2025-09-29 2011, Volume 16 Issue 6
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    Vitaliy Il'ich Litvinov, Marina Vital'evna Makarova, Mariya Aleksandrovna Krasnova, V I Litvinov, M V Makarova, M A Krasnova

    The data available in the literature and the results of trials conducted at the Moscow City Center for Tuberculosis Control suggest that non-tuberculous mycobacteria (NTMB) and its induced pathology (mycobacterioses) are a serious health problem today. The paper describes the methods and results of shedding of NTMB, determination of their susceptibility to antibacterial (including anti-tuberculous) agents, and diagnosis of mycobacterioses.

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    Zh Kupul, D Otgonbayar, Zh Kupul, D Otgonbayar
    2011, 16(6): 11-13. https://doi.org/10.17816/EID40612

    This paper analyzes the state-of-the-art of infectious diseases in Mongolia over 90 years of public health in Mongolia.The situation related to infectious diseases has undergone substantial changes over 90 years. Smallpox and plague occurred frequently in pre-revolutionary Mongolia. Due to mass vaccination against smallpox, the latter was eradicated in Mongolia in 1940. Systematic health-promotion and prophylactic work against plague has resulted in stable epidemic well-being over the past many past years. The high preventive vaccination coverage rates have been achieved by widely immunizing the population in the country, which could considerably reduce the incidence of infections controlled by specific preventive means. In the past 10 years, the country has not notified diphtheria and whooping cough and the incidence of measles has stabilized at a level of 0.9-1.0 per 100,000 population.At that stage, out of the infectious diseases, viral hepatitis and HIV infection have engaged special attention. Although the incidence of hepatitis B has recently stabilized owing to vaccination; that of hepatitis A has remained high as compared to that in European and North American countries and, in the past 10 years, this rate has been 162.0-391.0 per 100,000. The first case of HIV infection in Mongolia was registered in 1992; as of 2010, the country notified not more than 83 cases, of which 21 (25.3%) cases were registered in 2010, which shows a considerable deterioration in the country's epidemiological situation. The immediate task at that stage is to build on earlier successes and to prevent the emergence and spread of infectious diseases that are absent in Mongolia.

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    Irina Anatol'evna Dubrovina, Ekaterina Andreevna Bazhenova, Irina Vasil'evna Kiseleva, Zh A Berdygulova, Natal'ya Valentinovna Larionova, Larisa Georgievna Rudenko, I A Dubrovina, E A Bazhenova, I V Kiseleva, Zh A Berdygulova, N V Larionova, L G Rudenko
    2011, 16(6): 14-18. https://doi.org/10.17816/EID40619

    erson-to-person transmission plays a key role in the spread of seasonal and pandemic strains. To unveil the mechanisms underlying the transmissibility will be able to more effectively control influenza and search for new ways and methods of its prevention. Today vaccination is the most effective method for influenza prophylaxis. Therefore whether live influenza vaccine strains can spread in the population through their further reassortment with circulating viruses is extremely important. This investigation on a model of guinea pigs has studied whether wild-type and cold-adapted influenza viruses can be transmitted to uninfected animals. Influenza H5N1 virus is shown to be a highly transmissible agent to not only contact animals, but also to those which are a considerable distance from them. There is evidence that there is interference of cold-adapted strains with wild-type viruses, which opens new prospects for the use of live influenza vaccine in the pandemic situation and confirms that it is groundless to fear (be concerned) about that mass vaccination of population with live attenuated influenza vaccine may lead to the generation of reassortant mutant viruses with higher pathogenicity level.

