Ogarkov P I, Malyshev V V, Tokmakov V S, Smirnov A V
Military-Medical Academy, Saint-Petersburg, Russia.
Minerva Gastroenterol Dietol. 2004 Jun;50(2):165-9.
The last decade of the 20th century was characterized by the improvement of the virus hepatitis (VH) in diagnosis system, on the one hand, and by the change in the VH etiologic structure, on the other hand. This was due to the influence of several processes: the ongoing decrease of hepatitis A (HA) morbidity rate in most regions, the increase of hepatitis B (HB) morbidity, the introduction of methods for hepatitis C (HC) diagnosing and reporting, the emergence and progressive increase of VH number with combined etiology, the improvement of diagnosing and reporting of chronic VH. Analogous processes occurred similarly in the Armed Forces (AF) of Russia. Thus, VH in the army has definite epidemiologic features. It must be taken into account not only by military healthworkers but by civil specialists as well. This can be of critical importance when operating under extreme conditions.
20世纪的最后十年,一方面是病毒性肝炎(VH)诊断系统的改进,另一方面是VH病因结构的变化。这是由几个过程的影响导致的:大多数地区甲型肝炎(HA)发病率持续下降,乙型肝炎(HB)发病率上升,丙型肝炎(HC)诊断和报告方法的引入,病因合并的VH数量的出现和逐步增加,慢性VH诊断和报告的改进。类似的过程在俄罗斯武装部队(AF)中也同样发生。因此,军队中的VH具有明确的流行病学特征。不仅军事卫生工作者,而且民事专家也必须予以考虑。在极端条件下行动时,这可能至关重要。