Prevention of epidemiological consequences during an extreme situation caused by the natural disaster in the Republic of North Ossetia-Alania

Information on the organization of interaction between different services responsible for restoration works, sanitary cleaning, disinfection under the conditions of the emergency situation is presented. The activity of the sanitary and epidemiological services in the areas in the Republic of North Ossetia-Alania, affected by high flood, is described. Measures aimed at the epidemiological surveillance of acute enteric infections, the control of the quality of drinking water and foodstuffs, the bacteriological study of material samples taken from humans, vaccinal and phage prophylaxis have taken an important place in the work of the institutions of sanitary and epidemiological surveillance. As the result of all these measures the sanitary and epidemiological service has managed to prevent the aggravation of the sanitary and epidemiological situation in the republic.     

Prevention of acute enteric infections and viral hepatitis A in a period of an emergency situation on the territory of the Karachai-Chercasssian Republic

Information on the scope of destructions caused by the high flood, on the sanitary and hygienic situation on the affected territories of the Karachai-Chercassian Republic is given. Materials on the organization and realization of prophylactic measures on the territory of the Karachai-Chercassian Republic at the period the natural calamity, under the conditions of a high risk of the appearance of an outbreak of enteric infections and viral hepatitis A are presented. In these materials the main trends of the work are pointed out; due to the timely taken and effectively carried out measures on the anti-epidemic protection of the population, the sanitary and epidemiological service was shown to prevent the aggravation of the epidemiological situation in the republic.     

Emergency situations in the Republic of Ingushetia and the prevention of their epidemiological consequences

Information on the sanitary and epidemiological situation and water supply in the Republic of Ingushetia during the period before and after the emergency situation (high flood) is presented. The results of epidemiological observations on the territory of the Republic of Ingushetia for the period of June 22 to the end of the year 2002 indicate that no considerable rise in infectious morbidity, as well as outbreaks of natural focal infections, was noted. This suggests that, in spite of the complicated sanitary and epidemiological situation before the emergency situation (due to the vicinity of the conflict in the Chechen Republic, the intensive migration of the population and the presence of a large of refugees on the territory of the Republic of Ingushetia) and its sharp deterioration caused by the high flood, the timely realization of a complex of sanitary and prophylactic measures made it possible to avoid the wide spread of infectious diseases.     

Prevention of acute enteric infections and viral hepatitis A in the Krasnodar Territory appearing in connection with a natural disaster in 2002

Materials on the sanitary and epidemiological situation in the Krasnodar Territory in connection with emergency situations (intensive snowfalls, heavy showers, high floods) in 2002 are presented. The scope of the destruction of the systems ensuring the life provision of the population in the affected regions of the territory is shown. To carry out the epidemiological surveillance on acute enteric infections, to make corrections of the planned prophylactic measures, as well as the timely solutions of problems connected with controlling the epidemiological situation, the daily monitoring of the level and dynamics of infectious morbidity in individual settlements among different age and professional groups, as well as the foci of infections, was established. 65 cases of acute enteric infection and 4 cases of viral hepatitis A were registered in the affected areas, which did not exceed the average morbidity figures for many years. A complex of sanitary, hygienic and prophylactic measures was carried out by the sanitary and epidemiological service of the territory, which made it possible to maintain human morbidity in acute enteric infections and viral hepatitis A in the affected areas on the sporadic level.     

Prevention of acute enteric infections and viral hepatitis A in the Republic of Dagestan in connection with the flood of 2002

The data on the sanitary and epidemiological situation in the Republic of Daghestan during the period of high flood in 2002. The scope of sanitary, hygienic and prophylactic measures carried out during this period with a view to prevent the appearance of the outbreaks of acute enteric infections and viral hepatitis A in the Republic of Daghestan is shown.     

Organization and execution of surveillance of the sanitary and epidemiologic situation under conditions of the emergency situation of a natural character

The data on the work of the formations and institutions of the sanitary and epidemiological service of the Republic of North Ossetia-Alania under the conditions of the emergency situation of the natural character (high floods) in June 2002 and the liquidation of its consequences are presented. Experience in ensuring the interaction between the formations of the sanitary and epidemiological service on the problems connected with the realization of the epidemiological surveillance in the territories affected by the natural calamity is described.     

Prevention of acute enteric infections and viral hepatitis A appearing in connection with a natural disaster in the Republic of North Ossetia-Alana

Materials on the work of the sanitary and epidemiological service in the Republic of North Ossetia-Alania, aimed at the prophylaxis of acute enteric infections and viral hepatitis A under the conditions of the emergency situation caused natural calamities (inundation, high flood), are presented. The competent planning and operative realization of organizational, prophylactic and anti-epidemic measures have made it possible to keep morbidity in acute enteric infections and viral hepatitis A on a sporadic level.     

