April 20 to 26, 2020 – World Immunization Week

Author(s):  
Oksana Rybachok

Infectious diseases in the modern world continue to claim millions of human lives despite the achievements of medicine. While in developed countries the main cause of death is cancer and diseases of the cardiovascular system, it is the infectious processes that occupy leading positions in the structure of mortality in the third world countries. About 1.7 million children die from infections that could have been avoided by vaccination according to the World Health Organization. In contrast to the countries of Western Europe, where preventive vaccinations for the population are carried out for a fee, preventive vaccination in the Russian Federation is funded by the state. Immunoprophylaxis includes not only prevention of 12 major infections included in the calendar of preventive vaccinations (diphtheria, polio, tetanus, whooping cough, tuberculosis, measles, rubella, mumps, hepatitis B, pneumococcal infections and haemophilus influenzae, influenza), but also vaccination against 17 additional infections in case of epidemiological indications.

2020 ◽  
Vol 24 (3) ◽  
pp. 318-328
Author(s):  
Robert Ružickij ◽  
Tomas Astrauskas ◽  
Sarma Valtere ◽  
Raimondas Grubliauskas

AbstractModern world is exposed to various environmental concerns which are closely related to human health condition. Since the automatization, world became vulnerable to the noise and the waste amounts generated. World Health Organization report states, due to noise, Western Europe each year loses approximately 1 million of healthy life years. However, noise is not the only concern. Tyres, since they were banned from the landfills, became enormous problem in a modern society. Approximately 2.6 million tonnes of tyres are generated each year in Europe, out of which 320 000 tonnes of Recycled Tyre Textile Fibre (RTTF) waste. Practically, rubber granules and metals extracted from tyre can be reused, however reusing RTTF is a challenge. The main focus is on the possibility of reuse of RTTF in buildings for acoustical comfort improvement. The determination of sound absorption is implemented by experimental research, based on ISO 10534 standard, involving five types of sound absorbing materials. It was concluded that RTTF has a great potential in use for sound absorption structures and can be an alternative substitute to non-renewable and non-recyclable materials.


1984 ◽  
Vol 1 (3) ◽  
pp. 33-41 ◽  
Author(s):  
Thomas V. Greer

The International Code of Marketing of Breastmilk Substitutes, written by the World Health Organization and joined in by the United Nations International Children's Emergency Fund (UNICEF), was passed by the World Health Assembly in mid‐1981. Intended as a model statute for member nations to adopt, it is now at the centre of a controversy that is both complex and dynamic. This controversy is simultaneously one of humanitarianism, community health, business, and — most of all — law. No doubt most readers are familiar with the heated campaigns of the past few years against infant formula distribution in the Third World. Today the weight of public opinion in most developed countries is with the Code, but that does not necessarily imply ultimate adoption and implementation in other countries. This article attempts, while taking no position on the Code's merits, to examine its possible future. Specifically, (1) Will the Code be adopted and implemented? (2) What is the context in which such decisions will be made?


2020 ◽  
Vol 16 (4) ◽  
pp. 759-779
Author(s):  
E.V. Molchanova

Subject. This study focuses on the Finno-Ugric peoples carrying unique cultural customs and traditions. Objectives. I evaluate how various factors influence the demographic development of the Finno-Ugric peoples. Methods. Analyzing the current situation, I refer to official statistics and the Health for All database of the World Health Organization, statistical yearbooks of the Russian State Statistics Service. All data were organized as a special information system including several related blocks, such as economic development of locations, demographic situation, health and healthcare. Research was based on the comparative analysis of key medical-demographic and socio-economic indicators, and economic-mathematical apparatus. Results. I comprehensively evaluated the current situation macro- and mesoeconomically by gradually shifting from the comparison of countries to regional trends. I traced patterns of medical and demographic processes in the Finno-Ugric countries, such as Hungary, Finland and Estonia, and national autonomies across Russia. Conclusions and Relevance. I discovered that there is a certain relationship between a man and environment that translate into physical and physical health of people. They should be taken into consideration when outlining demographic development programs. The findings can be used to prepare regional medical and demographic documents, including the prevention of suicidal behavior and alcoholism and general medical services.


