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Transcript of Control of Communicable Diseases_final
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8/3/2019 Control of Communicable Diseases_final
1/842
: .
:
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2010
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8/3/2019 Control of Communicable Diseases_final
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2004 ,
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: (Michele Pryor) - (United Book Press Inc.,Baltimore,MD,USA)
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, . . . . . . . . . . . . . . . . . . . . . . xi , . . . . . . . . . . . . . . . . . . . . . xii
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiv - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxvi . . . . . . . . . . . xxvii . . . . . . . . . . . . . . . . . . . . . . xxix 18- . . . . . . . . . . . . . . . . . . . . . . . xxxi ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
. . . . . . . . . . . . . . . . . . . . 10
. . . . . . . . . . . . . . . . 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20II. . . . . . . . . . . . . . . 22
() . . . . . . . . . . . . . . . . . . 25
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 . . . . . . . . . . . . . . . . . . . . . . . . 33
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58, . . . . . . . . . . . . 65 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 (Pinta) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
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I. chinococcus granulosus- . . . . . . . . . . . . . . 98II. Echinococcus multilocularis- . . . . . . . . . 101III. Echinococcus vogeli E.oligarthrus- . . 103
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120II. () . . . . . . . . . . . . . . . . . . . . 124
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 / . . . . . . . . . . . . . . . . 151 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
I. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154II. . . . . . . . . . . . . . . . . . . . . 157III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
. . . . . . . . . . . . . . 170 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 177 . . . . . . . . . 180
I. . . . . . . 180
II. . . . . . . . . 184 . . . . . . . . . . . . 187I. , . 187I.A. . . . . . 187I.. ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190II. . . . . . . . . . . . . 193III. . . . . 196
. . . . 199I. . . . . . . . . . . . . . . . . . 199II. . . . . . . . . . . . . . . . . . . . . 199II.A. - . . . . . . . . . . . . . . . . 199II.. , . . . . 201
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 . . . . . . . . . . . . . . . . . . . . . 205
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 211 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 214 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 218
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221I. apillaria philippinensis- . . . . . . 221II.apillaria hepatica- . . . . . . . . . . . 222III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 224 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 227I.A. . . . . . . . . . . . . . . . . . . . . 228
I.. . . . . . . . . . . . . 228I.. - . . . . . . . . . . . . . . 228II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 232, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236
I. . . . . . . . . . . . . . . . . . . . . . . . . 236II. - . . . . . . . . . . . . . . . . . . . 238III. , . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . 244
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 258 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262
, . . . . . . . . . . . . . . . . . . . . . . . . . . 265 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 268II. . . . . . . . . . . . . . . . . . . . . . . . . . . 272
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 279 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 284
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 289 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 290II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292II.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293II.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 301II.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 304
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II.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 307 : , . . . . . . . . . . . . . . . . . . . . . . . 309, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 315
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 320 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 322
I. Hymenolepis nana- . . . 322II. Hymenolepis diminuta-
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 325
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 329 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 332 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 334, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 336 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344 / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 362 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 364
I. . . . . . . . . . . 365II.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369III.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373IV. . . . . . . . . . . . . . . . . . . . . . . . . . 376
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 377 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380 . . . . . . . . . . . . . . . . . 393
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 395 . . . . . . . . . . . . . . . . . . . . . . . . . . . 402
I. - . . . . . . . . . . . . . . . . . . . . . . . . . . 403II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 408
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 416 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 419
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 420 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423 . . . . . . . . . . . . . . . . . . . . . 423
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 424 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 424
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439II. . . . . . . . . . . . . . . . . . . . . . . . . . . . 444
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 448
