scholarly journals Hepatitis A in Poland in 2016

2019 ◽  
pp. 433-439
Author(s):  
Piotr Polański ◽  
Małgorzata Sadkowska-Todys
Keyword(s):  
Infectious Diseases ◽  
Hepatitis A ◽  
Risk Groups ◽  
Individual Case ◽  
Imported Cases ◽  
The Individual ◽  
Epidemiological Situation

AIM. The aim of this article is to assess the epidemiological situation of Hepatitis A in Poland in 2016 with the regard to the recent years. MATERIALS AND METHODS. The assessment was conducted based on the results of the analysis of data from the bulletins “Infectious diseases and poisonings in Poland in 2016” and “Vaccinations in Poland in 2016”, as well as information from the individual case- questionnaires and reports from epidemiological investigations in outbreaks of hepatitis A, submitted by the sanitary-epidemiological stations to the Department of Epidemiology of Infectious Diseases and Surveillance in NIPH-NIH. RESULTS. In 2016 in Poland there were 35 cases of hepatitis A registered. Incidence per 100 000 inhabitants in the whole country was 0.09, but in different voivodeships varied from 0.03 (in Wielkopolskie voivodeship) to 0.28 (in podkarpackie voivodeship). The incidence among male was slightly higher than women and was 0.11 and 0.08/100 000 respectively. CONCLUSIONS. In 2016 a decrease in the incidence and percentage of imported cases was observed (comparing it to the previous year). Because of the increasing part of population prone to infection good epidemiological situation concerning HAV in Poland paradoxically increases the risk of an occurrence of HAV epidemic, especially in the scope of ongoing large multistate HAV outbreak among MSM. In relation to this situation the enhancement of surveillance over this disease and undertaking anti-epidemic actions gains particular importance, especially when it comes to promoting vaccinations among members of risk groups.

scholarly journals Hepatitis A in Poland in 2017 - epidemic increase cases

2019 ◽  
pp. 487-497
Keyword(s):  
Infectious Diseases ◽  
Rural Areas ◽  
Hepatitis A ◽  
Fold Increase ◽  
Epidemiological Data ◽  
Risk Groups ◽  
Individual Case ◽  
Female Ratio ◽  
Aggregated Data ◽  
The Individual

AIM. The aim of this article is to describe and assess changes in epidemiological situation of Hepatitis A in Poland in 2017. MATERIALS AND METHODS. The assessment was based on the information from the individual case questionnaires, aggregated data from the bulletins “Infectious diseases and poisonings in Poland in 2017” and reports from epidemiological investigations in outbreaks of hepatitis A, submitted by the sanitary-epidemiological stations to the Department of Epidemiology of Infectious Diseases and Surveillance in NIPH-NIH. RESULTS. In 2017 a large increase of HAV cases and hepatitis A incidence was observed in Poland (3006 cases, incidence 7.8 per 100 000) in comparison to 2016 (35; 0.09). Majority of the cases were registered in large cities, where incidence was 3 times higher than in rural areas. Among reported there were 501 cases (16.6% of all cases) selfdeclaring as man who have sex with man (MSM). In course of the year an increasing trend in the number of cases was observed until September and the increase of male to female ratio (m/f) until May. Moreover 251 HAV outbreaks were reported, number of which increased until October and with the increase of m/f ratio in these outbreaks until April. From July to October there was an increase in the number of small outbreaks with m/f ratio equal 1. There were 178 imported cases reported, most of them from European countries- especially Germany and Spain. SUMMARY AND CONCLUSIONS. In 2017 over 80-fold increase of HAV cases and hepatitis A incidence was observed in comparison to previous years. Available epidemiological data indicate that ongoing HAV outbreak among MSM in Europe reached also Poland, and data from the second part of the year suggest infection spreading in non-MSM part of the population. It is therefore highly indicated that the list of risk groups for which vaccination against hepatitis A is recommended should also be expanded for MSM. To avoid such increase in the number of cases in future it is recommended to introduce vaccinations in risk groups as soon as large international outbreak occurs.

scholarly journals Shigellosis in Poland in 2013-2017

2019 ◽  
pp. 479-486
Keyword(s):  
Infectious Diseases ◽  
Electronic System ◽  
Group Affiliation ◽  
Aggregated Data ◽  
Specific Questionnaire ◽  
Study Evaluation ◽  
Large Outbreak ◽  
Imported Cases ◽  
Outbreak Investigations ◽  
Epidemiological Situation

