Strategy of protection against hazardous channel and hydrological processes in rivers of developed territories and territories with focal development

In 2012-2015, the Makkaveev Research Laboratory of Soil Erosion and Fluvial Processes of MSU, Department of Geography, carried out a research, including analysis of hydrological and channel regimes of the Tom river in the Kuznetsk basin (Kuzbass) and the Katun river up to Uimonsky (the Altai), intra-mountain drainage basins, the survey of floodplains and eroded banks, and modelling of floods occurring in floodplains. As a result, a concept has been developed to improve protection measures against hazardous hydrological and channel processes. More than 200 engineering and organisational events were suggested as part of the concept. Given the dense network of river banks and the high potential damage caused by floods in Kuzbass, the continuous protection of cities, large residential and commercial areas, as well as sections of roads and railways subject to erosion is a priority in the flood control concept. In the case of the Katun river basin, characterized by local development, low population density, and relatively small damage caused by floods, the emphasis is put on organisational measures: prevention, evacuation of people and property, insurance and compensation. Selective engineering structures should, as a matter of priority, reduce the dangerous erosion of river banks and ensure a high level of protection of the territory against floods

ОБЩАЯ АЛЛЕРГИЧЕСКАЯ РЕАКЦИЯ У ПРИВИТОГО – ВСЕГДА ЛИ «ВИНОВАТА» ВАКЦИНА? (КЛИНИЧЕСКИЙ СЛУЧАЙ)

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ЭФФЕКТИВНОСТЬ И БЕЗОПАСНОСТЬ ПРИМЕНЕНИЯ ПИДОТИМОДА У ДЕТЕЙ ГРУПП РИСКА НА ФОНЕ ВАКЦИНАЦИИ

The article is dedicated to the use of immunomodulators in children, conditions, at which the prescription of this group of drugs is reasonable, action mechanism and also efficacy are given. In particular, the authors give their observation results for a group of HPV-infected children vaccinated by live vaccines (rubella and divalent measles-parotitis vaccine) together with pidotimod usage. No undesirable phenomena were registered in the postvaccinal period. Dynamics of immunological indicators did not change significantly. Seroconversion level of measles antibodies totaled 100% by the 30th observation day.Статья посвящена применению иммуномодуляторов у детей. Представлены состояния, при которых обосновано назначение данной группы препаратов, а также механизм их действия и эффективность. В частности, авторы приводят собственные результаты наблюдения за группой ВИЧ-инфицированных детей, привитых живыми вакцинами (краснушной и дивакциной корь–паротит) на фоне приема препарата пидотимод. Нежелательных явлений в поствакцинальном периоде не зарегистрировано. Динамика иммунологических показателей не имела существенных изменений. Уровень сероконверсии противокоревых антител составил 100% к 30-му дню наблюдения

Клиническая эффективность пневмококковой конъюгированной 13-валентной вакцины у детей раннего возраста

