[Modern characteristics of epidemiology and prevention of community-acquired pneumonia in military staff].

AIM: To study the effectiveness of system for prevention of community-acquired pneumonia (CAP) in military teams and determine the main ways for its improvement. MATERIALS AND METHODS: Data on incidence of CAP in military staff during 1993 - 2008 were used. Analysis of morbidity was performed using classical methods of epidemiological analysis. RESULTS: Registered incidence of CAP in military staff was 5 - 7 times higher compared with average incidence in adult population of the country. Main factors determining realization of CAP epidemic process mechanisms in military teams were revealed. Two-fold and more rise in incidence of CAP and acute respiratory infection in military recruits is forecasted for 2010. Effect of use of Pneumo 23 vaccine for freshmen recruits is grounded. CONCLUSION: Immunization of military staff with Pneumo 23 vaccine considered effective and needed component in complex of prophylactic measures performed in troops.

[Organizational-epidemiological aspects of prophylaxis of outhospital pneumonia in military communities].

The article presents actual questions of epidemiology of outhospital pneumonia (OP), peculiarities of epidemic process of these infections in troops in now-day conditions and updates of main directions of their prophylaxis. It was marked that alongside with clearly defined tendency of lowing, the morbidity by OP in the Armed Forces of RF is still rather high--in 5-7 folds higher than among adult population of the country. Whereby it is predicted further complication of sanitarium-epidemiological situation in connection with increase of call-up. The article uncovers the main factors, supplying the realization of mechanism of epidemic process of OP in military collectives. Vaccination of staff by registered in RF multipartial pneumococcal vaccine Pnevmo-23 is considered as an effective and necessary medical measure in complex of prophylactic measures, effectuating in troops.

[Improvement of epidemiological surveillance of meningococcus infection and it's selective prophylaxis in troops].

The article is devoted to a critical analyze of existent system of epidemiological surveillance for morbidity of meningococcus infection among population and military service men, and to condition and perspectives of immuno- and chemoprophylaxis of correspondent generalized forms of diseases in the world, Russia and it's Army and NAVY. It is proposed a differentiated approach to realization of these measures in organized (military) collectives on the base of microbiological monitoring of epidemic officials (serogroups) of causative agents, on the base of prediction of morbidity by generalized forms and on the base of clinical-epidemical diagnostics at early stages of development of epidemic process.

[Swine flu: epidemiology, diagnostics, treatment, and prophylaxis].

Virus of piggy grippe is a virus of type A, which has greatly changed in it's antigenic structure. As a result, has appeared a new variant of germ (syb-type), in relation to which vaccines, used for period 2008-2009, are unsuccessful. Virus represents a real risk for life and health of millions of people. Experts of World Health Organization are sure, that eruption can lead to a global expansion of virus. To the group of high risk refer: children younger then 5 years old, full-growns of 50 years old and older, children and teen-agers (from 6 months to 18 years), treated for a long time by aspirin, gravidas, full-growns with several chronic diseases, persons in nursing homes, hospices, requiring a long-termed hipurgia, compulsory-duty servicemen. Latent period is from 1 to 7 days (2-3 days on the average). Accountancy of clinical data: acute beginning, hyperpyretic fever, predominance of damages of upper respiratory tracts. The article presents a detailed characteristic of therapeutic and prophylactic measures in the Army and NAVY.

[Medical control as the base of prophylaxis of morbidity in servicemen].

Now-day "medical control" means the activity of executive officers of the medical service of the Armed Forces of RF to avoid, locate and suppress the violations of exactions of legislative acts, directive documents and sanitarium legislation of RF in the sphere of assurance of sanitarium-epidemiologic prosperity of the staff. In conditions of changing of image of the Armed Forces, proved by there's transition to brining up to strength by under-contract service men, complication of technics, realizing of some socially purposed programs, the authors mark an increase of requirements to qualification of health professional, there's knowledge and capability of realizing of measures of medical control on the modern level. The authors present several principal requirements in the sphere of medical control, first of all, professionalism, regularity, timeliness, conclusiveness, effectiveness, consistency, fidelity to principles.