plague in mongoliastbmi.ac.in/presentation by bolormaa.pdf · 2017-02-22 · since 1924 organized...
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PLAGUE IN MONGOLIA
G.BOLORMAA (PhD)
NCIDNF MONGOLIA
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History
� Russian scientists noted that there were occurred human cases and pandemic of plague in Mongolia since 1897./Yu.D.Talko-Grintsevich, F.F.Skrishvanand et all/
� In 1911 at first time were isolated plague agent and determined the natural foci.
� Since 1924 organized the measures for prevention and fight of plague by government.
� Since 1931 The Ministry of Health established professional organization for aims to investigate of plague.
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Natural foci
� Since 1928 began surveillance of the plague
natural foci
� In territory of Mongolia occurred a majority
of Central Asian natural foci of plague.
� About 28.3% or 1.564.000 km2 of all territory
were independent active foci .
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Distribution of natural foci
� Since 1928 until were investigated the active surveillance (average a year) 4000 ha
� Detected about 4000 agents of plague and determined the situation of natural foci. And processing the trend and prognosis of natural foci.
� High active of plague at western region of Mongolia
High active / 47,1%/
Active
low active
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In the territory of 132
soums of 17 aimaks
exist plague natural
foci, 28,3% of whole
territory size.
Main host siberian marmot (M.sibirica),
Main vector marmot’s fleas (O.silantiewi)
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� Since 1928, there were registered 520 human
plague cases in Mongolia.
� During last 20 years there were registered
145 cases and 40% of them were fatal.
Epidemiology
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Epidemiology
Human plague cases from 1987 to 2007
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During last 20 years there were registered 145 cases in 55 soums of 13 aimaks and
40% of them were fatal.
Epidemiology
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Patient’s age and sex ratio
ýì34%
ýð66%
Epidemiology
men women
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66.2% of patents were
infected from
marmots, 22.7%-
from infected people
and 11% - from fleas Òàðâàãà66%
Õ¿í23%
Á¿¿ðýã11%
Epidemiology
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Seasonality
0 0 0 0 0 18.7575
468.75525
112.5
0 00
100
200
300
400
500
600
1 2 3 4 5 6 7 8 9 10 11 12-10.0
10.0
30.0
50.0
Óëèðëû í èí äåêñ Õóâü
Peak period
of human
infection
August and
September
Epidemiology
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� Sources of infection:
Rodents /marmot/
Ectoparasit/flea/
� Ways of infection
Contact (direct)
Transmissive
Aerosol
� Season: From May – to October
� Age: young people
� Clinical features: Bubonic, pneumonic, septic form
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Agents of plague
� Agents: Y.pestis pestisY.pestis altaicаY.pestis ulegeica had sub species.
� High virulent� Features of genotypes:
Main (6МД,45МД,62МД), Addition (6МД,15МД,45МД,62МД)Peculiarity (8MD,45MDД,62MDД) consists
above plasmids.
MD-mega Dalton
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Conclusion
� In 28,3% of territory of Mongolia endemically
exists natural plague foci and 47.1 % of them is
high active.
� Human plague cases have been registered in
Mongolia every year, the fatality is high for 5-6
times than world level.
� Plague strains circulated in natural foci of
Mongolia is high virulent.
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� Due to Mongolian tradition to hunt marmots and to use
marmot’s fur and meat, the risk of human infection is
very high.
� 89.9 % of total human plague cases, which were
registered during 1971-2000, were first bubonic
form, 4.2 % - were pneumonic form, 5.9 % -
septic form and 42.5 % of first bubonic form
were turned into pneumonic, bubonic and
intestinal forms.
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In further
� To increase using GIS technology in plague
study
� To introduce telemedicine technology in
plague early warning and response activity in
Mongolia
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Thank you