RESUMEN
The description of the epidemic manifestations of cholera in the Republic of Daghestan at the period of the seventh pandemic, linked with the action of such common transmission factors as water, food and everyday contacts, is presented and their role in the territorial spread of this infection is evaluated. The analysis of family foci in the Derbent and Kaiakent regions in 1994 is given; the conclusion is made that a low sanitary level of human dwellings leads to a wide spread of cholera among close relations due to the action of water, alimentary and contact factors of transmission.
Asunto(s)
Cólera/transmisión , Reservorios de Enfermedades , Cólera/epidemiología , Daguestán/epidemiología , Brotes de Enfermedades/estadística & datos numéricos , Reservorios de Enfermedades/estadística & datos numéricos , Humanos , PrevalenciaRESUMEN
The routes of the spread of cholera were analyzed in 273 patients and Vibrio carriers during the outbreak of cholera in a mountainous region of Daghestan during the period of July 18 to September 4, 1994. Cholera was found to spread mainly after funeral repasts and condolence visits accompanied by the dispensation of foodstuffs, transmission being realized through alimentary and contact routes. Under the conditions of the absence of the centralized water supply system in mountain villages and the contamination of water in open reservoirs it was found to be expedient to use, in addition to the recommended complex of antiepidemic measures, small automatic filtration units.
Asunto(s)
Cólera/transmisión , Portador Sano/epidemiología , Portador Sano/transmisión , Cólera/epidemiología , Daguestán/epidemiología , Humanos , Prevalencia , Aguas del Alcantarillado , Vibrio cholerae/aislamiento & purificación , Microbiología del Agua , Abastecimiento de AguaRESUMEN
Retrospective analysis of epidemic cholera manifestations was made in Daghestan using the data of operative epidemic analysis of the break in 1994. Unexpected prolongation of epidemic process of cholera for Daghestan, which was imported by pilgrims from Southern-Western Asia, has been shown using climate-geographical social-demographical and sanitary-hygienic peculiarities. Common laws of development of epidemic complications were demonstrated, as well as the main ways of infection transmission of great number of Daghestan settlements in epidemic process. The importance of antiepidemic means and significant role of created specialized antiepidemic groups have been emphasized in rapid carrying out of means in infection focus, including massive investigation of people in settlements.