Four years of measles elimination in the Czech Socialist Republic

In 1982, Czechoslovakia succeeded in eliminating measles infection throughout the country. The paper describes the strategy of the measles immunization program following its introduction in 1969, showing it to reflect the objective epidemiological situation as revealed by the regular immunological surveys carried out in a broad population sample. As it turned out, decisive for achieving and maintaining a permanent measles elimination in the country was the introduction of second vaccination into the regular immunization schedule. Since 1982, its timing of is from 6 to 10 months after primary immunization. Over the 4-year period between 1982 and 1985, confirmed measles occurred only sporadically in the CSR, 115 cases altogether, and of these as many as 67 were classified as imported or their immediate contacts (38 measles patients were tourists from abroad). Of these 115 measles cases, 52 had had vaccination prior to acquiring the disease, 46 were individuals who had never before been vaccinated and in the remaining 17 patients no vaccination data were available. The vaccine failures, at least in 18 cases, could have been explained by the primary immunization prior to reaching 15 months of age. According to the estimates, at least 670 thousand cases of measles, 470 deaths, 100 thousand complications and some 33 thousand hospitalizations had been averted between 1972 and 1985 on the territory of CSR as a result of the introduction of the measles immunization program in Czechoslovakia.     

Epidemiological analysis of acute respiratory diseases (ARD) of viral etiology in the Czech Socialist Republic (CSR] and German Democratic Republic (GDR) over the period 1979 to 1984

An analysis is made of the ARD reported in CSR and the GDR over the period July 1st, 1979 to June 30th, 1984. During that time, there were 27,810,000 cases reported in CSR in the framework of ARD epidemiological surveillance, representing 2.67 cases per one inhabitant, whereas in the GDR, the total number of reported ARD was 28,900,000 yielding 1.73 cases per person. However, the GDR reported higher morbidity per one child of preschool age. The authors believe that the differences in the reported incidence of ARD between the two countries are due to differences in the reporting systems and medical officers' activity during an epidemic and in the interim period. Approximately one third of ARD reported annually in the two countries falls to the period of influenza epidemics. The authors also analyze the etiology of the influenza epidemics which affected the two countries in 1980, 1981, 1982, 1983 and 1984. In most seasons, the causative agents and morbidity excesses were different in the two countries. The drift variant B/USSR/100/83, which caused a major epidemy in CSR in 1984, has not to date been implicated in the DGR in the etiology of ARD. The cyclic epidemic due to Mycoplasma pneumoniae occurred in the GDR already in 1979-80, while CSR experienced it a year later. There was a temporal and territorial correlation between the course of A(H1N1) influenza epidemic in the two countries in 1984.     

Expanded program on immunization and its implementation in the Czech Socialist Republic

National immunization programs carried out in the CSR are here confronted with the EPI regional targets for Europe, a component of the WHO global program "Health for all by the year 2000". The EPI target diseases to be brought under control in Europe by 1990 include measles, poliomyelitis, diphtheria and neonatal tetanus; control of congenital rubella infection is to be achieved by the year 2000. The presented data show that Czechoslovakia has succeeded in implementing this program much ahead of the WHO time schedule. The elimination of measles infection was achieved in 1982, poliomyelitis was brought under control in 1961, and the effective diphtheria control has been in effect since the mid-1960s. Cases of neonatal tetanus are absent in the CSR since 1965, the annual incidence of postnatal tetanus is permanently 0.1-0.2 per 100,000 population. The goal of achieving the rubella-free status and thus the elimination of congenital rubella cases at country level is expected to be reached in the early 1990s. Implementation of the remaining WHO recommendations pertinent to infections other than EPI target diseases appears also satisfactory. Regular immunization against whooping cough, one of the oldest immunization programs in Czechoslovakia, succeeded in effectively eliminating this infection in the early 1970s. Selective immunization campaigns against influenza infection, introduced many years ago, help protect, together with a large-scale use of available chemoprophylactics, some 200,000 individuals every year in CSR. The hepatitis B immunization program was started in 1983 and is primarily limited to health service staff, which is in line with the existing WHO recommendations. Inception of the regular immunization program against mumps is planned for the beginning of 1987.     

