Grabowski Marek Ludwik, Brydak Lidia Bernadeta
Główny Inspektorat Sanitarny.
Pol Merkur Lekarski. 2006 Sep;21(123):223-6.
Influenza is a seasonal viral disease. In Poland several thousand to several million cases and suspected cases of influenza are registered every epidemic season. The active participation of all 16 voivodships in SENTINEL the integrated epidemiological and virological surveillance of influenza and influenza-like illnesses, as well as the increase in flu vaccinations in each voivodship, is of significant importance, not only on account of seasonal morbidity, but also of a possible influenza pandemic. The aim of the study was to analyse influenza and influenza-like illnesses, taking into consideration incidence, hospitalisation and mortality, as well as isolation of the influenza virus and vaccination against flu in the Silesian voivodship in the years 2000-2005.
The analysis was carried out on the basis of annual reports concerning influenza and influenza-like illnesses in districts in the Silesian voivodship between 2000 and 2005. Results. The highest incidences of influenza and influenza-like illnesses in the Silesian voivodship in the years 2000-2005 were registered in the following districts: Wodzisław Slaski in 2000 and 2003, Jaworzno in 2001 and 2005, and Lubliniec in 2002, while the lowest incidence was noted in the Wodzisław slaski district in 2004. The peak of incidence of influenza and influenza-like illnesses was observed between January and March of a given year. The percentage of people vaccinated against flu in the above voivodship compared with the number of people vaccinated in Poland was between 10.7 and 12.8.
From an analysis of the period 2000-2005, we can conclude that, besides epidemiological surveillance, it is essential to introduce virological surveillance. Lack of pathognostic symptoms makes it difficult to present a diagnosis merely on the basis of a clinical case definition. Laboratory tests have a key role in diagnosing laboratory infections. Systematic health education is essential in Poland to popularise vaccinations against flu. This is particularly important in view of the fact that only about 8% of the Polish population is vaccinated every season. In EU countries the number of vaccinations is 3 times greater.
流感是一种季节性病毒性疾病。在波兰,每个流行季节都会登记数千至数百万例流感病例及疑似病例。波兰16个省积极参与流感及流感样疾病的综合流行病学和病毒学监测项目“SENTINEL”,并且每个省的流感疫苗接种率都有所提高,这不仅对于季节性发病率很重要,对于可能发生的流感大流行也具有重要意义。本研究的目的是分析2000年至2005年西里西亚省的流感及流感样疾病情况,同时考虑发病率、住院率和死亡率,以及流感病毒的分离情况和流感疫苗接种情况。
本分析基于2000年至2005年西里西亚省各地区流感及流感样疾病的年度报告。结果显示,2000年至2005年西里西亚省流感及流感样疾病发病率最高的地区如下:2000年和2003年是沃济斯瓦夫-斯拉斯基,2001年和2005年是亚沃日诺,2002年是卢布林涅茨,而2004年沃济斯瓦夫-斯拉斯基地区的发病率最低。流感及流感样疾病发病率高峰出现在每年的1月至3月。上述省份接种流感疫苗的人数占波兰接种人数的比例在10.7%至12.8%之间。
通过对2000年至2005年期间的分析,我们可以得出结论,除了流行病学监测外,引入病毒学监测至关重要。缺乏特征性症状使得仅根据临床病例定义进行诊断变得困难。实验室检测在诊断实验室感染中起着关键作用。在波兰,系统的健康教育对于推广流感疫苗接种至关重要。鉴于每个季节只有约8%的波兰人口接种疫苗,这一点尤为重要。在欧盟国家,疫苗接种人数是波兰的3倍。