Tandir Salih, Huseinagic Senad, Sivic Suad
Public Health Institute of Zenica-Doboj Canton, Zenica, Bosnia and Herzegovina.
Med Arh. 2010;64(4):240-4.
The aim of this article is to investigate and identify all the relevant ways of epidemiology significance for transmitting infectious diseases in the existing unsatisfactory hygienic and sanitary conditions in rural areas of the municipality of Zenica, which are positively correlated with occurrence and spread of infectious intestinal diseases. The study was conducted in seven rural localities of Zenica municipality where the dominant livestock are sheep and cows, and the population is mostly dealing with individual production of cheese and milk. This research aimed to examine and identify the conditions favoring life as the primary issues that affect the increase in the risk of and maintenance of intestinal infectious diseases such as: the level of environmental sanitation in investigated villages, sanitary and hygiene habits of families living in the villages studied, ratio of population to personal hygiene, health safety of water supply, hygienic disposal of fecal waste and waste generated in the breeding of animals. The study included the monitoring and statistical analysis of the epidemiological situation in the values of average prevalence rates of the intestinal infectious diseases in the 1000 inhabitants of each village studied. The study identified five major negative epidemiological indicators that have a major impact on the appearance and maintenance of intestinal infectious diseases. The leading indicator is a negative relationship and personal hygiene attitude in the broader sense, the pending state of water supply, sanitary toilets and unresolved rubbish dump with a negative attitude and stance toward general hygiene. Identified are all the relevant ways of epidemiology importance that are positively correlated with occurrence and spread of infectious intestinal disease. Investigations of the epidemiological situation regarding the occurrence of intestinal infectious disease in the study population showed that intestinal infectious diseases in the investigated area is constantly maintained and that the average prevalence rate is shown suffering intestinal infectious diseases in the 1000 inhabitants significantly higher than the prevalence of these diseases in the urban area where they can be identified in a significant number of negative epidemiological indicators.
本文旨在调查并确定在泽尼察市农村地区现有不尽人意的卫生条件下,所有具有流行病学意义的传染病传播相关途径,这些条件与肠道传染病的发生和传播呈正相关。该研究在泽尼察市的七个农村地区进行,这些地区主要饲养绵羊和奶牛,当地居民大多从事奶酪和牛奶的个体生产。本研究旨在检查和确定有利于生活的条件,这些条件是影响肠道传染病风险增加和持续存在的主要因素,例如:被调查村庄的环境卫生水平、所研究村庄家庭的卫生习惯、人口与个人卫生的比例、供水的卫生安全、粪便废物和动物养殖产生的废物的卫生处理。该研究包括对每个被研究村庄每1000名居民中肠道传染病平均患病率值的流行病学情况进行监测和统计分析。该研究确定了五个对肠道传染病的出现和持续存在有重大影响的主要负面流行病学指标。首要指标是广义上个人卫生态度的负面关系、供水的待解决状态、卫生厕所和未解决的垃圾场以及对总体卫生的负面态度和立场。确定了所有与肠道传染病的发生和传播呈正相关的具有流行病学重要性的相关途径。对研究人群中肠道传染病发生情况的流行病学调查表明,被调查地区的肠道传染病持续存在,且每1000名居民中肠道传染病的平均患病率显著高于城市地区这些疾病的患病率,在城市地区可以发现大量负面流行病学指标。