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COMMUNICABLE DISEASE SURVEILLANCE IN CROATIA
• Communicable
disease case notification in January
S a l m o n e l l o s i s.
Incidence is lower in January than in December (183:297). Small
clusters are seen in Rijeka (12), Split (13), Velika Gorica (19)
and Novi Zagreb (13).
H e p a t i
t i s A
(epidemic jaundice). Low intensity continues: Jan: 1, December 1, January last
year: 2.
P e r t u s
s i s (whooping cough). There were 8 cases registered in January, which was
similar to previous month (9) and to January last year (7).
M o r b i l
l i
(measles). No reports in January
R u b e l l
a .
No reports in January
V a r i c e
l l a
(chicken pox). Incidence raised in January as expected for the season (1973:
1659), but in January last year intensity was higher (2553).
S y p h i l
i s.
In January 4 cases were reported, slightly more than in December (1), equal to
January last year (4).
M a l a r i
a.
One imported case (Ethiopia) was reported in January from Karlovac.
I n f l u e
n z a.
Influenza season started in January and 866 cases were recorded up to the end of
the month. In January last year the number was higher (2126).
C a m p y l
o b a c t e r i o s i s.
In accordance with the EU rules of disease monitoring, since the beginning of
this year campylobacteriosis is monitored as a separate entity. In January there
were 14 cases reported. Small cluster is seen in Varazdin (4).
•
No reports in
January
from:
Cazma,
Rovinj, Pag, Vis, Lastovo and Sv. Ivan Zelina. Total: 7 out of
113 epidemiological districts.
•
Epidemic outbreaks
Following outbreaks were reported in January:
Note:
in all outbreaks mentioned here, epidemiological investigation
and necessary measures were undertaken, preventing thus other
potential cases.
Karlovac – brucellosis in a village with 4 diseased registered
between 8.4. and 22.10. 2008. Two of the diseased were owners of
a sheep flock found affected by Brucella mellitensis ,
another two were veterinarians working on the control of disease
in animals. Mode of infection: contact with animals and their
excreta, in 1 case it was by consumption of raw milk.
Dubrovnik –
gastroenteritis in a group of construction workers on 9.10. 2008. There were2
diseased out of 17 exposed. Causative agent not found, laboratory tests
negative. Mode of spread probably by food. Vehicle epidemiologically: backed
pork and potato meal.
Crikvenica –
streptococcal sore throat in a settlement, mainly among preschool and school
children. Between 3.11. and 12.12. 2008. there were 60 diseased.
Slatina –
salmonella food poisoning (S. typhimurium) starting on 5.11. 2008. There
were 3 diseases out of 6 family members. Vehicle not found. Domestic eggs
suspected but found negative for salmonella in the laboratory.
Cakovec –
salmonella food poisoning (S. enteritidis) after a family celebration on
23.11. 2008. There were 6 diseased out of 13 exposed persons. Vehicle
epidemiologically: home made cakes called "freezing wind"
Korenica –
gastroenterits in a home for elderly. Causative agent not found. Laboratory
examinations negative. Between 27.11. and 5.12. 2008. there were 25 diseased out
of 70 exposed persons. Mode of spread: contact.
Rovinj –
paralytic shellfish poisoning (PSP) on 16.12. 2008. in a group of persons eating
a specialty called "sea eggs" (organism of Microcosmus genus). There
were 7 diseased having symptoms of general fatigue, vertigo, vision disturbances
and orientation loss. All symptoms stopped spontaneously in two hours.
Laboratory investigation sea eggs turned positive for PSP biotoxins.
Pakrac – viral
gastroenteritis in an hospital. Causative agent: noro virus. Between
19.12. and 29.12. 2008 there were 10 diseased. Mode of spread: contact.
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