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[第七次霍乱大流行期间乌克兰和摩尔多瓦的霍乱情况]

[Cholera in Ukraine and Moldova during the 7th pandemic].

作者信息

Onishchenko G G, Lomov Iu M, Moskvitina E A, Podosinnikova L S, Moiseeva A V, Alekseenko V V, Chebotar' I F, Shestialtynova I S, Vlasov V P, Kudriakova T A

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1993 Mar-Apr(2):52-7.

PMID:8059573
Abstract

The epidemic manifestations of cholera in the Ukraine and Moldova in 1970-1991 are analyzed. In the Ukraine the peak of cholera morbidity in 1970 was caused by infection brought to the ports of Odessa and Kerch with its subsequent spread to other territories. This infection was characterized by outbreaks transmitted through water, mainly sea water, with the isolation of Vibrio eltor toxigenic virulent strains and outbreaks of vibrio carriership of alimentary (dairy) origin with the isolation of avirulent strains. In Moldova local outbreaks of water origin were registered in 1970-1972. In both territories prolonged (up to 16 years and even longer) circulation of cholera vibrios, mainly nontoxigenic and avirulent, were registered. The retrospective epidemiological analysis and the epidemiological situation in some regions of the Ukraine in 1991 completely confirmed the prognostic importance of the division of territories into regions according to the type of epidemiological manifestations and the necessity of differentiating the measures to be taken in the system of epidemiological surveillance.

摘要

分析了1970 - 1991年乌克兰和摩尔多瓦霍乱的流行表现。1970年乌克兰霍乱发病高峰是由带入敖德萨和刻赤港口的感染所致,随后传播到其他地区。这种感染的特点是通过水(主要是海水)传播的疫情,分离出埃尔托型产毒强毒株,以及食源性(奶类)弧菌带菌者疫情,分离出无毒株。1970 - 1972年摩尔多瓦记录到水源性局部疫情。在这两个地区都记录到霍乱弧菌长期(长达16年甚至更长时间)传播,主要是无毒和无致病力的菌株。1991年对乌克兰一些地区的回顾性流行病学分析和流行病学情况完全证实了根据流行病学表现类型将地区划分为不同区域的预后重要性,以及在流行病学监测系统中区分应采取措施的必要性。

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