Solec Spa - worldwide unique properties of Polish health resort in the service of rural medicine.

Solec Spa is health resort in south-eastern Poland. Its unique balneorehabilitation significance worldwide is determined by chloride-iodine-sodium water with a high content of hydrogen sulphide. This water, classified as highly mineralized sodium-chloride (seltzer) sulphide, bromide, iodide, boron water, contains naturally approximately 0.9 g/l divalent sulphur compounds, which is the highest concentration noted among the mineral waters of the world. The effectiveness of the Solec waters is proven in: inflammatory and autoimmunological locomotor system diseases, degenerative joint disorders (osteoarthritis), post-traumatic and post-operative orthopedic diseases, skin diseases and allergic disorders. One of the main indications for balneotherapy in Solec Spa and Busko Spa is chronic brucellosis.

Evolution of sanitary-epidemiological services in Poland in the years 1944-2014.

This paper presents the history of sanitary-epidemiological services in the context of the health, economic and socio-political situation in Poland in the years 1944-2014, with a critical analysis of legal restraints, efficiency and achievements. Polish Sanitary Services, established in 1919, as a state service, have preserved for more than 95 years (also during World War II and the occupation) the continuity of its structures and essential objectives to enable their implementation in the field of public health protection. The unique effectiveness of actions was recorded in the years 1954-1998 and 2002-2009 in the time of central (vertical) subordination of sanitary-epidemiological services. The pre-accession preparation to the European Union (EU) strongly accelerated the development of sanitary-epidemiological services in Poland. Polish accession to the European Union has promoted the implementation of the WHO document "Health for All in the 21st Century" and the reduction of "health inequalities".

The Lethal Spanish Influenza Pandemic in Poland.

The Spanish influenza pandemic in the years 1918-1920 was the largest and most tragic pandemic of infectious disease in human history. Deciphering the structure of the virus (including the determination of complete genome sequence) of this pandemic and the phylogenetic analysis and explanation of its virulence became possible thanks to molecular genetic analysis of the virus isolated from the fixed and frozen lung tissue of influenza victims who died in 1918 and were buried frozen in Alaska and Spitsbergen. Epidemiological data from the course of this pandemic in Poland have not been previously published. For analysis, we used source materials such as clinical studies and case reports of doctors fighting against the pandemic and registries of influenza cases in units of the Polish Army and military hospitals. Clinically, the pandemic of 1918 was characterized by the same symptoms and course as influenza in other years. Pathologically, the disease was similar to the other pandemic, in that the destruction was mostly limited to the respiratory tract. The "Spanish" influenza pandemic of 1918-1920 took place in Poland in 3 epidemic waves. The peaks of morbidity and mortality occurred in the capital, Warsaw, in December 1918 and in December 1919 to January 1920. It is estimated that throughout the pandemic period of 1918-1920 in Poland, 200 000 to 300 000 people died.

Epidemiological analysis of diseases of children and adolescents requiring neurological and mobility rehabilitation in the Swietokrzyskie Rehabilitation Center in Czarniecka Góra, Poland.

INTRODUCTION AND OBJECTIVE: Epidemiological analysis of the dynamics of admissions and patient characteristics is presented concerning 5,955 children and adolescents (3-18 years of age) hospitalized in 2007-2013 with neurological and mobility diseases in Swietokrzyskie Rehabilitation Centre (SRC) in southern Poland. MATERIALS AND METHOD: Within the period of 7 years, 18,647 patients were admitted to the SRC, of whom 9,546 were admitted to the daily ward and 9,109 to the stationary wards. 5,955 were children and adolescents aged 3-18, 1,499 were children aged 3-13 and almost three times more were patients aged 14-18. The correlation between the number of admissions in each year and the number of those hospitalized depending on the age and diagnosis was examined. RESULTS: In the discussed period, in both age ranges, the group of deforming dorsopathies dominated, while cerebral palsy was the second most common cause of hospitalization, and the and post-traumatic disorder the smallest number. In the diagnoses of cerebral palsy and post-traumatic disease, boys constituted most of the hospitalized. In contrast, girls dominated in the group of deforming dorsopathies. DISCUSSION: Analysis of the material of 5,955 patients revealed a number of quantitative data which assisted in the analysis of the epidemiological situation of this group of diseases - necessary for the planning of highly specialized treatment and rehabilitation. The greatest needs in terms of admissions to the SRC concerned the group of adolescents aged 14-18. The results of combined rehabilitation indicated the full use of places in the Swietokrzyskie Rehabilitation Center and also indicated the need for similar provincial and even regional centres.

Hantavirus RNA was not detected in Dermacentor reticulatus ticks.

A total of 190 Dermacentor reticulatus ticks (80 males, 110 females) collected on the territory of Ostrów Lubelski, Suchawa, Zalutyn and Kazimierz Dolny (Lublin Province, eastern Poland) were examined by reverse transcription PCR and nested PCR methods for the presence of hantavirus RNA. None of the examined Dermacentor reticulatus specimens showed the presence of the hantavirus-specific RNA in spite of using two pairs of primers and the clearly positive results obtained with the positive control. Thus, the hypothesis about the possible participation of ticks in the transmission of hantaviruses was not confirmed.

A small-scale survey of hantavirus in mammals from eastern Poland.

