[DISTRIBUTION OF BACTERIA OF THE KLEBSIELLA STRAIN IN WATER OBJECTS AND THEIR VALUE IN DEVELOPING OF THE WATER CAUSED ACUTE INTESTINAL INFECTIONS].

The wide circulation of Klebsiella bacteria in water ofwater objects of different climatic zones of Russia and various function is established. So bacteria of the Klebsiella strain are in superficial sources of the centralized water supply depending on extent of their biological and chemical pollution; underground waters at the unprotected water-bearing horizons; in drinking water at insufficiently effective system of its cleaning and disinfecting. Klebsiella circulating in water was shown to keep properties of pathogenicity and a virulence, possess resistance both to modern preparations and disinfecting agents (chlorine, an ultraviolet to radiation). Bacteria of the Klebsiella strain have high penetration in the water-bearing horizons. At strains of Klebsiella there is allocated considerable pathogenic potential (adhesive, invasive, phosphatase, lecithinase, DNA-ase, hemolytic activity) and genetic markers of pathogenicity of cnf-1. The etiologic role of bacteria of Klebsiella and an infecting (100, COE/dm3) dose emergence of acute intestinal infections (AII) is established. Detection of Klebsiella in water objects and especially in water of drinking appointment, in the absence of total coliform bacteria (TCB) contributes to the epidemic danger of water use.

[Comparative assessment of sanitary and epidemic importance of indicator coliform indices of drinking water quality].

The used methodology of the scientific substantiation of indicators is in the establishment of the conformity of laws of vital activity of indicator and pathogenic microorganisms in the real conditions of the action of the complex of factors, including disinfecting agents. In the one water sample simultaneously there were determined both the general indicator (GICB), thermotolerant (TTCB), glucose positive (GPCB) coliform bacteria, E.coli. On the base of long-term research in the various regions of the Russian Federation, as well with bearing in mind the analysis of domestic and foreign data, comparing the water quality and the incidence of intestinal infections in population it is recommended to use the index of determination of the total number glucose positive coliform bacteria (GPCB), which brings together a much broader range of bacteria of the Enterobacteriaceae family in comparison with total coliform bacteria (TCB) and thermotolerant coliform bacteria (TTCB) and warrants the absence in the test volume of water as an indicator lactose positive (E.coli, TCB, TTCB) and pathogens (salmonella) and potentially pathogenic bacteria which do not ferment lactose. Proposed index of GPCB is shown to allow to assess epidemiological risks not only more accurate, but also more efficiently without increasing the cost performance of bacteriological research.

[The importance of sanitary microbiological indices in the evaluation of epidemiological safety of water use in conditions of chemical contamination of water].

The increasing chemicalization of production and life leads to the pollution of water bodies by chemicals, the effect of which on the micro - and macro - organisms is poorly understood. This section of the study in sanitary bacteriology is becoming ever more topical and is an important task of modern hygienic science. One of complicacies of the study of the problem is related with the fact that the presence of only experimental data fails to be sufficient, as the impact of any given chemical substance on different bacteria in the experiment does not mean that under natural conditions, similar results will be obtained. One reason for this may be the inhibitory effect of the given chemical on biological properties of bacteria, while in field conditions in the water several chemicals interacting with each other can exist. In this regard, the aim of the work was to assess the indicator value of sanitary and microbiological indices of epidemic hazard of water use in conditions of chemical pollution of surface water bodies.

[STUDY OF THE IMPACT OF CERTAIN ENVIRONMENTAL FACTORS ON THE VIABILITY OF THE SALMONELLA BACTERIA IN WATER FOR THE DETECTION OF ITS EPIDEMIC POTENTIAL].

Salmonella from the tail water of the Don river was shown to be detected in 31.4% of samples with an average index of 23.5. Under experimental conditions, revealed long-term survival of Salmonella in the water exceeded in most of the experiments terms of preservation of E. coli and E. faecalis. The calculated high level of microbial risk of emergence of intestinal infections suggests the possibility ofwater route ofsalmonellosis.

[Scientific substantiation of perfection of sanitary bacteriological monitoring in drinking water use].

Criterion of the epidemic safety of drinking water is the absence of pathogenic and potentially pathogenic microorganisms. Currently, water quality control is performed in terms of the index of total coliform bacteria (TCB). TCB index oriented to the labile lactose sign has not sufficient relevance in the determination of the degree of the epidemic danger in the water use in relation to Salmonella and potentially pathogenic microorganisms. The frequency of detection of GCB in standard quality of drinking water as well as the application of the methodology for the assessment of the microbial risk of the occurrence of bacterial intestinal infections with the use of integral index--GCB, provide the most reliable prediction of risk in the occurrence of water-caused intestinal infections and more objectively reflect the epidemiological importance of drinking water in their distribution among the population. Proceeding from the data obtained, it is advisable to carry out the quality control of drinking water with the use of the broader indicator index GCB- detected from basic signs of the Enterobacteriaceae family--glucose fermentation and oxidase test and oxidase test.

[Justification of the significance of Pseudomonas aeruginosa index in assessing the quality of drinking water].

