Bondarenko A L, Utenkova E O, Russkikh G A, Khmelevskaia N S
State Medical Academy, Regional Center of Sanitary and Epidemiological Surveillance, Kirov, Russia.
Zh Mikrobiol Epidemiol Immunobiol. 2002 May-Jun(3):27-30.
The dynamics of leptospirosis morbidity in the Kirov region for many years is presented. The wide spread of leptospirosis foci, both natural and formed as the result of human activities, in the region is shown. The main role in infecting humans with leptospires belonged to the latter foci in a number of districts in the region was established. The etiological structure of leptospirosis cases among humans was represented, primarily, by leptospires of serogroup Grippotyphosa, following by serogroup Canicola and then serogroups Pomona, Tarassovi, Sejroe, Australis, Javanica. The dominating serogroups of leptospires were Grippotyphosa in wild rodents and Sejroe in agricultural animals. Persons belonging to the age group constituting the mainstay of work force (20-49 years) prevailed among the patients: town dwellers, factory and office workers. The main role in the transmission of infection to the population was played by the water factor.
介绍了基洛夫地区多年来钩端螺旋体病的发病动态。展示了该地区自然形成以及人类活动导致形成的钩端螺旋体病疫源地广泛分布的情况。确定了在该地区一些行政区,人类感染钩端螺旋体主要是由后者(人类活动导致形成的疫源地)引起的。阐述了人类钩端螺旋体病病例的病原学结构,主要是波摩那群钩端螺旋体,其次是犬群钩端螺旋体,然后是庞那群、塔拉索夫群、澳洲群、爪哇群钩端螺旋体。钩端螺旋体的主要血清群在野生啮齿动物中是波摩那群,在家畜中是澳洲群。患者中以属于劳动力主体年龄组(20 - 49岁)的人居多:城镇居民、工厂和办公室工作人员。水因素在感染人群传播中起主要作用。