Basic measures for prevention of the epidemiological consequences of a natural disaster in the North Caucasus in 2002

The system of organizational and prophylactic measures, carried out with a view to prevent epidemiological aggravations in connection with the natural calamity in the Southern Federal District of the Russian Federation in 2003, is described. Proposals on the improvement of the system of preventive measures, including the monitoring of the epidemiological, sanitary and hygienic situation, personnel training, technical provision, the cooperation of different services and departments, capable of ensuring the liquidation of the consequences of emergency situations of the natural character, are made.     

Anti-epidemic provision for the population in emergency situations in the Krasnodar Territory

Information on natural calamities, caused by hydrologically dangerous phenomena (high flood, tornado, mountain torrents) which took place in the Krasnodar Territory in summer 2002) are presented. As the result of the emergency situations 110 settlements with the population exceeding 116,000 inhabitants were inundated. At the peak of the high flood more than 36,000 homesteads were inundated, more than 56,000 persons had to be evacuated. The aggravation of the epidemiological situation in the affected settlements and in the territory as a whole could be prevented due to the timely planning and realization of measures aimed at the sanitary and epidemiological provision of the population of the Krasnodar Territory (the sanitation and disinfection of settlements, the campaign for the immunoprophylaxis of the population with respect of infectious diseases, etc.), unprecedented in their scope.     

On the epidemiological situation in quarantine, natural focal and other infections on the territory of the Southern Federal District

The data on the sanitary and epidemiological situation in the Southern Federal District are presented. The analysis of morbidity in tuberculosis, measles, HIV infection, viral hepatitis A, typhoid fever, cholera and quarantine infections, Crimean hemorrhagic fever, West Nile fever, rabies, malaria has been carried out. Special attention has been given to "new and newly returning infections", and among them to the spread of SARS ("atypical pneumonia"). The role of regional epidemiological safety programs, in particular such program as "The prophylaxis of quarantine and natural focal infections and the sanitary protection of the territory of the Southern Federal District of the Russian Federation from the import and spread infectious diseases in 2003-2005", has been substantiated.     

Significance of epidemiological analysis for the development of epidemiology

The significance of epidemiological analysis for the study of the epidemic process is substantiated. The historical stages of the development of the doctrine on the epidemic process along with the role of epidemiological analysis in social and hygienic monitoring and epidemiological surveillance from the viewpoint of systemic approach are presented. The conclusion has been made on the necessity of the development of the systemic methodology of controlling the epidemic process and the sanitary and epidemiological situation.     

Organizational provision for the sanitary and epidemiological safety of the population in the regions of the Stavropol Territory affected by the flood

Materials on the organizational provision and financing of measures taken with a view to ensure the sanitary and epidemiological safety in the Stavropol Territory in connection with the high flood of 2002 are presented. Due to the joint efforts of sanitary, antiepidemic and medico-prophylactic services of the Territory, administrative organs and institutions, as well as other relevant departments, not only high quality restoration works were carried out and completed in a short time, medical assistance was given to the victims and the appearance of mass infectious diseases prevented, but also the growth social tensions in the affected areas was averted.     

Epidemiologic situation of brucellosis in the regions of the Republic of Dagestan affected by the flood of 2002

The Republic of Daghestan is at present one of the most unsafe territories in the Russian Federation with respect to brucellosis morbidity among humans. The figures of human morbidity in brucellosis grew from 3.4 per 100,000 of the population in 1999 to 10.5 per 100,000 of the population in 2002, thus exceeding the figures for the whole of Russia 15- to 20-fold. The analysis of human morbidity in the Kizlyar region (where the interregional regrouping of the cattle was made) after the natural calamity, as well a in other regions where live-stock was evacuated, indicated that by the end of 2002 an essential deterioration of the epidemiological situation took place in these regions. In view of grave epizootological situation and the absence of epidemiological safety in brucellosis in the Republic of Daghestan the sanitary, epidemiological and veterinary services should, together with other priority tasks in their work aimed at the liquidation of the emergency situation, pay greater attention to measures for the prevention of the spread of brucellosis.     

Experience in dividing Tyumen Province into districts according to typhoid morbidity based on sanitary demographic factors

For the first time the territory of Tyumen Province has been zoned according to situation in typhoid fever morbidity by means of a complex of methods for computerized statistical data processing in combination with extensive epidemiological analysis. As a result, 43 administrative districts have been grouped in 5 zones having similar epidemiological, sanitary, hygienic, and demographic characteristics. For these zones territorially differentiated measures for decreasing typhoid fever morbidity have been worked out.     