Complement-fixing antibodies against rotaviruses in healthy children in the Czech Socialist Republic and People's Democratic Republic of Yemen

Levels of complement-fixing antibodies against rotaviruses were evaluated in the sera of 900 healthy children aged 1-9 years 300 sera were collected in the People's Democratic Republic of Yemen in September-October 1985, 300 sera were obtained in the Czech Socialist Republic in the same period and another 300 also in the Czech Socialist Republic in September-October 1986. The latter two groups were investigated in the framework of immunological surveys. A complement-fixation antigen was prepared from a simian strain of the rotavirus type SA-11 in a tissue cell line MA-104. The sera from Yemen featured lower mean titres in the age groups and thus the lowest overall titre. As the antibody titre increased, the portion of seropositive sera from Yemen declined by far more rapidly than in the Czech children, where it remained virtually the same. The sera from Yemen showed the lowest negative rate and lowest ratio of high titres. The antibody titre of 1:64 and higher was not detected in children from Yemen, while they occurred in the two groups of Czech children. There was no correlation between antibody titres and probands' sex, nor was there linear dependence of titre magnitude on age. The mean positivity rate in each group as assessed by the antibody titres was the lowest in the sera from Yemen. The percentage of positive sera in all age groups was higher in the Czech children with the exception of children from Yemen aged 6 and 9 years. The aim of the present study was to evaluate the antibody status in infant populations and thus expand knowledge of rotavirus epidemiology.     

Long-term biomanipulation of Rimov Reservoir (Czech Republic)

The history of fish, zooplankton and phytoplankton in RimovReservoir during its 14 years existence is documented. Afterthe filling of the reservoir in autumn 1978, the biomass ofplanktivorous fish increased from near zero to 650 kg ha-1 bythe fourth year of the reservoirs existence, after which thefish stock continually decreased under various forms ofbiomanipulative pressure, down to a value of about 100 kg ha-1. Thisdevelopment of fish stock was accompanied by changes in zooplanktonsize structure, but a cascading effect down to reduction ofphytoplankton biomass was not pronounced. The changes ofzooplankton body size structure were: increasing or decreasingaverage size of Daphnia galeata (the main cladoceranherbivore species) and changes in relative proportion ofcladoceran species, but none of the main zooplankton species was replacedor disappeared. The variation in phytoplankton biomass wasexplained by variation in phosphorus concentration and not related tozooplankton structure. It was concluded that the criticalbiomass of planktivorous fish below which the effect of loweringphytoplankton biomass could be observed lies below 100 kg ofplanktivorous fish per hectare. An attempt is made to quantifythe relationship between fish stock density and the size structureof zooplankton potentially able to influence top-down effects onphytoplankton.     

Ragweed in the Czech Republic

During the last years, a well documented expansion ofragweed (Ambrosia artemisiifolia L., Ambrosia trifida L.) over the Mediterranean andtemperate Europe has been in progress. The currentdistribution of ragweed plants in the Czech Republicis summarized and the ragweed pollen concentration asmonitored by 12 pollen stations in the country isdiscussed. The present situation in the ragweed pollensensitization among children and adults with pollenallergy in Brno is described. So far no dangerousexpansion of ragweed plants in our country has beenobserved. Ragweed pollen concentration is occasionallysignificant in the Brno station only, other pollenstations are reporting insignificant amounts ofragweed pollen during August-September periods,although there has been a steady increase in ragweedpollen concentration in the Prague area over the lastfive years. Skin prick tests and/or specific IgEmeasurements with ragweed allergen were performed on94 children with pollen allergy in the Brno region in1995 and on 206, 210 and 229 adult allergic patientsin 1995, 1996 and 1997, respectively. Positive skinreaction or positive specific IgE to ragweed was foundin 22% children and in 25% (1995), 19% (1996) and 25% (1997) adults with pollen allergy. It isconcluded that ragweed does not seem to represent anyimminent major threat to the allergic population inthe Czech Republic until now, however, it remains apotentially very dangerous allergen.     