The analysis of literature data was carried out and performed research justifying the epidemic value of detection in water P. aeruginosa in drinking and domestic water use. The were revealed features of the vital activity of P aeruginosa in water bodies as opposed to conventional microbiological indicators. It was shown that the coliform group indices can not guarantee the epidemic safety of drinking water use in relation to P aeruginosa. The data obtained justify the need for the introduction of P aeruginosa as an additional index in monitoring the water quality of centralized and decentralized water supply.

[Harmonization of microbiologicaland parasitological indices of epidemic safety of drinking water with the international requirements].

For the purpose of harmonization of microbiological and parasitological indices and benchmarks there was performed the comparative analysis of the requirements for the quality of drinking water in respect of the epidemic safety on the basic regulations of Russia, the Directive Council of the European Union EU, WHO, the United States, Canada, Australia, Finland, Sweden, Brazil, France, Japan and China. As a result, there were revealed the priority bacteriological, virological and parasitological parameters: E. coli--indicator of recent fecal contamination, coliforms, heterotrophic bacteria colony count (Heterotrophic plate count), which is in the water legislation of the Russian Federation is characterized as total bacterial count (TBC), being an integral index of the quality of wastewater treatment technologies and hygienic condition of the water supply systems, coliphages as an indicator of viral contamination. In the Guidelines for drinking-water quality control, WHO and a set of countries there is recommended a more wide range of indicators: enterococci, Clostridium perfringens, Pseudomonas aeruginosa, enteroviruses, parasitological indices. With aim of harmonization of the requirements for the quality of drinking water in the Russian Federation with international approaches to the revision of the Sanitary Regulations and Norms (SanPin) 2.1.4.1074 into the project there are introduced priority indicator parameters of bacterial, viral and parasitic contamination of water, evidence-based guidelines.

[To a question on the impact of nanoparticles of metals present in the aquatic environment, on bacteria and continuous cell lines HEp-2 and BGM].

Promising application of nanoparticles and nanomaterials is the creation of sanitary hygienic means of new generation used for disinfection of water and indoor surfaces of mass use, furniture, sanitary technical equipment by virtue of modifying traditional materials to bring them effective biocidal properties, and for the development of methods in vitro for assessment their toxicity In this paper the possibility of the use various forms of silver, copper and aluminum as disinfectant for bacterial test organisms in the aquatic environment and assess their toxicity on biological models of continuous culture of BGM cells (a stable line of African green monkey kidney cells) and HEp-2 (Human epithelial type 2 (HEp-2) cells, derived from a human laryngeal carcinoma) is considered.

[Evaluation of the informativity of indices of the sanitary-epidemiological safety of the swimming pools].

Water samples and surface swabs from 15 Moscow public indoor swimming pools (SP), where disinfection was carried with the use of chlorine reagents, were studied and excess of bacteriological indicators standards was revealed, infestants of fungous skin and nails diseases were allocated. The research results showed both the absence of epidemic significant information value of bacteriological indicators in relation to infestants of fungous diseases and discrepancy of efficiency of existing recommendations for disinfection actions to requirements on providing sanitary-and-epidemiologic safety of SP visitors.

[Improvement of effectivity of photo disinfection of water from bacterial contaminants in the presence of heterogeneous sensitizers based on phthalocyanines grafted to aminopropyl silicagel].

The possibility of using 12 heterogeneous sensitizers (HS) based on phthalocyanines covalently grafted to aminopropyl silicagel for disinfection of water from bacteria has been studied. For reliable water quality control the technique of performing bacteriological analysis in the presence of HS beads in the sample has been elaborated. The conditions increasing the efficiency of photo disinfection in the presence of HS were studied. Algorithm for estimation of photo disinfectant effect of HS against bacteria was substantiated. Obtained data confirm the perspective of further studies on the substantiation of the possibility of the application of HS for water disinfection.

[The value of glucose-positive coliform bacteria and potentially pathogenic bacteria as indicators of epidemiological safety of tap water].

Due to intensive anthropogenic pollution of water environment generally accepted indicators of epidemic security of water bodies - common bacteria and thermotolerant coliform bacteria do not always permit to obtain an objective characterization of bacterial contamination of tap water. From the point of view of authors the integral index - glucose positive coliform bacteria most adequately reflect the sanitary-hygienic and epidemiological situation of water bodies. In monitoring for bacterial quality of tap water it is advisable to determine glucose positive coliform bacteria, that will provide the relevance of estimation of the epidemiological safety of water use. According to the method developed by the authors the calculation of the index of population risk of acute intestinal infections occurrence in dependence on the quality of tap water in Azov and Tsimlyansk towns.

[New methodological approaches to the detection and quantitative registration of Salmonella in the study of water objects].

The paper gives data on the use of techniques to detect and register Salmonella in the water objects, by applying a new liquid nutrient medium. Experimental and field studies have shown its advantage over the accumulation media widely used in practical healthcare. It has been ascertained that the nutrient medium not only accumulates biomass, but also provides the restoration of the biological properties of uncultivated Salmonella species. The use of the nutrient medium at practical laboratories makes it possible to unify guidelines for the examination of water objects with varying degrees of biological pollution and to obtain the comparable results of analyses.

