[Traditional nutrition and demography in the Arctic zone of Western Siberia].

High requirements for macro- and micronutrients of the organism of a pregnant woman living in the Far North are associated with the influence of extreme factors of high latitudes, and the needs of the mother and the growing fetus. Only the products of the unique food culture of the Arctic people - the Nenets, make it possible to meet the emerging needs. The aim of the work was to study the impact of traditional nutrition on the reproductive health of Nenets women living in the Arctic zone of Western Siberia. Material and methods. 619 indigenous inhabitants (Nenets) of the Yamal, Nadym and Taz districts of the Yamal-Nenets Autonomous Okrug at the age of 18-65 years were examined. The influence of the type of nutrition (traditional or imported products) on reproductive health indicators (the number of pregnancies, the number of children, the number of spontaneous abortions, frequency of gestosis, threats of termination of pregnancy, operative deliveries) for the period 2013-2018 was studied by analyzing official statistics and by questioning of the female population in own research. Results. The consumption of traditional products (venison, local fishery products, at least 3 times a week) by Nenets women was more often accompanied by a normal physiological course of pregnancy and childbirth (75.2 versus 64.2%, χ2=8.7; p=0.003). It led to a 1.5-fold decrease in the frequency of complications during pregnancy (gestosis, the threat of abortion) (χ2=5.8; p=0.01) and a 20% decrease in the frequency of delivery by cesarean section (χ2=16.6; p<0.001). As a result, a family whose diet was dominated by traditional products had a statistically significantly larger number of children (per child). Conclusion. The preservation of the consumption of reindeer and river fishery products by indigenous women will contribute to the sufficient intake of macro- and micronutrients, that will make it possible to gestate and give birth to a healthier generation of the Nenets society.

Cost minimization analysis of line probe assay for detection of multidrug-resistant tuberculosis in Arkhangelsk region of Russian Federation.

BACKGROUND: The development of new diagnostic tools allows for faster detection of both tuberculosis (TB) and multidrug-resistant (MDR) TB and should lead to reduced transmission by earlier initiation of anti TB therapy. The research conducted in the Arkhangelsk region of the Russian Federation in 2012-14 included economic evaluation of Line Probe Assay (LPA) implementation in MDR-TB diagnostics compared to existing culture-based diagnostics of Löwenstein Jensen (LJ) and BacTAlert. Clinical superiority of LPA was demonstrated and results were reported elsewhere. STUDY AIM: The PROVE-IT Russia study aimed to report the outcomes of the cost minimization analysis. METHODS: Costs of LPA-based diagnostic algorithm (smear positive (SSm+) and for smear negative (SSm-) culture confirmed TB patients by Bactec MGIT or LJ were compared with conventional culture-based algorithm (LJ-for SSm- and SSm+ patients and BacTAlert-for SSm+ patients). Cost minimization analysis was conducted from the healthcare system, patient and societal perspectives and included the direct and indirect costs to the healthcare system (microscopy and drug susceptibility test (DST), hospitalization, medications obtained from electronic medical records) and non-hospital direct costs (patient's travel cost, additional expenses associated with hospitalization, supplementary medicine and food) collected at the baseline and two subsequent interviews using the WHO-approved questionnaire. RESULTS: Over the period of treatment the LPA-based diagnostic corresponded to lesser direct and indirect costs comparing to the alternative algorithms. For SSm+ LPA-based diagnostics resulted in the costs 4.5 times less (808.21 US$) than LJ (3593.81 US$) and 2.5 times less than BacTAlert liquid culture (2009.61 US$). For SSm- LPA in combination with Bactec MGIT (1480.75 US$) vs LJ (1785.83 US$) showed the highest cost minimization compared to LJ (2566.09 US$). One-way sensitivity analyses of the key parameters and threshold analyses were conducted and demonstrated that the results were robust to variations in the cost of hospitalization, medications and length of stay. CONCLUSION: From the perspective of Russian Federation healthcare system, TB diagnostic algorithms incorporating LPA method proved to be both more clinically effective and less expensive due to reduction in the number of hospital days to the correct MDR-TB diagnosis and treatment initiation. LPA diagnostics comparing conventional culture diagnostic algorithm MDR-TB was a cost minimizing strategy for both patients and healthcare system.

[Distribution and control of acari as vectors of human disease in urban population of Moscow].

