Vasil'ev L V
Zh Mikrobiol Epidemiol Immunobiol. 1978 Mar(3):135-9.
Factors of action on the epidemic process in viral hepatitis in Orekhovo-Zuevo leading to a sharp reduction of the incidence of this disease (which before failed to differ from the mean level in the USSR) -- from 154.0 per 100 thousand residents in 1970 to 36.5 per 100 thousand residents in 1975 are considered from the point of view of discussion of the work of Gromashevsky and Birinboim (ZMEI No. 11, 1976). The decisive significance of measures directed to reduction of the incidence of intestinal infections and gamma-globulin vaccinations is refuted. There was revealed a direct 100% correlation between the incidence of positive benzidine tests for blood contamination of medical instruments and the changes in the viral hepatitis morbidity. Planned measures directed to the elimination of factors of parenteral transmission of the infection carried out intensively from 1970 led to reduction of the incidence of viral hepatitis.
从讨论格罗马舍夫斯基和比林博伊姆的工作(《医学与生物学》1976年第11期)的角度出发,分析了奥列霍沃-祖耶沃病毒性肝炎流行过程中的影响因素,这些因素导致了该疾病发病率的急剧下降(此前其发病率与苏联平均水平无异)——从1970年每10万居民中有154.0例降至1975年每10万居民中有36.5例。针对减少肠道感染发病率和接种丙种球蛋白的措施具有决定性意义这一观点遭到了驳斥。医疗仪器血液污染的联苯胺试验阳性发生率与病毒性肝炎发病率变化之间存在直接的100%相关性。1970年起大力开展的旨在消除感染经肠道外传播因素的计划性措施,使病毒性肝炎的发病率有所降低。