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 452 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 454 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 457 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460
I. . . . . . . . . . . . . . . . . . . . . . . . . 460II. . . . . . . . . . . . . . . . . . . . . . . . 468
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 470, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 485 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 489, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 496 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 498 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 501
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 508 . . . . . . . . . . 508
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 509 . . . . . . . . . . . . . . 512
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 513II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 514III. . . . . . . . . . . . . . . . . . . . . . . . . . . 515IV.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517IV.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 517
IV.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 518VI. . . . . . . . . . . . . . . . . . . . . . . . 520VII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521
. . . . . . . . . . . . . 522 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 526 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 528
I. . . . . . . . . . . . . . . . . . . . 529
II. . . . . . . . . . . . . . . . . . . . . . . 534 . . . . . . . . . . . . . . . . . . . . . . . . . 536 . . . . . . . . . . . . . . . . . . . . . . . . . 539
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 541
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 542I. . . . . . . . . . . . . . . . . . . . . . . 542II. . . . . . . . . . . . . . . . . . . . . . . . 547
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IX
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 636 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 638 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 669 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 672
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 674
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 674 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 675
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 675 . . . . . . . . . . . . . . . . . . . . . . . 675
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 679I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 679II. . . . . . . . . . . . . . . . . . . . . . . 683
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 685
sherichia coli- . . . . . . . . . . . . . . . . . . . . . . . . . 686I. . . . . . . . . . . 686II. . . . . . . . . . . . . . 691III. - . . . . . . . . . . . 694IV. . . . . . . . . . . . . . 695V. - . . . . . . . . . . 699VI. . . . . . . . . . . 700
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 700
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 705 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 708 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 712- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714 . . . . . . . . . . . . . . . . . . . . . . . . . 717
1- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 721
, . . . . . . . . . . . . . . . . . . . . . . . . 723
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 726 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 730 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 734 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 747- 6 (2009 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 796- 7-18 (2009 ) . . . . . . . . . . . . 797
(2009 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 798
-
8/3/2019 Control of Communicable Diseases_final
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X
-
8/3/2019 Control of Communicable Diseases_final
11/842
-
8/3/2019 Control of Communicable Diseases_final
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XII
, , (Marc Girard, MDDirector GeneralFondation Merieux, 17 rue Bourgelat, 69002 Lyon, FRANCE)
, (Donato Greco, MDDirector, National Epidemiology CentreIstiruto Superiore di Sanita, Viale Regina Elena 299, 00161Rome, ITALY)
.,-
(Scott B.Halstead, MD)Preventive Medicine and BiostatisticsUniformed Services University of Health Sciences5824 Edson Lane N., Bethesda MD 20852, USA)
.,- ,
(James M.Hughes, MDDirector, National Center for Infectious DiseasesCenters for Disease Control and Prevention1600 Clifton Road NE, Mailstop C12, Atlanta GA 30333, USA)
, ,
(Jacob John, MDFormerly Professor and Head, Department of MicrobiologyChristian Medical College Hospital, Vellore Tamilnadu 632004,INDIA)
.,
(Omar A.Khan, MD, MMSChair, Publications BoardAmerican Public Health Association800 I Street NW, Washington DC 20001-3710, USA)
-
8/3/2019 Control of Communicable Diseases_final
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XIII
,, (Ann Marie Kimball, MD, MPHProfessor, Epidemiology and Health Services/DirectorAsia Pacific Emerging Infections Network
School of Public Health and Community MedicineUniversity of WashingtonBox 354809, Seattle WA 98195, USA)
, , INCLEN
(Mary Ann lansang, MD, MMScExecutive Director, The INCLEN TrustSection E, 5/f Ramon Magsaysay Center1680 Roxas Boulevard, Malate, Manila 1004, THE PHILIPPINES)
, , (Angus Nicoll, MDDirector, PHLS Communicable Disease Surveillance Centre
61 Colindate Avenue, London NW9 5EQ, UNITED KINGDOM)
, , (Chiristophe Paquet, MD, MPHDepartement international et tropicalInsitut de Veille Sanitaire12 rue de Val DOsne, 94415 Saint Maurice, FRANCE)
, , (Aileen Plant, MDProfessor of International Health, Division of Health SciencesCurtin University of TechnologyGPO U1987, Perth WA, 6845, AUSTRALIA)
.,, /
(Stanley A.Plotkin, MDEmeritus ProfessorUniversity of Pennsylvania/Wistar Insitute4650 Wismer Road, Doylestown PA 18901, USA)
-
8/3/2019 Control of Communicable Diseases_final
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-
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XV
.,, (Karl G.Western, MD, DTPHAssistant Director for International ResearchDirector, Office of Global Affairs
National lnstitute for Allergies and Infectious DiseasesRoom 2021, 6610 Rockledge Drive, MD 20892-6613, USA)
, , , , (Eng Kiong Yeoh, JPSecretary of Health Welfare & FoodHealth, Welfare, and Food Bureau, Government Secretariat19/F Murray Building Garden Road Central, Hong Kong, CHINA)
-