Features of leptospirosis in the Krasnodar Territory

The data on leptospirosis morbidity in the Krasnodar Territory, one of the most epidemiologically unsafe areas in this infectious disease in the Russian Federation, are presented. High morbidity registered in this territory greatly depends on the epidemic outbreaks appearing due to defects in the realization of a complex of sanitary and veterinary measures. The Krasnodar Territory is liable to be affected by natural calamities. In 1997 a severe outbreak of leptospirosis took place here in connection with the high flood. Due to timely prophylactic measures the epidemiological consequencies of the similar calamity occurring in 2002 were brought to a minimum.     

Role of the mass media in eradication of the consequences of a natural disaster in summer 2002 in Karachai-Chercassian Republic

Experience in the collaboration of the Center of State Sanitary and Epidemiological Surveillance in the Karachai-Chercassian Republic with mass media at the period of the emergency situation in summer 2002 and in the use of the possibilities given by television, radio and the press, depending on their technical potential and audience, is presented. The necessity of raising the status of the sanitary and epidemiological service in modern society is pointed out, which should be achieved by elucidating the activity of this service to a wide public and explaining the importance of prophylactic medicine.     

Sanitary and epidemiological provision of the personnel of the units and border formations of the North Caucasus Regional Command of the Border Guard Service of the Russian Federation

The factors affecting the environment of servicemen doing their duties in connection with the task of guarding the state frontier of the Russian Federation are presented. The main trends in the activity of the sanitary and epidemiological service, carried out under regular conditions and the period of the liquidation of the consequences of high floods in the Southern Federal District in 2002 with the aim of preventing the aggravation of the epidemical situation, were shown to be determined, and the corresponding measures taken, in due time, thus making it possible to prevent the growth of morbidity in enteric and other infections among the personnel of the units and formations of the North Caucasian Regional Command of the Federal Frontier-Guard Service of the Russian Federation.     

Organization of the workers of the State Sanitary and Epidemiologic Services of the Stavropol Territory in the period of eradication of the consequences of the flood in urban and rural regions of the Territory in 2002

As the result of high flood occurring during the period of June 21-22, 2002, in the Stavropol Territory, 65 settlements were affected. About 200,000 inhabitants found themselves lacking centralized drinking water supply. From the very first days of the emergency situation the state sanitary and epidemiological service took a complex of measures aimed at the liquidation of the medico-sanitary consequences of the high flood, the prevention of the appearance of mass infectious diseases among the affected population. As the result of these measures, the appearance of the outbreaks of acute enteric infections, viral hepatitis A aggravations in malaria and other infectious diseases could be prevented.     

An improvement in the demonstration of the causative agents of dangerous infections under the conditions of local wars and armed conflicts

The system of the specific indication of the causative agents of infectious diseases, accepted in the Armed Forces of the Russian Federation (RF) in piece and wartime and based on the study of specimens by stages in laboratories of the sanitary epidemiological institutions of the Ministry of Defense of the RF, is presented. This system is insufficiently adapted to the conditions of local wars (LW) and armed conflicts (AC). Under these conditions, it is expedient to carry out the specific indication of infective agents not by stages, but completely (according to an enlarged scheme), replenishing the medical service of the field forces with specialists, transferred from higher sanitary epidemiological institutions. Specialized formations of the sanitary epidemiological institutions of the Center should be deployed neat the region of LW or AC, or the specimens should be promptly brought to the Center for indication by air. The improvement of the system of indication includes the introduction of new indication methods, such as polymerase chain reaction, into practical work and cooperation with the institutions and formations of the Ministry of Health of the RF.     

Bacteriological provision of anti-epidemic measures in the zones of a natural disaster in Southern Russia in 2002

The bacteriological provision of the prophylactic and anti-epidemic measures, taken under the conditions of the unstable sanitary and epidemiological situation which arose as the result of the emergency situation due to the high flood in the Southern Federal District, was carried out by the efforts and means of microbiological laboratories forming a part of the territorial system of observation and laboratory control. On the whole, more than 20,000 samples of water supplied to the population for drinking and household use, more than 10,000 samples of foodstuffs and cooking raw materials were examined in the Southern Federal District during the period of the liquidation of the medico-sanitary consequences of the emergency situation (June-August). To study the epidemic potential of the natural foci of quarantine infections and the probability of the spread of Bacillus anthracis from burial grounds for sick animals, the laboratory capacities of plague-control institutions were used.