У. Кілт сөздер

Іnfluenza, vaccine, immunizing agent, reactions, diagnosing, 'shifts' and 'drifts', world Health organization, antigenic, circulating, recommended, chronic, heart disease, mitral stenosis, chronic bronchopulmonary diseases, asthma, chronic bronchitis, bronchiectasis, emphysema, chronic renal disease, diabetes mellitus, metabolic, optimal, population, worldwide, parainfluenza viruses, adenoviruses, coxsackieviruses, rhinoviruses, syndromes,

УІ. Халықаралық жүйе мен денсаулық сакқтау мекемесінің шешімі:

International influenza surveillance network. Chief among the factors responsible for this success is the worldwide influenza surveillance network operated by the world Health organization, of which the Center for Disease control of the Public Health Service is the domestic arm. Representative strains of influenza virus from all over the world are continuously examined in order to identify antigenic changes as soon as possible. In general, there is remarkable uniformity of circulating influenza viruses throughout the world, and the appearance of a significant antigenic change in one part of the world is usually a signal that this variant strain will rapidly replace the others.

Under optimal conditions, i.e. when the circulating wild virus is closely related or identical to that in the vaccine, vaccination may reasonably be expected to provide from 80% to 90% protection against influenza. Needless to say, influenza vaccine, cannot be expected to provide any protection whatsoever against other respiratory infections, such as those caused by parainfluenza viruses, adenoviruses, coxsackieviruses, rhinoviruses, and the like. This point would seem self-evident, but it is difficult to determine what is influenza and what is not. There are many flulike syndromes that cannot be distinguished from influenza even by experienced clinicians. Influenza can be diagnosed with certainly only by serologic tests or by isolation of the virus.

Official recommendation. The Public Health Service Advisory Committee on Immunization Practices recommends as follows: Annual vaccination is strongly recommended for persons of all ages who have chronic conditions as 1) heart disease of any etiology, particularly with mitral stenosis or cardiac insufficiency 2) chronic bronchopulmonary diseases such as asthma, chronic bronchitis, bronchiectasis, and emphysema, 3) chronic renal disease and 4) diabetes mellitus and other chronic metabolic disorders.

Дата добавления: 2015-11-14