2019 measles morbidity assessment in adult population of the Astrakhan region. A retrospective analysis
- Authors: Arakelyan R.S.1,2, Karpenko S.F.1, Rasevich Y.I.1, Ismailov P.E.1
-
Affiliations:
- Astrakhan State Medical University of the Ministry of Health of the Russian Federation
- Center of Hygiene and Epidemiology in the Astrakhan Region
- Issue: Vol 14, No 5 (2024)
- Pages: 1021-1025
- Section: SHORT COMMUNICATIONS
- URL: https://journal-vniispk.ru/2220-7619/article/view/284840
- DOI: https://doi.org/10.15789/2220-7619-MMA-17605
- ID: 284840
Cite item
Full Text
Abstract
Introduction. Epidemiological studies point at a serious epidemic situation related to measles confirmed by 3251 cases recorded in 64 regions of Russia within the first six months of 2019. The aim of the study was to conduct a retrospective multicenter analysis of 2019 measles morbidity in adult population of the Astrakhan region. Materials and methods. In 2019, 232 episodes of measles infection were recorded in the Astrakhan region. Of this, the adult population accounted for 27.6% or 64 episodes. The prevailing number of measles infections among adults was recorded in urban medical institutions — 67.2% or 43 episodes. Results and discussion. The top percentage of measles detection was observed in the Volga regions of the Astrakhan region — 28.7%. Narimanovsky district also had a high rate of 33.4%. The most unfavorable epidemiological morbidity was developed in the Sovetsky district of city of Astrakhan, with incidence rate reaching 58.0% or 25 of measles episodes. 92.2% of measles cases were recorded in the organized population, which is 59 episodes. Episodes of measles infection with 25.0% cases all complicated with pneumonia or 16 episodes were recorded in the Astrakhan region. It should be noted that the hot spots of measles infection in adult population are also found in various regions of our country. According to a thorough analysis on measles incidence in the Republic of North Ossetia-Alania within the period from 2018 to 2019, a sharp outbreak in morbidity level was observed over the past year. This phenomenon can be explained by the low population vaccination and revaccination level. Conclusion. In 2019, an outbreak of measles infection was recorded in adult population in the Astrakhan region coupled to 64 cases of the disease. In particular, most susceptible to measles were associated with urban environment and the organized population. At the same time, it was noted that in 25.0% of cases, or 16 episodes, measles infection led to complications such as pneumonia. Vaccination remains the essential means of preventing measles infection.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
Rudolf S. Arakelyan
Astrakhan State Medical University of the Ministry of Health of the Russian Federation; Center of Hygiene and Epidemiology in the Astrakhan Region
Author for correspondence.
Email: rudolf_astrakhan@rambler.ru
PhD (Medicine), Associate Professor, Associate Professor of the Department of Infectious Diseases and Epidemiology, Parasitologist, Laboratory of Bacteriological and Parasitological Research
Russian Federation, Astrakhan; AstrakhanS. F. Karpenko
Astrakhan State Medical University of the Ministry of Health of the Russian Federation
Email: rudolf_astrakhan@rambler.ru
DSc (Medicine), Professor of the Department of Infectious Diseases and Epidemiology
Russian Federation, AstrakhanYu. I. Rasevich
Astrakhan State Medical University of the Ministry of Health of the Russian Federation
Email: rudolf_astrakhan@rambler.ru
5th year Student, Faculty of Medicine
Russian Federation, AstrakhanP. E. Ismailov
Astrakhan State Medical University of the Ministry of Health of the Russian Federation
Email: rudolf_astrakhan@rambler.ru
5th year Student, Faculty of Medicine
Russian Federation, AstrakhanReferences
- Айларова Н.Р., Хестанова М.С. Оценка заболеваемости корью среди взрослого населения РСО-Алания за 2018–2019 гг. // Colloquium-Journal. 2019. № 15-3 (39). С. 61-62. [Aylarova N.R., Khestanova M.S. Assessment of the incidence of measles among the adult population of the Republic of North Ossetia for 2018-2019. Colloquium-Journal, 2019, no. 15-3 (39), pp. 61–62. (In Russ.)]
- Головко М.Г., Порядина Г.И., Ларина В.Н. Корь в практике терапевта поликлиники // Лечебное дело. 2014. № 4. С. 10–16. [Golovko M.G., Ordina G.I., Larina V.N. Measles in the practice of a polyclinic therapist. Lechebnoe delo = Lechebnoe delo, 2014, no. 4, pp. 10–16. (In Russ.)]
