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Zielinski A.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw
Przegla̧d epidemiologiczny | Year: 2014

Despite of the small number of cases reported in Poland tetanus is a permanent risk to unvaccinated people. The severity of the disease is associated with high case fatality, especially among people in older age groups. The aim of this paper is to present the data of epidemiological surveillance of tetanus in 2012. Principal source of the data is bulletin: "Infectious diseases and poisonings in Poland in 2012, and individual reports of cases of tetanus sent to the Department of Epidemiology, NIPH -NIH. In 2012, there were reported 19 cases of tetanus. 6 cases occurred in men, and 13 women. 13 cases occurred in persons over 69 years of age and in those age groups 6 cases were fatal. The paper describes the geographical distribution and the month of infection, the nature of the wounds which were portals of infection and the duration of incubation period of the cases. Severity of tetanus, despite a small number of cases each year leads to several deaths, which could be prevented by vaccination. Source


Rogalska J.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw
Przegla̧d epidemiologiczny | Year: 2014

In 2004, Poland has adopted the WHO goal of rubella elimination and congenital rubella syndrome prevention. Participation in the rubella elimination program requires clinical diagnosis of rubella to be confirmed with laboratory test. In Poland, until 2003, national vaccination recommendation included a dose of rubella vaccine only for girls aged 13 years. Among men, the incidence of measles remained high creating a risk of infection of non-immune pregnant women which may lead to the development of congenital rubella syndrome in the child. To assess epidemiological situation of rubella in Poland in 2012, including vaccination coverage in Polish population. The descriptive analysis was based on data retrieved from routine mandatory surveillance system and published in the annual bulletins "Infectious diseases and poisonings in Poland in 2012" and "Vaccinations in Poland in 2012". In 2012, there was a significant increase in the number of cases of rubella - 6 263 cases (in 2011, 4 290 cases) - and the increase in incidence (from 11.1 per 100 thousand. 16.3). The highest incidence rate, regardless of gender and the environment, was observed among adolescents aged 15-19 years (118.0 per 100 000). As in 2011, the incidence of rubella in boys and men was higher than the incidence in girls and women (25.6 versus 7.5). In 2012, no cases of congenital rubella syndrome were registered. The proportion of laboratory tests confirming/excluding rubella infection is still very low in Poland. In 2012, only 0.2% of rubella cases were laboratory confirmed. Source


Stepien M.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw
Przegla̧d epidemiologiczny | Year: 2014

To describe the epidemiological situation of imported malaria in Poland in 2012 as compared with previous years. Evaluation of malaria epidemiological situation in Poland in 2012, based on the results of the analysis of individual reports sent to the NIPH-NIH by the Sanitary-Epidemiological Stations and aggregate data published in the annual bulletins "Infectious Diseases and Poisonings in Poland". Cases were registered according to the case definition approved in the EU countries. In 2012, a total of 21 malaria cases were registered in Poland, including one fatal case. All cases were imported from malaria-endemic countries: 52% from Africa and remaining cases from Asia. Overall, compared to 2011, 7 more cases were reported. Given a median for the years 2006-2010, the number remained at the same level. In one patient the recurrence of malaria falciparum was observed following the failure of treatment undertaken in Cameroon. Plasmodium species was determined in 18 cases (86%); including 10 (61%) caused by P. falciparum, 6 (33%) by P. vivax and one by P. malariae. One patient was diagnosed with mixed invasion. Infections were occurred most frequently during work-related trips (43%) or tourist trips (38%), in other cases the purpose of the journey was to visit the country of origin (14%) or its purpose remained unknown. Only four people took any chemoprophylaxis; in one case, a drug matched inappropriately to the destination was applied, the remaining three persons applied drugs contrary to the recommended drug regimen. The number of cases of imported malaria in Poland remained at a low level, similar to that observed in previous years. A large number of delayed diagnoses (more than half of the reported cases) and another case of fatal outcome in the course of malaria indicate still low awareness of malaria threat among both travelers and primary care physicians. Source


Paradowska-Stankiewicz I.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw | Chrzescijanska I.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw
Przegla̧d epidemiologiczny | Year: 2014

In Poland registration of all cases of Lyme disease is conducted by the Epidemiological Unit of National Institute of Public Health - National Institute of Hygiene. Most cases of Lyme disease occur in the North- East region of Poland; however, it is important to note that the disease is no longer solely a problem of this region of Poland. The aim of this work is to assess the epidemiological situation of Lyme disease in Poland in 2012 as compared to the situation in the previous years. Assessment of the epidemiological situation of Lyme disease in Poland was made on the basis of an analysis of individual notifications of suspected Lyme disease submitted to NIZP-NIH by the Provincial Sanitary- Epidemiological Stations; as well as data from "Infectious diseases and poisoning in Poland in 2012" bulletin, and "Vaccinations in Poland in 2012" bulletin (MP Czarkowski and Co, Warsaw 2013, NIPH-NIH, NCI). In 2012 there were 8 782 registered cases of Lyme disease and it is 4.3% higher than in the previous year. The overall incidence in the country amounted to 23.8 per 100 000 people. The highest incidence rate was recorded in Podlaskie province - 75.5 per 100 000 people. 2 063 people were hospitalized due to Lyme disease. In 2012 incidence rate of Lyme disease was gradually dropping down. The registered number of cases was reduced by 4.1% in comparison to the previous year. There is still a fairly low percentage of cases detected with diagnostic test called Western blot method. Source


Baumann-Popczyk A.,National Institute of Public Health National Institute of Hygiene NIZP PZH in Warsaw
Przegla̧d epidemiologiczny | Year: 2014

The aim of the article is evaluation of the epidemiological situation of hepatitis A in Poland in 2012. Assessment of epidemiological situation of hepatitis A was based on results from analysis of the annual bulletins: "Infectious diseases and poisonings in Poland in 2012", "Vaccinations in Poland in 2012", reports from individual cases and epidemiological investigations of outbreaks linked to hepatitis A, sent by Epidemiological Departments in Sanitary Epidemiological Stations to the Department of Epidemiology at NIPH-NIH. In Poland, 71 cases of hepatitis A were registered in 2012. The incidence of 0.17/ per 100 000 inhabitants was slightly higher than previous year. The incidence of hepatitis A ranged from 0.08/100 000 in Łódzkie and Podlaskie to 0.35/100 000 in Ślaskie. The incidence of hepatitis A in men and women was at an approximate level and amounted to 0.19 and 0.18/100 000 respectively. The peak of incidence was recorded during the summer and autumn-winter months. In 2012 imported cases constituted 52.1% of all cases of hepatitis A. There were five outbreaks involving of 11 registered cases in 2012. In 2012, there was a slight increase in the incidence of hepatitis A in compared with the previous year. However, apart from that there were no significant changes in the epidemiological situation of hepatitis A. In Poland there is still very low endemicity for hepatitis A. Decreased incidence and the small number of people vaccinated against hepatitis A facilitates the accumulation of a fairly numerous population of persons susceptible to infection which is connected with the possibility to increase the number of cases of hepatitis A. Despite the fact that the current epidemiological situation of hepatitis A in Poland is good, the disease still requires monitoring and analysis within the framework of epidemiological surveillance system. Source

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