AIM. The purpose of this study evaluation of the epidemiological situation of shigellosis in Poland in years 2013-2017. MATERIALS AND METHODS. The evaluation was based on analysis of : data gathered and sent to Department of Epidemiology of Infectious Diseases and Surveillance in NIPH-NIH by local and voivodeship sanitary stations in the form of epidemiological questionnaires. It was also based on aggregated data from annual bulletins “Infectious diseases and poisonings in Poland” as well as data from shigellosis outbreaks acquired through ROE system (an electronic system created for uploading, transfer and analysis of data from the outbreak investigations). All cases were reported according to the Decision 2008/426/WE. RESULTS. In the years 2013-2017 in Poland 140 shigellosis cases were reported. Mean incidence per 100 000 was 0.05. A decrease of incidence median for years 2013-2017 was observed comparing to preceding, 5- year period by 0,03. Slightly over half of cases (51%) belonged to the age group 20-44. Majority of cases were males (57.1%). In each year from described period percentage of hospitalizations was over 70%. Imported cases amounted for 28% of all cases reported in that period- most of them being imported from countries from outside UE/ EFTA. In years 2013-2017 there were 10 outbreaks of shigellosis registered, in which 47 persons got ill. CONCLUSIONS. In years 2013-2017 no clear increasing or decreasing trend in shigellosis cases was observed, however in years when epidemic outbreaks occurred there was a significant increase in the number of cases reported yearly. Because of low number of cases being reported every year, an occurrence of large outbreak may result in seasonal peak of cases shifting, which was the situation in 2017 when most cases onset was in October, while in other years it was in September. High percentage of hospitalizations in cases could mean that severe cases are more readily reported, and in the same time that other cases are underreported. Because the date on shigellosis cases are acquired through general, not shigella-specific questionnaire it may result in incomplete or missing data on exposure (e.g. information on risk group affiliation), and therefore impairs the epidemiological situation assessment. It points the need of introduction Shigella- specific questionnaire.

Shoulder Pain at Work: Causation Analysis

2017 ◽  
Vol 22 (1) ◽  
pp. 11-16
Author(s):  
Joel Weddington ◽  
Charles N. Brooks ◽  
Mark Melhorn ◽  
Christopher R. Brigham
Keyword(s):  
Epidemiological Data ◽  
Case Law ◽  
Individual Case ◽  
Shoulder Injury ◽  
Work Related ◽  
Clear Cut ◽  
The Individual ◽  
Causation Analysis ◽  
Injury Causation ◽  
Relevant Factors

Abstract In most cases of shoulder injury at work, causation analysis is not clear-cut and requires detailed, thoughtful, and time-consuming causation analysis; traditionally, physicians have approached this in a cursory manner, often presenting their findings as an opinion. An established method of causation analysis using six steps is outlined in the American College of Occupational and Environmental Medicine Guidelines and in the AMA Guides to the Evaluation of Disease and Injury Causation, Second Edition, as follows: 1) collect evidence of disease; 2) collect epidemiological data; 3) collect evidence of exposure; 4) collect other relevant factors; 5) evaluate the validity of the evidence; and 6) write a report with evaluation and conclusions. Evaluators also should recognize that thresholds for causation vary by state and are based on specific statutes or case law. Three cases illustrate evidence-based causation analysis using the six steps and illustrate how examiners can form well-founded opinions about whether a given condition is work related, nonoccupational, or some combination of these. An evaluator's causal conclusions should be rational, should be consistent with the facts of the individual case and medical literature, and should cite pertinent references. The opinion should be stated “to a reasonable degree of medical probability,” on a “more-probable-than-not” basis, or using a suitable phrase that meets the legal threshold in the applicable jurisdiction.

Differentiation of endemic areas by incidence rates of tick-borne infectious diseases as the basis for choosing prevention strategy and tactics

2019 ◽  
pp. 56-61
Author(s):  
N.V. Rudakov ◽  
N.A. Penyevskaya ◽  
D.A. Saveliev ◽  
S.A. Rudakova ◽  
C.V. Shtrek ◽  
...  
Keyword(s):  
High Risk ◽  
Infectious Diseases ◽  
Population Based ◽  
Preventive Therapy ◽  
Incidence Rates ◽  
Prevention Strategy ◽  
Individual Risk ◽  
The Individual ◽  
Integral Assessment ◽  
Very High

