Vol. 3 No. 3(1) (2013): VESTNIK of KSMA

Подготовка специалистов санитарно-эпидемиологического пофиля. Приоритетное направление общественного здравоохранения

Новые тенденции подготовки специалистов медико-профилактического профиля для системы здаровоохранения  Кыргызской Республики

The report provides current approaches to teaching the subject of epidemiology in medical schools, depending n the   specialty, is considered its internal structure and content with the current trend and focus enhancing the role of the epidemiology infections and non communicable diseases.

this article shows “Healthy nutrition program in the Republic of Kazakhstan”. This program is compiled taking into     consideration the selected research studies and major national documents in this area, and it is most relevant harmonized with appropriate General Strategies of WHO in the ķeld of nutrition.

Vitamin A status and vitamin A deţciency (VAD) among reproductive age women and children aged 6-59 months are studied at the national representative level. Normal levels of vitamin A in blood had 41.4% and borderline level - 35.4%  of children.

the high positive correlation dependence between the levels of atmospheric air pollution and the disease incidence rate of the children population is established.

negative interaction between presence of a number of diseases in a baby (atopic dermatitis, anemia, and etc.) and breastfeeding duration is revealed.

the article analyzes the incidence and prevalence of eye disease and its appendages including myopia in children and adolescent population of the Republic Tatarstan in the comparison of urban and rural residents.

the article presents data of medical examination of girls – students in rural educational institytions and survey data on a specially designed questionnaire.

the account of traditions and application of new approaches in the development of regional standards for children adolescent physical development will allow carrying out social-hygienic monitoring with due regard to both changing indices of   the environment, and modern morphological peculiarities of the children and adolescent population.

This article presents a literature review of recent 10 years, devoted to aspects of reproductive health of adolescent girls. The basic tendencies of the reproductive potential of the current teenage girls are marked: deviations and disharmonious physical development, low level of somatic health; high prevalence of gynecological diseases; early sexual activity and low awareness about methods of prevention of STD/HIV-infection and abortion.

in most samples of 207 toothpastes from all over the world producers were found that uoride content was in acceptable levels. Just in three countries of manufacturers was found a slight decrease of uoride in toothpastes content: Bulgaria, Brazil and Holland.

The analysis of reports of military commissariats the city of Bishkek at initial statement of young men from 2006 to 2012 years is carried out. In 7 years decrease in number of young men of recruits on 9,4 % is noted, and suitable for military service increased on 28,4%. It is revealed that diseases of endocrine system are steadily at high level.

the mineral composition of 40 daily diets of pupils of Bishkek choreographic school is studied. The shortcoming of some micro- and macroelements, namely calcium, (uorine, phosphorus etc. is revealed.

In article present characteristics of drinking water quality in Bishkek by microbiological and chemical indices.

the actual food of pupils of Bishkek choreographic school of Ch. Bazarbayev is investigated. Existence of de̘ciency of the main component of food, imbalance of nutrients, decrease the value of a daily diet is revealed.

There were made a research and evaluation of sportsmen’s physical development in 7 kinds of sport between men and women aged 13 to 16years (n=242). Detected low levels of physical development indexes of Perks and Erisman, medium-high indicators of Quetelet index. Assessment of the strength body was held by index Pinues, as the result it was detected that 57% of surveyed have a “medium” level of development, and 4.13% - a “weak”.

Results of the study among of workers in mountain and mines industry shower statistically signiǥcant of weight of a body towards increase, indicating that excess amount in a daily diet of protein and fat, as well as increased daily caloric  intake. Carbohydrate and lipid metabolism tend to increase in accordance with the age and length of service.

water sources on radiation indicators of safety are studied during 2005-2012 years, norm excess is revealed in 75% studied tests on total alpha activity, the greatest percent make from 0,2-0,4 Bk/l and above.

In article results of measurements of level of gamma-radiation of territory’s, residential and public buildings are re(ected, concentration of radon, assessment of drinking water on total an alpha and a beta – activity, contents of natural radionuclide’s in construction materials.

the article gives results of the evolution of 260 inductee’s physical development, living in a large city and rural are. Reliable decrease in weight of a body at rural recruits in comparison with the city is revealed. At 19% rural and 11% city recruits insufХency of a bead, an index of weight of a body IWB<18.5 IS revealed.

It is carried out studying and an assessment of an arrangement of improving establishments of Issyk-Kul area. Reduction of the analyses which have been selected from health resorts during 2012-2013 years is revealed, many objects remained without supervision according to the Yeverment resolution of Kyrgyz Republic.

in this article the hygienic assessment of student learning and labor of its materal on technical equirement.

In terms of socio-economic and democratic conversions in social, negative terms of studying at the university may negatively affected quality of students’ health. The sociohygienic monitoring o high school training conditions within the framework of the surveillance system substantiates programs to prevent health and life quality in high school students

This paper presents the state of the water supply and the provision of drinking water in various parts of Bishkek

The paper presents the characteristics of the quality of drinking water and the incidence of the population in the Osh region. Revealed that a high bacteriological contamination of drinking water is still in Karakulja district, Chon-Alai, and the sanitary-chemical parameters in the Chon-Alai, Aravan and Karakuldzhinskom areas.

