Zhukov V V, Gerasimov A N, Zhukova L D, Briko N I, Babkina G M, Beliakov V D
Zh Mikrobiol Epidemiol Immunobiol. 1990 Jul(7):37-43.
The data obtained in the study of an explosive outbreak of acute respiratory diseases, tonsillitis and scarlet fever in one of schools in Moscow have made it possible to exclude the alimentary mechanism of its development and to demonstrate the role of the droplet mechanism of transmission in the appearance of its outbreak. The epidemiological analysis of the outbreak has permitted the formulation of the hypothesis on the conditions of the formation and spread of the epidemic variant of the infective agent; this hypothesis corresponds to the available data in literature on the qualitative changes of the infective agent in the course of the epidemic process. The study has shown that the prophylaxis of the explosive outbreaks of respiratory streptococcal infections must be ensured by the system of epidemiological surveillance with timely intervention into the epidemiological process at its early stages.
在对莫斯科一所学校急性呼吸道疾病、扁桃体炎和猩红热爆发情况的研究中所获得的数据，使得排除其发病的饮食传播机制成为可能，并证实了飞沫传播机制在疫情爆发中的作用。对此次疫情的流行病学分析，有助于就传染源流行变体的形成和传播条件提出假设；这一假设与文献中关于传染源在流行过程中发生定性变化的数据相符。研究表明，必须通过流行病学监测系统确保对呼吸道链球菌感染爆发的预防，并在流行病学过程的早期阶段及时进行干预。