2003 ◽  
Vol 182 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Petros Skapinakis ◽  
Glyn Lewis ◽  
Venetsanos Mavreas

BackgroundUnexplained fatigue has been extensively studied but most of the samples used were from Western countries.AimsTo present international data on the prevalence of unexplained fatigue and fatigue as a presenting complaint in primary care.MethodSecondary analysis of the World Health Organization study of psychological problems in general health care. A total of 5438 primary care attenders from 14 countries were assessed with the Composite International Diagnostic Interview.ResultsThe prevalence of unexplained fatigue of 1-month duration differed across centres, with a range between 2.26 (95% CI 1.17–4.33) and 15.05 (95% CI 10.85–20.49). Subjects from more-developed countries were more likely to report unexplained fatigue but less likely to present with fatigue to physicians compared with subjects from less developed countries.ConclusionsIn less-developed countries fatigue might be an indicator of unmet psychiatric need, but in more-developed countries it is probably a symbol of psychosocial distress.


2009 ◽  
Vol 37 (4) ◽  
pp. 1191-1201 ◽  
Author(s):  
Y Ma ◽  
X Wang ◽  
X Xu ◽  
G Lin

This study investigated the complete remission (CR) rate and survival of 623 newly diagnosed patients with acute myeloid leukaemia (AML) in Shanghai, China, classified according to World Health Organization and French–American–British criteria, and compared the differences in treatment effect with those reported in developed countries and those reported in Shanghai from 1984 to 1994. Total CR rate was 66.5%, median survival was 18 months and estimated survival at 3 years was 30.8%. The 3-year relapse rate was 55.1%. These data showed that the CR rate was similar to that achieved in studies from developed countries, but long-term survival was worse. The CR rate and survival were increased markedly compared with data previously collected in Shanghai (1984-1994). Induction chemotherapeutic regimens based on idarubicin, daunorubicin or homoharringtonine all had similar CR rates and survivals. Karyotype was the most important prognostic factor. Multilineage dysplasia in de novo AML was not an independent prognostic factor. Improvement in the long-term treatment effect in China is an important challenge for the future.


Author(s):  
V. O. Belash ◽  
Yu. O. Novikov

According to experts of the World Health Organization the lower back pain (LBP) prevalence in developed countries reaches the pandemic size, and it is a serious medical and socio-economic problem. Acute back pain is transformed into chronic in 10–20 % of working age patients′ cases; this causes serious psychological disorders appearing, forms painful behavior and persists even when the initial pain trigger is eliminated. Data from metaanalyses of randomized controlled trials indicate the effectiveness of the osteopathic approach in the treatment of LBP patients. At the same time the osteopathic correction is effective not only for acute pain, but also for chronic pain. A case from clinical practice is described demonstrating the possibility of osteopathic correction of a LBP patient.


2020 ◽  
Vol 17 (1) ◽  
pp. 117-123
Author(s):  
N. G. Zumbulidze ◽  
V. M. Khokkanen ◽  
I. B. Litvin