Seasonal development of planktonic rotifers in Slapy Reservoir (Czech Republic)

The rotifer community of the canyon shaped Slapy Reservoir was studied over four years, from 2000 to 2003. A total of 38 rotifer taxa were identified in the pelagial zone. The dominant species, Keratella cochlearis, K. quadrata, Polyarthra dolichoptera, P. vulgaris, Synchaeta lakowitziana and Pompholyx sulcata, were similar to other reservoirs in the same area. Tychoplanktic species, which are typical for communities of upstream reservoirs, are reduced in the Slapy Reservoir. The seasonal fluctuation of rotifer abundance is characterized by a significant spring peak, clear water depression, summer peak and sometimes a lower peak in autumn. Fluctuation of the rotifer species shows a highly unified trend through the years with very low variation through the years. It results from the input of hypolimnetic water from an upstream reservoir, which erased a large part of the effect of year to year climatic fluctuations.     

A plant-geographical study of the genusDorycnium MILL. (Fabaceae) in the Czech Republic

Two species of the genusDorycnium with the most northern distribution reach the absolute northern limit of their distribution areas in the Czech Republic.Dorycnium germanicum, a less ecologically plastic and more xerothermic species, covers a compact area in south Moravia, connected with its occurrence in Lower Austria.Dorycnium herbaceum, and ecologically more tolerant species, has its primary distribution area in south-east Moravia; this is connected with the Slovak part of the area of this species; secondary occurrences are scattered throughout other parts of Moravia and Bohemia. The distribution of both species was evaluated, using 23 herbarium collections. Climatic characteristics are provided for 54 climatic and ombrometric stations from the distribution area of both species. In the Czech RepublicD. germanicum represents the Illyrian-Noric migration element whileD. herbaceum represents the Carpathian one. There is a clear climatic differentiation between the localities of both species:D. germanicum occurs in dryer and warmer regions thanD. herbaceum. An introgression, zone was identified in the vicinity of the twon of Uherské Hardi?tě and the area south-east of this town. This zone coincides with the area where most of the identification problems with these species occurred.     

Cytotype distribution inEmpetrum (Ericaceae) at various spatial scales in the Czech Republic

Ploidy levels inEmpetrum (crowberry) from the Czech Republic and from one adjacent locality in Poland were estimated by flow cytometry to examine cytotype distribution patterns at large (within the country), medium (within mountain ranges) and small (within particular localities) spatial scales. Diploid, triploid, and tetraploid individuals were found. Triploids are reported from Central Europe for the first time; they occurred in the Krkono?e Mts. Exclusively diploid plants were observed in three mountain ranges (the Kru?né hory Mts., Labské pískovce Mts., Adr?pa?sko-Teplické skály Mts.), exclusively tetraploids were observed in the Jeseníky Mts., and both cytotypes were observed in the ?umava Mts., Jizerské hory Mts. and Krkono?e Mts. Except for the latter mountain range, diploids and tetraploids were always found in different habitats. Spatial isolation is supposed to be the main barrier preventing cytotype mating. A mosaic-like sympatric occurrence of different cytotypes was demonstrated in the Krkono?e Mts., where peat bogs and rocky places were not spatially separated. Eight of 11 localities studied there were inhabited by diploids and tetraploids (five localities), diploids and triploids (one locality) or all three ploidy levels (two localities). Diploid and triploid plants occasionally intermingled at 0.3 × 0.3 m. Flower sex in crowberries was strongly associated with ploidy level: diploids usually had unisexual flowers, the tetraploids bore exclusively bisexual flowers. However, a few diploid plants with hermaphrodite flowers occurred in one population in the Krkono?e Mts.     

Evaluation of the European method for mapping lichen diversity (LDV) as an indicator of environmental stress in the Czech Republic

The European method for mapping lichen diversity (LDV) as an indicator of environmental stress/quality in the Czech Republic was evaluated to determine its applicability in this country. A modified Hawksworth & Rose qualitative scale for determining air pollution levels was used for comparative purposes. The study was undertaken in a partially forested and reasonably polluted region of the Bohemian Karst in central Bohemia during 2003. Measurements obtained by the LDV method yielded values in the range 18–65; measurements obtained by the modified Hawksworth & Rose method indicated zones 4–7, with a high correlation with the LDV results. The LDV method proved to be applicable in the region, but its implementation may be limited by the lack of suitable trees and specific landscape ecology.     

Mutagenicity monitoring of airborne particulate matter (PM10) in the Czech Republic.

