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第一次世界大战后波兰急性传染病防控史——至1924年(包括大城市)

[History of the control of acute infectious diseases in Poland after the World War I--until the year 1924 (including big cities)].

作者信息

Berner Włodzimierz

机构信息

Katedra i Zakład Historii Medycyny i Farmacji, Uniwersytetu Medycznego w Lodzi.

出版信息

Przegl Epidemiol. 2008;62(4):849-59.

Abstract

Acute infectious diseases of high intensity, i.e. typhus fever, typhoid fever, dysentery, followed by scarlet fever, measles, malaria, relapsing fever, whooping cough, diphtheria, smallpox and Asiatic cholera spreading after the World War I in Poland posed one of the most significant problems in the reviving country. Their incidence resulted not only from bad living conditions of the population but also from poor personal and environmental hygiene and lack of access to bacteriologically healthy drinking water. The Polish-Bolshevik war (1919-1920) as well as repatriation of war prisoners and the Polish population from Russia (its territory was a reservoir of numerous infectious diseases) and the return of large groups of displaced people contributed to spread of epidemics. Morbidity rate of acute infectious diseases was the highest in the big Polish cities, especially in Warsaw, Lodz, Lvov, Cracow and Vilnius. The Bureau of Chief Emergency Commissar for fighting against epidemics, which closely cooperated with other Polish sanitary institutions and international organisations, rendered the greatest service to the control of infectious diseases. Until the year 1924, the largest foci of diseases were controlled and their incidence decreased, what was possible after formation of sanitary posts along the eastern border of Poland, organisation of infectious disease hospitals, bath and disinfection centres in the country, and implementation of protective vaccinations.

摘要

高强度的急性传染病,如斑疹伤寒、伤寒、痢疾,其次是猩红热、麻疹、疟疾、回归热、百日咳、白喉、天花和一战后在波兰传播的霍乱,是这个复兴中的国家面临的最重大问题之一。其发病率不仅源于民众恶劣的生活条件,还源于个人和环境卫生状况差以及无法获得细菌学意义上健康的饮用水。波苏战争(1919 - 1920年)以及战俘和波兰民众从俄罗斯遣返(俄罗斯领土是众多传染病的疫源地)和大批流离失所者的回归导致了疫情的蔓延。急性传染病发病率在波兰大城市最高,尤其是华沙、罗兹、利沃夫、克拉科夫和维尔纽斯。负责抗击疫情的首席紧急事务专员办公室与波兰其他卫生机构及国际组织密切合作,为控制传染病发挥了最大作用。到1924年,最大的疾病疫源地得到控制,发病率下降,这是在波兰东部边境沿线设立卫生站、在国内组织传染病医院、洗浴和消毒中心以及实施预防接种之后才得以实现的。

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