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[Dysentery in 1997].

H Stypułkowska-Misiurewicz1, E Gonera

  • 1Zakład Bakteriologii Państwowego, Zakładu Higieny, Warszawa.

Przeglad Epidemiologiczny
|July 14, 1999
PubMed
Summary

Dysentery cases in Poland reached a historic low in 1997, with incidence rates significantly decreasing. This decline was observed across all age groups, particularly in young children, with Shigella infections being the primary cause.

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Area of Science:

  • Epidemiology
  • Infectious Diseases

Context:

  • Dysentery notifications in Poland have shown a consistent downward trend.
  • The year 1997 marked the lowest recorded yearly total and incidence rate since 1918.
  • Regional data indicated that dysentery was absent in 24% of administrative regions.

Purpose:

  • To analyze the epidemiological trends of dysentery in Poland for 1997.
  • To identify the causative agents and transmission patterns of dysentery outbreaks.
  • To assess the impact of changes in diagnostic testing on dysentery reporting.

Summary:

  • In 1997, Poland reported 439 dysentery cases, an 18% decrease from 1996 and a 75% decrease from the 1991-1995 median. The incidence rate was 1.1 per 100,000 inhabitants, the lowest ever recorded.
  • Children aged 0-19 represented 80% of cases, with the highest incidence rates in 3- and 4-year-olds residing in towns. All notified cases were confirmed Shigella infections.
  • Twelve outbreaks occurred, predominantly in childcare institutions, with Shigella sonnei being the most common pathogen. Changes in free bacteriological testing in 1997 may have influenced reporting.

Impact:

  • The study highlights a significant public health success in controlling dysentery in Poland.
  • Findings underscore the importance of targeted interventions for vulnerable populations, such as young children.
  • The study also points to potential challenges in laboratory diagnostic capacity and reporting accuracy.

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