8/3/2019 Control of Communicable Diseases_final
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XVI
, :
, , (Pierre Busson, PhDUMR 1598, Centre National de la Recherche ScientifiqueInstitut Gustave Roussyrue Camille Desmoulins, 94805 Villejuif CEDEX, FRANCE)
, , (Elisabet Carniel, MD, PhDWHO CC for Reference and Research on YersiniaNational Laboratory for Plague and YesiniosesInstitut Pasteur 28 rue du Dr Roux, 75724 Paris, France)
,
, (John Clements, MDCentre for International HealthBurnet Institute, Melbourne, AUSTRALIA)
,, (George Deepe, MD
Director, Infectious DiseasesUniversity of CincinnatiMSB 7163 POB 670560, Cincinnati, OH 45277-0560, USA)
., , (David W.Denning, MBBSSchool of Medicine, University of Manchester and Wythenshawe
Hospital Southmoor Road, Manchester M23NPL, UNITEDKINGDOM)
., , , (Don C.Dragon, PhD
-
8/3/2019 Control of Communicable Diseases_final
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XVII
Chemical and Biological Defence StationDefence Research and Development, CanadaSuffield, POB 4000 Station Main, Medicine Hat AB, TIA8K6,CANADA)
a, , (Ramon Diaz Garcia, MDDirector, Department of MicrobiologyProfessor of Medical Microbiology, School of MedicineUniversity of Navarra, Pamplona, SPAIN)
. ,, J.Stephen Dumler, MD(Director, Medical Microbiology, Dept. of PathologyThe Johns Hopkins Medical Institutions600 N.Wolfe Street, Baltimore, MD 21287, USA)
,
, (Roderick Hay, MDProfessor (Medicine and Health Science)Room G28A. Queens University Belfast, Whitla Medical BuildingUniversity Road Belfast BT71NNNorthern Ireland, UNITED KINGDOM)
,
, (Dagmar Hulinska, PhDHead, National Reference for BorreliosisDepartment of Electron Microscopy, Epidemiology and MicrobiologyNational Institute of Public HealthSrobarova 48, Prague 10042, CZECH PEPUBLIC)
,
, (Jon Iredell, MD, PhDCentre for Infectious Diseases and MicrobiologyUniversity of Sydney, Westmead Hospital, Sydney 2145,AUSTRALLA)
-
8/3/2019 Control of Communicable Diseases_final
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XVIII
.,, (Edward L.KaplanProfessor, Department of PediatricsMMC 296, University of Minnesota Medical School
Room #820-2 Mayo Bldg .,420 Delaware St SE, Minneapolis MN 55455 USA)
, , (Frans van KnapenChairman, Department of Public Health and Food SafetyVeterinary Medicine, Utrecht University, THE NETHERLANDS)
, , (John Mackenzie, MDDepartment of Microbiology and ParasitologySchool of Molecular and Microbial SciencesThe University of Queensland, Brisbane 4072, AUSTRALLA)
, , (Paul Martin, MDLaboratoire des ListeriaInstitut Pasteur, 28 rue du Roux, 75724 Paris, FRANCE)
,
, (Didier Raoult, MDDirecteur, Laboratoire des BartonellosesUniversite de la Mediterranee58 Boulevard Charles Livon, 12384 Marseille, FRANCE)
- ,
(Eduardo Salazar-Lindo, MD,Professor, Department of PediatricsCayetano Heredia University, Lima, PERU)
-
8/3/2019 Control of Communicable Diseases_final
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XIX
, (Roberto Salvatella Agrelo, MDNational Adviser/Regional Chagas Disease Focal PointPANO/WHO Offces, Av Brasil 2697, CP 11300
Monrevideo, URUGUAY)
, , (Luiz Carlos Severo, MD, PhDAssociate Professor of Internal MedicineHead, Laboratory of Mycology, School of MedicineFederal University, Rio Grande do Sul, BRAZIL)
, , (Anders Sjostedt, MDProfessor, Department of Clinical BacteriologyUmea UniversitySE-901 85, Umea, SWEDEN)
., , (F.Waldvogel, MDProfessor and Physician-in-chief, Medical Services-2Hopital cantonal universitaire de Geneve, SWITZERLAND)
.,
, (DavidH.Walker, MPProfessor and Chaiman, Department of PathologyExecutive Director, Center for Biodefense and Emerging InfectiousDiseases University of Texas Medical Branch,301 University Boulevard, Keiller Bldg, Galveston, TX 77555-0609,USA)
, , (Hiroshi Yanagawa, MD, FFPH,President, Saitama, Prefectural University820 Sannomiya, Koshigaya-Shi, Saitama-ken 343 8540, JAPAN)
-
8/3/2019 Control of Communicable Diseases_final
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XXI
(Eric Bertherat, MD, MPH) (Karin Leitmeyer,MPH, DTM&H)
(Gautam Biswas, MD) (Ornella Lincetto,MD. MPH)
(Ties Boerma, MD, PhD) (Pam Mari) (Peter Braam, DVM) (Gillian Mayers, BSc)
- (Claire-Lise Chaignat,MD, MPH)
(Jill Meloni)
(Ottorino Cosivi, DVM) - (FrancoisXavier Meslin, (DVM)
(Alya Dabbagh, PhD) (Antonio Montresor,MD)
(Denis Daumerie, MD) (Francis Ndowa, MD)
- (Renu Dayal-Drager,PhD)
(Tony Pappas, BSc)
(Phillippe Dsjeux, MD) (William Perea, MD.MPH)
o (Phillippe Duclos, DVM,PhD)
(Chris Elliott) (Poul Erik Petersen,DDS)
(Dirk Engels, MD, PhD) (Liliana Pievaroli,BSc)
(Pierre Formenty, DVM,MPH
(Mario Raviglione,MD)
(Pierre Guillet, PhD) (Elil Renganathan,MD, PhD)
(Bradley Hersh, MD, MPH) (Serge Resnikoff, MD)
. (Susan E.Robertson,MD, MPH)
(Nahoko Shindo MD,PhD)
(Cathy Roth, PhD) (Klaus Stohr, DVM, PhD)
(Lorenzo Savioli, MD,MSc)
(Hajime Toyofuku,DVM, VPH)
(Allan Schapira, MD, DSc) c (Julie Symons) (Jorgen Schlundt, DVM, (Jos Vandelaer, MD)
-
8/3/2019 Control of Communicable Diseases_final
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XXII
:
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8/3/2019 Control of Communicable Diseases_final
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, . , , . . . 30 , /, ,E.coli0157:H7, . , . , 87 () 18 , .
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, . 1917 - Public Health Reports (32:41:1706-1733) . 30 - 38 . - . ,
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man manual . . CD-ROM 18 (on-line) .
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-, , , , , . , . 140
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Control of Communicable Diseases Manual (CCDM: ) . 18 , , .
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, , , , , ,
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- -(Lee Jong-Wook)
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8/3/2019 Control of Communicable Diseases_final
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( ) (STREPTOCOCCAL DISEASES CAUSED BY
GROUP A [BETA HEMOLYTIC] STREPTOCOCCI)ICD-9 034, 035, 670; ICD-10 A49.1, J02.0, A38, L01.0, A46, 085( , , ,, , , [, ])
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8/3/2019 Control of Communicable Diseases_final
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1. , . , . . , - , - , ,
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8/3/2019 Control of Communicable Diseases_final
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. , ( ).