- Голубкова А.А., Платонова Т.А., Харитонов А.Н. Вакцинопрофилактика кори и пути ее оптимизации на завершающем этапе элиминации инфекции // Тихоокеанский медицинский журнал. 2018. № 4. С. 91–94. [Golubkova A.A., Platonova T.A., Kharitonov A.N. Measles vaccination and ways to optimize it at the final stage of infection elimination. Tihookeanskiy medicinskiy zhurnal = Pacific Medical Journal, 2018, no. 4, pp. 91–94. (In Russ.)] doi: 10.17238/PmJ1609-1175.2018.4.91-94
- Гущин В.А., Мануйлов В.А., Мазунина Е.П., Клейменов Д.А., Семененко Т.А., Гинцбург А.Л., Ткачук А.П. Иммунологическая память как основа рациональной вакцинопрофилактики населения. Обоснование создания системы сероэпидемиологического мониторинга в России // Вестник Российского государственного медицинского университета. 2017. № 5. С. 5–28. [Gushchin V.A., Manuilov V.A., Mazunina E.P., Kleymenov D.A., Semenenko T.A., Gintsburg A.L., Tkachuk A.P. Immunological memory as a basis for a wise vaccination strategy. A rationale for introducing a comprehensive seroepidemiological surveillance system in Russia. Vestnik Rossiiskogo gosudarstvennogo meditsinskogo universiteta = Bulletin of Russian State Medical University, 2017, no. 5, pp. 5–28. (In Russ.)]
- Короткова В.А., Хомичук Т.Ф., Щелканов М.Ю. Вопросы эпидемиологического надзора и профилактики кори, краснухи в Приморском крае // Здоровье. Медицинская экология. Наука. 2015. Т. 4, № 62. С. 124–129. [Korotkova V.A., Khomichuk T.F., Shchelkanov M.Yu. Issues of epidemiological surveillance and prevention of measles, rubella in Primorsky Krai. Zdorov’e. Meditsinskaya ekologiya. Nauka = Health. Medical Ecology. Science, 2015, vol. 4, no. 62, pp. 124–129. (In Russ.)]
- Макембаева Ж.И. Актуальные проблемы коревой инфекции у взрослых // Евразийское научное объединение. 2021. № 6-3 (76). С. 184–189. [Makembayeva Zh.I. Actual problems of measles infection in adults. Evraziiskoe nauchnoe ob»edinenie = Eurasian Scientific Association, 2021, no. 6-3 (76), pp. 184–189. (In Russ.)]
- Санитарные правила СП 3.1.2952-11. Профилактика кори, краснухи, эпидемического паротита. 2012. 147 с. [Sanitary rules SP 3.1.2952-11 Prevention of measles, rubella, mumps. 2012. 147 p. (In Russ.)]
- Стецюк О.У., Андреева И.В. Популярные мифы и заблуждения относительно антибиотиков среди практических врачей // Русский медицинский журнал. 2014. № 9. С. 684–692. [Stetsyuk O.U., Andreeva I.V. Popular myths and misconceptions about antibiotics among practitioners. Russkii meditsinskii zhurnal = Russian Medical Journal, 2014, no. 9, pp. 684–692. (In Russ.)]
- Топтыгина А.П., Смердова М.А., Наумова М.А., Владимирова Н.П., Мамаева Т.А. Влияние особенностей популяционного иммунитета на структуру заболеваемости корью и краснухой // Инфекция и иммунитет. 2018. Т. 8, № 3. С. 341–348. [Toptygina A.P., Smerdova M.A., Naumova M.A., Vladimirova N.P., Mamaeva T.A. Influence of population immunity peculiarities on the structure of measles and rubella prevalence. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2018, vol. 8, no. 3, pp. 341–348. (In Russ.)] doi: 10.15789/2220-7619-2018-3-341-348
- Цвиркун О.В., Герасимова А.Г., Тихонова Н.Т., Ежлова Е.Б., Мельникова, Дубовицкая Е.Л., Орлова О.С., Басов А.А., Фролов Р.А. Заболеваемость корью в разных возрастных группах в период элиминации инфекции // Эпидемиология и вакцинопрофилактика. 2017. Т. 94, № 3. С. 18–24. [Tsvirkun O.V., Gerasimova A.G., Tikhonova N.T., Ezhlova E.B., Melnikova A.A., Dubovitskaya E.L., Orlova O.S., Basov A.A., Frolov R.A. Measles cases by age group during the elimination of infection. Epidemiologiya i vaktsinoprofilaktika = Epidemiology and Vaccinal Prevention, 2017, vol. 94, no. 3, pp. 18–24. (In Russ.)] doi: 10.31631/2073-3046-2017-16-3-18-25
- European Centre for Disease Prevention and Control (ECDC). Epidemiological update: Measles — monitoring European outbreaks, 7 July 2017. Stockholm: ECDC. URL: https://ecdc.europa.eu/en/news-events/epidemiological-update-easles- monitoringeuropean-outbreaks-7 july-2017 (Accessed 31 Aug 2017)
Supplementary files
