presence of multiple risk factors. We hope that this article acts as a prologue for compilation of scientific documents with unique approach in our country.

Malingering is one of the most important and highly studied issues in the forensic psychiatry. It seems to be due to differences in personality traits and psychic profile of individuals.
The aim of this study is to compare personality dimensions on the basis of personality traits approach, including neuroticism, extraversion, acceptance, responsibility and psychic profile, in malingerers and normal people.
In this analytic study, two statistical groups were surveyed. The first group consisted of 30 malingering clients to Guilan Province General Office of forensic Medicine. The second group included 30 nonmalingers referred to this center selected purposefully, matched with the first group. They all filled five factor personality questionnaire and Minnesota personality questionnaire (MMPI-2). Data were analyzed by Multivariate analysis of covariance (MANCOVA) using SPSS.
Malingerers suffered from more neuroticism and less extraversion, compared to normal people. Also, there was no significant difference between the two groups regarding flexibility, acceptance and responsibility. Malingerers suffered from more schizophrenia, paranoia, hypochondriasis and depression and less social-psychological pervert than normal people. There was no significant difference in hypomania, hysteria and psychic weakness between malingerers and normal groups (p≥0.05).
Malingering is one of the fundamental personality disorders and malingerers should be evaluated in different fields.

Snakebites is a health concern in many countries, causing irritation and discomfort and can even lead to death of the affected person. Clinical and laboratory findings may be different depending on the type of snake and geographic location. So, we studied snakebite patients referred to Razi hospital in a four-year period.
Evaluation of clinical and laboratory findings in snakebite patients admitted to poisoning unit in Razi Hospital in Rasht during 2011 till 2015.
In this retrospective study, all patients referred to poisoning ward of Razi hospital from March 2011 until March 2015 who had been diagnosed as snakebite patient were included.
In this study, 100 cases were investigated, 71 males and 29 female. The main age of our patients was 43.14± 21.19. Most of the patients were bitten in the spring and summer. The most site of bite was the lower limbs (53 cases). All of the cases had subcutaneous hemorrhage as the symptoms and complications of snake bites. among local symptoms of ssnake bite, pain was the most prevalent with 81 cases. All patients were received antibiotics and blood products. The average numbers of vials of antidote consumption per person 2.26 ± 0.77. There was no death in the cases.
The results of our study showed that subcutaneous complications such as bleeding, pain and edema are prevalent in these patients, and no death was observed. The results also showed the majority of stings in the extremities and in mountain areas, occurring in spring and summer, hence, equipping health centers and identifying common snakes in the mountainous regions, especially in spring and summer and reducing the getting access time for the antidote are recommended

Sleep disorders are among the most prevalent disorders today and especially in the industrial and developed countries. Their prevalence have been variable in different populations. The occurrence of these disorders in working population can cause occupational injuries and reduces the performance of the employees. It also can be hazardous. In this article, the association between sleep disorders and the work ability index are considered.
This was a cross-sectional study performed in a dairy company on all the employees in the year 2013. In this study, the StopBang questionnaire for assessment of the sleep apnea, Epworth Sleepiness Scale (ESS) questionnaire for assessment of sleepiness, and the work ability index (WAI) for assessment of work ability were used. The gathered data from these questionnaires were analyzed in conjunction with the demographic data.
In this study, 215 workers were finally considered. The associations between the three questionnaires (WAI, ESS, and STOP Bang) were statistically significant. There were also significant associations between age and WAI and STOP Bang; the level of education and ESS; work history and STOP Bang; smoking and all three questionnaires; pack-years of smoking and STOP Bang; and also the employee's body mass index (BMI) and STOP Bang. There was positive correlation between ESS and STOP Bang and both these questionnaires were negatively correlated with WAI.
The results show a strong correlation between sleep disorders (sleepiness and sleep apnea) and the work ability index. It is important to consider the sleep hygiene and performance of screening for sleep disorders in the employees to reduce the irreversible injuries and associated problems and also reduce the problem of lowered productivity.