2. Actinomyces israelii , A.naeslundi, A. eyeri, A.odontolyticus Propionibacterium propionicus(Arachnia propionica Actinomyces propionicus) . A.viscosus . -,
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.6) ,
, . , .
7) E.histolytica , : , . , 50 (122F)- , .
8) .
. :1) : , 3 ( [.XXXV-XXXVII] ).
2) : ,
. E.histolytica
-
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, .
.3) : .
4) : .5) : .6) :
.
7) : . , , . , . ,
. (- ) luminal . 72 . . , . , . 3 .
.
. : E.histolytica , , . ,
.
-
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. : , ,
.
. :.
[L.Savioli/ .]
[ ](RESPIRATORY DISEASE, ACUTE VIRAL [EXCLUDINGINFLUENZA])( , , )
. ( ) , ( ) , , , . . , . . . .
. .
. . : , , , , . ,
- .
-
8/3/2019 Control of Communicable Diseases_final
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. , -
2- . (, , , - ) .
I. (ACUTE VIRAL RHINITIS) COMMONCOLP ICD-9 460; ICD-10 J00( , , )
1. , , 2-7 . 3-
. , . , , , , . , . 20-35%- . , , .
2. 20-40%- 100 . 10-15%- , 10-15%- 229, 43 814
. . , , , , . .
3.
. , .
-
8/3/2019 Control of Communicable Diseases_final
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. 1-6 . 5
.
4.
5. , , . ,
, .
6. 12 5 , 48 .
7. 24 , 5 .
8. . . , . , .
9.
A. :, , , , . .
. , , 4, 7 21- . , .
. :
: 5 (
-
8/3/2019 Control of Communicable Diseases_final
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[.XXXV-XXXVII] ).2, 3, 4, 5, 6 7. , , , ,
: II , 92-97
, - ,
, : II , 9, 9, 9
II. (ACUTE FEBRILE RESPIRATORYDISEASE) ICD-9 461-466; 480;
ICD-10 J01-J06; J12( )
1. , , , ,
. , , ,, , , . . 2-5 , , . . , . , , ,
, .
2. 1, 2, 3- , 4- , , , 1-5- , 7, 14 21- , , , . .
-
8/3/2019 Control of Communicable Diseases_final
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. 2- . , , ,
. , , , . , . 4, 7 21- , . .
3. . , . . ( 1- ) (). 0,5%
1% 2% . 7 ( 4, 7 ).
4. . . .
5. . , , , . ,
, . 3, 4, 7- .
6. 1-10
7. .
. -
-
8/3/2019 Control of Communicable Diseases_final
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.
8. , , . . - . . , , , .
9.
. : - 6 2 . 32-37 - . -
. - 1 - 2 . - . .
. :
1) : . 4 ( [.XXXV-XXXVII] ).
2) : . ,
3) : , .4) : 5) 6) : 7) : .
, ,
. -
-
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. . ,
. , .
. : Y . . ,
. .
. : .
. : - .
[O.Fontaine/.]
(SEVERE ACUTE RESPIRATORY SYNDROME) ICD-10 U04.9(Provisional)() (SARS)
1. 2003 2 . . 2002 11 . 2003 7 , , , , , 6 . 20 .
, . , , ,, . . 10 .
-
.
-
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, ELISA, IFA . - 2 ( , ) ,
2 , . .
.
- . 2003 10 1- -
. , . . (38 ), , - , - - , . -
, - , - . - .
2. . 1-2 4 . - . 56 -
15 10.000 .
3. - 2002 11 2003 7 , (, ), , . ,, , , 20 . 2003 7 5- ,
, ,
-
8/3/2019 Control of Communicable Diseases_final
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-
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, ). , .
.2) . -
: , , , .
( ). (, , ) . , . (N//R/P 95/99/100 FFP 2/3
- , . . , . . . , , . ,
, , . . , , . .
.
-
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: - , . -
, , , . .
. :
1. : -
. (, , , ); - . , , , , ,, . ,
, , . . - . , . .
2. : , , 10 , . .
. - . - ,
. : 2003 -
-
8/3/2019 Control of Communicable Diseases_final
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. . -
, , . ,, - . , .
. :
- .
. : . , -
( - CoV - ). , , . . , , , .
[D.Heymann/.]
(ANGIOSTRONGYLIASIS) ICD-9 128.8; ICD-10 83.2( , )
1. . ,
, , ,
-
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, . 5%- . . , .
20%- , , 82%- . . . , , ,, , , .
,
. , .
2. Parastrongylus (Angiostrongylus) cantonensis ( ). ( ) 3 .
3. , , , , , . , , , , , , , .
4. (Rattus Bandicota spp.)
5. , , . , , , .
. , . , .
,
-
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(ABDOMINAL ANGIOSTRONGYLIASIS) ICD-9 128.8
(INTESTINAL ANGIOSTRONGYLIASIS) ICD-10 B81.3
1967 13-
, , ,
, ,
.
20000-30000/3 (SI 20-30 109/),
11%-61%- . , , ,
Parastrongylus (Angiostrongylus)- , ,
.
, - .
Sygmodon hispidus ( )
.
,
. , ,
, , .
.
,
,
.
. ,
. ,
.
[L.Savioli/.]
