Assessing the risk of enterovirus infection outbreak-related diseases in the Krasnoyarsk Territory during the 29th Worldwide Winter Universiade


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Abstract

Objective. To identify risks of intensifying the epidemic process (EP) of enterovirus infection (EVI) in the Krasnoyarsk Territory during the World Winter Universiade. Materials and methods. The incidence of EVI in the Krasnoyarsk Territory was retrospectively analyzed. Enteroviruses were examined using PCR, sequencing, and phylogenetic analysis. The data available in the literature on the global situation of EVI were analyzed. Results. In the long-term dynamics of the incidence of EVI in the region over 2006-2017, there was an upward tendency: a signif icant excess of its incidence rate in the region compared to that for the Russian Federation in 2016 (28.9 and 9.5 cases per 100,000population). The majority of cases were concentrated in Krasnoyarsk, but in the past 2 years the number of the region’s areas involved in EP increased; 10 of them were classified as unfavorable for EVI. In 2016-2017, the region showed a considerable variety of enterovirus types, among which the viruses Coxsackie A (types 2, 6, 9, 10, and 16), ECNO (types 18 and 30), and A71C1 were noted to be not typical of the region. Nineteen EVI cases imported from Turkey, Vietnam, and Tunisia were recorded in 2017. The review of the world situation confirmed the problems associated with EVI in many countries, especially in the Asia-Pacific Region. Conclusion. The unstable situation of EVI in the Krasnoyarsk Territory along with the unfavorable situation of EVI in the world could contribute to EP intensification during the Universiade, which required adequate anti-epidemic measures.

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About the authors

O. E Trotsenko

Khabarovsk Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: trotsenko_oe@hniiem.ru
MD, Director Khabarovsk, Russia

E. Yu Sapega

Khabarovsk Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: adm@hniiem.ru
Cand. Med. Sci., Head, Far Eastern Regional Research Guidance Center ofEnterovirus Infections Khabarovsk, Russia

L. V Butakova

Khabarovsk Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: adm@hniiem.ru
Researcher, Far Eastern Regional Research Guidance Center of Enterovirus Infections Khabarovsk, Russia

D. V Goryaev

Directorate for the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: office@24.rospotrebnadzor.ru
Head, Directorate Krasnoyarsk, Russia

G. M Dmitrieva

Directorate for the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: office@24. rospotrebnadzor.ru
Cand. Med. Sci., Deputy Head, Directorate for the Krasnoyarsk Territory Krasnoyarsk, Russia

M. V Rusin

Directorate for the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: office@24.rospotrebnadzor.ru
Head, Department of Epidemiological Surveillance, Directorate for the Krasnoyarsk Territory Krasnoyarsk, Russia

S. V Balakhonov

Order of the Red Banner of Labor Irkutsk Research Anti-Plague Institute of Siberia and the Far East, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: adm@chumin.irkutsk.ru
MD, Director Irkutsk, Russia

A. K Noskov

Order of the Red Banner of Labor Irkutsk Research Anti-Plague Institute of Siberia and the Far East, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: adm@chumin.irkutsk.ru
Cand. Med. Sci., Head, Department of Sanitary Protection of the Territory and Monitoring of Emergency Situations Irkutsk, Russia

S. A Filatova

Center of Hygiene and Epidemiology in the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: fguz@24.rospotrebnadzor.ru
Principal Physician Krasnoyarsk, Russia

O. V Sorokina

Center of Hygiene and Epidemiology in the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: fguz@24.rospotrebnadzor.ru
Head, Epidemiological Department Krasnoyarsk, Russia

L. S Guryeva

Center of Hygiene and Epidemiology in the Krasnoyarsk Territory, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: fguz@24.rospotrebnadzor.ru
Head, Department of Microbiological Research Krasnoyarsk, Russia

E. B Ezhlova

Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: ezhlova_eb@gsen.ru
Head, Epidemiological Department Moscow, Russia

A. A Melnikova

Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: melnikova_aa@gsen.ru
Cand. Med. Sci., Deputy Head, Department of Epidemiological Surveillance Moscow, Russia

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