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Brain and other CNS cancers have evidenced increase in Iraq over the study period (2000-2015). Spatial variation of brain and CNS cancers in Iraq at the district level has not been explored. This study aimed to explore the spatial patterns of the Age-Standardized Incidence Rates (ASIRs) of brain and CNS cancers throughout Iraq (except Kurdish region) during 2000-2015 using spatial autocorrelation analyses. Data were obtained from the Iraqi Cancer Registry. The ASIRs were calculated according to geographical region (provinces and districts) for each period (2000-2004, 2005- 2009, and 2010-2015). spatial statistical tools were employed to evaluate hotspots, cold spots, spatial clustering and outliers for each period. Results showed a spatial correlation with hotspots, cold spots, and detecting spatial outliers. This study identified 7 districts as high-risk areas for brain and CNS cancers during 2010-2015,  including  Al-Sadir, Al-Kadhimiyah, Adhamia, Al-Karkh, Al-Rissafa, and Al-Madain districts in Baghdad province) and southern region (Abu-Al-Khaseeb district in Al-Basrah provinces, and we have evidenced an increase of brain and CNS cancers incidence rates during 2010-2015. The government efforts should focus on those regions, and the factors related to the spatial pattern of the brain and CNS cancers incidence in Iraq should be investigated.

SPATIAL ANALYSIS OF BRAIN AND OTHER CNS CANCERS INCIDENCE IN IRAQ DURING 2000-2015