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A total number of 2985 papers have been analyzed, from which 31.73% were published in fake journals, while 68.27% published in both international and local journals. a striking fact is that 78.8% of those regarded as genuine papers were published in local Iraqi journals.This means that from those papers published in non-Iraqi journals 68.67% went to predatory journals and publishers! this number tells that, this disease needs urgent treatment.