Data on dust levels in atmospheric air in 3 regions of the KR: city Bishkek, Chui Province and Issyk-Kul Province are presented in the article. In the city Bishkek in the cold and warm period the averaged air dust concentrations were 0.68 mg/mі - 0.58 mg/mі, exceeding the maximum allowable average daily concentration by 3.9-4.5 times respectively. In the southern part of the city in the cold and warm period the air dust levels were higher (0.85 mg/mі - 0.87 mg/mі) than in the central part of the city (0.68 mg/mі - 0.58 mg/mі). In rural areas in the summer the atmospheric air dust level was 0.35 mg/mі in the village of Vorontsovka and 1.01 mg/mі in the village of Bokonbaevo, which exceeded the maximum allowable average daily concentration by 2.3 to 6.7 times respectively, and in the winter the air dust levels exceeded the maximum allowable average daily concentration by 4 to 5.7 times respectively.

This paper analyzes the long-term data of routine surveillance for influtnza and SARI in the Kyrgyz Republic. The efficiency of the existing and newly introduced routine sentinel surveillance system is studied. The introduction of a system of electronic survellance methods for the collection and analysis of influenza and SARI is estimated

We conducted a molecular-genetical testing children under 4 years of old, and adults with a diagnosis of SARI and ILI for respiratory viruses and intestinal pathogens by using multiplex chain reaction (PCR) in Real time. Analysis of the results showed that the most vulnerable age group og acute respiratory infectios were children under 1 years of old and adults 30-64 years. In the etiological structure of SARI prevailed parain(uenza viruses, rhinoviruses and metapneumoviruses.

We conducted the analysis of the incidence of severe in(uenza in hospital and acute respiratory viral infections (ARVI) among patients who sought medical care in polyclinics. Analysis was based on data from sentinel surveillance in selected medical institutions in Bishkek and Osh.

The infectious control concept and system was used as a basis for the adopted Special Purpose Programme on Hospital   Infection Control and Medical Waste Management. The programme will be delivered through the infectious control infrastructure that has been created within the health care system and the main bearers of infectious control programmes are infectious control specialists and infectious control committees at hospital level and the Department of State Sanitary-Epidemiological Surveillance at republican level.

Review of literature of adenovirus infection was conducted

We investigated adenoviral diarrhea of children under 5 years of old.

A study comparing the results of serological diagnosis of tick-borne encephalitis by complement Ÿxation test (CFT), hemagglutination reaction (HR) and ELISA show high effectiveness and the sensitivity of the ELISA reveal to 12,2±0,03% more positive results than at HR, this enables early detection of IgM antibodies in the serum of patients from the Ÿrst days after the tick bite. So, this method allows to recommend for the laboratory diagnosis of tick-borne encephalitis for a wide of the Kyrgyz Republic.

The results of serological monitoring of blood of patients with suspected tick borne encephalitis show a high frequency of antibodies to viruses of tick-borne encephalitis (67,2±6,3%), Crimean-Congo hemorrhagic fever (61,8±6,6%), West Nile fever (23,6±5,7%). This fact indicates the importance of arbovirus infections issue in the Kyrgyz Republic.

The article details the etiological diagnosis decoding fever of unknown origin.

High levels of mercury load experienced by children leads to certain changes in the immunity and the composition of elements in the body.

It has been investigated 1329 samples from patients with pyogenic-in(ammatory processes of different location. The study of antibiotic resistance of staphylococci bacteria showed that strains of S.aureus has high rate of resistance to penicillin group of antibiotics.

The article presents research data to identify the extent of soil contamination toxocara eggs, feces of dogs and their autopsy to determine the level of parasitic toxocariasis and serological evidence of infestation of the population.

The article is concerned with cytomegalovirus (CMV) infection rates and magnitude in patients ill with CMV infection. Almost all patients (88%) were seropositive for CMV. It was found that IgG antibody titers were 1:400 and 1:800 in patients aged 21 to 35 years. Among women aged 21 to 30 years the risk of fetal transmission of CMV infection was 3 times greater compared to women of higher age.

Characteristics of the magnitude of CMV infection was investigated in this work. The CMV antibody titers were higher in women aged 25 to 36 years and with increasing age the level of CMV antibody titers decreased. Women aged 21 to 30 years were 3 times more likely to transmit CMV to the fetus than women of older age.

There was conducted a laboratory investigations of 4310 children in Osh region for Hymenolepiаsis in combination with anemia. We used the Kato-Katz and Cyanmethemoglobin methods. 16% of children from 9 to 12 years old infected by intestinal parasites and 35,6% of children had low levels of Heamoglobin (below 110g/l).

The paper presents the epidemiological situation of managed and intestinal infections recorded in the Jalal-Abad region. A retrospective analysis of individual vaccine-preventable and intestinal infections. Also, the characteristic of epidemic outbreaks, laboratory diagnostics and problem drinking water supply.

To paper presents the results of an epidemiological analysis of viral vengritom And in Bishkek for the period from 1995 to 2012. The data suggest the incidence of HAV in a multi-year cyclical dynamics at interval of 2-3 years. Risk group are children under 14 years (70%). Time Risk months of September to November. The main route of transmission contact-household.

epidemiological situation of zoonosis infection diseases in Naryn region.

Lists the degree of microbial inoculation of 16,292 samples of biological substrates
(urine, makrota, detachable wounds) and antibiotic resistance 4513 identiƻed microbial strains.

In this article review of epidemiological situation of chlamydiosis in the world, infectivity of agricultural animals with zoonotic chlamydiosis in the republic, also prevalence chlamydiosis among brucellosis cases.

The article presents data objects in the environment, which play an important role in the transmission of intestinal helminthiasis.

In the article presents data epidemiological analysis of the structure and dynamics of diseases of the urogenital system of the Republic Kazakhstan

In article is given literary analysis of the modern condition of the physical development and functional condition to tuberculoses infections children and teenage