Online ISSN: 3007-0244,
Print ISSN:  2410-4280
TICK-BORNE ENCEPHALITIS SURVEILLANCE IN KAZAKHSTAN, 2019-2021
Introduction. Tick-borne encephalitis is an urgent vector-borne disease, caused by Ixodidae ticks bites and consuming row goat and cow's milk infected with TBE virus. TBE incidence in Kazakhstan is cyclical, which is associated with the epidemic process and social factors affecting the foci of infection. The appearance of a new focus of infection is noted. Over the last 10 years the average long-term incidence rate amounted to 0.19 per 100000 people. Methods. The purpose of this study was to describe and evaluate the existing surveillance system for TBE in Kazakhstan. We investigated TBE surveillance in Kazakhstan by studying the main documents of the system: official data on morbidity, case reports, guidelines and regulatory legal acts, annual reports of territorial Departments of sanitary and epidemiological control. Results. The results of the study revealed some gaps, such as shortage or low qualification of personnel, the speed of information transfer between the levels of the system, the lack of a systematized electronic database, the low level of usage of statistical methods in the analysis and interpretation of the collected data. Conclusion. Since the results of the study were revealed to public health makers, there was improvement of the TBE surveillance system. In last year studies have been actively conducted, forecasting of the epidemiological situation was performed, and recommendations for preventive measures were issued.
Ulyana A. Kirpicheva1, https://orcid.org/0000-0003-0428-113X Zhanna Zh. Shapiyeva1, https://orcid.org/0000-0002-7748-9436 Elmira S. Utegenova1, https://orcid.org/0000-0003-2000-3404 1 Scientific and Practical Centre for Sanitary-Epidemiological Expertise and Monitoring, the Branch of the National Center for Public Health, Ministry of Health, Republic of Kazakhstan, Almaty, Republic of Kazakhstan.
1. ВОЗ. Клещевой энцефалит [Электронный ресурс] https://www.who.int/immunization/diseases/tick_encephalitis/ru/(Дата обращения 12.02.2023) 2. Злобин В.И., Рудаков Н.В., Малов И.В. Клещевые трансмиссивные инфекции. – Новосибирск: Наука, 2015. – 224 с. 3. Клещевой энцефалит в Европе [Электронный ресурс]. https://www.ecdc.europa.eu/en/tick-borne-encephalitis/facts/ (Дата обращения 12.02.2023) 4. Коренберг Э.И., Помелова В.Г., Осин Н.С. Природноочаговые инфекции, передающиеся иксодовыми клещами: учебное пособие / под редакцией А.Л. Гинцбурга, В.Н. Злобина. – Москва: Комментарий, 2013. – 463 с. 5. Линецкая Ю. Штаммы весенне-летнего энцефалита в Алматинской области. – Алматы: Казахский государственный медицинский университет им. В.М. Молотова (ныне Казахский национальный медицинский университет им. С.Д. Асфендиарова). – 1949 г. C198 6. Международная классификация болезней 10-го пересмотра МКБ 10 [Электронный ресурс] // Новосибирск. https://mkb-10.com/ (Дата обращения 12.02.2023) 7. Огурцов А.А. Оптимизация эпидемиологического надзора и профилактических мероприятий в сочетанных очагах клещевого энцефалита и иксодового клещевого боррелиоза: диссертация кандидата медицинских наук: 14.00.30. – Омск, 2004. – 212 с. 8. Приказ Министра здравоохранения РК Об утверждении Санитарных правил “Санитарно-эпидемиологические требования к организации и проведению санитарно-противоэпидемических и санитарно-профилактических мероприятий по предупреждению паразитарных заболеваний” №КР ДСМ-44 от 16 мая 2022 года. https://adilet.zan.kz/rus/docs/V2200028086 (Дата обращения 12.02.2023) 9. Приказ Министра здравоохранения РК об утверждении “Стандартов в области медицинской деятельности по определению случаев особо опасных инфекций человека при их учете и регистрации” №623 от 15.12.2006 г. https://online.zakon.kz/Document/?doc_id=30086939 (Дата обращения 12.02.2023) 10. Рудаков Н.В., Егембердиева Р.А, Дуйсенова А.К., Сейдуллаева Л.Б. Клещевые трансмиссивные инфекции человека: учебное пособие. – Омск: Издательский центр Омский научный вестник, 2016. 192. 11. Холодилов И.С., Белова О.А., Мотузова О.