Научная статья на тему 'RETROSPECTIVE EPIDEMIOLOGICAL ANALYSIS OF HELMINTHIASIS IN UZBEKISTAN FOR 2013-2023'

RETROSPECTIVE EPIDEMIOLOGICAL ANALYSIS OF HELMINTHIASIS IN UZBEKISTAN FOR 2013-2023 Текст научной статьи по специальности «Гуманитарные науки»

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Ключевые слова
Intestinal helminthiasis / planned preventive measures against helminths / epidemiological situation. / Intestinal helminthiasis / planned preventive measures against helminths / epidemiological situation.

Аннотация научной статьи по Гуманитарные науки, автор научной работы — Fayziboev P. N., Kadirberganov K. B., Ismailov A. K., Fayziboev B. P.

Parasitic diseases are found in almost all countries. About a third of the world's population is infected with parasitic disease pathogens. In Uzbekistan, hymenolepiasis associated with helminths is mainly registered in the mountainous areas of Namangan, Fergana, Syrdarya and Surkhandarya regions compared to other areas. For example, based on the data of the Republican Center for Sanitary and Epidemiological Safety for 2011, it was found that Namangan 556, Fergana 435.5, Syrdarya 330.3 and Surkhandarya 220.4 have these intensive indicators.

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RETROSPECTIVE EPIDEMIOLOGICAL ANALYSIS OF HELMINTHIASIS IN UZBEKISTAN FOR 2013-2023

Parasitic diseases are found in almost all countries. About a third of the world's population is infected with parasitic disease pathogens. In Uzbekistan, hymenolepiasis associated with helminths is mainly registered in the mountainous areas of Namangan, Fergana, Syrdarya and Surkhandarya regions compared to other areas. For example, based on the data of the Republican Center for Sanitary and Epidemiological Safety for 2011, it was found that Namangan 556, Fergana 435.5, Syrdarya 330.3 and Surkhandarya 220.4 have these intensive indicators.

Текст научной работы на тему «RETROSPECTIVE EPIDEMIOLOGICAL ANALYSIS OF HELMINTHIASIS IN UZBEKISTAN FOR 2013-2023»

UDC 616.995-084

Fayziboev P. N.

Associate Professor

Head of the Department of Hygiene, Doctor of Medical Sciences

Kadirberganov K. B.

Ismailov A. K.

Clinical residents of the Department of Hygiene

Fayziboev B. P.

Student at Alfraganus University

RETROSPECTIVE EPIDEMIOLOGICAL ANALYSIS OF HELMINTHIASIS IN UZBEKISTAN FOR 2013-2023

Abstract: Parasitic diseases are found in almost all countries. About a third of the world's population is infected with parasitic disease pathogens. In Uzbekistan, hymenolepiasis associated with helminths is mainly registered in the mountainous areas of Namangan, Fergana, Syrdarya and Surkhandarya regions compared to other areas. For example, based on the data of the Republican Center for Sanitary and Epidemiological Safety for 2011, it was found that Namangan -556, Fergana - 435.5, Syrdarya - 330.3 and Surkhandarya - 220.4 have these intensive indicators.

Keywords: Intestinal helminthiasis, planned preventive measures against helminths, epidemiological situation.

Introduction: In the conditions of Uzbekistan, helminthiasis occupies one of the leading places among human diseases. According to the World Health Organization (WHO), more than 85-90% of the population in Africa, Asia and Latin America are at risk of helminthiasis infection.

According to official information, cases of helminthiasis infection among children occupy the second place among acute infectious diseases, second only to SARS. It is important to note that, according to the World Bank, the economic damage caused by intestinal helminthiasis is in fourth place after diarrhea, tuberculosis and cardiovascular diseases. More than 270 types of helminthiasis are the cause of various diseases in humans, and mostly young children suffer.

The endemicity of helminthiasis in a number of regions is associated with socio-economic, historical and demographic processes. Therefore, the fight against these diseases is relevant both economically and politically.

Increasing the level of culture and living conditions of the population, as well as regular preventive measures against helminthiasis in Uzbekistan have led to a significant decrease in the incidence of these parasitic diseases. However, despite the successes achieved, 10-12 types of helminthiasis are still registered in the country, such as enterobiosis, hymenolepidosis, ascariasis, teniarynchosis and trichocephalosis, which are widespread in some areas.

Scientific research on the influence of social and environmental factors on the spread of helminthiasis in Tashkent has been conducted insufficiently. This study is aimed at solving these problems, which emphasizes its relevance and modernity.

The purpose of the study: Improving the epidemiological analysis and prevention of helminthiasis in Uzbekistan through the study of the factors causing helminthiasis and their impact on morbidity rates.

