Title: NATURAL DISASTER RISKS IN UKRAINE N'O'VYNOGRAD Senior Epidemiologist of Ministry Health of Ukraine,
1NATURAL DISASTER RISKS IN UKRAINEN.O.VYNOGRAD
Senior Epidemiologist of Ministry Health of
Ukraine,Chief of Epidemiology DepartmentLviv
National Medical University, Ukraine
2TYPES of BIOLOGYCAL DANGER
- Activation, distribution and change of the border
of the natural nidi of infectious diseases - Epidemical distribution of the formerly control
infectious diseases - Appearance of the new unknown infectious
diseases - Imported agents of the exotic and
internationally quarantinable diseases - Bioterrorism
3TYPES of NATURAL NIDI (by the components of the
parasitical system)
- Zooanthroponosis (animal/bird/reptile vectors
human) - Saprozooanthroponosis (soil/water
animal/reptile vectors human) - Saproanthroponisis (soil/water human)
ecological
social
4INFLUENCING FACTORS
- Natural
- Climatic conditions (humidity, temperature,
hydrometeor), - Geographical location,
- Presence of certain types of animals, birds,
vectors.
- Social
- Residence
- Occupation
- Living standard
- Migration population
- Medical care
5GEOGRAFICAL DATA
- Territory size 603,7 thousand sq. km
- - Polissija (forest) 113500 sq. km
- - Forest-Step 202000 sq. km
- - Step 240000 sq.km
- - special area Karpatian and Crimean
- mountains
- Population size about 48 mln
6RESERVOIDS and VECTORS
- Birds 239 species
- Mammals more 400 29 species of Rodents others
animals fox, hare. - Ticks 7-10 species
- Mosquitoes - 21-24 species
7NATURAL NIDI OF INFECTIOUS DISEASES ON UKRAINE
- Hemorrhagic fever with renal syndrome
- Crimean-Congo hemorrhagic fever
- Anthrax
- West Nile encephalitis
- Tick-born encephalitis
- Lyme disease
- Marseilles fever
- Q-fever
- Leptospirosis
- Tularemia
- Rabies
8DISTRIBUTION of HFRS on UKRAINE
Tchernigiv
Lutsk
Sumy
Rivne
KYIV
Zytomyr
Lviv
Kharkiv
Poltava
Ternopil
Khmelnitsky
Cherkasy
Vinnytsa
Ivano-Frankivsk
Lugansk
Uzhgorod
Kirovograd
Dnipropetrovsk
Tchernivtsy
Donetsk
Zaporizya
Detection of antigen
Mykolaiv
Human illness
Odesa
Kherson
Serologycal retrospective
Simpheropol
9ANTHRAX
- Soil temperature - no less 12 C
- Soil humidity more 80
- Humus 0.7-6.1
- Microelements (P, K)
- Black soil
10UKRAINE
Tchernigiv
Lutsk
Sumy
Rivne
KYIV
Zytomyr
Lviv
Kharkiv
Poltava
Ternopil
Khmelnitsky
Cherkasy
Vinnytsa
Ivano-Frankivsk
Uzhgorod
Lugansk
Kirovograd
Dnipropetrovsk
Tchernivtsy
Donetsk
Zaporizya
Mykolaiv
Odesa
Kherson
Simpheropol
11ESTIMATE of PRACTICAL EPIDEMIC SITUATION
SYNDROMATIC DIAGNOSTIC
EPIDEMIOLOGICAL DIAGNOSTIC
LABORATORY DIAGNOSTIC
12RISK FACTORS of the DESTABILIZATION of
EPIZOOTO-EPIDEMICAL SITUATION at ZOOANTHROPONOSIS
- Decrease of the volume of epizootologycal
surveillance - Decrease of the Insect and Rodent control
- Inadequate laboratory verification
- Worsening of the hygiene conditions of
territorial - Natural Disasters (Floods)
- Fell of the forest without adequate control
13MEANS of the OPTIMIZATION of EPIDEMIOLOGYCAL
SURVEILANCE
- Modernization of the Lab diagnosis by
introduction of the express methods (ELISA, IF,
PCR) - Introduction of the definition of infectious
diseases - Organization of the correct epidemiological
monitoring - Forecast of epidemic process for specific
diseases - Devise of GIS
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