Abstract
Background: The significance of some infection sources, pathways of pathogen transmission and etiological structure of diarrhea infections (DI) have changed. Many issues of DI epidemiology are still insufficiently studied, which prevents the organisation of quality epidemiological surveillance and diseases control.
 Objectives: To study the DI epidemic situation (ES) in North- Eastern Ukraine and to identify the factors that determines the characteristics of epidemic process (EP).
 Material and Methods: The reports of Ministry of Health of Ukraine (1960- 2018) and Head Statistics Administration of Sumy Oblast (2001-2018) have been used. The biological properties of 40 strains of K. pneumoniae, 50 - S. aureus, 40 - E. cloacae recovered from the feces of patients with DI have been studied
 Results: It has been found that the EP of DI is characterized by a sharp decrease in the incidence of typhoid fever and shigellosis, increase in the incidence of salmonellosis and dominance of DI caused by other specified or unspecified pathogens (SDI and UDI) in the nosological structure (p<0.05). The incidence of DI caused by Klebsiella, Staphylococus, Enterobacters exceeds the incidence of salmonellosis, shigellosis, typhoid fever (p<0.05). Opportunistic pathogens (OP), which are pathogens of DI have antilysozyme activity and adhesion ability, which proves their pathogenic potential. The demographics indirectly affect the incidence of DI. Access to water supply, sewerage, hot water supply is correlates with the incidence of DI.
 Conclusion: The system of epidemiological surveillance over DI in Ukraine needs improvement by optimisation its information and analytical subsystems aimed at objective epidemiological diagnostics and ES forecasting.
 Bangladesh Journal of Medical Science Vol.19(3) 2020 p.420-426
Highlights
Diarrhea infections (DI) are among the most widely spread infectious diseases in the world
To study the diarrhea infections (DI) epidemic situation (ES) in NorthEastern Ukraine and to identify the factors that determines the characteristics of epidemic process (EP)
The biological properties of 40 strains of K. pneumoniae, 50 - S. aureus, 40 - E. cloacae recovered from the feces of patients with DI have been studied
Summary
Diarrhea infections (DI) are among the most widely spread infectious diseases in the world. Typhoid fever incidence decreased from 7.4 per 100 000 people in 1960 to 0.3 - in 2002 Since 2003, the cases of typhoid fever in North-Eastern Ukraine have not been registered (Fig. 1). Taking into account the above, it can be assumed that many factors contributed to the decrease in the incidence of intestinal infections (typhoid fever and shigellosis), where a person is the only source of pathogens, and one of them is greater control over compliance with sanitary and hygienic rules, improvement of social and economic living conditions in Ukraine in general and Sumy Oblast in particular. The wide application of centralized fattening of animals in livestock farms, the use of industrial methods of meat and meat food production contributed to Salmonella dissemination in animals
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
