Objective: to study the clinical and epidemiological features of tularemia to identify its differences from other diseases. flowing with lymphadenopathy. Materials and methods The study included patients living in the Kirov region undergoing tularemia from 2012 to 2018. For the laboratory confirmation of the diagnosis of tularemia used agglutination with tularemia antigen and a method of solid phase ELISA. The results Among the patients were dominated by citizens (63.4%). All cases were recorded in the summer. Infection usually occurred during the bites of flying insects. The most common manifestations of the disease were fever and lymphadenitis. Among the clinical forms prevailed ulcero – glandular (71,7%). The correct diagnosis at the prehospital stage is exhibited only in 28.6% of patients. Conclusion Tularemia remains an actual natural focal infection. To reduce the incidence of disease, it is necessary to increase the volume of vaccination of the population and regularly improve the knowledge of physicians with regard to endemic infections in the region.
Kirov Region is one of the leaders of the incidence of Lyme borreliosis. Absolute and average incidence rates per 100 000 population is 5-7 times higher than the general federal ones. In the region the active natural nidus of infection is resided. Significant reservoirs of Lyme borreliosis are small animals - the hares and the foxes. Main vector of infection - the taiga tick infection reaches 47%. Active center of Lyme borreliosis is concentrated in the southern and central subzone of the taiga. In recent years, the incidence is shifted to the central and northern areas. Among the diseased patients inhabitants of cities are dominated, in recent years their incidence is increasing.
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