Epidemiological features of the seventh pandemic of cholera at stage IV and monitoring thereof

2020 ◽  
Vol 03 (04) ◽  
pp. 74-77
Author(s):  
Kh.H. Jafarova ◽  
◽  
E.F. Vahabov ◽  
F.Sh. Taghiyeva ◽  
V.Ch. Jalilov ◽  
...  

The topical issues of cholera touched upon in the modern period indicate the significance of the problem at the global level. The continuing trend of an increase in morbidity, the importation of cholera leading to large outbreaks and epidemics, the presence of endemic foci on three continents of the world, the spread of genome-altered variants of El Tor cholera vibrios with epidemic and pandemic potential indicate a generally unfavorable prognosis for cholera at the global level. This dictates the need to implement a set of measures in the system of epidemiological surveillance of cholera and to ensure the readiness of the Ministry of Health institutions to carry out those regulated by international health regulations. Key words: cholera, pandemic, endemic territories, factors of distribution, Vibrio cholerae, 0139 (Bengal), prognosis

Author(s):  
Varvara Mouchtouri ◽  
Diederik Van Reusel ◽  
Nikolaos Bitsolas ◽  
Antonis Katsioulis ◽  
Raf Van den Bogaert ◽  
...  

The purpose of this study was to report the data analysis results from the International Health Regulations (2005) Ship Sanitation Certificates (SSCs), recorded in the European Information System (EIS). International sea trade and population movements by ships can contribute to the global spread of diseases. SSCs are issued to ensure the implementation of control measures if a public health risk exists on board. EIS designed according to the World Health Organization (WHO) “Handbook for Inspection of Ships and Issuance of SSC”. Inspection data were recorded and SSCs issued by inspectors working at European ports were analysed. From July 2011–February 2017, 107 inspectors working at 54 ports in 11 countries inspected 5579 ships. Of these, there were 29 types under 85 flags (including 19 EU Member States flags). As per IHR (2005) 10,281 Ship Sanitation Control Exception Certificates (SSCECs) and 296 Ship Sanitation Control Certificates (SSCCs) were issued, 74 extensions to existing SSCs were given, 7565 inspection findings were recorded, and 47 inspections were recorded without issuing an SSC. The most frequent inspection findings were the lack of potable water quality monitoring reports (23%). Ships aged ≥12 years (odds ratio, OR = 1.77, 95% confidence intervals, CI = 1.37–2.29) with an absence of cargo at time of inspection (OR = 3.36, 95% CI = 2.51–4.50) had a higher probability of receiving an SSCC, while ships under the EU MS flag had a lower probability of having inspection findings (OR = 0.72, 95% CI = 0.66–0.79). Risk factors to prioritise the inspections according to IHR were identified by using the EIS. A global information system, or connection of national or regional information systems and data exchange, could help to better implement SSCs using common standards and procedures.


2017 ◽  
Vol 22 (24) ◽  
Author(s):  
Rosa M López-Gigosos ◽  
Marina Segura ◽  
Rosa M Díez-Díaz ◽  
Isabel Ureña ◽  
David Urzay ◽  
...  

The international maritime traffic of people and goods has often contributed to the spread of pathogens affecting public health. The Maritime Declaration of Health (MDH), according to the International Health Regulations (IHR) (2005), is a document containing data related to the state of health on board a ship during passage and on arrival at port. It is a useful tool for early detection of public health risks. The main objective of our study was to evaluate compliance with the model provided in the IHR, focusing on the format and degree of completion of MDH forms received at Spanish ports. We reviewed the content of 802 MDH forms submitted to nine Spanish ports between October 2014 and March 2015. Study results show that 22% of MDH forms presented did not comply with the recommended model and 39% were incomplete. The proportion of cargo ships with correct and complete MDH forms was lower than passenger ships; thus, the nine health questions were answered less frequently by cargo ships than passenger ships (63% vs 90%, p value < 0.001). The appropriate demand and usage of MDH forms by competent authorities should improve the quality of the document as a tool and improve risk assessment.


2014 ◽  
Vol 3 (3) ◽  
pp. 266 ◽  
Author(s):  
AnneHarwood Peruski ◽  
Maureen Birmingham ◽  
Chawalit Tantinimitkul ◽  
Ladawan Chungsamanukool ◽  
Preecha Chungsamanukool ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document