Problem of
influenza and acute respiratory virus infections
(ARVI) remains one of the most urgent medical
and socio-economic issues in despite of certain
achievements in vaccine and chemoprophylaxis.
In Russia influenza and ARVI account for up
to 90% of the total annual incidence of infectious
disease (up to 30 million of sick people; 45-60%
of them are children). Economic damage, caused
by influenza and ARVI, makes around 86% of total
economic damage, caused by infectious diseases.
WHO predicts that in the years coming a new
antigenic influenza virus will appear, which
can lead to development of large pandemia with
4-5 times increase in disease incidence and
5-10 times increase in death rate. During 2005
some changes in animal influenza epidemiology
were registered. New cases of people infections
are detected, the virus has spread to some new
countries. Avian influenza is a high contagious
virus infection that can affect all bird species.
For birds influenza is enteral infection, it
severely affects parenchymatous organs, especially
spleen, and lungs. By now it is known that carriers
of avian influenza virus H5N1 can be all known
species of wild waterfowl and near-water birds.
Poultry is highly susceptible to many stocks
of influenza virus H5N1, death rate reaches
100%. At that hens, especially chickens, are
most susceptible. From January 2004 to 24th
November 2005 in the world there were detected
131 cases of influenza, caused by virus A/H5N1/,
68 of them (51%) ended in lethal outcome (Vietnam--92
cases, Thailand--21 cases, Cambodia--4, Indonesia--11,
China--3). Most of the described cases of avian
influenza resulted from direct contact with
infected birds (handling bird internal organs
is especially dangerous). In frozen meat of
infected birds the virus can remain for about
one year. Heating kills virus (no cases of infection
caused by use for food of poultry products were
detected). In order to prevent wide ranging
spread of infection over Russia it is necessary
to organize medical monitoring of sea ships,
aircraft and train crews, arriving from the
countries where influenza H5N1 cases were detected,
in case of need to arrange raids to outlets
and markets to detect poultry and poultry products
brought from these countries. In Russia it is
necessary to prepare a reserve of vaccine strains
of viruses--potential causative agent of pandemic,
including H5N1 and H7N7, that can start to vaccine
reproduction immediately in case of pandemic.
PMID: 16981489
[PubMed - indexed for MEDLINE]