Департамент профилактики инфекционных болезней и санитарно-эпидемиологического надзора Министерства здравоохранения Кыргызской Республики, Бишкек, Республиканский центр общественного здоровья, Кыргызская государственная медицинская академия имени И.К.Ахунбаева Department of disease prevention and sanitary-epidemiological surveillance МOH, Kyrgyz Republic,Bishkek, Republic Center for health improvement Ministry of Health, I.K. Akhunbaev Kyrgyz State medical academy, Bishkek В статье приводятся данные обследования домовладений членами СКЗ по регионам республики о состоянии санитарно-гигиенических объектов, оценки навыков личной гигиены населения и о проведенных мероприятиях по повышению знаний и гигиенических навыков. Ключевые слова: инвазированность, гигиенические навыки населения, дворовые туалеты, состояние, эффективность.The article provides data on a survey of households by Village committees of health members in the regions of the republic on the state of sanitary facilities, assessments of personal hygiene skills of the population and on measures taken to increase knowledge and hygiene skills.
В статье представлена эпидемиологическая ситуация по паразитарным заболеваниям в КР по территориям, во времени и среди различных групп населения. Отмечается выраженная тенденция снижения заболеваемости энтеробиозом и аскаридозом. Однако инвазии зоонозной этиологии сохраняют актуальность.
The analysis of the epidemiological situation on parasitic diseases for 2008-2019 showed an upward trend. The prevalence of intestinal infections is one of the most important indicators of social and sanitary wellbeing. According to the age category, children of preschool and school age are more susceptible to invasion. According to the gender distribution, there is a relatively high prevalence in women. During the analyzed period, the parasitic structure throughout the republic among the examined individuals was formed from eleven nosological forms that are more common in the country: enterobiosis, giardiasis, ascariasis, hymenolepidosis, teniarynchosis, teniosis, echinococcosis, alveococcosis, dicrocelesis, fasciolosis, trichocephalosis. During the analyzed period in the Kyrgyz Republic (KR), the average long-term incidence of parasitoses per 1000 examined persons was 34.5, the minimum - 32.6 (2008) and the maximum-38.4 (2012). Key words: invasion, mixed invasion, enterobiasis, ascariasis, echinococcosis, giardiasis, lesion, longterm indicator.
Introduction: Tuberculosis (TB) contact investigation as a proved approach for finding new TB cases, is not fully performed in Kyrgyzstan. In 2018, the country started aligning the National Guidelines for tracking contacts with the WHO recommendations by expanding the definition for TB index cases to all close contacts, regardless of their TB risk status. Methodology: This cross-sectional census aimed to determine the active case detection changes among TB contacts after implementation of a new TB tracing strategy using the National Surveillance data. We compared populations in Chui and Issyk-Kul regions of Kyrgyzstan who had contacts with TB index cases before (2017) and after (2018) strategic changes for the rates of indexes, contacts, screened contacts, and detected TB among screened contacts. Results: New TB tracing strategy resulted in increased numbers of indexes (21%) and contacts (36%). Though the smaller number of contacts (1730 vs. 1590) have been screened in 2018, the proportion of TB diagnosed was substantially higher (95% CI: 0.024-0.005; p = 0.002) in 2018 vs. 2017. The mean numbers of TB contacts per-one-index-case also has increased dramatically by 117% (1.8 vs. 3.9) in Chui and by 43% (3.0 vs. 4.3) in Issyk-Kul regions (95% CI: 3.20-3.37; p < 0.001 and 95% CI: 2.97-3.09; p < 0.001, respectively) between 2018 and 2017. Conclusion: Extending new tracing approach to other regions of Kyrgyzstan will increase the number of identified contacts, leading to better TB control in the country and prevention of more severe TB development among the unidentified contacts.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.