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Analysis of measures for preventing the delivery and spreading of «atypical pneumonia» in Krasnoyarsk region is presented. Effect of counteracting with this infectious disease of the executive authority organs, State Surveillance service, public health and other interested institutions is emphasized. Further preventing measures against «atypical pneumonia» are determined.

Measures performed in 2003 at the territory of Kamchatskaya Province by a sanitaryepidemiological service, public health authorities and other concerned departments with an active support of the Province administration to prevent importation and dissemination of «atypical pneumonia» in connection with the epidemiological situation aggravation due to severe acute respiratory syndrome morbidity in countries of SouthEastern Asia and Canada are represented. Organizing, preventive and antiepidemic measures, hospital basis preparation, activities of sanitaryquarantine departments on water and air transport are reflected.

Complex epidemiological situation concerning SARS in the world, intensive economical, cultural, tourist contacts with South-Eastern Asia countries, including unfavourable in «atypical pneumonia», arose real threat of its delivery to the territory of Republic of Buryatia. In this connection the surveillance centers of the Republic together with treatment-and-prophylactic institutions, railway health service and institutions of other departments conducted complex of measures for preventing of SARS delivery and spreading on the territory of Republic. These were organizational, anti-epidemic, preventive measures in the border crossing points, in trains from China and Mongolia, in public health institutions, Ministry of Internal Affairs, migratory, frontier, customs, and other services. Large work in training of medical staff in SARS, equipment of sanitary control points and hospital base was held.

Organizing, preventive and anti-epidemic measures performed at the territory of Irkutskaya Province at the period of acute severe respiratory syndrome outbreak in the world are analyzed. The current experience will be used for improvement of the epidemiological surveillance to polish tactics of the preventive and anti-epidemic measures in case of a suspected «atypical pneumonia» patient detection.

Primorski territory is the territory of high risk for probably delivery and spreading of quarantine and other diseases of particular danger, which is conditioned by its geopolitical position characterized by intensive international transport communications with the majority of countries. Complex of organizing, anti-epidemic and preventing measures, which were conducted in the territory during 2003, because of world SARS epidemic is presented. State Surveillance Service cooperation with other Territory services and departments, and with quarantine border service of PRC province is reflected. Antiepidemic measures are described which were held in case of detecting of two suspected SARS patients.

Organizational work concerning prevention of «atypical pneumonia» delivery and spreading at the territory of region had begun in March, 2003 by treatmentandprophylactic and sanitary-and-epidemiology services. Large volume of work on guarantee of readiness of the border passing points, hospitals, and surveillance centers in the region for conducting preventive measures in case of SARS delivery into Sakhalin Region was held during Mach-July, 2003. Great importance was attached to the cooperation of all interested services and departments on account of preventing of «atypical pneumonia» delivery into the region, and also training of medical staff in this infection and explanatory work with population.

Study materials of a new disease epidemic, symbolically named as a severe acute respiratory syndrome (SARS), emerged in the late 2002 at south China are reviewed. The significance of the first patients as the major sources of the infection around which plural foci were formed is shown. Infections happened in hotels, hospitals, multistory dwelling houses and in places of mass crowds. Medical workers are attributed to a group of high infection risk. The role of high-speed transport means in the disease dissemination to short and long distances is established. This infection was imported to 32 countries on five continents, but the secondary epidemic complications occurred only in Hong Kong, Singapore, Taiwan, Vietnam and Canada. Global SARS dissemination requires international collaboration and coordination of this infection surveillance system.

Clinic-and-epidemiological characteristics of suspected «atypical pneumonia» cases detected in NovosibirskRegion, organizing of early detection of ill persons and their hospitalizing are presented. Main organizing-methodical and administrative-ordering measures directed on preventing of SARS delivery and spreading on the territory of Region are reflected.The organizational measures for preventing of «atypical pneumonia» allowed to avert its delivery and spreading in the Region, and to conduct the complex of treatment-and-diagnosis and anti-epidemic measures in suspected SARS cases.

Necessary organizing, methodical and preventive work was conducted at Republic of Altai and the border passing point «Tashanta» due to epidemiological complications and dissemination of «atypical pneumonia» in foreign countries. It facilitates to prevent severe acute respiratory syndrome (SARS) importation to the territory of Republic of Altai.

A complex of measures at the State frontier passing point «Blagoveshchensk» of Amurskaya Province at the period of SARS importation threat to Russia is described. It includes organizing, methodical, anti-epidemic measures and cooperation of all controlling services that allowed to prevent SARS importation and dissemination (except one case).

Antiepidemic measures in Blagoveshchensk City of Amurskaya Province were carried out among persons contacted with a patient suspected to «atypical pneumonia» (further diagnosis was confirmed by laboratory methods). Chinese citizens were isolated at the hotel (at the place of their residing); close relatives of the patient were accommodated in the isolation ward of the Regional infectious hospital. Russians were kept under observation at the place of their residing. The efficiency of the performed measures is marked.

A list of organizing and preventive measures to prevent «atypical pneumonia» delivery and dissemination atTyumenskaya Province at the period of its world epidemic is represented.

A complex of diagnostic measures for detection of a suspected SARS patient is analyzed. Clinical course of the disease in dynamics especially at the early stages allowed to suspect SARS in a worker arrived from China. The diagnosis was cancelled on the basis of the clinical data and laboratory negative results. However, this case allowed to practically perfect tactics of interactions between different services during realization of anti-epidemic measures in a case of SARS suspicion including notification, hospital basis development and PCR-diagnostics adoption.

Materials of the organizing and methodical activities performed by the specialists of State Surveillance Center at Tomskaya Province, Public Health Department, Departmental Services with the support of the Province administration to prevent importation and dissemination of «atypical pneumonia» are represented.

The difficulties of SARS laboratory diagnosis, which took place at Primorski Territory during first months of this dangerous infection epidemic are shown.

Plans of taking the material from patients with SARS or suspected SARS, its preparing for transport and delivery to special laboratories are presented. Expediency of genetic diagnosis of SARS on the base of regional State Surveillance centers is pointed.