Research objective. Differentiation of natural focal areas of Western Siberia by integral incidence rates of tick-borne infectious diseases for determination of the strategy and tactics of their comprehensive prevention. Materials and methods. A retrospective analysis of official statistics for the period 2002-2018 for eight sub-federal units in the context of administrative territories was carried out. The criteria of differentiation were determined by means of three evaluation scales, including long-term mean rates of tick-borne encephalitis, tick-borne borreliosis, and Siberian tick-borne typhus. As a scale gradation tool, we used the number of sample elements between the confidence boundaries of the median. The integral assessment was carried out by the sum of points corresponding to the incidence rates for each of the analyzed infections. Results. The areas of low, medium, above average, high and very high risk of tick-borne infectious diseases were determined. Recommendations on the choice of prevention strategy and tactics were given. In areas of very high and high incidence rates, a combination of population-based and individual prevention strategies is preferable while in other areas a combination of high-risk and individual strategies is recommended. Discussion. Epidemiologic zoning should be the basis of a risk-based approach to determining optimal volumes and directions of preventive measures against natural focal infections. It is necessary to improve the means and methods of determining the individual risk of getting infected and developing tick-borne infectious diseases in case of bites, in view of mixed infection of vectors, as well as methods of post-exposure disease prevention (preventive therapy).

Judicial Lawmaking, Discourse Theory, and the ICTY on Belligerent Reprisals

2011 ◽  
Vol 12 (5) ◽  
pp. 1261-1278 ◽  
Author(s):  
Milan Kuhli ◽  
Klaus Günther
Keyword(s):  
International Criminal Court ◽  
International Criminal ◽  
International Criminal Tribunal ◽  
Individual Case ◽  
Criminal Court ◽  
Discourse Theory ◽  
Criminal Courts ◽  
Normative Expectations ◽  
Judicial Lawmaking ◽  
The Individual

Without presenting a full definition, it can be said that the notion of judicial lawmaking implies the idea that courts create normative expectations beyond the individual case. That is, our question is whether courts' normative declarations have an effect which is abstract and general. Our purpose here is to ask about judicial lawmaking in this sense with respect to international criminal courts and tribunals. In particular, we will focus on the International Criminal Tribunal for the Former Yugoslavia (ICTY). No other international criminal court or tribunal has issued so many judgments as the ICTY, so it seems a particularly useful focus for examining the creation of normative expectations.

Assessing the validity of NART-estimated premorbid IQs in the individual case

1990 ◽  
Vol 29 (4) ◽  
pp. 435-436 ◽  
Author(s):  
J. R. Crawford ◽  
K. M. Allan ◽  
R. H. B. Cochrane ◽  
D. M. Parker
Keyword(s):  
Individual Case ◽  
The Individual

Biomonitoring of Fusarium spp. Mycotoxins: Perspectives for an Individual Exposure Assessment Tool

2010 ◽  
Vol 16 (3) ◽  
pp. 266-276 ◽  
Author(s):  
G. Cano-Sancho ◽  
S. Marin ◽  
A.J. Ramos ◽  
V. Sanchis
Keyword(s):  
Exposure Assessment ◽  
Dietary Habits ◽  
Assessment Tool ◽  
Fusarium Species ◽  
Risk Groups ◽  
Probabilistic Methods ◽  
Fusarium Spp ◽  
Individual Exposure ◽  
The Individual ◽  
Current Exposure

Fusarium species are probably the most prevalent toxin-producing fungi of the northern temperate regions and are commonly found on cereals grown in the temperate regions of America, Europe and Asia. Among the toxins formed by Fusarium we find trichothecenes of the A-type or B-type, zearalenone, fumonisins or nivalenol. The current exposure assessment consists of the qualitative and/or quantitative evaluation based on the knowledge of the mycotoxin occurrence in the food and the dietary habits of the population. This process permits quantifying the mycotoxin dietary intake through deterministic or probabilistic methods. Although these methods are suitable to assess the exposure of populations to contaminants and to identify risk groups, they are not recommended to evaluate the individual exposition, due to a low accuracy and sensitivity. On the contrary, the use of biochemical indicators has been proposed as a suitable method to assess individual exposure to contaminants. In this work, several techniques to biomonitor the exposure to fumonisins, deoxynivalenol, zearalenone or T-2 toxin have been reviewed.

scholarly journals Vaccine completion and infectious diseases screening in a cohort of adult refugees following resettlement in the U.S.: 2013–2015

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amir M. Mohareb ◽  
Bryan Brown ◽  
Kevin S. Ikuta ◽  
Emily P. Hyle ◽  
Aniyizhai Annamalai
Keyword(s):  
Infectious Diseases ◽  
Hepatitis A ◽  
Medical Data ◽  
Hiv Screening ◽  
Consensus Guidelines ◽  
Active Infection ◽  
Vaccine Completion ◽  
Hcv Screening ◽  
One Year ◽  
The U.S

