scholarly journals Characteristic of epidemiological process of tick-borne viral encephalitis in child population of Siberian federal district regions

2019 ◽  
Vol 36 (1) ◽  
pp. 84-90
Author(s):  
Sergei V. Shirokostup ◽  
Natalya V. Lukyanenko

Aim. To detect the characteristics of the epidemic process of tick-borne encephalitis among the child population of the regions of Siberian Federal District with evaluation of the efficiency of preventive measures regarding this infection. Materials and methods. The data of official statistical reports of Rospotrebnadzor, regional healthcare services were used in the study. Data processing was fulfilled using the program Statistica 13.0. Results. Over the period from 2000 to 2017, a mean long-term tick-borne encephalitis morbidity rate among the persons under seventeen in Siberian Federal District was 6.2 ± 1.39 0/0000 that is by 39.7 % lower than the analogous index in the adult population (8.7 ± 0.82 0/0000, p < 0,001). In the study, there was analyzed the efficiency of preventive measures among children and adolescents and revealed the leading factors, essentially influencing the formation of a tendency of tick-borne viral encephalitis morbidity. Conclusions. The territories of potential risk for this infection within the borders of SFD among the child population were determined.

2019 ◽  
Vol 1 (15) ◽  
pp. 45-48
Author(s):  
S. V. Shirokostup ◽  
I. P. Saldan

The article presents an assessment of the effectiveness of the effect of specific prevention measures on the incidence of tick-borne viral encephalitis in the population of the regions of the Siberian Federal District. The data on the incidence of Rospotrebnadzor of the Russian Federation and the regions of the Siberian Federal District for 2000–2017 years were used, the reporting of regional health services, the conditions and cause-effect relationships of the incidence of tick-borne encephalitis were assessed in the analysis of epidemiological survey maps of outbreaks. The study found that the analysis of the potential risk of contact with the foci of this infection in the regions of the Siberian Federal District, based on the ranking of regions by the level of population’s appeal for tick bites, can be considered as a prognostic criterion in planning the volume of preventive measures. Vaccination, having a significant impact on reducing morbidity (r = –0.89; p < 0.001) and mortality (r = –0.86; p < 0.001) from this infection, together with seroprophylaxis, can be one of the leading factors in epidemiological forecasting the incidence of tick-borne viral encephalitis in endemic areas.


2018 ◽  
Vol 17 (4) ◽  
pp. 46-56 ◽  
Author(s):  
V. V. Pogodina ◽  
М. S. Shcherbinina ◽  
S. M. Skrynnik ◽  
N. G. Bochkovа ◽  
N. M. Kolyasnikova ◽  
...  

Relevance.Тhe Ural Federal district (Ural Federal district) is a highly endemic tick-borne viral encephalitis (TBEV) territories in the Russian Federation. The epidemiological situation on the TBEV is studied in Sverdlovsk and Chelyabinsk regions and slightly shown in the Kurgan region. There is no information about the evolution TBEV, the structure of immunity population, vaccine prevention in the Kurgan region. The article presents the dynamics epidemiological situation on TBEV in the Kurgan region over a 30-year period.Materials and methods: Used expedition reports, viral encephalitis named after the Academy of medical Sciences of the USSR for 1983–2007, as well as materials of medical institutions of the Kurgan region 2007–2017. For population immunity used: hemagglutination test (HAI-test), neutralization test (NT). To identify specific antibodies – IgG, IgM, antigen of TBEV, sets of reagents of ELISA from «Vector-Best» were used. To immunotypicalli and genotypically Strains and isolates RNA of TBEV isolated in 1983–2007, used precipitation in agar (RDPA) and by RT-PCR technique in real time with genotypespecific probes.Results and discussions: Kurgan region is a highly TBEV endemic area. the morbidity rate – 18,3 per 100 thousand people 1983. Maximum elevation – 44.1 in 1996 to and decrease to 13.5 in 2000–2012. The immune part of the population according hemagglutination tests, on epidemiologically significant territories is 15–20%, (66% NT), in the regions with sporadic incidence is 8%, (21–50% NT), in non-endemic territories – 3%. At the present stage, the region marked the expansion of nosoareal TBEV due to the previously less significant Eastern regions. In Kurgan region vaccination coverage against TBE 39.3%. The clinical efficacy of vaccination was manifested in an increase in fever forms of TBE disease and a decrease in meningeal and focal forms of the disease. In the period 2004–2012 the number of vaccinated patients was 20.3% of the total number of patients.Сonclusions. Evolution of tick-borne encephalitis manifested the expansion of nosoareal TBEV, increase seasonal activity of ticks, the TBEV Siberian subtype is absolutely dominating.


