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.
The article presents the experience of the interdepartmental commission for the diagnosis of brucellosis. A retrospective analysis of cases of brucellosis in the region revealed the prevalence of primary chronic and residual clinical and pathogenetic variants of the disease among the population with a household and occupational risk of infection. The role of a comprehensive assessment of epidemiological, epizootological, clinical and laboratory criteria for diagnosis is shown. The assessment of the significance of each of the criteria in the complex conclusion of the commission allows to determine the vectors of additional epidemiological investigation and clinical and laboratory examination.
There is given a description of outbreaks of anthrax in humans and animals in the Omsk region in 20J0. There are presented epidemiological, epizootological, clinical features and outcomes of the disease, the methods used for laboratory confirmation of the diagnosis, treatment principles.
Omsk region is part of the Siberian Federal district (SFD), for many years the situation on brucellosis in the region is characterized as unstable. The objective of the study was to analyze the clinical and epidemiological situation of brucellosis in Omsk and Omsk region in 2008–2018 and to identify the relationship between the incidence of brucellosis in humans and the location of enterprises for processing animal products. Material and methods. We have conducted an analysis of 407 of official records in epidemiologi-epidemiological situation in the Omsk region for the period 2008–2018 and the data portal, participants of the market of dairy (http://milknet.ru) and cold (http://meatinfo.ru) products. Results. Indicators of the incidence of brucellosis in the region exceeded significantly those in the Siberian Federal district and Russia in general. The peak of brucellosis incidence in Omsk region was in 2008–2010. The risk groups were people of working age (40–59 years). The connection of the disease with the profession was established in 44 patients with brucellosis. The prevalence of chronic brucellosis in 41 (45.0%) patients and residual brucellosis in 12 (13.0%) patients over other clinical variants was revealed. Epizootological situation of brucellosis in Omsk region was characterized as unstable. During the analyzed period, 22 unfavorable points on brucellosis of farm animals were registered. Most of the problem areas (20 out of 22) were identified in private households. The number of cases of brucellosis is comparable with the number of enterprises for processing raw materials of animal origin. Conclusion. To improve the effectiveness of measures taken to combat brucellosis in the region, strict monitoring of compliance with sanitary and anti-epidemic measures in enterprises of all forms of ownership and real programs to support private owners of the animals. Key words: brucellosis, Omsk region, epidemic situation, epizootic situation
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