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Possibilities of pre-travel consultancy and specific prophylaxis of imported infectious diseases in the region of South Bohemia
RYTÍŘOVÁ, Zuzana
The theoretical part of the thesis deals with the problems of imported infectious diseases. It comprises the factors influencing their incidence and the possibilities of specific and nonspecific prophylaxis and prevention. Further on, this part focuses on chosen infectious diseases, their epidemiological and clinical characteristics and trends in incidence. These infections are divided according to possibilities of specific prophylaxis. The thesis offers an overview of the possibilities of pre-travel consultancy in the South Bohemia region. The practical part of the thesis aims at the characterization of the incidence of imported infectious diseases in the districts within the region of South Bohemia in the years 2000 ? 2010. It also presents a survey of medical facilities and other subjects providing pre-travel consultancy and specific prophylaxis in the sphere of imported infectious diseases prevention. During the monitoring period, the total number of imported diseases which occurred in the region of South Bohemia and were registered in the EPIDAT system was 351. Out of this number, 205 cases occurred in the district of České Budějovice. (Český Krumlov ? 47, Jindřichův Hradec ? 25, Písek ? 2, Prachatice ? 17, Strakonice ? 31, Tábor ? 24). The most frequent imported infections were alimentary infections (240 cases, i.e.68 %); out of this, the most frequent cases were diseases caused by Salmonella (73 cases), Shigella (71 cases) and campylobacters (42 cases). The most frequent countries of origin were Egypt (43 cases), Croatia (42 cases) and India (30 cases). The number of medical facilities and other subjects providing pre-travelling consultancy and specific prophylaxis of infectious diseases rose from nine to thirteen during the period of monitoring. Four hypotheses were determined within this thesis. Hypothesis no.1 ? during the period of monitoring the total number of imported infectious diseases increased. Hypothesis no.2 ? during the period of monitoring the total number of infectious diseases imported from exotic destinations increased. Hypothesis no. 3 ? during the period of monitoring there was an increase in the number of the facilities and other subjects providing pre-travel advice, vaccination or other specific prophylaxis. Hypothesis no. 4 ? the increasing number of medical facilities or other subjects providing pre-travel advice, vaccination or other specific prophylaxis did not influence an increase in the number of imported infectious diseases during the period of monitoring. Only hypotheses no. 3 and no. 4 were proved.
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