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    Devora Mikhaylovna Sobchak, Ol'ga Vladimirovna Korochkina, Tat'yana Aleksandrovna Svintsova, Galina Anatol'evna Kravchenko, Viktor Vladimirovich Novikov, D M Sobchak, O V Korochkina, T A Svintsova, G A Kravchenko, V V Novikov
    2011, 16(6): 18-23. https://doi.org/10.17816/EID40624

    The high incidence of herpesvirus infections is one of the topical problems of modern medicine. Herpesviruses are widely spread in the human population; they are able to affect virtually all organs and systems of the host, by causing latentDifferentiation antigens (sCD95, sCD18, sCD50, sHLAI, sCD54) was studied by enzyme immunoassay using monoclonal antibodies (Ab) ICO-20 and polyclonal Abs to antigens of human peripheral blood mononuclear cells. A control group included 60 health donors matched with the study group for age and gender.Age over 60 years, moderate herpes zoster, eruptions on the torso, no comorbidities, and a 1.5-2-fold increase in sHLAI as compared with the reference values were found to be factors that contribute to the uncomplicated course of the disease. The cofactors of postherpetic neuralgia were elderly age (more than 60 years), the severe course of the disease, eruptions on the head, comorbidities, elevated blood urea levels, a 1.5-2-fold decrease in sCD95 and sCD54 as compared to the reference values.

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    Aleksandr Fedorovich Lazarev, Aleksandr Anatol'evich Ushakov, Sergey Aleksandrovich Lazarev, Nikolay Yakovlevich Luk'yanenko, A F Lazarev, A A Ushakov, S A Lazarev, N Ya Lukyanenko
    2011, 16(6): 23-28. https://doi.org/10.17816/EID40630

    The paper gives the results of epidemiological studies of total cancer morbidity rates in the areas of the Altai Territory in the past 15 years. Areas of high (more than 400), moderate (300-400), and low (less than 300 per 100000 population) have been identified. The level of pollution of foodstuffs, water, soil, and ambient air with heavy metals, partial combustion products, pesticides, radionuclides, and other carcinogens have been estimated. Whether the territory's dwellers have high Epstein-Barr virus titers has been investigated. The natural climatic factors (ultraviolet, rhadon) of the territory and the spread of tobacco use among its population have been estimated. The impact of total carcinogenic burden on cancer morbidity in the Altai Territory was estimated. The study has established that it is necessary to assess the risk for cancer in each administrative entity from its total burden rather than single, though even very potent factor, and, on this basis, to build a system of preventive measures.

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    Valentina Alekseevna Govorunova, Evgeniy Il'ich Astashkin, Andrey Mitrofanovich Baranov, Vasiliy Aleksandrovich Bannov, Valeriy Nikolaevich Borzenkov, Larisa Ivanovna Volodina, Sergey Andreevich Ivanov, Evgeniy Viktorovich Mitsevich, Irina Petrovna Mitsevich, Vera Pavlovna Myakinina, Dmitriy Mikhaylovich Pachkunov, Mikhail Evgen'evich Platonov, Eduard Arsen'evich Svetoch, Viktoriya Viktorovna Yuskevich, V A Govorunova, E I Astashkin, A M Baranov, V A Bannov, V N Borzenkov, L I Volodina, S A Ivanov, E V Mitsevich, I P Mitsevich, V P Myakinina, D M Pachkunov, M E Platonov, E A Svetoch, V V Yuskevich
    2011, 16(6): 28-32. https://doi.org/10.17816/EID40633

    The researchers of the State Research Center of Applied Microbiology and Biotechnology conducted a comprehensive laboratory study of clinical materials and the samples of foodstuffs and organs from wild rodents in order to isolate and identify a pathogen that had caused the outbreak of food infection in the Krasnoyarsk Territory in June-July 2008. Yersinia pseudotuberculosis strains were isolated from the clinical materials. Biochemical and serological typing, molecular genetic analysis, phagodiagnosis, and drug resistance determination showed that all the clinical isolates were genetically related.

