Maksymchuk M. Flash botulism prevalence in Ukraine and preventive measures

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0406U002219

Applicant for

Specialization

  • 14.02.02 - Епідеміологія

11-05-2006

Specialized Academic Board

Д 26.614.02

Essay

It was determined and substantiated, for the first time, such phenomenon as flash botulism prevalence in Ukraine. Flash botulism is determined as incident in which there are 5 or more victims (depending on the conserve product character and botulism pathogenic organism type), who consumed one food product during incubation period. Advanced botulism surveillance system in Ukraine allows to show new qualification of flash botulism categories, to define flash botulism prevalence statistical indexes of mortality and lethality, to precise time, territory and group risks, to make good use of environmental-hygienic model, that controls foodstuffs quality and makes prognosis of their safety, especially of their botulinics and risk factors quantification (meat, fish, fruit and vegetable conserve). It is fixed also the domination of conserve house-made foodstuff as a leading risk factor while prevalence and death of botulism and fish products role as the most valuable and dangerous risk factor. It is determineddirect connection between risk territories while general and flash prevalence and between discovery frequencies of sulphite-reduce clostridia in foodstuff that is important for making prognosis in the epidemiological surveillance system. It was created environmental-hygienic model, that controls foodstuffs quality and based on the detection sulphite-reduce clostridia in the particular foodstuff bulk according to the stated hygienic norms, correlation between obtained data and prevalence indexes and determination of natural conditions, that allows to make prognosis of territory, time and risk factors. Also there was elaborated a project with implementation of spatial-geographical method (methodological instrument) of general and flash botulism relevance analysis, that was realized on the basis of ArcView GIS 3.2а and can be taken as a ground for the methodological recommendations concerning ArcView GIS software implementation for the purpose of holding monitoring and analysis of infectious relevance in Ukraine. Besides, there were established risk zones of Ukrainian population botulism relevance and made corresponding prognosis concerning flash appearance

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