[Microbial risk assessment to establish water quality-enteric infection morbidity relationships].

The authors have constructed a mathematical model for the cause-and-effect relationship between acute enteric infection (AEI) morbidity and the levels of water bacterial contamination and the properties of microorganisms. New procedures were proposed to calculate a risk for water-borne AEI depending on the sanitary-and hygienic conditions of water use and the degree of water contamination in the direct isolation of the causative agents of pathogenic and opportunistic infections, which allow the calculation and prediction of the occurrence of AEI at the individual and population levels.

[The problem in the reactivation of microorganisms on evaluating the efficacy of water disinfectants].

The investigation deals with the topical problem of whether bacterial viability and properties may be restored after the achieved bacteriostatic effect of water disinfection, which reduces the reliability of the control and adequate assessment of its epidemic safety. The objective of the investigation was to study whether bacteria might be reactivated in the estimation of water disinfection with guanidine-containing agents as an alternative to chlorine. Experiments were carried out on the waters from model water reservoirs, by simulating water contamination with residential waste waters and on the natural water from the Moscow River, by reproducing the purification conditions: coagulation, filtration, disinfection with a binary mixture of polyhexamethyleneguanidine hydrochloride and quaternary ammonium compound. The experimental studies of the efficacy of the binary agent against indicator, opportunistic, and pathogenic bacteria indicated that the viability of bacterial cells might be reactivated and restored after water disinfection and cell multiplication upon further exposure. Microorganisms that had the greatest capacity for reactivation after use of the binary agent, as evidenced by the group values of the total number of saprophytes (microbial number) at 37 degrees C, coliform bacteria, and Pseudomonas aeruginosa, were identified. The findings show it necessary to consider reactivation processes in the evaluation of novel disinfectants, which requires a supplemented procedure for obligatorily estimating their exposure 24 hours after use of a reagent.

[Monitoring of bacterial contamination of water reservoirs in the Rostov region].

The paper estimates the epidemic value of indicators for microbial contamination of waters from their main supply sources (waters from the Tsimlyansk Reservoir and the Nizhni Don River and drinking waters from the towns of Azov and Tsimlyansk) in the Rostov Region. The Tsimlyansk Reservoir water met the SanPiN 2.1.5.980-00 requirements for the normalizable indices of total coliform bacteria (TCB) and thermotolerant coliform bacteria (TtCB) in 54% of the samples; glucose-positive coliform bacteria (GPCB) and Salmonella were isolated in 100 and 60%, respectively. The Azov drinking water that met the SanPiN 2.1.4.1074-01 requirements for TCB and TtCB) was found to contain GPCB, Klebsiella, and Pseudomonas aeruginosa in 5.7, 4.8, and 3% of the samples, respectively Direct detection of pathogenic and potentially pathogenic microorganisms and the integral GPCB index are of the greatest prognostic value in assessing a microbial risk for waterborne enteric infections.

[Evaluation of epidemic risk from pathogenic and opportunistic bacteria isolated from water of its various use types].

The investigation was concerned with wild gram-positive and gram-negative microorganisms (E. coli spp., Klebsiella spp., Salmonella spp., and the nonfermentative bacteria Pseudomonas spp.) isolated from the waters of different types, as well as museum cultures (E. coli strain 1257, E. coli strain 675, Salmonella enteritidis ATCC 5765, Staphylococcus aureus 906, and Pseudomonas aeruginosa ATCC 10145). The wild strains were isolated from water when conducting experimental and field studies; these are able to survive in the waters disinfected by various procedures (a guanidine-containing disinfectant in non-toxic concentrations; photo-activated decontamination with sensitizers; exposure to magnetic and ultrasound waves). The cytotoxic, adhesive, and invasive activities of the bacteria isolated from environmental water objects increased on their cultivation on nutrient growth media, by simulating their possible effects in man. The developed experimental approach makes it possible to estimate the hazard of potentially pathogenic bacteria in one test trial, by applying the BGM cells and may be used to assess the microbial risk.

[Working conditions and health status of railway cashiers]. / Usloviia truda i sostoianie zdorov'ia kassirov zheleznodorozhnykh kass.

The paper presents the data of clinical and hygienic studies of railway cashiers' health. The main deleterious factors of their working conditions are poor microclimatic conditions, bacterial inoculation of the working area air, a forced working posture, and a high vocal load under mental stress. There is a significant prevalence of nervous, obstetric, gynecological, thyroid, and vocal diseases and oral dysbacteriosis among the workers of this professional group. There is evidence for the necessity of including the job of a railway cashier into the List of decreed contingents for periodical medical examinations.

[Hygienic evaluation of the effectiveness of the use of impulse ultraviolet radiation sources in railway transport]. / Gigienicheskaia otsenka éffektivnosti primeneniia impul'snykh ul'trafioletovykh obluchatelei na zheleznodorozhnom transporte.

The paper covers the use of impulse ultraviolet radiation sources for disinfecting the air and inside surfaces of the premises of railway station buildings and the water of long-distance passenger trains.