(ANISAKIASIS) ICD-9 127.1; ICD-10 81.0
1. , , , - .
, (
-
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), . , .
. , . ,, 2 . .
2. Anisakis Pseudoterranova Anisakinae
3. , (, , , ) , octopus . 12000 ( ), (), (),
() . - .
4. Anisakinae . , , octopus , , .
5. , . ,, .
6. . , , , 7 .
7. .
-
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8.
9.
. :
1) , 60(140F)- 10 , -35 (-31F) , -23 (-9.4F)- 7 . . .
2) ( ) .
3)
. :
1) : . 5 (
[.XXXV-XXXVII] ). , ..
2) : 3) : 4) : 5) : 6) :
.7) :
, .
. :.
. :.
. :.
[D.Engels/.]
-
8/3/2019 Control of Communicable Diseases_final
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(ASCARIASIS) ICD-9 127.0; ICD-10 B77( , )
1. ,
.
, , ,
.
(,
) , ,
, .
, .
,
, ,
, .
.
,
, . , .
2. Ascaric lumbricoides . A. suum .
3. . 50% . 3-8 .
4. ; .
5. , . . . ,
. .
-
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. 2-3
. , , . 9-10 , 14-20 .
45-60 . .
6. 4-8 .
7. .
12 24 200 000 . .
8. .
9.
. :
1. 2. , ,
.3.
,
. .
4. , .
5. .
.
-
8/3/2019 Control of Communicable Diseases_final
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6. ( Trichuris trichiura
) . :) , 10%
( 50000- ) ( 2-3 ), (
1 ) ;) 50%- ,
10% ( ) ; ) 50%- 10%-
. .
. :
1) : . 5- m . ( [.XXXV-XXXVII] ).
2) : .3) :
.4) : .5) : .6) :
. , .7) : (500mg),
(400mg, 12-24 ) . 3 . .
. (10mg/kg),
-
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(2.5mg/kg) ( ,T. trichuria ).
. : , , . , .
. :.
. : .
[L.Savioli/.]
(ASPERGILLOSIS) ICD-9 117.3; ICD-10 B44
1. Aspergillus , . - Aspergillus . 5% . Cysticfi brosis . . - ().
. , , Aspergillus- , IgE (>1000/), Aspergilluls- .
( ) A.fumigatus A.niger . . ,
. (
-
8/3/2019 Control of Communicable Diseases_final
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) Aspergillus . . , ,
. 80%- . , ,Aspergillus .
Aspergillus , . ,
, , . , .
( , , , , ) . ( )
. ,, . . , . . , .
, 40%- , , , , . . Aspergillus- , .
.
2. Aspergillus- 180 40 . 5 A.flavis, A. fumigatus, A. nidulaus, A. niger, A. terreus . A. fumigatus, A. clavatus, A. versicolor. A. fumigatus
A. niger .
-
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3. , . A.flavis
A. parasiticus ( ) . . , . , (
) .
4. Aspergillus- , , . . , .
5. .
6. 2 3 .
7. .
8. Aspergillus . , o .
.
9.
. : , , .
-
8/3/2019 Control of Communicable Diseases_final
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. :
1) : . 5- . (
[.XXXV-XXXVII] ).2) : .3) :
, .4) : .5) : .6) :
.
7) : - - ,
-
.
. -
.
400 ,
. ( ) .
. -
( ) .
.
--
.
.
, , .
. : .
. :. .
. : .
[D.Denning/.]
-
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(BABESIOSIS) ICD-9 088.8; ICD-10 B60.0
1. . , , , , . . .
Borrelia burgdorferi .
. ( , ), .
, Plasmodium falciparum , .
2. .Babesi micoti - WA1 .B. divergens .
3. . - B. microti Ixodes scapularis ( I. dammini) .
. WA1 , , . B. divergens , , , ,- ( ),, , () . ( ), , , ( )
.
-
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4. B.microti , B. divergens . WA1 MO1 ( ) .
5. B.microti deer mice (voles, Microtus pennsylvanicus) ( I. scapularis) . . . B. divergens I. ricinus .
. . .
6. . 1-8 . ,
.
7. . 12 .
8. . , . .
9.
. : , .
, .
. :
1) : , . 3- . ( [.XXXV-XXXVII] ).
2) :
.
-
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3) : .4) : 5) :
, .6) : . .
7) : B. microti
. . ,, . ( ) . B. divergens -
. . .
. :
. :.
. : .
[F.Meslin, K.Western/.]
A(BALANTIDIASIS) ICD-9 007.0; ICD-10 A07.0
1. . , , , , .
,
A
-
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. . Balantidium coli ,
.
2. Balantidium coli .
3. . , . .
. 1978 .
4. , .
5. ,
. .
6. . .
7. .
8. . .
9.
. :
1. 2. .
3. .
4. 5.
.
A
-
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. .
. :
1) : . 5- . ( [.XXXV-XXXVII] ).
2) : 3) : ,
4) : 5) : 6) :
. , .
7) : . .
. : , , .
. :.
. : .
[F.Meslin, K.Western/.]
(TYPHOID FEVER) ICD-9 002.0; ICD-10 A01.0( , Typhus abdominalis)
(PARATYPHOID FEVER) ICD-9 002.9; ICD-10 A01.1-A01.4
1. , , , , ,
,
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25%- . ,
, . , , , . .
60-90%- . . . . ( ).