2020 ◽  
pp. 29-32
Author(s):  
V. A. Mishchenko ◽  
I. A. Kshnyasev ◽  
I. V. Vyalykh ◽  
I. P. Bykov ◽  
L. G. Vyatkina

The regions of the Ural Federal District (UFD) are highly endemic for tick-borne encephalitis (ТВE) territories. The dynamics of morbidity of ТВЕ in the population characterized by complex cyclic, depending on many external variables. Retrospective analysis of the long-term dynamics (2007–2019) of the incidence of ТВЕ in regions of the UFD, taking into account the number of tick affected people was presented. The chances of getting sick in tick affected peoples to quantify the effect of predictors on TBE incidence were calculated. Standard apparatus of the theory of generalized linear models – logit-regression was used. It was established that the regions of the UFD characterized by a similar dynamics in the odds ratio indicator, therefore, TBE incidence with alternating ups and downs with a trend towards a decrease in the chance of TBE getting sick in tick affected people from 2007 to 2019. On average, over 13 years, the chances of developing TBE are statistically significantly different in the studied regions of the UFD, which can be explained by the influence of many risk factors and their combinations on the TBE incidence.


2020 ◽  
Vol 66 (6) ◽  
pp. 2-2
Author(s):  
V.A. Perminov ◽  
◽  
A.V. Nagaytsev ◽  

The article presents results of the analysis of indicators of cancer incidence and primary disability due to malignant neoplasms among adult population of the Tomsk region in dynamics for 2015 - 2019, which indicate an upward trend (by 30.7%) exceeding the average indicators for the Russian Federation and the Siberian Federal District. Increased prevalence of malignant neoplasms among adult population of the Tomsk region over the period under study is due to better detection of malignant neoplasms (a 8.7% increase), as well as implementation of the new and improved methods of special anticancer treatment aimed at complete recovery and increased life expectancy of cancer patients. Malignant neoplasms were more often detected among urban population aged 65 and over (64.8%). The incidence rate of malignant neoplasms in the region progressed from 433.8 to 626.1 per 10 000 population due to increased detection of malignant neoplasms at the early stages (by 2.9%). The rate of advanced cases over the study period decreased by 1.5%. Since 2014, malignant neoplasms have been taking the lead in the structure of adults recognized as disabled for the first time. Indicators of primary disability in the adult population for the period 2015 - 2018 decreased, followed by the increase in 2019, however, the disability rate in all adult age groups remained below the similar indicators in Russia and the Siberian Federal District. Women, persons of the retirement age, and urban dwellers prevailed in this contingent of the disabled. The share of people of working age decreased from 38.4% to 35.2%. The share of people of the retirement age increased from 61.6% to 64.8%, respectively. Group II disability was the most often established, in dynamics, the share of the disabled with groups II and III decreased. There was a significant increase from 20.4% to 31.9% in the share of citizens who, during the initial examination, were established as group I. The main localizations of malignant neoplasms resulting in disability in 2015 - 2017 included mammary gland, larynx, trachea, bronchi and lungs, and female genital organs; and stomach and large intestine - in 2018 - 2019. The share of malignant neoplasms with multiple localizations increased from 1.8% to 5.2%.


2017 ◽  
Vol 22 (3) ◽  
pp. 134-138
Author(s):  
Aleksandr D. Safonov ◽  
Yu. A Pnevskiy ◽  
A. Kh Nurpeysova

In the article there are presented some epidemiological and epizootological data on brucellosis infection in the territory of the Omsk region in 2010-2014. There is specified the territorial spread of disadvantaged points for brucellosis of animals in the Omsk region. There is presented the incidence rate of newly diagnosed brucellosis cases in the region in the comparison with similar indices for Russia and the Siberian Federal District (SFD). The excess in the morbidity rate in the region in the comparison with the index on Russia in 2010 was shown to be by more than 2 times (0.7 and 0.3 per 100 thousand of population, respectively) with practically comparable indices for the region (0.15-0.35), in Russia (0.24-0.34) and SFD (0.22-0.39) over the subsequent 4 years. There are presented data on clinical pathogenetic variants in patients with newly diagnosed brucellosis for the indicated period. There was noted a significant excess of chronic brucellosis (in 20 of 35 patients) over other clinical and pathogenetic variants of infection. Based on the analysis of clinical and laboratory data in patients who were on the treatment in the D.M. Dalmatova Infectious Clinical Hospital No 1 in 2010-2014 years (N = 205), clinical characteristics of chronic and residual brucellosis with the specification of leading syndromes and symptoms at the present stage are presented.


2018 ◽  
Vol 99 (4) ◽  
pp. 678-684
Author(s):  
V A Spiridonov ◽  
L G Aleksandrova ◽  
V A Kalyanov ◽  
R R Latfullina

Aim. Study of regulatory and legal base according to the criminal case file submitted for expert and medico-legal assessment of a case of failure of health care in tick-borne viral encephalitis in an endemic zone. Methods. During the research, the expert and legal analysis was performed to establish the cause-and-effect relationship between health workers’ actions and lethal outcome of tick-borne viral encephalitis on the basis of standard and legal acts of the Russian Federation. Special authors’ attention was paid to the assessment of influence of quality of preventive measures organization concerning this viral infection. Results. Features and possible defects were studied and revealed not only at a stage of diagnosis and treatment of patients with tick-borne encephalitis, but also when taking preventive measures, taking into account the operating standard and legal base. Based on the research results the algorithm of actions during an expert legal assessment of efficiency of health care in similar cases was offered. Conclusion. The correct expert assessment of the revealed defects of health care is possible if overcoming all complexity of interpretation of epidemiological, clinical, laboratory and morphological data.


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