Research materials: To conduct the study, official reports of the Republican and Samarkand regional Services for Sanitary and Epidemiological Welfare and Public Health on the incidence of helminthiasis for the period 2013-2023, as well as data from epidemiological surveys in epidemic foci, were used.

The results of the study: The epidemiological situation of helminthiasis in the republic cannot be called stable. According to official data, in 2020, 7,649,551 people were examined for helminthiasis in the republic, of which 264,707 (3.4%) were infected with various types of helminths (see Figure 1). It was also noted that the incidence of echinococcosis was 5.7% in

Foci of ascariasis and trichocephalosis are found in the mountainous and foothill regions of the republic. Khorezm region has historically been a hotbed of agricultural agriculture. Echinococcosis occurs in the form of sporadic cases in Kashkadarya, Samarkand, Surkhandarya, Syrdarya and Ferghana regions. There are also many foci of teniarynchosis in the republic. At the same time, contact-transmitted diseases such as enterobiosis (212,095cases) and hymenolepidosis (45,943 cases) are widespread in Uzbekistan, which have been identified in all regions of the republic. The majority of patients with hymenolepidosis were registered in Namangan (14,324 cases) and Ferghana (11,141 cases) regions.

The unfavorable epidemiological situation of helminthiasis in Uzbekistan was again confirmed in 2020 based on the results of a sanitary helminthological examination of the external environment (soil, open reservoirs, drinking and wastewater), as well as samples of vegetables and fruits (Table 1).

Table 1

Information on the results of sanitary and helminthological examinations in the Republic of Uzbekistan in 2020

Vilayats Number of analyses Positive results soil Vegetables and fruits Drinking water Drinking water Waste water

Total Positive results Total Positive results Total Positive results Total Positive results

Tashkent city 2148 5 (0,2) 904 0 859 0 485 5 (1,0) 0 48360 167 (0,3)

Andijan 3527 9 (0,2) 1292 9 (0,6) 1282 0 1053 0 0 9453 91 (0,9)

Bukhara 681 7 (1,0) 435 7 (1,6) 0 0 246 0 0 0 0

Gizzakh 4476 79 (1,7) 1408 42 (2,9) 2006 37 (1,8) 1062 0 0 0 0

Kashkadarya 4519 59 (1,3) 1768 13 (0,7) 1888 42 (2,2) 863 4 (0,4) 0 9838 32 (0,7)

Navoi 878 0 248 0 388 0 242 0 0 2195 19 (0,8)

Namangan 2433 29 (1,1) 692 16 (2,3) 894 13 (1,4) 847 0 0 13025 282 (2,1)

Samarkand 1256 20 (1,5) 557 0 670 20 (2,9) 29 0 78 0 0

Surkhandarya 1562 19 (1,2) 530 12 (2,2) 653 6 (0,9) 379 1 (0,2) 0 1889 15 (0,7)

SyrDarya 1542 52 (3,3) 699 24 (3,4) 778 28 (3,5) 65 0 0 0 0

Tashkent 2815 100 (3,5) 1111 53 (4,7) 1312 34 (2,5) 392 13 (3,3) 0 13486 356 (2,6)

Ferghana 248 11 (4,4) 181 10 (5,5) 51 1 (1,9) 16 0 0 7487 188 (2,5)

Khorezm 1257 6 (0,4) 317 4 (1,2) 699 2 (0,2) 241 0 0 7528 56 (0,7)

The Republic of 1617 9 (0,5) 1521 0 0 0 96 9 (0,3) 199 8571 187 (2,1)

Karakalpakstan

Total 29160 405 (1,3) 11663 190 (1,6) 11480 183 (1,5) 6016 32 (0,5) 277 121832 1396 (1,1)

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Conclusions: the results of all analyses of drinking water are negative. Conclusion: During the analyzed period, 29,159 helminthiasis examinations were conducted in the republic, of which 405 (1.3%) gave positive results. The highest infection rates were recorded in Syrdarya (3.3%), Tashkent (3.5%) and Ferghana (4.4%) regions. In Tashkent, this figure was 0.2%. It was also revealed that in these regions the indicators of soil pollution, vegetables and fruits are higher compared to other territories. At the same time, positive results of analyses of samples from open reservoirs were obtained in Tashkent, Kashkadarya region and Tashkent region (this figure was 0.5% in the republic). The highest rates of wastewater pollution were found in Tashkent, Ferghana and Namangan regions, as well as in the Republic of Karakalpakstan.

From 2016 to 2023, up to 594,350 people were examined annually in Tashkent. The rates of helminthiasis infection during this period ranged from 1.6% to 1.8%. Helminthiasis transmitted by contact, enterobiosis, was mainly diagnosed.

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