Hypoglycemia attack a clinical case of sulfonylureas toxicity in patients considered. Given the vulnerability of the brain in the long hypoglycemia in plasma glucose concentrations have returned to normal as quickly as possible, as well as the recurrence must be prevented.
Case Report: Fifty -year-old female patient without past history of diabetes with decreased level of consciousness by emergency medicine serves (EMS) administration of naloxone was taken to the hospital. The patient on admission GCS of 12, the patient's blood sugar and potassium, respectively, 40 and 2.8 mg per dl, the patient was alert with infusion of 50% glucose. The patients in the first and second days despite treatment with hypertonic dextrose infusion and oral diet with relapse of hypoglycemia as loss of consciousness, sweating and was restless. Because of recurrent hypoglycemia, the third day, Octreotide was administered at a dose of 50 mg subcutaneously every 12 hours. Number of relapses of hypoglycemia was reduced. The fourth day, Octreotide were changed to 50 mg every 6 hours and hypoglycemia attacks stopped.
Discussion and Typically in the treatment of hypoglycemia caused by poisoning oral anti-diabetes drugs such as Glibenclamide and insulin the Hypertonic glucose injection and is used for patients starting oral feeding. But it seems that Octreotide listed on the timing of the dose to treat patients with acute poisoning with sulfonylurea, hypoglycemia with frequent recurrences are to be effective.

Assessment of the ability of employees to work without risk to health and safety for themselves and others is the concept of job fitness. The five main criteria, i.e. work capacity, risk of health and safety, ethical indices, economic indicators and indicators of legal, occupational health physician must be considered in assessing fitness for work.
This review article consists of different parts including: occupational fitness evaluation indices, safety and health risk, worker's capacity, legal and moral indices, economical index, evaluation tools, decision making process, consequences and challenges. Naturally, for each of the mentioned indicators there is a tool to assess the sensitivity, specificity and cost-effectiveness.
Consequences of job fitness assessment can range from suitable to unsuitable. Changes in maintenance and adjustment of work or working conditions should be considered in assessing job fitness. But with all the explanations, in many cases an occupational health physician may face problems in decision making for job fitness. He/She may not be able to make a precise decision which is probably due to different causes such as lack of appropriate tools and atandards, worker's malingering, social laws and etc.

The use of imaging such as X-rays may have an important role in early diagnosis, staging, planning treatment and monitoring of patients during treatment. Radiology ward staff is at risk of low-dose occupational exposure. Therefore, this study aimed to evaluate the biological effects of low dose occupational exposure to ionizing radiation on blood cell indices of radiology ward staff employed in a governmental hospital in Tehran.
In this case-control study, some blood parameters in 30 radiation workers(cases) and also30 persons who worked in other parts of the hospital were compared. Matching was done for confounding factors. The data was analyzed with software SPSS 20 (p According to this study, there are no statistically significant differences in blood parameters such as red blood cells, white blood cells, hematocrit, platelets between radiation workers and other workers (p>0.05).
The results of this study showed that the hematological parameters of radiation workers exposed to low doses of radiation may not predict the amount of radiation effects.

Based on the results of some studies, concurrent exposure to organic solvents and noise in industrial areas can accelerate the amount of hearing loss. The aim of this study was to assess the effect of concurrent exposure to organic solvents and noise on high frequency hearing loss.
This was a cross-sectional analytic study conducted on 1029 tire manufacturing company workers in 2013. After coordination with the factory authorities, required data including demographic, occupational and medical data and also audiometric records were derived from workers medical profile. Finally all gathered data were analyzed using SPSS version 13 software.
After applying inclusion and exclusion criteria, 914 workers entered the study. The results of this study showed that, the workers including group 4 (workers exposed to impermissible levels of noise and organic solvents) had more severe high frequency hearing loss in comparison to group 1 (workers with no exposure to impermissible levels of noise and organic solvents) (OR= 1.74, 95% CI: 1.15-2.63) and the hearing loss was significant even after modification by logistic regression analysis.
Our study showed that the workers exposed to impermissible levels of noise and organic solvents had higher levels of high frequency hearing loss in comparison to workers with no exposure to impermissible levels of noise and organic solvents, thus we propose that workers with co-exposure to impermissible levels of organic solvents and noise may be benefited from shortening the interval between periodic audiometric evaluation.

