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ENGLISH LANGUAGE ISSUE *
ELECTRONIC VERSION
COMMUNICABLE DISEASE SURVEILLANCE IN CROATIA
n Communicable
disease case notification in November
S
a l m o n e l l o s i s.
The incidence decreased further as expected for a season (517:714), but was
slightly higher than in November last year (418). Clusters are seen in Rijeka
(35), Split (24), Zagreb Susedgrad (22), Trešnjevka (27), and Novi Zagreb
(27).
H
e p a t i t i s B.
There were more cases registered in November than in October (25:19), also more
than in November last year (18). No significant clusters.
T
e t a n u s
. There were 2 reports in November (Zagreb Centar and Maksimir): old previously
unvaccinated persons (82 and 91 years respectively).
P
e r t u s s i s (whooping cough). Number of cases is
lower comparing to previous month (18:34) but slightly higher than in November
last year (4). No clusters.
V
a r i c e l l a
(chicken pox). A steep seasonal increase of incidence is observed (1260:498).
The intensity is slightly higher than last year (1111).
M
e n i n g i t i s v i r o s
a.
More cases were registered in November than in October (40:34) which is also
more than in November last year (23). Small clusters are visible in Koprivnica
(4), Rijeka (7), Kaštela (5) and
Zagreb area (13).
L
e p t o s p i r o s i s.
Incidence increased (26:5), being higher than in November last year
(2).
S
y p h i l i s.
There were 5 cases reported in November, 3 of them from Zagreb area. This was
slightly more than in previous month (3).
T
r i c h i n e l l o s i s
. In November incidence raised (73:0) as a reflex of outbreak in Slavonski Brod
(59) and Pula (14). All cases are epidemiological related. In last November
there was no cases.
M
a l a r i a.
There was 1 case registered in Županja, imported from Asia
B
r u c e l l o s i s.
One case reported from Metković
H
F R S (hemorrhagic fever with renal
syndrome). There were 7 cases
registered in November, which is more than in October (1) and also more than in
November last year (0). Cases cluster on the Sisačko-moslavačka County area
(Sisak: 5, Kutina: 1).
P
n e u m o n i a.
The incidence raised visibly in November (619:344) and was higher than in
November last year (259). Clusters are seen in Virovitica (16), Slavonski Brod
(13), Našice (16), Vinkovci (17), Vukovar (26), Sisak (28), Rijeka (16), Čakovec
(16), Zabok (21), Samobor (37), Velika Gorica (24), Zagreb Centar (23) Trnje
(22) and Novi Zagreb (27). In several districts Mycplasma pneumoniae was found as
etiologic agent.
n No reports in November
from: Cres-Lošinj, Drniš, Solin and Lastovo. Total: 4 out of 113 epidemiological
districts.
n Epidemic
outbreaks
Following outbreaks were reported in
November
Note:
in all outbreaks mentioned here, epidemiological investigation and all necessary
measures were undertaken, preventing thus other potential
cases.
Osijek - salmonellosis
(S. enteritidis) in a family on 27.9.
2004. Vehicle: home made cream cakes. Salmonella was found in cake samples.
Source not certain.
Jastrebarsko - food
poisoning in a factory restaurant on 13.10. 2004. There were 15 diseased out of
100 exposed persons. Vehicle epidemiologically: mash potato made from instant
potato powder. Causative agent: most probably Bacillus cereus, detected in high
density in the potato powder left. However, the microbiological examinations in
diseased turned negative.
Split - salmonella food
poisoning (S. enteritidis) in a
kindergarten. Between 23.10. and 31.10. 2004 there were 30 diseased out of 38
exposed. Vehicle epidemiologically: panned fish. Source not found with
certainty.
Kutina - head lice in
an elementary school. On 25.10.2004 the total of 300 infested were detected out
of 1000 exposed.
NEWS AND
COMMENTS
n Professor Berislav
Borčić died
At the end of
October (27.10.2004.) died professor Berislav Borčić jr. one of the milestones
of Croatian epidemiology. He had devoted all his life to a noble goal of
improving health of all Croatian citizens, working as a chief epidemiologist and
head of the Epidemiology department of the Croatian national institute of public
health, being also for several years a director of the same Institute. This
target was really splendidly accomplished, owing to his long year systematic
work on the creation of national mass vaccination schedule and its realization,
his scientific researches in the field of natural focus zoonoses like tularemia,
hemorrhagic fever with renal syndrome, leptospirosis and tick born
meningencephalitis as well as his epidemiological work on endemic nephropathy,
influenza, measles etc. Beside that, he greatly contributed to the development
and high level of organization of entire national epidemiology service network.
This all undoubtedly made the health of our people
better.
Dr. Berislav Borčić
was a long year professor of epidemiology at the Zagreb Medical school of the
University of Zagreb. He was one of founders of the Croatian epidemiological
society of the Croatian Medical association in 1975, and also its honorable president between
1985 and 1988.