According to statistical studies in recent decades, there has been an increase of allergic diseases in most countries of the world. Predisposing factors are the deterioration of the environmental situation, the total “chemicalization” of life and the forced use of drugs. Twenty years ago, the World Health Organization called the new century “the century of allergies” and the disease itself as an “epidemic”. As time has shown, these forecasts have come true: from 2001 to 2010, the number of allergic people in the world increased by 20 % and many of these patients suffer from ophthalmic manifestations of the pathology: the eyes are involved in the process in almost every second case. This is due to the fact that the eyes are directly exposed to the environment and a variety of external allergens. The most common disease of an eye-allergic nature is allergic conjunctivitis: approximately 15 % of the total population of economically developed countries suffer from it. Allergic blepharitis, eyelid dermatitis, keratitis, iritis, uveitis, retinitis and optic neuritis are much less common. The following manifestations are typical for allergic conjunctivitis: burning, lacrimation, pruritus, hyperemia of the eyelids and conjunctiva, photophobia. In the case of a transition to a chronic form, pronounced tissue changes are observed. Therefore, timely diagnosis and effective treatment certainly have a positive effect on the quality of life of the patient and the course of the disease. The treatment of patients with allergic conjunctivitis, first of all, consists in the maximum possible restriction of contact with the allergen. During desensitizing therapy, local and general drugs are used. Numerous studies have proven the advantage of targeted and effective antiallergic local therapy compared with systemic exposure. Currently used local ophthalmic antiallergic drugs belonging to various groups. The tactics of their use is determined by the acuity, severity and etiology of the process. When choosing a drug, in some cases, you should focus on the presence of substances that provide a double mechanism of action: a pronounced antihistamine activity in combination with the stabilization properties of mast cells, which has a quick and long therapeutic effect. This study evaluated efficacy of Vizallergol (olopatadin 0.2 %) application in cases of allergic conjunctivitis in 239 patients was evaluated. The medication arrested the symptoms of allergic conjunctivitis in 89 % of patients, at that the mean period of treatment made 10.7 ± 0.3 days. In the treatment of allergic conjunctivitis, the therapeutic efficacy of Vizallergol 0.2 % was comparable to opatanol 0.1 % and was found to be more comfortable for most patients due to the convenience of a single use.


2020 ◽  
Vol 23 (2) ◽  
pp. 33-41
Author(s):  
Ilya V. Borisov ◽  
Valeriya A. Bondar ◽  
M. M. Kanarskiy ◽  
Julia Y. Nekrasova ◽  
Dmitriy S. Yankevich ◽  
...  

According to the World Health Organization, injuries take first place among the causes of death among the population under 40 years of age. In the Russian Federation, in 2019, death from external causes, including injuries, was in third place in all deaths. Among the causes of disability first place. Mortality from severe traumatic brain injury is over 70%. The most common cause of disability and mortality is head injuries. Annually, 1.5 million people die from traumatic brain injury (TBI) in the world, and 2.4 million are disabled. According to the Federal State Budgetary Scientific Institution National Institute of Public Health named after N.A. Semashko, the annual damage from the head injury is estimated at 500 billion rubles. This is a serious socio-economic and state problem requiring complex and multidisciplinary intervention.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (3) ◽  
pp. 436-436
Author(s):  
GAIL R. BROWN ◽  
PETER MARGOLIS

This technical report describes the process followed in the development of the AAP practice parameter on acute gastroenteritis, as well as the evidence used to formulate the final recommendations. An evidence model that defined acute gastroenteritis and identified diagnostic tests and interventions used in its management and outcomes of importance was used to identify topics to include in the guideline. The three topics selected were: (1) methods of rehydration, (2) refeeding after rehydration, and (3) the use of antidiarrheal agents. Primary outcomes of interest were duration of disease, complications of therapy, parental satisfaction, and cost. Multiple bibliographic sources were searched to identify articles related to these areas; the sources included MEDLINE, reports on gastroenteritis from the Centers for Disease Control and Prevention and the World Health Organization, the Federal Register, a report to the Food and Drug Administration, and files of the expert panel. More than 4000 articles were initially reviewed, of which 230 were identified as being potentially related to the three topics. Qualitative aspects of the literature reviewed were summarized in evidence tables. Sufficient data for quantitative summary were available only for refeeding after rehydration. In this analysis, the weighted difference across studies between treatment and control groups in the mean duration of diarrhea was used as the measure of the relative benefit of one form of therapy over another. Methods of Rehydration Evidence comparing oral rehydration and intravenous therapy was limited to five reports of randomized trials conducted in developed countries. It was not possible to perform a quantitative synthesis of this information because of a lack of similar outcomes.


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