Objective: Our aim was to study the clinical efficacy of pneumococcal conjugate 13-valent vaccine (PCV13) in children aged less than 3 years.Methods: retrospective comparative study of the incidence of acute respiratory infections (ARI), otitis and pneumonia during the first three years of life in 184 children vaccinated with PKV13 and 186 unvaccinated peers.Results: 91 of 184 children (49.4%) were vaccinated during the 1st year of life, 61 (33.2%) — during the 2nd year, and 32 (17.4%) — during the 3rd year. Number of ARI per 1 child among children vaccinated in the 1st year of life was 5.5 times less than among unvaccinated children (0.42 and 2.31 cases); frequency of otitis during the second year of life was 6.8 times less (7.6% and 52.1%, р < 0,01), and during the third — 34.7 times less (1.1% and 38.2%, р < 0,01). All children vaccinated before the age of 1 were 6.3 times less (1.1% and 6.9%) ill with pneumonias. Additionally it was noted that number of ARI per 1 person among children, vaccinated during the 1st year of life, during the third year of life was lower than among children vaccinated later (0.42; 1.02; 2.03 respectively). There also was a significant in otitis number between children vaccinated during the first and the third years of life (1.1 and 15.6% р < 0,01).Conclusion: to reduce the incidence of ARI, otitis and pneumonia in children, it is necessary to vaccinate children with PCV13 in the age under 1 year. «Catching up» immunization of the second and third years of life is effective, but to a lesser extent.Цель исследования: изучить клиническую эффективность вакцинации против пневмококковой инфекции конъюгированной тринадцативалентной вакциной (ПКВ13) детей в возрасте до 3 лет.Методы: ретроспективное сравнительное исследование заболеваемости острыми респираторными инфекциями (ОРИ), отитами и пневмониями на протяжении первых трех лет жизни у 184 детей, привитых ПКВ13, и их 186 непривитых сверстников.Результаты. На 1-м году жизни вакцинирован 91 ребенок из 184 (49,4%), на 2-м — 61 (33,2%), на 3-м — 32 (17,4%). У привитых на первом году жизни по сравнению с непривитыми число ОРИ на 1 ребенка на третьем году жизни было в 5,5 раз меньше (0,42 и 2,31 случая), частота отитов на втором году жизни — в 6,8 раз меньше (7,6 и 52,1%; р < 0,01), на третьем — в 34,7 раз меньше (1,1 и 38,2%; р < 0,01). Пневмониями за все три года привитые до одного года болели в 6,3 раза меньше (1,1 и 6,9%). Дополнительно было отмечено, что у детей, вакцинированных на первом году жизни, на третьем году число ОРИ на 1 человека было меньше, чем у привитых позже (0,42; 1,02; 2,03 соответственно на первом, втором и третьем году наблюдения), также достоверно различалось число отитов между привитыми на первом и третьем годах (1,1 и 15,6%; р < 0,01).Заключение. Для снижения заболеваемости детей ОРИ, отитами и пневмониями необходима вакцинация ПКВ13 в возрасте до одного года. «Нагоняющая» иммунизация на втором и третьем годах жизни эффективна, но в меньшей степени

WHO Polio Eradication Program: Problems and Solutions

In 2013 WHO re-evaluated its main goals of the polio eradication program. A modernization program was accepted with regard to the National vaccination calendars worldwide which includes a step-by-step refusal from the living polio vaccine (OPV) and a total transition to the inactivated polio vaccine (IPV) starting in 2019. Because of the total eradication of the polio type 2 virus, as an intermediate step the 3-valence OPV was substituted with the 2-valence OPV, which does not contain the type 2 polio virus, in April 2016. The aim of the article is to present the history of polio prevention and to state the reasons for the adoption of 3rd edition of the Global Polio Eradication Initiative. The new approaches were defined for eradication of wild polio virus type 1 and vaccine related strains. A new strategy for global switch to inactivated polio vaccine by 2019 was suggested

Prematurely Born Children: Vaccination – Safety and Specific Immune Response

The analysis of safety and efficiency of vaccination of the children born before the term (61 children of 1 – 4 degree of prematurity) and children born in time (21 children – group of comparison). For vaccination and revaccination was used: DTP (20 and 15 children respectively), DTaP (22 and 4 children), pentavalentny vaccine (DTaP/IPV/Hib – 9 and 2 children) and DT (10 children of the studied group with convulsion in the anamnesis). Against measles, mumps and a rubella was immunized 47 and 20 children respectively. After immunization all clinical symptoms was analyzed and after 2 months diphtheria measles and mumps antibodies was detected.Prematurely born children has the 1 vaccination for 3 – 4 months later, then infants, with born at time. After vaccination 75.4% and 74.5% infants in both groups hadn’t any clinical symptoms. Acute respiratory infection was registered with the same frequency (25,5 – 25.0% and 24.6 – 23.8%). The antibodies titer to diphtheria, measles, mumps didn't depend on degree of prematurity