RESUMEN
The analysis of data of 2000--2014 established a significant decreasing of total mortality of population of the Republic of Tatarstan. however, this occurrence concerns in a greater degree individuals of retirement age than able-bodied population. The percentage of mortality in connection with diseases of blood circulation diseases, diseases of respiratory system and neoplasms decreased in total mortality and elder age category but remained stable or even increased in population of able-bodied age. The anthropogenic load on objects of environment significantly effects mortality of population of able-bodied age (with wider spectrum of significant parameters) and elder age in the above listed classes of diseases. The values of generalized dispersion explain 95--98% of dispersion of intial indices of chemical pollution of the territory positively and/or negatively correlating with coefficients of mortality in main non-infectious diseases.
Asunto(s)
Enfermedades no Transmisibles/mortalidad , Adulto , Enfermedades Cardiovasculares , Contaminación Ambiental , Humanos , Mortalidad , Factores de Riesgo , Tatarstán/epidemiologíaRESUMEN
AIM: Determine the level of antibodies against socially significant types/serotypes of influenza virus in sera of individuals residing in various regions of Russia. MATERIALS AND METHODS: 1525 samples of blood sera collected in August-December 2013 in 8 regions of Russian Federation were studied in hemagglutination inhibition reaction (HAI) with antigens obtained from A/California/07/09, (H1N1)pdm09, A/Victoria/361/2011(H3N2), B/Brisbane/60/2008 (Victoria line), B/Massachusetts/2/2012 (Yamagata line), A/Commongull/Chany/2006 (H5N1), A/Anhui/01/2013 (H7N9) influenza virus strains. RESULTS: None of the blood sera samples had significant HAI titers against A/H5 and A/H7 antigens. Of all the 1525 samples, 788 (52%) were positive with A(H1N1)pdm09 antigen; 734 (48%) reacted with A(H3N2) antigen; 1010 (66%) samples were positive with B/Victoria antigen and 602 (39%) samples were positive with B/Yamagata antigen. CONCLUSION: Healthcare institutions should pay attention to the correction of population immunity profile in regions for the reduction of social-economic losses from seasonal influenza epidemics.
Asunto(s)
Anticuerpos Antivirales/sangre , Antígenos Virales/inmunología , Glicoproteínas Hemaglutininas del Virus de la Influenza/inmunología , Gripe Humana/sangre , Gripe Humana/epidemiología , Adolescente , Adulto , Femenino , Pruebas de Inhibición de Hemaglutinación , Humanos , Subtipo H1N1 del Virus de la Influenza A/inmunología , Subtipo H1N1 del Virus de la Influenza A/patogenicidad , Subtipo H3N2 del Virus de la Influenza A/inmunología , Subtipo H3N2 del Virus de la Influenza A/patogenicidad , Subtipo H5N1 del Virus de la Influenza A/inmunología , Subtipo H5N1 del Virus de la Influenza A/patogenicidad , Subtipo H7N9 del Virus de la Influenza A/inmunología , Subtipo H7N9 del Virus de la Influenza A/patogenicidad , Virus de la Influenza B/inmunología , Virus de la Influenza B/patogenicidad , Gripe Humana/inmunología , Gripe Humana/prevención & control , Masculino , Persona de Mediana Edad , Federación de Rusia/epidemiologíaRESUMEN
The reform of the medical service dealing with occupational pathologies in the city of Kazan, introduction of new management conditions involving the market-economy tools and emergence, in this connection, of patient-care and prevention facilities of different organizational-and-legal types had a negative effect on the health of employees occupied at hazardous and dangerous enterprises. Data related with the system of periodical prevention measures undertaken for the sake of health protection of able-bodied population are elucidated; methods of promoting the structure and management of the occupational-pathology service functioning under the conditions of a big industrial city are suggested.
Asunto(s)
Reforma de la Atención de Salud , Enfermedades Profesionales/prevención & control , Servicios de Salud del Trabajador/organización & administración , Adulto , Ciudades , Humanos , Industrias , Persona de Mediana Edad , Enfermedades Profesionales/etiología , Federación de Rusia , Población UrbanaRESUMEN
While making a cost-assessment related with one cholera disease case, the authors suggest to take account of the damage inflicted on the health of patients with other pathologies (apart from cholera) by the failure to render them the ambulatory and hospital medical care, which results from that the medical staff at large focus primarily on curing the cholera patients and on that the hospital beds (otherwise used for somatic patients) are preferably allocated for patients with cholera at epidemic.
Asunto(s)
Cólera/economía , Cólera/terapia , Gastos en Salud , Servicios Urbanos de Salud/economía , Cólera/prevención & control , Brotes de Enfermedades/economía , Humanos , Federación de Rusia , Factores Socioeconómicos , Recursos HumanosRESUMEN
In this review information on the spread of cholera in the world, embracing the period of the XIX and XX centuries, is presented. The detailed description of the pandemic character of cholera, including all seven pandemics, is given. The epidemiological situation in cholera is analyzed and the conclusion is made that the main regularity of the epidemic process in modern EI Tor cholera are the endemic character of the disease and its epidemic character due to the prolonged and continuous course of pandemic VII. The work points out that the epidemic process on the global level, as well as on the regional and local levels, is regulated mainly by growing activation of the international and internal movement of the population.
Asunto(s)
Cólera/epidemiología , Brotes de Enfermedades , Dinámica Poblacional , Salud Global , HumanosRESUMEN
Data on emergent epidemiological analysis of the cholera outbreak in Kazan are presented. A version of the cholera focus emergence was confirmed, namely water route of transmission as a result of bathing in a water reservoir where sewage waters had penetrated. The outbreak had local and acute character. The complex of cholera control interventions aimed at localization and liquidation of the focus proved to be effective.
Asunto(s)
Cólera/prevención & control , Contaminación del Agua/prevención & control , Cólera/epidemiología , Cólera/etiología , Cólera/transmisión , Control de Enfermedades Transmisibles , Transmisión de Enfermedad Infecciosa , Agua Dulce/microbiología , Humanos , Incidencia , Federación de Rusia , Saneamiento/normas , Aguas del Alcantarillado/efectos adversos , Aguas del Alcantarillado/microbiología , Natación , Vibrio cholerae/aislamiento & purificaciónRESUMEN
During the period of the registered outbreak of cholera in 2001 in Kazan 171 V. cholerae cultures were isolated in the focus of the infection (from patients, carriers and 7 environmental objects). The use of the basic and additional tests, including the polymerase chain reaction, made it possible to establish the circulation of V. cholerae, phagovar 15, in the focus of the infection. The strain isolated from the water reservoir Azino-1 in Kazan was identical in its properties to the epidemically dangerous strains isolated from patients. On the whole, the data obtained in the identification of the strains showed that the cultures isolated from patients, vibrio-carriers and environmental objects were identical.