, , , . , , ( 1%-) . . 10-20% 1% . 15-20%- (
) . Salmomella enterica- enterica serovar
Paratyphi A B ( S. Paratyphi A B) . Salmomella enterica- enterica
serovar Typhi S. Paratyphi A B 10:1 . 3-4%- .
, . . .
.
2. S.typhi- S.enterica enterica serovar Typhi ( S. typhi) . S. Paratyphi A Paratyphi B .
3. , 17 600 000
. . -
-
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500- .
. 1990- , R , ,/ .
. 3 paratyphoid B
, .
S.typhi- S.paratyphi .
4. . . . . . (2-5%-) . ,
, S.typhi . . S.paratyphi B .
5. . , , , , , ( ) . ( ). S.typhi .
6. . 3-60 8-14 . 1-10 .
7. 7 ( 1-2 ) . 10% 3 2-5%-
.
-
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8. , - . .
5-19 .
9.
. : .
1) . ,
2) . . , .
3) , , .
. ,
4) , , , . , , ,
5) , . . . , .
6) . , , ,
7) , .
8) , . (
10 )
-
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9) , , ,
, .
10) ,
, 11)
. ,, .
1 48 () 3 . 3 . 750 2 28 80%-.
.12)
( ) , . - . . S.typhi Ty21a (3 4 2 ) Vi 1 . . Ty21a
. 2-5 . Ty21a , .
. :
1) : . 2 (
[.XXXV-XXXVII] ).
-
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2) : : . 1 24-48 3-
( ) 1 . 12 1 3 .
3) : , ,
. . .
4) : .5) :
.
. .
6) : , , , . . Vi . , . 24 2 .
7) : ( .) . ,
. . , ( ) . .
(911
-
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). S.Typhi .
. .
. :
1) , ,
2) .
3) . , , .
4) .
72%- .
. : . , . , , .
. :
1) :
. .2) - .
[C.Chaignat/.]
-
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(BARTONELLOSIS) ICD-9 088.0; ICD-10 A44( , )
1. ,
( , ICD-10 A44.0)
( , ICD-10 A44.1)
. , .
,
, , (
),
( ), .
, ,
. ()
,
,
.
.
, .
10-90%-
.
.
,
,
.
.
2. Bartonella bacilliformis.
3. - , 600-2800 . .
4. . .
5 .
-
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5. Lutzomyia , .
Lutzomyia verrucarum . . , . .
6. 16-22 , 3-4 .
7. . . .
8. . . . . .
9.
. :
- .-
. , , .
- .
. :
1) : . 3- . ( [.XXXV-
XXXVII] ).
-
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2) : . (9A- ).
3) : 4) : 5) : 6) :
3-8 .
7) : ,
, ,
.
. -
.
. : , .
. : .
. : .
[D.Raoult/.]
(BLASTOMYCOSIS) ICD-9 116.0; ICD-10 B40( , )
1. , , , , . .
, ,
-
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1-3 .
. .
, , . , , , , . , , .
. , .
. . . .
2. Blastomyces dermatitidis. Ajellomycesdermatitidis. , 37 (25) .
3. . ( , , ), , , , , - - . . . , , , .
4. , , .
5. -
.
6. ; . 45 .
7.
.
-
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8. . .
.
9.
. -.
. :
1) : . 5- . ( [.XXXV-XXXVII] ).
2) : .3) : .4) : .5) : .6) :
.7) : .
, .
. : .
. :.
. : .
[L.Severo/.]
(ANTHRAX) ICD-9 022; ICD-10 A22( , , , , )
1. , , ,
,
-
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. , , , , 2-6 .
, , . . , , . O- . ., . , .
. 5-20%, . .
, : , , , , , , 3-5
, . , , , , , . , .
, , ., , . , , - .
2. Bacillus anthracis -, , . ,B.anthracis- .
3. ,
. . , , , , , , , . , , , .
.
-
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. .
4. , ( ), . ,B.anthracis- , . , , ,
. , , . ,, , , . , , .
5. (, ,
, , ) , , , , , ,, , (, , ), , . , , , B.anthracis- , , . , . . , , , . .1979 - ()
66 , 11 . . , .
6. 1-7 60 .
43 .
-
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7. . , , .
8. . .
9.
. :
1) , , (-: , 3500 Martin LutherKing Jr Boulevard, Lansing MI 48909). : B.anthracis- , .
. .
2) , , , .
3) , , . , . .B.anthracis .
4) , , , ,
.5) , , (, ) .
6) . . ,
, ,
-
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, . ,
. , . B.anthracis- , .
. , , .
7) , , ,, , , ,
8) , ,
. , , . . , .
. :
1) : , 2 ( [.XXXV-XXXVII] ). , . . ,
.
2) : . . ,
, .
-
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3) : , , . ,
, , , , . , , . , , . .
4) : .
5) : .6) :
, . , 9 . 9-1- , ,
.7) :
5-7 . , . - . .
. : , . , , . , , , - .
. :., .
. : , , , , .
-
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E.
: 2001 - .
. :1) ,
. - (FBI) , .
2) ,
.3) ,
, , .
4) .
5) , ,
. , , , . 3 , 2, 4, 7 . , 18- , 60- .
6) , .
7) ,
, HEPA SCBA .
8) . ,
1:10 ,
-
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. .
,
. , , , , . , , , . . , , , , .