The mutagenic activities associated with inhalable airborne particulate matter (PM10) collected over a year in four towns (Czech Republic) have been determined. The dichloromethane extracts were tested for mutagenicity using the Ames plate incorporation test and the Kado microsuspension test both with Salmonella typhimurium TA98 and its derivative YG1041 tester strains in the presence and absence of S9 mixture. The aim of this study was to assess the suitability of both bacterial mutagenicity tests and to choose the appropriate indicator strain for monitoring purposes. To elucidate the correlation between mutagenicity and polycyclic aromatic hydrocarbons (PAHs), the concentration of PAHs in the air samples were determined by GC/MS. In general, the significant mutagenicity was obtained in organic extracts of all samples, but differences according to the method and tester strain used were observed. In both mutagenicity tests, the extractable organic mass (EOM) exhibited higher mutagenicity in the YG1041 strain (up to 97 rev/microg in the plate incorporation and 568 rev/microg in the microsuspension tests) than those in TA98 (up to 2.2 rev/microg in the plate incorporation and 14.5 rev/microg in the microsuspension tests). In the plate incorporation test, the direct mutagenic activity in YG1041 was on average 60-fold higher and in microsuspension assay 45-fold higher with respect to strain TA98. In the presence of S9 mix, the mutagenic potency in YG1041 declined (P<0.001) in summer, but increased in TA98 (P<0.05) in samples collected during the winter season. The microsuspension assay provided higher mutagenic responses in both tester strains, but in both strains a significant decrease of mutagenic potency was observed in the presence of S9 mix (P<0.001 for YG1041, P<0.05 for TA98 in winter). The mutagenic potencies detected with both indicator strains correlated well (r=0.54 to 0.87) within each mutagenicity test used but not (for TA98) or moderately (r=0.44 to 0. 66 for YG1041) between both of the tests. The mutagenic activity (in rev/m(3)) likewise the concentration of benzo[a]pyrene and sum of carcinogenic PAHs showed seasonal variation with distinctly higher values during winter season. A correlation between the PAH concentrations and the mutagenicity results for the plate incorporation, but not for the microsuspension tests was found. In samples from higher industrial areas, the higher mutagenicity values were obtained in plate incorporation test with TA98 and in both tests with YG1041 in summer season (P<0.05). According to our results, plate incorporation test seems to be more informative than microsuspension assay. For routine ambient air mutagenicity monitoring, the use of YG1041 tester strain without metabolic activation and the plate incorporation test are to be recommended.     

Palaeoecology of a medieval fishpond system (Vajgar, Czech Republic)

A palaeoecological investigation of a sediment core obtained from an artificial lake — the fishpond Vajgar (40 ha) near the town of Jind?ich?v Hradec, southern Bohemia, has been carried out in connection with extensive multidisciplinary research preceding the removal of its sediment. Samples from selected standard profile were subjected to chemical, pollen, and palaeoalgological analyses in order to study the chronology of vegetation development, anthropogenic impact on the landscape, and the development of an artificial fishpond ecosystem. The palaeoecological record under study comprises the period of extensive change from pre-cultural, silver fir-dominated forest vegetation into managed, agricultural landscape dominated by cereal fields and pastures. After Medieval colonization, the proportion between wooded and open landscape changed, and the composition of original forests shifted to pine. Pollen spectra from the High Middle Ages are characterized by high percentages of anthropogenic indicators and closely resemble the results from urban deposits (cesspits, wells, communication horizons, etc.). This period can be subdivided into a first phase correlated with the High and Late Middle Ages and a second phase correlated with the post Medieval period and partly maybe also with the agricultural collectivization of the 20th century. The earlier phase has a rather uniform character with a significant presence of grazing indicators and cereal weeds. After the collectivization of the 1950s and later, a substantial change in agricultural practices can be detected: the large-scale use of herbicides affecting the composition of agricultural ruderal species (e.g. decline of cornflower (Centaurea cyanus), rye (Secale), etc.). The development of the aquatic system of the fishpond Vajgar was studied by means of chemical and palaeoalgological analyses. On the basis of observed changes in the composition of subfossil algal communities, the fishpond history can be split into four distinct phases. It is assumed that the progression over individual phases was caused by changes in water chemistry that can be interpreted as shifts in water quality caused by the urbanization of the surrounding areas as well as by changes in agricultural practices. The results of the investigation of some chemical elements (especially heavy metals) show stratigraphic patterns that can be related to historical events. These results show that the mixing and bioturbation of the sediment was not so significant as might be expected.     