Based on WHO reports smoking is the second cause of mortality and forth cause of morbidity all over the world. Hospitals have important commitments to reduce smoking. These commitments obligate hospitals to provide smoking free environment to protect nonsmokers and encourage smokers to quit smoking.
This study was held as a cross-sectional study in Dr. Masih Daneshvari Hospital in 2013. The authors made a questionnaire for the study. Totally 347 person was entered in this investigation. SPSS version 18 was used for statistical analysis and 0.05 was considered as the significance level.
Study results showed that 10.4% of participants were current smoker. Sex and financial income was related to smoking status (p0.05).
In conclusion the results of this study showed that smoking prevalence in studied hospital staffs was lower than previous reports and smoke free hospital policy may play a role in this situation.

Low Birth Weight is an important health scale of each country, because it is one of the major factors predicting normal growth and development and even survival of new-born and infants. Previous studies of employed women show various complications such as low birth weight due to job type. In this study, we decided to evaluate the association of Low Birth Weight with job control and job demands among mothers. This cross-sectional was study conducted in one of the major centers of gynecologic disorders in Tehran and 197 employed mothers were enrolled. Questionnaires were completed by direct interview by a Bachelor of obstetrics. Psychosocial demands and job control were evaluated by questions from the Job Content Questionnaire JCQ (respectively by nine and five questions). The mean scores of job control and job demands of mothers with low birth weight were, respectively 41/6 and 38/74. Regression analysis after adjusting for confounding factors showed that Low birth weight is more common in mothers with higher job demand Compared to lower job demand and in mothers with low job control Compared to higher job control (respectively, OR=2/97 and OR=2/85). The results of this study indicate that the risk of low birth weight is associated with higher job demands and lower job control.

Workplace environment influences the workers’ health. Workers who work in dusty environments are exposed to particulate matters which their inhalation may damage respiratory tract and parenchyma. The evaluation of lung function by spirometry can detect respiratory disorders in early stages.Two hundred and twelve workers of a sulfate-producing industry were recruited in this cross sectional study. Collecting data was carried out from March to September 2014. The data were collected by questionnaire, spirometry and environmental measurements and subsequently they were statistically analyzed by the software SPSS version 16.The results of the current study showed that major indices of pulmonary function were lower in exposed group than the unexposed group; however, the difference was not significant (P-value>0.05).There was no association between pulmonary indices and exposure to low amounts of sulfate in the sulfate producing factory. Nevertheless, it seems that further studies with greater sample size and different methodology are needed in this regard.

People’s attitude towards combating air pollution is an important determining factor in creating an appropriate base for providing educational programs about air pollution reduction. This study examines school student's attitudes towards ways of combating air pollution in order to assist authorities in educational planning.In this cross-sectional study, a closed-form questionnaire was used to evaluate 2140 guidance and high school student's attitude towards ways of air pollution reduction, their idea about their own knowledge on this subject and also their risk perception about air pollution. Some statistic tests such as Chi Square, Mann-Whitney, Kruskal-Wallis were used to analyze data. The sampling method was multi stage.While the range of student’s ‘affective score’ varied from -12 to +12, student's mean affective score was equal to +5.76 (SD 3.79). Affective Score was significantly different between girls and boys (5.43 vs. 5.94 respectively). Among the suggested ways of combating air pollution, they agreed with "Me and my friends should be taught more about air pollution" more than other ways.The students worried so much about air pollution and they had appropriate risk perception about it, however, it seems the actions that have been done in this regard were not acceptable by them. Hence, it is essential to respond to their high motivation by more comprehensive planning and precise administrative methods.