Spatial analysis of long-term combined epidemic manifestations of some natural focal infectious diseases in the territory of the Astrakhan region was carried out using geographical information system. Suggested is the method to detect territories where these combined epidemic manifestations are stable and its high effectiveness and predictive value are demonstrated. On the basis of received data suggested are the measures to increase the effectiveness of epidemiologic surveillance for natural focal infectious diseases.
Presence of combined natural foci of plague, tularemia, Crimean-Congo hemorrhagic fever, West-Nile encephalitis, Astrakhan spotted fever in the North-West Precaspian region was substantiated. Influence of anthropogenic and climatic conditions in formation of combined natural foci of infectious diseases of bacterial, rickettsial and viral etiology was pointed out. Up-to-date potential epidemic danger of the territories under consideration was evaluated.
The detailed description of imported cholera cases in Beloretshk, the Republic of Bashkortostan, in 2008 is presented. The cases were associated with pilgrimage in India. The similar case of cholera importation was registered in Beloretsk in 2004. Special attention should be paid to the persons returned from religious trips to India as their long stay in cholera endemic country increases the risk of infection. Should there appear gastrointestinal diseases in persons returned from cholera-endemic countries it is advisable to carry out their examination on cholera using bacteriological and serological methods.
Retrospective analysis of cholera spread in the early period of the seventh pandemic in Russia (1970-1973) has been carried out. It was elucidated that importation and further spread of cholera in the Astrakhan region in 1970 had been realized through the water way. The development of a large cholera focus in the territory of this region determined the unfavorable situation as regards this infection in the whole country in the period of 1970-1972. Water transport was shown to play the main role in cholera spread. The risk cohorts were the population of the Astrakhan region, shipboard personnel of the Volga steamship company, fishermen, persons without permanent residence. Molecular-genetic analysis of cholera agent strains isolated from the patients (vibriocarriers) and the environment showed that they belonged to one clone, thus the common origin of cholera cases in the basin of the Volga was confirmed.
Retrospective epidemiological analysis as regards infectious and parasitic diseases in the Astrakhan Region was carried out using the methods of complex multi-dimensional data analysis - OLAP. It was elucidated that application of the OLAP cube technologies enabled to facilitate complex retrospective analysis of epidemiological data in the context of different groups of infectious and parasitic diseases. It became possible by means of automation of calculations and use of qualitatively new methods in formation of database profiles. Enterobiasis and acute enteric infections of unidentified etiology were shown to be the most significant in epidemiological and social relation among the enteric group diseases.
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