[Roentgenological picture of pneumonia caused by Legionella: on the materials of outbreak in town Verkhnyaya Pyshma].

Chest X-ray is the most common and widely used diagnostic procedure. Chest X-ray is frequently performed not only due to lungs diseases but also in other organs' diseases which indirectly affects lungs. At present computer tomography (CT) which has high resolution becomes to be more and more important. As in other diagnostic method, the main aim of CT is to confirm or reject the presence of disease. During outbreak of pneumonia in town Verkhnyaya Pyshma (Sverdlovsk region), all patients with suspected legionellosis underwent chest X-ray in front and lateral views. In several cases, computer tomography was performed.

[Organization of work with nursing staff in Central City Hospital of Verkhnyaya Pyshma town during mass hospitalization of patients with pneumonia caused by Legionella].

Data on organization and carrying out of preventive and antiepidemic measures in hospital during hospitalization of more than 197 patients with Pontiac fever and pneumonia caused by Legionella were presented. Directions and formats of work with medical personnel, including those invited from other medical institutions, as well as their information support were determined. Optimal choice of organizational, and educational technologies, as well as ways to control of compliance with implemented measures by the staff allowed to prevent cases of nosocomial infections in patients and medical personnel.

[Experience of microbiologic diagnostics of acute pneumonia cases arose in town Verkhnyaya Pyshma in July-August 2007].

Bacteriologic, serologic, and PCR tests of blood, sputum, serum and autopsy samples from 91 patients were performed during outbreak of pneumonia in town Verkhnyaya Pyshma in July-August 2007. Streptococcus pneumoniae was isolated from 20% of diagnostically meaningful samples of sputum and from 50% of autopsy samples. Diagnosis of Legionnaires' disease was confirmed in 48% of cases. It was shown that association of Streptococcus pneumoniae and Legionella pneumophila determined the affect during such pneumonia. Need for establishment of diagnostic procedure for patients with pneumonia including those caused by atypical agents was revealed.

[Organization of preventive and antiepidemic measures in conditions of massive outbreak of Legionnaires' disease in population of town Verkhnyaya Pyshma. Epidemiologist's work experience in ensuring biosafety].

Data on organization and carrying out of preventive and antiepidemic measures in hospital during mass hospitalization (> 190 cases) of patients with community-acquired pneumonia caused by Legionella pneumophila are presented. Experience of physicians-epidemiologists in determination of directions of work in hospital, procedures of interaction, extent and description of biosafety measures in order to prevent nosocomial spread of infection to patients and staff are described.

[Work with public in foci of infection during outbreaks of pneumonia caused by Legionella in town Verkhnyaya Pyshma in July-August 2007].

One of the key elements in epidemiologic control for infectious diseases is timely and active identification of contacts, which results in in-time hospitalization of patients that are needed it and allows to conduct educational work with the public. Measures for outpatient medical and preventive help in Legionella infection which were developed on the experience of termination of outbreak of pneumonia caused by Legionella in town Verkhnyaya Pyshma in July-August, 2007 are presented.

[Experience of information sharing between local healthcare management and regional Administration of Federal Service for Surveillance for Protection of Consumers Rights and Human Welfare in Sverdlovsk region during outbreak of Legionnaires' disease in town Verkhnyaya Pyshma in July-August 2007].

Issues of reliability, uniformity, and timeliness of reporting and sharing of information during outbreaks of infectious diseases are basic for establishment of tactics and strategy of organizational, antiepidemic, and clinical measures. Analysis of experience in sharing of information between medical care organization service and services ensuring sanitary-epidemiological welfare of population during outbreak of Legionnaires' disease in town Verkhnyaya Pyshma in July-August 2007 was performed in the article.

[Organization of medical care of patients with pneumonia caused by Legionella during outbreak in Sverdlovsk region].

Data on organization of medical care during outbreak of Legionnaires' disease in July-August, 2007 in town Verkhnyaya Pyshma in Sverdlovsk region are presented. Special feature of this outbreak was spreading of infection in boundaries of the town with total population of 70,600 people. Results of organizational work of health authorities in order to provide timely and adequate medical care for patients with Legionnaires' disease on both outpatient and inpatient levels of care, conduction of preventive measures in foci of infection, coordination of interaction between different medical organizations and services are summarized in the article.

Demographic waves and labor resources.

PIP: The author examines the causes, nature, and socioeconomic consequences of medium-term fluctuations in the sizes of age groups in the Soviet Union, with particular attention to the impact on the dynamics of the nation's labor resources. Developments since World War I are outlined, and projections through the end of the twentieth century are summarized. Changes over time in the age distribution of a small population in a Kama River community are used as an example.^ieng