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乌克兰的白喉。白喉流行病学的当前情况(1)

[Diphtheria in Ukraine. The current aspects of diphtheria epidemiology (1)].

作者信息

Chudnaia L M, Krasiuk L S, Oksiiuk V G, Moroz L V, Bryzhata S I, Cherednik V N

出版信息

Lik Sprava. 1995 Sep-Dec(9-12):147-9.

PMID:8983759
Abstract

From 1991 forth, a diphtheria epidemics has been spreading in Ukraine, the cause of which is decline in the level of collective immunity. The highest incidence rates are registered in large industrial centers. In rural areas, morbidity rates were found to be half as high as those in urban ones, particularly so among the adults. Morbidity and mortality were greater among those children of under school age who did not attend the child's pre-school institutions. Immunization of the adults done on a single-procedure basis does not protect them either against the disease or lethal outcome. The observed decline in mortality is due to the detection of mild forms of the disease, earlier diagnose and, therefore, start of the treatment. But even in 1994 the epidemic situation with respect to diphtheria looks serious in Ukraine, which fact necessitates inaugurating antiepidemic measures on a continuous basis, the mainstay of which is vaccinal prevention.

摘要

自1991年起,白喉疫情在乌克兰蔓延,其原因是群体免疫力水平下降。发病率最高的地区是大型工业中心。在农村地区,发病率仅为城市地区的一半,成年人尤其如此。未上过学前机构的学龄儿童发病率和死亡率更高。对成年人进行的一次性免疫接种既不能保护他们免受疾病侵袭,也不能避免致命后果。死亡率下降是因为发现了轻症病例,诊断较早,从而能够较早开始治疗。但即便在1994年,乌克兰白喉疫情形势依然严峻,因此有必要持续采取防疫措施,其中主要措施是疫苗预防。

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