Alicković Ibrahim, Tandir Salih, Puvacić Zlatko, Zvizdić Sukrija, Hamzić Sadeta
Zdravstveni fakultet Zenica, Dom zdravlja Kakanj.
Med Arh. 2008;62(2):96-9.
After the war in Bosnia and Herzegovina there is a sudden increase in number of infected with the Q-fever, which becomes huge public health and economic problem. Although this disease occurred in very different geographic areas of Bosnia and Herzegovina the Zenica-Doboj Canton was among the most affected. Infections of Q-fever at the Zenica-Doboj Canton represent very complex epidemiology problem, because it is in highest incidence rates not only for Bosnia and Herzegovina, but also for Europe. The total number of population affected by Q-fever in Zenica-Doboj Canton since the beginning of 1998 until the end of 2005 was 193, with the average morbidity rate of 48.30 %000. In Zenica-Doboj canton affected by Q-fever was the inhabitants of both genders, all ages and on wide territory, which in majority of cases did not have the contact with domestic animals. Incubation period varies from 14 to 27 days. Actual incidence rate due to asymptomatic occurrence of this disease is for sure higher. Researches of spreading manner for the Q-fever among humans showed that this disease can be spread in epidemic and sporadic manner in Zenica-Doboj Canton, and that there are many risk factors which influence its occurrence.
在波斯尼亚和黑塞哥维那战争之后，Q热感染人数突然增加，这成为了一个巨大的公共卫生和经济问题。尽管这种疾病在波斯尼亚和黑塞哥维那的不同地理区域都有发生，但泽尼察-多博伊州是受影响最严重的地区之一。泽尼察-多博伊州的Q热感染代表了非常复杂的流行病学问题，因为该州不仅在波斯尼亚和黑塞哥维那发病率最高，在欧洲也是如此。从1998年初到2005年底，泽尼察-多博伊州受Q热影响的总人口为193人，平均发病率为48.30/10万。在泽尼察-多博伊州，受Q热影响的是各个年龄段、不同性别的居民，分布在广阔的区域，大多数情况下他们并未与家畜接触。潜伏期为14至27天。由于这种疾病存在无症状病例，实际发病率肯定更高。对Q热在人群中的传播方式的研究表明，在泽尼察-多博伊州，这种疾病可以以流行和散发的方式传播，并且有许多危险因素会影响其发生。
