With high migration of the population outside Yakutia and the country, there is a risk of cholera

Hospital research laboratory. Photo: IA PrimaMedia

With the high migration of the population outside Yakutia and the country, there is a potential threat of the introduction and spread of cholera in Yakutia. Therefore, all medical organizations should be prepared to provide laboratory diagnostic and primary anti-epidemic measures in case of cholera and acute intestinal infections. Yana Akhremenko, chief independent specialist of the Ministry of Health of the Republic in medical microbiology, told the YakutiaMedia news agency in the NEFU press service.

According to the Rospotrebnadzor Office for Yakutia, the incidence of acute intestinal infections (AII) in the country as a whole and in the republic remains tense and tends to increase in summer. Medical organizations, including the Northeastern Federal University Clinic, are ready to provide laboratory diagnostic and primary measures against the epidemic.

Of the bacteria, salmonella remains the “leader” in the frequency of occurrence of viruses – rota – and noroviruses. Outbreaks appear to be exacerbated during childhood and adolescence, including outbreaks of foodborne infections and poor food use, said the Scientific Director of the NEFU Clinical and Scientific Microbiology Laboratory, Head Freelancer at the Ministry of Health of microbiology Yana Akhremenko. He drew attention to the fact that with the high migration of the population outside the democracy and the country, there is a potential threat of the introduction and spread of cholera in Yakutia. Therefore, all medical organizations should be ready to provide laboratory diagnosis and primary anti-epidemic measures in case of recording cholera and foci of acute intestinal infections, he stressed.

The main diagnostic laboratories in these cases will be the laboratories of the Rospotrebnadzor Office for the Republic of Sakha (Yakutia), which carry out epidemic surveillance of environmental objects – water, food, etc., as well as the bacteriological laboratory of the Republican Clinical Hospital Yakut .

“If we are talking about the educational and scientific laboratory of the NEFU Clinic, then we carry out microbiological studies not only for students and the connected population, but also for the Central Provincial Hospital of Khangalas, RCH No. 3, the city hospitals No. 2 and No. 3 and others. In case of suspected cases of cholera, we will take diagnostic measures, only in observation conditions. All laboratory staff has received additional training in the diagnosis of particularly dangerous infections and is ready for the summer epidemic: diagnostic algorithms, alert systems and alert systems have been developed. personnel, personal protective equipment and consumables have been prepared “, commented Yana Akhremenko.

Cholera is an infectious disease associated with the ingestion of Vibrio cholerae (Vibrio cholerae). The causative agent of cholera is a hydrobiotic, its natural environment is water bodies. We must always remember that in a hot climate, when the water is well heated, the reproduction and accumulation of vibrations in water bodies occurs very quickly. When it enters the human gastrointestinal tract, the pathogen multiplies very rapidly, colonizes the mucous membrane of the small intestine, produces a choleretic toxin that disrupts water-salt metabolism in intestinal cells, leading to fluid loss and dehydration.

He noted that according to the World Health Organization (WHO), up to 150,000 cases of cholera are reported each year in more than 50 countries around the world: : India, Cambodia and others. “Cholera outbreaks have not been reported in Russia since 1985. But keep in mind that there is always the possibility of infection, and that individual cases of the disease can be triggered by an outbreak.”

Cholera is one of the most dangerous infections in the world (DOI). You can become infected with cholera by drinking raw water contaminated with the causative agent of cholera. with food – untreated fish, mollusks, shrimp and other aquatic organisms are especially dangerous when they come in contact with sick people and when they swim in contaminated aquatic bodies. The main symptoms of cholera are diarrhea, persistent vomiting, cyanosis of the skin, excruciating thirst, headache, weakness and muscle cramps.

The Chief Independent Specialist of the Ministry of Health of the Republic of Saha (Yakutia) in medical microbiology reminds the rules of personal hygiene and nutrition for the summer period. It is necessary to wash and treat the hands with antiseptics more often, to use safe liquids – boiled water, drinks from industrial packaging, to thoroughly rinse fruits and vegetables with safe water. “Do not forget to cook your food according to technology, eat in places you trust, avoid suspicious foods, especially fast food, complex salads with dressings, etc. We recommend that you do not add ice to beverages unless there is information about the quality of the water from which it is made, drink only boiled and pasteurized milk and do not eat fish and seafood that have not been heat treated. “If symptoms appear that make the suspicion of cholera appear, you should seek medical help immediately,” concluded Yana Akhremenko.

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