Title Jersiniozės epidemiologiniai dėsningumai Vilniaus apskrityje ir Lietuvoje 2005-2015 metais /
Translation of Title Epidemiologic patterns of yersiniosis in Vilnius County and Lithuania 2005-2015.
Authors Valinčiūtė, Ginreta ; Žagminas, Kęstutis ; Šilys, Arvydas ; Valiulis, Arūnas
DOI 10.5200/sm-hs.2018.054
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Is Part of Sveikatos mokslai.. Vilnius : Sveikata. 2018, t. 28, nr. 5, p. 18-26.. ISSN 1392-6373
Keywords [eng] yersiniosis ; Yersinia enterocolitica ; epidemiologic patterns ; food safety ; Lithuania
Abstract [eng] Protection of public health from zoonoses directly or indirectly transmitted by animals to humans is of utmost importance. Yersinia enterocolitica is widely spread in the environment and animal populations, which poses a threat for people to get infected with yersiniosis. Objective. To assess epidemiologic patterns of yersiniosis in Vilnius County. Tasks of the study. To assess relevance of yersiniosis in a group of intestinal tract infections transmissible through food and water in Lithuania and the European Union; to identify epidemiologic patterns of yersiniosis in Lithuania and Vilnius County in a period of 2005-2015. Material and methods. A descriptive epidemiological analysis was conducted. The data of Division for Prevention and Control of Communicable Diseases of Vilnius Public Health Centre, the Centre for Communicable Diseases and AIDS, the European Centre for Disease Prevention and Control, the European Food Safety Authority, and the Statistics Department of Lithuania have been used. A model of brokenstick regression (segmented regression), Fisher’s exact test, the Pearson’s and Spearman’s correlation coefficients were applied for the analysis. Results. A long-term dynamics of yersiniosis morbidity rate in Vilnius city and Lithuania exhibits significant changes in the general trend: in 2005-2009 the morbidity rate was increasing, and in 2009-2015 the morbidity rate of yersiniosis was decreasing. The decreasing trend was characteristic of Vilnius County in the period of 2005-2015. The morbidity structure in terms of gender differs: men were at a higher risk to contract yersiniosis than women (Vilnius County had RR=1.50, 95 % C.I. 1.27; 1.81; Lithuania had RR=1.99, 95 % C.I. 1.13; 1.28). The main risk group for yersiniosis consists of children of 0-3 years of age. During the analysed period, hospitalised yersiniosis cases constituted 57.3 perc. in Vilnius County, and 69.2 perc. in Lithuania. Conclusions. The observed epidemiologic patterns of yersiniosis in the analysed period may be associated with intake of certain risky foods, ensuring of safety of their placing on the market, and certain changes in the epidemiologic supervision system. Despite the decreasing trend in its morbidity rates, yersiniosis remains a critical problem of public health, especially among children.
Published Vilnius : Sveikata
Type Journal article
Language Lithuanian
Publication date 2018