Abstract Background Refugees are frequently not immune to vaccine-preventable infections. Adherence to consensus guidelines on vaccination and infectious diseases screening among refugees resettling in the U.S. is unknown. We sought to determine rates of vaccine completion and infectious diseases screening in refugees following resettlement. Methods We conducted a retrospective cohort study of refugees resettling in a region in the U.S. using medical data from June 2013–April 2015. We determined the proportion of vaccine-eligible refugees vaccinated with measles-mumps-rubella (MMR), hepatitis A/B, tetanus, diphtheria, and acellular pertussis (Tdap), and human papillomavirus (HPV) following resettlement. We also determined the proportion of refugees who completed HIV and hepatitis C (HCV) screening. Results One hundred and eleven subjects were included, primarily from Iraq (53%), Afghanistan (19%), and Eritrea (11%). Of the 84 subjects who were vaccine-eligible, 78 (93%) initiated and 42 (50%) completed vaccinations within one year of resettlement. Odds of completing vaccination were higher for men (OR: 2.38; 95%CI:1.02–5.71) and for subjects with English proficiency (OR: 3.70; 95%CI:1.04–17.49). Of the 78 subjects (70%) completing HIV screening, two (3%) were diagnosed with HIV. Nearly all subjects completed screening for HCV, and one had active infection. Conclusion While most refugees initiate vaccinations, only 50% completed vaccinations and 70% completed HIV screening within 1 year of resettlement. There is a need to emphasize vaccine completion and HIV screening in refugee patients following resettlement.

Changing Beliefs About Emotions in IBS: A Single Case Design

2018 ◽  
Vol 47 (3) ◽  
pp. 303-317
Author(s):  
H.M. Bowers ◽  
A.L. Wroe
Keyword(s):  
Single Case ◽  
Individual Case ◽  
Single Case Design ◽  
Emotional Suppression ◽  
Cognitive Behavioural ◽  
Scale Scores ◽  
Irritable Bowel ◽  
The Individual ◽  
Beliefs About Emotions

Background: Previous research suggests benefits of targeting beliefs about the unacceptability of emotions in treatment for irritable bowel syndrome (IBS). Aims: The current study developed and tested an intervention focusing on beliefs and behaviours around emotional expression. Method: Four participants with IBS attended five group sessions using cognitive behavioural techniques focusing on beliefs about the unacceptability of expressing emotions. Bi-weekly questionnaires were completed and a group interview was conducted. This study used an AB design with four participants. Results: Averages indicate that participants showed decreases in beliefs about unacceptability of emotions and emotional suppression during the intervention, although this was not reflected in any of the individual trends in Beliefs about Emotions Scale scores and was significant in only one individual case for Courtauld Emotional Control Scale scores. Affective distress and quality of life improved during follow-up, with only one participant not improving with regard to distress. Qualitative data suggest that participants felt that the intervention was beneficial, referencing the value in sharing their emotions. Conclusions: This study suggests the potential for beliefs about emotions and emotional suppression to be addressed in cognitive behavioural interventions in IBS. That beliefs and behaviours improved before outcomes suggests they may be important processes to investigate in treatment for IBS.

scholarly journals The main aspects of the immunoprophylaxis of infectious diseases in the Republic of Dagestan

2019 ◽  
Vol 18 (3) ◽  
pp. 42-45
Author(s):  
N. S. Karnayeva ◽  
L. U. Ulukhanova ◽  
A. G. Gadzhimirzaevа ◽  
S. G. Agaevа
Keyword(s):  
Hepatitis B ◽  
Infectious Diseases ◽  
Viral Hepatitis ◽  
Viral Hepatitis B ◽  
The Republic ◽  
Vaccine Prophylaxis ◽  
Religious Reasons ◽  
To Receive ◽  
Positive Effect ◽  
Epidemiological Situation

The analysis of the epidemiological situation of vaccine-preventable infections in the Republic of Dagestan. The introduction of mass vaccine prophylaxis had a positive effect on reducing the incidence of infections such as poliomyelitis, diphtheria, tetanus, rubella, and viral hepatitis B in the Republic of Dagestan. However, despite the ongoing routine immunization of the population for “controlled” infections, the incidence of measles and parotitis infection remains high in 2018, this is due to an increase in the number of people who refuse to receive preventive vaccinations, in most cases, for religious reasons.

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