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.
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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 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 INFLUENCING 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 GEOGRAFICAL DATA 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 Territory 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 Tchern igiv Lutsk Sumy Rivne Zytomyr Lviv KYIV Ternopil IvanoFrankivsk Uzhgorod Polta va Cherk asy KhmelnitskyVinnyt sa Lugansk Kirovogr ad Tchern ivtsy Dnipropetrov sk Zaporiz ya Detection of antigen Human illness Serologycal retrospective Khark iv Odesa Mykolai v Kherson Simpherop ol Donetsk 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 Zytomyr Lviv KYIV Kharkiv Ternopil Poltava Khmelnitsky Cherkas Vinnytsa Uzhgorod y Ivano-Frankivsk Lugansk Kirovograd Dnipropetrovsk Tchernivtsy Donetsk Zaporizya Mykolaiv Odesa Kherson Simpheropol ESTIMATE of PRACTICAL EPIDEMIC SITUATION SYNDROMATIC DIAGNOSTIC LABORATORY DIAGNOSTIC EPIDEMIOLOGICAL DIAGNOSTIC RISK 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 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