В., Гмыль А.П., Орлова О.Е., Романова Л.Ю., Бойко В.А., Крючков Р.А., Шамсутдинов А.Ф., Карганова Г.Г. Оценка зараженности клещей вирусом клещевого энцефалита с использованием различных методов исследования. Неоднозначность трактовки результатов // Эпидемиология и вакцинопрофилактика. 2014. №3 (76). – С. 29-36. 12. Шапиева Ж.Ж., Жетписбаева Г.Б. Некоторые актуальные вопросы эпидемиологии клещевого энцефалита // Здоровье. 2008. № 2. С. 260-262. 13. Щучинова Л.Д., Злобин В.И. Организация профилактики клещевого энцефалита на высокоэндемичной территории Республики Алтай // Современные проблемы науки и образования. 2017. №5. С63 14. Banović P., Obregón D., Mijatović D., Simin V., Stankov S., Budakov-Obradović Z., Bujandrić N., Grujić J., Sević S., Turkulov V., Díaz-Sánchez A.A., Cabezas-Cruz A. Tick-Borne Encephalitis Virus Seropositivity among Tick Infested Individuals in Serbia // Pathogens. 2021. Vol. 10. № 3. P.1–12. 15. Bogovic P., Strle F. Tick-borne encephalitis: A review of epidemiology, clinical characteristics, and management // World Journal of Clinical Cases. 2015. Vol. 3. № 5. P. 430. 16. Frey S. Vectors, molecular epidemiology and phylogeny of TBEV in Kazakhstan and central Asia // Parasit Vectors. – 2020. – №13(1):504. 17. Hay J. et al. Biosurveillance in Central Asia: Successes and Challenges of Tick-Borne Disease Research in Kazakhstan and Kyrgyzstan // Front Public Health. 2016. Vol. 4. P. 4. 18. Jenkins V.A., Silbernagl G., Baer L. R., Hoet B. The epidemiology of infectious diseases in Europe in 2020 versus 2017–2019 and the rise of tick-borne encephalitis (1995–2020) // Ticks Tick Borne Dis. 2022. Vol. 13. № 5. P. 101972. 19. Kríz B., Benes C., Daniel M. Alimentary transmission of tick-borne encephalitis in the Czech Republic (1997-2008) // Epidemiol Mikrobiol Imunol. 2009. Vol. 58. № 2. P. 98-103. 20. Monthly Summary Reports [Electronic resource]. https://rk-ncph.kz/ru/sanepidem/ezhemesyachnaya-situatsiya (Дата обращения 12.02.2023) 21. Scientific and Practical Centre for Sanitary-Epidemiological Expertise and Monitoring [Electronic resource]. http://rk-ncph.kz/ru/. (Дата обращения 12.02.2023) 22. Perfilyeva Y.V., Shapiyeva Z.Z., Ostapchuk Y.O., Berdygulova Z.A., Bissenbay A.O., Kulemin M.V., Ismagulova G.A., Skiba Y.A., Sayakova Z.Z., Mamadaliyev S.M., Maltseva E.R., Dmitrovskiy A.M. Tick-borne pathogens and their vectors in Kazakhstan // Ticks Tick Borne Dis. 2020. №11(5):101498. 23. Riccardi N., Antonello R.M., Luzzati R., Zajkowska J., Bella S., Giacobbe D.R. Tick-borne encephalitis in Europe: a brief update on epidemiology, diagnosis, prevention, and treatment // Eur J Intern Med. Elsevier. 2019. Vol. 62. P. 1–6. 24. Stefanoff P., Eidson M., Morse D.L., Zielinski A. Evaluation of tickborne encephalitis case classification in Poland // Euro Surveill. 2005. Vol. 10. № 1. P. 23–25. 25. Tick-borne encephalitis [Electronic resource]. https://www.who.int/health-topics/tick-borne-encephalitis#tab=tab_1 (Дата обращения 12.02.2023) 26. Updated Guidelines for Evaluating Public Health Surveillance Systems / Centers for Disease Control [Электронный ресурс]. https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5013a1.htm. (Дата обращения 12.02.2023) 27. Yoshii K. Epidemiology and pathological mechanisms of tick-borne encephalitis // J Vet Med Sci. Japanese Society of Veterinary Science. 2019. Vol. 81. №3. P. 343. 28. Zeman P., Pazdiora P., Benes C. Spatio-temporal variation of tick-borne encephalitis incidence in the Czech Republic: Is the current explanation of the disease’s rise satisfactory? // Ticks Tick Borne Dis. 2010. Vol.1. №3. P.129–140. References: 1. VOZ. Kleshchevoi entsefalit [Tick-borne encephalitis] https://www.who.int/immunization/diseases/tick_encephalitis/ru/ (accesed 12.02.23) 2. Zlobin V.I., Rudakov N.V., Malov I.V. Kleshhevye transmissivnye infektsii [Tick-borne vector-borne infections]. Novosibirsk: Nauka, 2015. 