Gurycová D, Varga V, Výrosteková V, Gacíková E, Péci J
Ustav epidemiológie, Lekárska fakulta Univerzity Komenského, Bratislava.
Epidemiol Mikrobiol Imunol. 1999 Aug;48(3):97-101.
The activation of natural foci of tularaemia in West Slovakia during 1994-1996 led to an epidemic outbreak in 1995-1996--mean annual morbidity 6.2 per 10(5) population. In comparison with the mean annual morbidity rate in the preceding period (1980-1994), a more than sevenfold increase was recorded. Of 213 notified cases of the disease 156 cases occurred in 1995--morbidity 8.9 per 10(5) population--being the highest morbidity recorded in this endemic region since the period of epidemic occurrence in the 60s. The highest proportion of cases (59.2%) was recorded in the districts of Nitra and Nové Zámky. The activation of natural foci along with changing social conditions, caused also marked changes of some epidemiological characteristics of tularaemia in Slovakia, such as seasonal and professional occurrence, as well as clinical forms of the disease. The impaired epidemiological situation in the occurrence of tularaemia is pointing to the importance of systematic surveillance to improve the diagnosis of the disease and ensure effective preventive measures.
1994 - 1996年斯洛伐克西部兔热病自然疫源地的激活导致了1995 - 1996年的疫情爆发，年平均发病率为每10万人6.2例。与前一时期（1980 - 1994年）的年平均发病率相比，发病率增长了7倍多。在报告的213例病例中，156例发生在1995年，发病率为每10万人8.9例，是该流行地区自60年代疫情发生以来记录到的最高发病率。病例比例最高（59.2%）的是尼特拉和新扎姆基地区。自然疫源地的激活以及社会条件的变化，也导致了斯洛伐克兔热病一些流行病学特征的显著变化，如季节性和职业性发病情况以及疾病的临床形式。兔热病发病时流行病学状况的恶化表明，系统监测对于改善疾病诊断和确保有效预防措施至关重要。