Species loss of stoneflies (Plecoptera) in the Czech Republic during the 20th century

1. Rapid expansion and intensification of anthropogenic activities in the 20th century has caused profound changes in freshwater assemblages. Unfortunately, knowledge of the extent and causes of species loss (SL) is limited due to the lack of reliable historical data. An unusual data set allows us to compare changes in the most sensitive of aquatic insect orders, the Plecoptera, at some 170 locations in the Czech Republic between two time periods, 1955–1960 and 2006–2010. Historical data (1890–1911) on assemblages of six lowland rivers allow us to infer even earlier changes. 2. Regional stonefly diversity decreased in the first half of the 20th century. Streams at lower altitudes lost a substantial number of species, which were never recovered. In the second half of the century, large‐scale anthropogenic pressure caused SL in all habitats, leading to a dissimilarity of contemporary and previous assemblages. The greatest changes were found at sites affected by organic pollution and a mixture of organic pollution and channelisation or impoundment. Colonisation of new habitats was observed in only three of the 80 species evaluated. 3. Species of moderate habitat specialisation and tolerance to organic pollution were most likely to be lost. Those with narrow specialisations in protected habitats were present in both historical and contemporary collections. 4. Contemporary assemblages are the consequence of more than a 100 years of anthropogenic impacts. In particular, streams at lower altitude and draining intensively exploited landscapes host a mere fragment of the original species complement. Most stonefly species are less frequently present than before, although their assemblages remain almost intact in near‐natural mountain streams. Our analyses demonstrate dramatic restriction of species ranges and, in some cases, apparent changes in altitudinal preference throughout the area.     

Cervical cancer screening in the Czech Republic

Cytological diagnosis of atypical cells of cervix uteri by the Papanicolaou method was introduced in the Czech Republic (CR) very early - in 1947. The first data on the incidence of cervical cancer in CR are available from 1960 when the rate was 32.3 cases/10(5) women. In 1966 the Czech National Health Law was passed that guaranteed women a yearly preventive examination by a gynaecologist including screening for cervical carcinoma that would be covered by the compulsory health insurance. Notwithstanding high frequency of screening visits and the fact that all women are eligible, the incidence of CC has not changed in the last 34 years. The reasons for this include the coverage of Czech women, which is estimated to be low (50% at the most), and that none of the cytology laboratories are accredited for screening, there are no national registries for any aspect of screening and there are no mechanisms for evaluation of the screening process. As a result, it is likely that the majority of cervical screening activity that is undertaken is ineffective and the implementation of an organised and quality controlled screening programme, in compliance with the recommendations of many European Institutions, is urgently required to ensure that Czech women are properly protected against this disease and that scarce healthcare resources are used in the most cost-effective manner.     

Type specimens of centipedes (Myriapoda,Chilopoda) in the National Museum,Prague (Czech Republic)

The centipede collection in the National Museum in Prague contains type material of 16 taxa (14 species and two subspecies), of which 15 were described by Luděk J. Dobroruka and one by Karl W. Verhoeff: Allothereua wilsonae Dobroruka, 1979; Chinobius alenae Dobroruka, 1980; Lithobius corrigendus Dobroruka, 1988; Lithobius creticus Dobroruka, 1977; Lithobius erythrocephalus mohelensis Dobroruka, 1959; Lithobius evae Dobroruka, 1958; Lithobius magurensis Dobroruka, 1971; Lithobius purkynei Dobroruka, 1957; Lithobius tatricus Dobroruka, 1958; Lithobius tatricus monounguis Dobroruka, 1958; Monotarsobius homolaci Dobroruka, 1971; Monotarsobius krali Dobroruka, 1979; Pachymerium dilottiae Dobroruka, 1976; Pachymerium hanzaki Dobroruka, 1976; Scolopendra aztecorum Verhoeff, 1934 and Strigamia olympica Dobroruka, 1977. Of these 16 taxa, five were described from the Czech Republic, three from Slovakia and eight from other countries (Greece, Iraq, Kyrgyzstan, Mexico, Nepal, Russia and Uzbekistan). The eight taxa described from the Czech and Slovak Republics are now considered as junior synonyms but the eight taxa described from the other countries are still valid.