. . . , . - 5-10% . .
() . 1- , GI
. , . 6 Clostridium botulinum- . , , , , . .
() 5% . 1% .
.
2 .
, , , , . . .
.
-
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. .
, . .
2. Clostridium botulinum . . , B, E, F
. G . . (A, B, F) (E, B F) , , , .
, , , ,
. 80 10 . 3 .
, (E F) Clostridiumbutyricum Clostridium baratti .
3. . , . . , , ,
. , . - . 150 , 20 , 15 , 30 ( ), , , ,
, .
-
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4. ,
.
5. Clostridium botulinum . , ,
, , . , . .
. . , , , sauted
onions, . C. botulinum .
, . , .- .
. .
.
. .
,
-
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. . C. botulinum .
6. 12-36 , . , . . C. botulinum
( 106/ ) . . .
7.
8. . 2 1 , 94% 6 . 13 . .
9.
. : ( ), , .
( , ) . . .
-
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. :
1) : .
2- . ( [.XXXV-XXXVII] ). .
2) : . .
3) : , .
. . .
4) : 5) :
. ,
. , (AB ABE ) 1-2 .
6) : , . .
7) : 1 (AB
ABE) (- CDC, 404-639-2206 770-488-7100) . . . .
-
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(). .
. - , (BIG) (510-540-2646) . ,
. . . , .
. : , . , .
. : .
. : . .
.
:
. . , .
.
-
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, .
, : (http://whqlibdoc.who.int/publications/2002/9241545844.pdf). , ,
. , , .
[H.Toyofuku/.]
(YAWS) ICD-9 102; ICD-10 A66()
1. ,
.
.
,
. ,
.
,
, , .
. ,
.
.
5
10-20%- , .
, , , ,
-
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, .
1) : ,
,
,
2) ,
,
, 10%
- ,
. 5-10% , 15%- , 5%-
.
,
.
3)
4) , ,
5)
. :
1) : .
3 . (
[.XXXV-XXXVII]
.
2) : ,
3) : ,
.
4) :
5) :
6) : ,
.
.
7) : . 10
G- 1.2 , 10 0.6 .
-
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. : . : 1.
2. 3. 1-3
. : . .
. : . - .
[G.Antal/.-]
(TYPHUS FEVER) ICD-10 A75
I. (EPIDEMIC LOUSE-BORNETYPHUS FEVER) ICD-9 080; ICD-10 A75(Typhus exanthematicus, )
1. . , , , , .
5 6 , , . . . 10-40%- . .
-
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- , .
-
. . , , , - . . -
. .
2. Rickettsia prowazekii
3. - . .
, , . , . . .
4. . .
5. Pediculus humanus corporis . - .
. . . .
6. , 12 .
-
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7. . 2-3 .
2-6 . . . .
8. . .
9.
. :
1) . .
2) , ,
3)
. :
1) : - . 1 ( [.XXXV-XXXVII] ).
2) : , , .
3) : .
. . .
4) :
15
-
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.
5) :
.6) : .
7) : 200 .
.
. : . . .
.
. : , , .
. :
1) - .
2) : .
3) -
- .
.
:R.prowazekii- . . 200
.
-
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II. (ENDEMIC FLEA-BORN TYPHUSFEVER) ICD-9 081.0; ICD-10 A75.2
( )
1. . 1% .
. 1.1- .
2. Rickettsia typhi (Rickettsia mooseri);R.felis.
3. . .
4. , . - - . Rickettsia felis , , . .
5. ( Xenopsylla cheopis) . .
6. 12 .
7. . .
8. . .
9. -
-
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. :
1)
(92-93,96- )2) ,
. :
1) : . . 2 . ( [.XXXV-XXXVII]
2) : 3) : 4) : 5) : 6) :
7) :
. : .
. : , .
. : - .
III.
(SCRUB TYPHUS) ICD-9 081.2; ICD-10 A75.3( , )
1. . , , , .
-
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. .
. 1-60% . , .
. . - .
.
2. Orientia tsutsugamushi .
3. , . , , , 3000 (10000 ) ,
. . , , . . 20-50%- , .
4. (Leptotrombidiumakamushi, L. deliensis) . .
5. .
6. 6 -21 10- 12 .
7. .
8. . .
-
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. .
.
9.
. :
1. . : ,
2. , .
3. (200 ) .
. :
1) : . . 3 ( [.XXIX-XXXII ).
2) : 3) : 4) : 5) : 6) : 7) :
30 . . 3 6 .
5 / , 5 . .
. : ,
. :
.
-
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. : - .
[D.Raoult/.-]
(PEDICULOSIS AND PHTHIRIASIS) ICD-9 132; ICD-10 B85
1. , , (Pediculus capitis), , (P.corporis) . ( Phthirus pubis) , , , . , , .
2. (Pediculus capitis), (P.corporis), ( Phthirus pubis) , . - . , . Rickettsia prowazeki- , R. quintana- , Borrelia recurrentis .
3. . , , , , , ( ),
.
4. .
5. , , ; ; . ,
7 .
-
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; .
6. 3 : , , . 32 (89.6F)- . 22 . 7-10, 7-13 . 3 , 18 , 15 .
7. , . 1 . 1 . , , 2 , 24 .
8. . . .
9.
. :
1) , , , , (55 - 131 20 ) , - .
2) , .