Human ectoparasites, such as itch mites and the follicular mites Demodex brevis and D. folliculorum are notified on the territory of Moscow. The bird and rodent mites Ornythonyssus bacoti and the larvae of harvest mites may attack human beings indoors. The ticks Ixodes ricinus and I. persulcatus begin to inhabit the tree belts and environs of Moscow and other cities and towns. In the cities and towns of more southern regions of the Russian Federation, the red hen-mites Dermanyssus gallinae are also encountered and the ticks Rhipicephalus sanguineus and Ornithodoros papillipes begin to inhabit urban structures. A differential system of their controlling measures is proposed in relation to the habitats of mites and ticks on the urban territories and the results of use of a number of currently available disinfectants are presented.

[Synanthropic fleas (Siphonaptera) biting people in Moscow and control of their size].

The species composition of fleas attacking man in Moscow, the time course of changes in their size, and the efficiency of disinfecting measures against them have been studied. The basement premises are the commonest habitat of fleas. The absolute predominant species in these biotopes are Cetenocephalides felis (Boushe) whose feeders are dogs, synanthropic rodents, and humans, other than cats. Micropopulations of the fleas have been existed in some structures for more than 5 years (a follow-up period). A mathematical analysis of the factors that influence the efficiency of disinfestation has established that the most influential factors were the factors associated with the poor state of basement premises (the presence of a substrate for the breeding and shelter of fleas, the possibility of homeless animals and rodents, the feeders of fleas, to penetrate there) that reduce the residual effect of insecticides. Out of 15 applied insecticides, those based on chlorpyrifos, cypermethrin, and fenvalerate showed the highest efficacy. The combined use of liquid and powered insecticides is most effective in disinfestation. The treatments made in the periods when the number of fleas is small in the basements (April-May and August-September) provide the most prolonged residual effect.

[The efficacy of a combined preparation based on Bacillus sphaericus and Bac. thuringiensis H-14 against the larvae of blood-sucking mosquitoes]. / Effektivnost' kombinirovannogo preparata na osnove Bacillus sphaericus i Bac. thuringiensis H-14 protiv lichinok krovososushchikh komarov.

The optimal bactoculicide/sphaerolarvicide ratio in combination using against Aedes aegypti larvae was established in laboratory by selection. The field trials of the selected BS/BT sample containing the ingredients in titer: bactoculicide-83, sphaerolarvicide-17 were conducted in the arid area of Central Asia. With 1 g/m2, complete mortality of Culex, Aedes and Anopheles larvae was obtained with the residual larvicidal action of 15 days. It is recommended to carry out more large-scale trials of the preparation against Anopheles larvae in different regions.

[The use of the 2600H high-pressure paint-sprayer for killing insects]. / Primenie okrasochnogo agregata vysokogo davleniia 2600H v tseliakh dezinsektsii.

Physical and mechanical parameters of the paint-sprayer 2600H were studied under laboratory conditions. Studies of the feasibility of using this device for desinsection were performed under real conditions in moderate--and hot-climate areas. High efficiency of POC and pyrethroids spraying for home mosquito and fly control was demonstrated. High pressure paint-sprayer treatment ensured a longer residual effect than "Automax". The use of the sprayer for desinsection may save time and labour.

Preparation and study of composite insecticido-repellent aerosols.

Insecticido-repellent mixtures sprayed on clothes, nets etc. are useful as a means of protection against attack by bloodsucking arthropods. These sprays provide repellence of insects sensitive to the repellent and kill those that are only weakly repellent sensitive. Combined formulae for aerosols including repellent DETA and the synthetic pyrethroid neopynamin ("Neorepellent-2") or sumithrin ("Sumirepellent") were proposed. The composite sprays were studied in an olfactometer fleas (X. cheopis) and under practical conditions by treating clothes with 7-15 g of mixture per 1 m2. The composite sprays gave 100% repellence for fleas and mosquitoes, 80-50% repellence for simuliids, 65-70% repellence for ceratopogonids and tabanids, 90-95% for ticks, and they killed 100% of insects having contacted treated surface. As regards Ixodes ticks, "Sumirepellent" was more effective than "Neorepellent-2" and caused irreversible paralysis. Toxicological tests showed the composite sprays to be safe in broad-scale practical use provided that measures of precaution were kept.