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COMMUNICABLE DISEASE SURVEILLANCE IN CROATIA
• Communicable
disease case notification in February
S
a l m o n e l l o s i s. Number in February is lower than in January, but higher than in
February last year. The only cluster is seen in Pula (15).
H e p a t i
t i s A
(epidemic jaundice).
A favorable low incidence situation continues, with only 2 cases
registered in February.
S t r e p t
o c o c c o s i s.
(streptococcal sore throat & scarlatina).
Seasonal increase
of incidence is observed, intensity higher than in February last year. Total
number in February was 1598 (1045 sore throats and 553 scarlet fevers), which
was more than in previous month (1021) and in February last year (1020).
T e t a n u s.
One case reported from Djurdjevac, in an old unvaccinated person.
M o r bi l l
i
(measles).
No reports in February.
R u b e l l a.
No reports in February.
M e n i n g i t
i s e p i d e m i c a.
In February there were slightly less cases reported than in January (8:19) as
well as in February last year (10). No clusters.
T r i c h i n e
l l o s i s. There were 19 cases recorded in February after a longer period without
trichinellosis. Cases were reported from Djakovo (5), Vinkovci (5), Sinj (6),
Split (1) and Ivanec (2).
M a l a r i a.
In February 1 imported case (Sierra Leone) was reported from Zagreb Susedgrad.
I n f l u e n z
a.
Starting in January, the wave developed in February with a total of 33593
registered cases.
C r e u t z
f e l d t – J a k o b
disease.
One case reported from Bjelovar. l Investigation revealed that that was not a
case of vCJD i.e. new variant connected with so called mad cow disease.
•
No reports in February
from:
Novalja, Vis, Lastovo. Total: 3 epidemiological districts out of
113.
•
Epidemic outbreaks
Following outbreaks were reported in February:
Note:
in all outbreaks mentioned here, epidemiological investigation
and necessary measures were undertaken, preventing thus other
potential cases.
Krapina – scabies in a social institution. On 14.7. 2008. there
were 40 infested persons found out of 350 exposed.
Dubrovnik –
bacillary dysentery (Sh. sonnei) among members of two connected families
on 9.9. 2008. There were 3 diseased out of 11 exposed. Source not found.
Dubrovnik – viral
gastroenteritis (noro virus) in a hospital ward. Between 21.11. and
27.11. 2008 there were 14 diseased registered (patients and staff). Mode of
spread: contact.
Delnice –
gastroenteritis in an home for elderly persons. Between 15.12. and 18.12. 2008.
the total of 24 cases out of 58 exposed persons were recorded. Causative agent:
noro virus. Mode of spread most probably by food, but vehicle not
detected.
Topusko –
gastroenteritis in an health care institution, caused by noro virus.
Between 27.12. 2008 and 12.1. 2009 there were 14 diseased. Source found with
certainty.
Split – viral
enterocolitis in an home for elderly. Causative agent: noro virus.
Between 7.1. and 30.1. 2009. there were 97 diseased out of 640 exposed persons.
Mode of spread: mainly contact.
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