3) , , .
4) , , .
. :
1) : . 5 . ( [.XXXV-XXXVII] ).
2) : 24
.
-
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3) : , , , , (97-
).4) : .5) : .6) : ,
, .7) : , 1%-
( )- 10 ,
(10 ), 1% 5%-, (7-8 ) . 7-10 . 0.5% 1%- , , , , ., , .
. , , , 2 . 1%- , 0.5%- .
. : 97- , . , , , .
. : ,
.
. : .
[P.Guillet/.]
-
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(BRUCELLOSIS) ICD-9 023; ICD-10 A23(, , ,
)1. ,
; , , , , . ,
. , , .
20-60%- , sacroiliitis . 2-20%- , .
. 2% Brucella melitensis- . . .
, , . 95%- (Coombs-IgG ELISA-IgG) (IgM, IgG and IgA) ( ) . B. canis-
.
2. Brucella abortus, 1-6 9; B. Melitensis, 1-3;B. Suis, 1-5;B. canis.
3. ,
( ), , ,
, , .
-
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.
, , ,
. , ,
, ( )
. B. canis-
.
.
4. , , , . , ,
. B. canis ,
,
B. Canis- .
.
5. , , , ,
, , ( ) .
,
. 19
Brucell-
Rev-1 .
6. ,
5-60 , 1-2 ,
.
7.
.
8.
. .
9.
.
. :
1) ( )
-
.
-
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2) , , ,
, ( ) .
3) (, ) , .
4) ( ) ,
( ). . , B. Melitensis- Rev-1 , B.Abortus- 19 . B. abortus- RB51 1996 B. abortus- 19
. RB51 19 .
5) Rev 1 , RB51 . .
6) , , . .
7) , , , . .
. :
1) : . 2- . ( [.XXXV-XXXVII] ).
2) : .
3) : .
4) : .5) : .6) :
,
-
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, , , . , .
7) : ( 600-900 ), ( 1 ), ( 200 )- 6 . . 7 . - (30%).
5%- . . .
. : , , .
, , .
. : .
. : , . - .
.
: , Brucella- .
[D.Dragon/.]
(BURULI ULCER) ICD-9 031.1; ICD-10 A31.1
1.
(
-
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) .
. , , . , . Mycobacterium ulceran- .
. Marjolin ( ) .
. , - ,
. . M. ulceran : , , , , , , , , , , , , , , , , , (, ), , , .
2. M. ulcerans , . (6 )
. M. ulcerans , . M. ulcerans- 4 , , , . .
3. M. ulcerans-
30 ,
-
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. . . 25
. ( , ) M. Ulcerans- .
4. , . , ,
M. Ulcerans- . ( Phascolarctos cinereus), (Phalangeridae ), (Potorous longipes) . ( Lama pacos)- ; .
5. . . (Naucoridae) . Ampullariidae Planorbidae M. ulcerans- . - M. ulcerans- . , , . . .
6. 2-3 , M. ulcerans- . .
7. .
.
-
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.
. : , , .
. : , .
. : . , . http//www.who.int/gtb ; - .
[K.Asiedi/.]
(PINTA) ICD-9 103; ICD-10 67(, )
1. , . 1-8 , , , , . 3-12 (),
() . -, () . . ; .
.
-
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.
2. Treponema carateum .
3. , , , . 1990 (HO)/- ,
, , . - . , .
4. .
5. - () . . , () .
6. 2-3 .
7. ; () . ; .
8. ; .
9.
. : ( , 9-
)
-
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. :
1) :
; -
. 3 ( [XXIX-XXXII] ).
2), 3), 4), 5), 6), 7) , , , , : , 92, 97
, , . ,
, : , , , .
[G.Antal/.]
(LYMPHOGRANULOMA VENERUM) ICD-9 099.1; ICD-10 A55( , , )
1. , . , , . , . , .
, - . , , . . , . ,
.
-
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, , , , , .
, . , .
, , ,, . -, 1:64 4
. - .
2. Chlamidia trachomatis L-1, L-2, L-3 . - .
3. , ., . . . . .
4. . , .
5.
, , .
6. . 3-30 . 10-30 , .
7. . .
-
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8. . , .
9.
. : . 9, 9 .
. :1) :
, . 3 ( [.XXXV-XXXVII] ).
2) :
.3) :
.
4) : 5) : .
.
6) : . .
7) : , , 2
. . . . 1 , .
-
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. :
. :
. : 9 .
[F.Ndowa/.]
(ECHINOCOCCOSIS) ICD-9 122; ICD-10 BG7
(Echinococcus) . , Echinococcus- . , ,
. ) , ) , ) .
I. ECHINOCOCCUS GRANULOSUS- (ECHINOCOCCOSIS DUE TOECHINOCOCCUSGRANULOSUS) ICD-9 122.4, ICD-10 B67.0-B67.4( )
1. : Echinococcus granulosus . . 1-15 , . . , .
. , , .
, . , , , . , ,
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. .
2. Echinococcus granulosus,
3. . . . , , ,
, , , , ,, .
4. Echinococcus granulosis , , .
. , ,, , .
5. , , , , . .
()- . , , . , , , ,
. . .
6. , , 12 .
7.
.
-
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5-7 . 6 2-3 .
.
8. . . Echinococcus granulsu-m , .
9.
A. :
1) . , , ,
2) ,