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COMMUNICABLE DISEASE SURVEILLANCE IN CROATIA
• Communicable
disease case notification in March
S
a l m o n e l l o s i s. Low incidence is seen as expected for the season (March 148: February:
167) but slightly higher than in March last year (134). Small
clusters are seen in Osijek (14) and Sibenik (27).
M o r b i l l i
(measles). One case reported in March from Velika Gorica, in an unvaccinated
person.
R u b e l l a.
No cases in March.
M e n i n g i t
i s e p i d e m i c a.
There were 7 diseases in March, like in previous month (6), slightly more than
in March last year (4).
E n c e p h a l
i t i s.
Cases in
March are more frequent than in February (10:6) and in March last year (5), but
scattered.
A I D S
. There were 4 reports in March covering several previous months.
T r i c h i n e
l l o s i s. The disease was registered also in March, but with less cases than in
February (8:19). Majority of cases was in Splitsko-dalmatinska county (Sinj: 2,
Split: 3). In March last year there were no cases.
M a l a r i a.
One imported case (Papua New Guinea) was reported from Zagreb Tresnjevka in
March.
L e g i o n e l
l o s i s. Incidence was equal to previous month (3:4), while 1 case had been
reported in Mach last year.
P n e u m o n i
a.
Incidence raised in March (762:724) being significantly higher than in March
last year (567).
I n f l u e n z
a.
Intensity dropped in March (22570:3359), but still was high. The total of
497165 cases were registered in Croatia in 2009 up to the end of March, which
was about equal to previous year.
•
No reports in March
from:
Makarska and Lastovo. Total: (only) 2 out of 113 epidemiological
districts.
•
Epidemic outbreaks
Following outbreaks were reported in March:
Note:
in all outbreaks mentioned here, epidemiological investigation
and necessary measures were undertaken, preventing thus other
potential cases.
Sinj – trichinellosis in a family. Between 25. 12. 2008 and
28.2. 2009 there were 8 diseased among the family members and
their friends, all eating own home made dried pork products.
Trichinella was found in meat samples.
Vinkovci –
trichinellosis in an family on 15.1. 2009. There were 13 diseased after
consumption of own home made dried pork products. Trichinella found in
meat samples
Dugo Selo – viral
gastroenteritis caused by noro virus in a home for mentally disabled
persons. Between 16.1. and 4.2. 2009 there were 35 diseased out of 346 exposed.
Mode of spread: contact.
Djakovo –
trichinellosis in a family. Between 21.1. and 2.2. 2009 there were 3 diseased
out of 5 members, eating own home made dried meat products, made from a mixture
of pork and wild boar meat. Trichinella found in samples examined.
Pozega – viral
gastroenteritis caused by noro virus in a home for elderly persons,
starting on 4.2. 2009. Total of 33 cases was registered . Mode of spread:
contact
Krk – viral
gastroenteritis caused by noro virus in a home for elderly. Between
12.2. and 21.2. 2009 a total of 47 diseased out of 184 exposed was recorded.
Sisak –
gastroenteritis in an home for elderly persons starting on 16.2. 2009. Causative
agent not found, laboratory examinations negative. There were 6 diseased out of
30 exposed. Mode of spread: contact.
Zadar – cluster of
2 cases of supposed septicemic meningococal disease starting simultaneously on
24. and 25. 2. 2009 in two children of a family. Neisseria meningitidis of
serogroup B was found only in nasal swab of one child and not in its blood
culture, while in other child all samples were negative, possibly because of
previous antibiotic treatment. No other pathogens detected. Source not found.
Labin – viral
gastroenteritis (noro virus) in a health institution. There were 24
diseased persons between 26.2. and 9.3. 2009. Mode of spread: contact.
Sibenik –
streptococcosis (sore throat and scarlet fever) in a kindergarten. Between 1.3.
and 16.3. 2009 there were 4 diseased out of 25 group members.

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