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    Gul'nara Tmukhanovna Khauadamova, Tleukhan Shildebaevich Abildaev, Anar Saduevna Rakisheva, Galina Alekseevna Myasnikova, Yana Vadimovna Besstrashnova, G T Khauadamova, T Sh Abildayev, A S Rakisheva, G A Myasnikova, Ya V Besstrashnova
    2011, 16(6): 33-38. https://doi.org/10.17816/EID40641

    The purpose of the investigation was to study the efficiency of treatment with essential drugs in patients with recurrent tuberculosis of different types of drug resistance on the basis of cohort analysis.A cohort retrospective study was conducted in 94 patients with recurrent pulmonary tuberculosis. The study enrolled more than 18-year-old bacteria-excreting patients admitted to the Therapeutic Unit, National Center for Tuberculosis Problems, in 2006 to 2008. All the patients received category II chemotherapy regimen with first-line drugs.According to the type of drug resistance, the patients were divided into 3 groups: 1) mono-; 2) poly-; 3) multi-resistance.The investigation yielded the following results. In shorter periods (3 months), sputum smear conversion was achieved in patients with mono- (90.0%), poly- (64.7%), and multi- (32.8%) resistance. Overall, sputum smear conversion at 5 months was achieved in 90.0, 88.1, and 74.5% cases, respectively.Positive X-ray changes as decay cavity reduction (70.0%) and closure (30.0%) were most common in the mono-resistance group. On the contrary, X-ray progression was ascertained in poly- (11.7%) and multi- (16.4%) resistant patients.The cohort analysis showed that the best results of treatment were achieved in mono-resistant patients (90.0%). On the contrary, the worst treatment results were recorded in multi-resistant patients (24.6%). All those who died of tuberculosis (8%) had formed a multi-resistance group.

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    Aleksandr Anatol'evich Nafeev, Dilyara Anverovna Khakimova, Guzel' Muzipovna Aynutdinova, Venera Irfanovna Abbyazova, Aleksandra Ivanovna Mayorova, Margarita Nikolaevna Belyaeva, Zemfira Nurulaevna Gafiyatullina, A A Nafeyev, D A Khakimova, G M Ainutdinova, V I Abbyazova, A I Maiorova, M N Belyaeva, Z M Gafiyatullina
    2011, 16(6): 48-50. https://doi.org/10.17816/EID40652

    The epidemiological method (to establish whether there is a bite or the saliva of rabid subjects (suspected of having rabies) has been found on the damaged skin) is in the foreground while diagnosing rabies in the early stage of prevention of hydrophobia. In the presence of general symptoms (the prodromal period): fever, sleep disorders, anxiety, the epidemiological history plays a decisive role in the clinical diagnosis.Twenty-five cases of rabies were notified in the Ulyanovsk Region throughout the registration period (1952-2010). All cases in recent years (1985-2010) were observed in rural inhabitants; the sources of rabies were red foxes in 3 cases and a fox-bitten dog in 1 case. None of those who died had sought medical advice. In the past 15 years, the last case occurred for the first time in 2010. Rabies virus-specific RNA fragments were isolated in the brain fragment specimens by molecular biological methods (RT-PCR) at the Center of Special Laboratory Diagnosis and Treatment of Specially Dangerous and Exotic Infectious Diseases (Sergiyev Posad-6, Moscow Region).

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    M V Poddubnyy, N P Voskresenskaya
    2011, 16(6): 51-52. https://doi.org/10.17816/EID40657

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    Mikhail Shmulevich Knopov, Valentin Kirillovich Taranukha, M Sh Knopov, V K Taranukha
    2011, 16(6): 53-56. https://doi.org/10.17816/EID40662

    The paper describes the life and creative work of Professor Stefan Valerianovich Viskovsky, an outstanding Russian infectious diseases specialist and epidemiologist, a health administrator, a participant of the Great Patriotic War.

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    I V Fel'dblyum, Natal'ya Mikhaylovna Koza, Viktor Ivanovich Sergevnin, Natal'ya Viktorovna Isaeva, I V Feldblyum, N M Koza, V I Sergevnin, N V Isayeva
    2011, 16(6): 56-59. https://doi.org/10.17816/EID40666

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    2011, 16(6): 60-63. https://doi.org/10.17816/EID40670