Samples of 30 dead small mammals each were collected on area 'A' located in eastern Poland which is exposed to flooding by the Vistula river, and on the area 'B', also located in eastern Poland but not exposed to flooding. Kidneys and livers of the mammals were examined by the PCR and nested PCR methods for the presence of hantavirus RNA. Out of 7 species of small mammals examined, the presence of hantaviruses was detected in 4 of them. Hantavirus prevalence was low in Apodemus agrarius (2.6%), the most numerous mammal species, whereas in the remaining 3 positive species (Microtus agrestis, Myodes glareolus, Sorex araneus) this was 12.5-100%. The presence of hantaviruses was detected only in the animals found on area 'A' exposed to flooding, and their prevalence was statistically greater compared to area 'B' not exposed to flooding (16.7% vs. 0%, p=0.0345). The overall positivity of the examined small mammals population from the areas 'A' and 'B' was 8.3%. The sequence analysis of the samples positive for hantavirus proved that the amplified products showed 77-86% homology with the L segment sequence of hantavirus Fusong-Mf-731 isolated from Microtus fortis in China. The presented study is the first to demonstrate the occurrence of hantavirus infection in small mammals from eastern Poland, and the first to demonstrate the significant relationship between flooding and the prevalence of hantaviruses in small mammals.

Human alveolar echinococcosis in Poland: 1990-2011.

BACKGROUND: Alveolar echinococcosis (AE) caused by Echinococcus multilocularis infections is a dangerous old disease in the Northern Hemisphere. The aim of the paper was to collect and analyze data on human AE in Poland in the last two decades. METHODOLOGY/PRINCIPAL FINDINGS: The sources of data were both the cases officially registered and detected by an active field and laboratory surveillance. The cases were verified by clinical, epidemiological, and laboratory criteria. Altogether 121 human cases of AE were detected. Among these 83 (68,6%) cases were classified as confirmed, 16 as probable and 22 as possible. During the two decades a continuous increase in detection rate was noticed. The cases were 6-82 years old at the time of diagnosis (mean - 47.7 years). Sex ratio M/F was 0.86/1.0. The AE was fatal in 23 (19%) patients (mean age at death - 54.1 years). Family agglomeration of AE was found in 4 foci, involving 9 patients. Seventy six of the cases were diagnosed in an advanced stage of disease. In all cases the liver was the primary location of AE. In 30 (24.8%) patients a spread to other organs was observed. Ninety four of the patients were treated with albendazole. In 73 (60%) patients a surgical operation was performed, including 15 liver transplantations. CONCLUSIONS/SIGNIFICANCE: The studies confirmed that AE is an emerging disease in Poland, which is the fourth country in Europe with over 120 cases detected. The results also indicate the need of a wider national programme for implementation of screening in the highest AE risk areas (north-eastern Poland) with an effort to increase the public awareness of the possibility of contracting E. multilocularis, and above all, training of the primary care physicians in the recognition of the risk of AE to allow for an early detection of this dangerous disease.

Seroprevalence of leptospirosis in rural populations inhabiting areas exposed and not exposed to floods in eastern Poland.

Blood serum samples collected from randomly selected groups of 100 persons inhabiting rural community 'A' located in eastern Poland and exposed to floods by the Vistula river, and 98 persons inhabiting rural community 'B', also located in eastern Poland, but in the area not exposed to floods were examined by the microscopic agglutination test (MAT) for the presence of antibodies against 18 Leptospira serovars. Positive results showed 3% of serum samples collected from community 'A', while the seroprevalence in community 'B' was 9.2%, being insignificantly higher than in community 'A'. For both examined communities (n=198), a significant positive correlation was found between the prevalence and titer of seropositive response and age of examined people (r=0.145, p=0.042). No significant differences were found between the prevalence of positive reactions in males and females (p>0.05). The reactions with 10 serovars of Leptospira (Australis, Autumnalis, Hebdomadis, Hardjo, Sejroe, Zanoni, Bataviae, Bratislava, Canicola and Grippotyphosa), belonging to 3 species (L. interrogans, L. borgpetersenii, L. kirschneri), were found in the examined communities. From both communities, of 12 persons demonstrating positive results in MAT, 9 showed reaction with one serovar, 2 with two serovars and 1 with three serovars. The highest titers found during the examination did not exceeded 800. In conclusion, our results suggest that there is only a slight, if any, hazard of an leptospirosis epidemic after the flood that afflicted eastern Poland in the year 2010 and the general epidemiological situation of leptospirosis in eastern Poland. Although there does not seem to be any cause for concern, further research is needed.

Hantavirus RNA not detected in Ixodes ricinus ticks.

A total of 174 unfed Ixodes ricinus ticks (104 nymphs, 36 males, and 34 females) collected in the Roztocze National Park in eastern Poland were examined by the PCR and nested PCR methods for the presence of hantavirus RNA. None of the examined Ixodes ricinus specimens showed the presence of the hantavirus-specific RNA, in spite of using 2 genetic markers and the clearly positive results obtained with the positive control. Thus, a hypothesis about the possible participation of ticks in the transmission of hantaviruses, has so far not been confirmed.

[Nitazoxanide ("Alinia")--a promising antiparasitic drug]. / Nitazoksanid ("Alinia")--budzacy nadzieje lek przeciwpasozytniczy.

In present-day world intestinal parasitic infections are gaining importance as a cause of morbidity and mortality. One of the reasons behind it is the globalization and increased number of people travelling to endemic areas of parasitic diseases. Consequently, we need to treat increasing number of patients showing symptoms of such diseases. Unfortunately, the array of available and efficient antiparasitic drugs has been shrinking. Their efficacy decreases and quite often the side effects are serious. In this paper we would like to focus on a new promising "nitazoxanide" (active substance). "Nitazoxanide" proved its efficacy in the treatment of nematode-, cestode-, trematode- and protozoan infections.