Epidemiološke karakteristike obolevanja od velikog kašlja na području Beograda za period 2008-2017. godine

Abstract

The paper describes the epidemiological characteristics of pertussis (whooping cough) cases, reported in the area of Belgrade during period 2008.-2017. Descriptive epidemiological study was applied. According to the annual reports regarding the work in the prevention, combating and elimination of infectious diseases and the targeted epidemiological questionnaires (using during the pertussis outbreak in one elementary school in Belgrade), a total of 109 cases were registered. It is 19,09% of all reported vaccine preventabile diseases (without hepatitis B and invasive infection by haemophilus influenzae type B). The highest incidence rate for pertussis was 2,47 per 100.000 inhabitants during 2017. but without a single case during the first three years of ten year period mentioned above. Young infants, less than 1 year old, took a great part (43,12%) of all reported cases. Whooping cough occurred during all seasons of the year, but predominantly in march, may and September (49,53% of all reported cases). During the observed ten year period, 4 outbreaks of pertussis were registered in the area of Belgrade. The greatest one took place in one high school in Belgrade with a total of 22 cases. For a better understanding of current pertussis epidemiological situation, it is necessary to conduct active surveillance, as well to make more available laboratory diagnostics in order to confirm cases.