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NATURAL DISASTER RISKS IN UKRAINE N.O.VYNOGRAD Senior Epidemiologist of Ministry Health of Ukraine, Chief of Epidemiology Department L’viv National Medical University, Ukraine. TYPES of BIOLOGYCAL DANGER.
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NATURAL DISASTER RISKS IN UKRAINEN.O.VYNOGRAD Senior Epidemiologist of Ministry Health of Ukraine,Chief of Epidemiology DepartmentL’viv National Medical University, Ukraine
TYPES 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
TYPES 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
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 INFLUENCING FACTORS
GEOGRAFICALDATA • 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
RESERVOIDS and VECTORS • Birds – 239 species • Mammals – more 400: 29 species of Rodents; others animals – fox, hare…. • Ticks – 7-10 species • Mosquitoes - 21-24 species
NATURAL 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
DISTRIBUTION 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
ANTHRAX • Soil temperature - no less 12 C • Soil humidity – more 80 % • Humus – 0.7-6.1 • Microelements (P, K) • Black soil
UKRAINE 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
ESTIMATE of PRACTICAL EPIDEMIC SITUATION SYNDROMATIC DIAGNOSTIC EPIDEMIOLOGICAL DIAGNOSTIC LABORATORY DIAGNOSTIC
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 RISK FACTORS of the DESTABILIZATION of EPIZOOTO-EPIDEMICAL SITUATION at ZOOANTHROPONOSIS
MEANS 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