224 p. [in Russian] 3. Kleshchevoi entsefalit v Evrope [Tick-borne encephalitis in Europe]. https://www.ecdc.europa.eu/en/tick-borne-encephalitis/facts/ (accesed 12.02.23) 4. Korenberg Je.I., Pomelova V.G., Osin N.S. Prirodnoochagovye infektsii, peredayushhiesya iksodovymi kleshhami: uchebnoe posobie [Natural focal infections transmitted by ixodic ticks: textbook] pod redaktsiei A.L. Ginsburga, V.N. Zlobina. – Moskva: Kommentarii, 2013. – 463 p. [in Russian] 5. Linetskaya Ju. Shtammy vesenne-letnego entsefalita v Almatinskoi oblasti [Strains of spring-summer encephalitis in Almaty region]. – Almaty: Kazakhskii gosudarstvennyi meditsinskii universitet im. V.M. Molotova (nyne Kazakhskii natsional'nyi meditsinskii universitet im. S.D. Asfendiyarova). – 1949 g. 198p. [in Russian] 6. Mezhdunarodnaya klassifikatsiya boleznei 10-go peresmotra MKB 10 [Elektronnyi resurs] // Novosibirsk. https://mkb-10.com/ (accesed 12.02.23) 7. Ogurtsov A.A. Optimizatsiya epidemiologicheskogo nadzora i profilakticheskikh meroprijatii v sochetannykh ochagakh kleshhevogo entsefalita i iksodovogo kleshhevogo borrelioza: dissertatsiya kandidata meditsinskikh nauk: 14.00.30 [Optimization of epidemiological surveillance and preventive measures in combined foci of tick-borne encephalitis and ixodic tick-borne borreliosis: dissertation]. Omsk, 2004. 212p. [in Russian] 8. Prikaz Ministra zdravookhraneniya RK Ob utverzhdenii Sanitarnykh pravil “Sanitarno-epidemiologicheskie trebovaniya k organizatsii i provedeniyu sanitarno-protivoepidemicheskikh i sanitarno-profilakticheskikh meropriyatii po preduprezhdeniyu parazitarnykh zabolevanii” №KR DSM-44 ot 16 maya 2022 goda [8. Order of the Minister of Health of the Republic of Kazakhstan on approval of Sanitary rules “Sanitary and epidemiological requirements for the organization and conduct of sanitary and anti-epidemic and sanitary preventive measures to prevent parasitic diseases]. https://adilet.zan.kz/rus/docs/V2200028086 (accesed 12.02.23) 9. Prikaz Ministra zdravookhraneniya RK ob utverzhdenii “Standartov v oblasti meditsinskoi deyatel'nosti po opredeleniyu sluchaev osobo opasnykh infektsii cheloveka pri ikh uchete i registratsii” №623 ot 15.12.2006 g. [The Order of the Minister of Health of the Republic of Kazakhstan on the approval of “Standards in the field of medical activity for the identification of cases of particularly dangerous human infections during their registration and registration]. https://online.zakon.kz/Document/?doc_id=30086939 (accesed 12.02.23) 10. Rudakov N.V., Egemberdieva R.A, Dujsenova A.K., Sejdullaeva L.B. Kleshhevye transmissivnye infektsii cheloveka: uchebnoe posobie [Tick-borne human vector-borne infections]. – Omsk: Izdatel'skii tsentr Omskii nauchnyi vestnik, 2016. – 192 p. [in Russian] 11. Holodilov I.S., Belova O.A., Motuzova O.V., Gmyl' A.P., Orlova O.E., Romanova L.Ju., Bojko V.A., Kryuchkov R.A., Shamsutdinov A.F., Karganova G.G. Otsenka zarazhennosti kleshhei virusom kleshhevogo entsefalita s ispol'zovaniem razlichnykh metodov issledovaniya. Neodnoznachnost' traktovki rezul'tatov [Assessment of tick infection with tick-borne encephalitis virus using various research methods. Ambiguity of interpretation of the results]. Epidemiologiya i vaktsinoprofilaktika [Epidemiology and vaccine prevention]. 2014. №3 (76). pp. 29-36. [in Russian] 12. Shapieva Zh.Zh., Zhetpisbaeva G.B. T.S.S. Nekotorye aktual'nye voprosy epidemiologii kleshhevogo entsefalita [Some topical issues of epidemiology of tick-borne encephalitis]. Zdorov'e [Health]. 2008. №2. pp. 260-262. [in Russian] 13. Shhuchinova L.D., Zlobin V.I. Organizatsiya profilaktiki kleshhevogo entsefalita na vysokoendemichnoi territorii Respubliki Altai [Organization of prevention of tick-borne encephalitis in the highly endemic territory of the Altai Republic]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education]. 2017. № 5. P63 [in Russian]
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Kirpicheva U.A., Shapiyeva Zh.Zh., Utegenova E.S. Tick-borne encephalitis surveillance in Kazakhstan, 2019-2021 // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 3, pp. 71-78. doi 10.34689/SH.2023.25.3.009

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