Two epidemiologically unrelated outbreaks of trichinellosis were registered in Rostov Province in the November and December of 1984 with 16 patients in the Salsk District and 20 patients in Rostov-on-Don. The course of the disease was characterized by 6-20% of severe and 31-45% moderate forms, respectively. The source of the infection was pork that had not been controlled for Trichinella spiralis. Late diagnosis and inadequate treatment in one case led to a fatal outcome. Economic losses accounted for 490,000 rubles (as of 1985). In spite of energetic prophylaxis measures, the situation in the Rostov Province continues to be serious. In 1989-1992, eighteen cases of trichinellosis were registered in the Salsk District again.
The effectiveness of prophylactic desensitizing nutrition of workers at microbiological industry enterprises has been evaluated. Three groups of workers were under study. Two groups of subjects were in contact with microbiological synthesis products: one group (prophylactic) was given a specially developed prophylactic ration; the second one (control) received usual nutrition, the third group (intact) was composed of subjects who had no contact with the harmful production factors. Before the use of preventive measures, changes in the lipid and protein metabolism were recorded in workers of microbiological industry, and sensitization to microbiological synthesis products was observed enhancing the development of allergic diseases of the broncho-pulmonary apparatus and skin. The use of a specially developed ration has promoted metabolism normalization, the lowering of sensitization degree, and produced a favourable effect on the disease course. The prophylactic ration has been recommended for workers engaged in the microbiological industry.
The purpose of the study was to analyze the diet of the population of St. Petersburg from different social and age groups and justify organizational-methodological ways to improve it. 1200 inhabitants 18 years old and over (674 women, 526 men) were interviewed using questionnaires. One-third of St. Petersburg population did not adhere to the recommended 3-4 meals per day, taking meal 2 times per day or less (21.7%) or 5 times per day or more (11.3%). The young (18-29 years old) and socially active residents 1.5-2fold more likely than pensioners (13.8%) fed 2 times per day. Women 2.2 fold more frequently than men fed 5 times per day. Young people (20%) and socially active persons (24.4%) prefer not to have breakfast or take it 2-3 times per week compared with 9.6% pensioners. Supper as the main mealtimes called 27.8% women, that is 1.4 fold more likely than men. Thus, a great part of the population in the young and socially active adulthood violates proper diet, and women more often as compared to men. This can lead to disruption of the metabolic processes, increasing the risk of nutrition-related diseases, a decrease of efficiency and reduced life expectancy. This raises the feasibility of establishing of healthy eating offices based on health centers or clinics in St. Petersburg.
Prophylactic diet for the people working in microbiological industry exposed to the sensitizing action of microbiological synthesis products has been developed. The diet has been tested under the conditions of a prophylactic sanatorium. A protective effect of the diet has been observed manifest in the decrease of the state of sensitization, normalization of metabolic processes. It is recommended, that this kind of diet be used in the prophylactic sanatoria of the microbiological industry plants.
Disorder of lows of a nutrition of healthy and sick person results in diseases, to a disability, reduction of lifetime and premature mors. There are 4 laws work of nutrition by healthy and sick person are submitted. The basic dietology ways of correction of illness are discussed.