The authors represented integral evaluation of sanitary and epidemiologic well-being of people residing in coal miner towns. This evaluation plays an important role in formation of general including children's, occupational and infectious morbidity.
Solid-phase enzyme immunoassay was used to study changes in the frequency and levels of antibody to hepatitis A virus (anti-HAV) in 567 children in 20 isolated groups of 5 day-care centers of the town of Kemerovo. The observation period included the seasonal rise in hepatitis A incidence. An increase in the portion of seropositive children occurred in the groups where manifest or asymptomatic infection with hepatitis A existed. The number of seropositive subjects in the groups where the children were given immunoglobulin by epidemiological indications increased by 0-8%, and in those without immunoglobulin by 11-37.5%. The passive antibody received with immunoglobulin were detected in the originally seronegative children and declined to undetectable levels within 2 months. Subsequently, no clinical cases of hepatitis A or asymptomatic seroconversions were observed in these children. Some cases of reinfection showing an increase in anti-HAV levels but without clinical manifestations of hepatitis A were detected.
An epidemic outbreak of Sonne dysentery has been studied. The data of epidemiological monitoring before and after the epidemic have been analyzed. The real prognostication value of controlling the biological properties of Shigella sonnei and the increase of their intrapopulation heterogeneity at the period of the activation of the epidemic process of Sonne dysentery has been established.
The data on the epidemic-control medical care of the population of the Kuznetsk coal fields and on the creation of the specialized system of the epidemiological surveillance of influenza, measles, viral hepatitis, hospital infections are presented. The possibility of using the theory of the self-regulation of the epidemic process in practical work is discussed.