Here are some
details from his curriculum. Born on 16.12. 1932 in Zagreb, but very soon
traveling and spending few years in China, along with his father, dr. Berislav
Borčić senior, a high officer of the World Health Organization and a close
collaborative of Prof. Andrija Štampar the first president of the World health
assembly. Afterwards he attended the international high school in Geneva
Switzerland. He studied medicine in Geneva and in Zagreb, where he graduated in
1959. There he earned his doctor scientiae title with thesis Tularemia in its
natural foci in Croatia. He worked as an epidemiologist whole professional life
in the Croatian national institute of public health, being retired for only a
year. Profesor Borčić had collaborated as an expert in several international
scientific bodies especially in the WHO Expanded program on immunization - EPI
project, as a head of this program in Croatia. Beside all other successes of
national mass vaccination program he had been developing through more than
twenty years (diphtheria, measles, rubella, mumps, pertussis etc.) he recently
could witnessed also a great day of official confirmation of eradication of
poliomyelitis in Croatia, receiving for this accomplishment a special WHO
diploma. As a Geneva pupil, doctor Borčić became an excellent French language
speaker, later being for many years a member of the ADELF (Association Des
Epidemiologistes de Langue Francaise) i.e. the international French speaking
epidemiologist association. He was also a distinguished member of the Croatian
medical academy.
He left to as more
than 120 scientific papers, published in many national and international
journals and also several books, among them the "Epidemiology of communicable
diseases" in two editions (1998 and 2000) and an exceptionally ingenious chapter
on Epidemiology of leptospirosis as an natural focus disease in the prof. Ivan Zaharia
interdisciplinary monography the
Leptospiroses.
n Cancer in Croatia 2002.
Recently a new year-book of the Cancer registry of the Epidemiology
service of the Croatian national institute of public health was published,
containing cancer data for Croatia for the year 2002. Here we are excerpting
information about recent incidence situation for ten most frequent localizations
for men and women respectively.
|
Males |
No new
cases |
Females |
No new
cases |
|
trachea, bronchi,
pulmo |
2334 |
breast |
2057 |
|
prostata |
1218 |
intestinum
crassum |
585 |
|
intestinum
crassum |
811 |
trachea, bronchi,
pulmo |
574 |
|
rectum |
731 |
rectum
. |
536 |
|
ventriculus |
704 |
corpus
uteri |
492 |
|
urinary
bladder |
639 |
ovarium,
adnexa |
487 |
|
ren, ureter
|
379 |
ventriculus |
473 |
|
larynx |
364 |
cervix
uteri |
366 |
|
pancreas |
315 |
pancreas |
282 |
|
liver
(primary) |
248 |
thyroid
gland |
272 |
|
|
|
|
|
|
total first
ten |
7743 |
total first ten
sites |
6124 |
|
other sites
together |
2963 |
other sites
together |
2782 |
|
Grand
Total |
10710 |
|
8906 |
The first ten sites
participate in grand total slightly more in men than in women: 72%: 69%. Other
informations and details one can read in the
book.
Information about the
book:
Title: Cancer incidence
in Croatia 2002; ISSN 1333-7777. Format: 20 x 28.5
cm, 41 pages. Text bilingual: Croatian and English. Publisher:: Croatian
national institute of public health, Epidemiology service, Zagreb, 2004. Can be
ordered at the publisher.
COMMUNICABLE DISEASES
IN CROATIA
November 2004
|
Salmonellosis |
517 |
|
Food
poisoning |
380 |
|
Enterocolitis
|
724 |
|
Dysenteria
bacillaris |
1 |
|
Hepatitis
A |
9 |
|
Hepatitis
B |
25 |
|
Hepatitis
C |
36 |
|
Hepatitis vir.
unidentified |
1 |
|
Angina
streptococcica |
742 |
|
Scarlatina |
131 |
|
Tetanus |
2 |
|
Pertussis
|
18 |
|
Rubella |
1 |
|
Varicella |
1260 |
|
Parotitis
epidemica |
12 |
|
Meningitis
epidemica |
1 |
|
Meningitis
virosa |
40 |
|
Encephalitis |
6 |
|
Leptospirosis |
26 |
|
Mononucleosis
infectiosa |
181 |
|
Erysipelas |
171 |
|
Tuberculosis |
138 |
|
Gonorrhoea |
4 |
|
Syphilis |
5 |
|
AIDS |
4 |
|
Trichinellosis |
73 |
|
Echinoccosis |
4 |
|
Malaria |
1 |
|
Scabies |
85 |
|
Toxoplasmosis |
2 |
|
TBE |
2 |
|
Kala
azar |
1 |
|
Psittacosis |
1 |
|
Brucellosis |
1 |
|
HFRS |
7 |
|
Meningitis
bacterial |
5 |
|
Legionellosis |
1 |
|
Enterovirosis |
47 |
|
Pediculosis |
53 |
|
Taeniasis |
1 |
|
Pneumonia |
619 |
|
Herpes
zoster |
386 |
|
Lyme
borreliosis |
20 |
|
Fievre
botonneuse |
3 |
|
Chlamydiasis |
60 |
|
Helminthiasis |
68 |
 |
