Norovirus Outbreak Investigation in Surmene District of Trabzon Province July 2010

Bu calismada, Temmuz 2010’da Trabzon Ilinin Surmene Ilcesinde meydana gelen norovirus salgininda yapilan incelemeleri sunmak amaclanmistir. Akut gastroenterit vakalari ilk olarak 09 Temmuz tarihinde ortaya cikmaya baslamis ve ilk gun 271 olan vaka sayisi ikinci gun 880’e ulasmistir. Ilk gunden itibaren alinan onlemlerle hizla dusen vaka sayisi norovirusun kisiden kisiye bulas ozelligi nedeniyle, 10. gun itibariyle az sayida vaka ile devam etmis ve 28 Temmuz itibariyle beklenen seviyeye inmistir. Salgin suresince 2483 akut gastroenterit vaka basvurusu olmustur. Salgina neden olarak; Daha once uygun duzeylerde seyreden klor duzeyinin tank bosalmasi sonucu bir sure sistemde dusuk duzeyde kalmasi ve ayni donemde bir aydir kullanimda olmayan bir kuyu pompasinin tamirinin bitirilip sistemden yeterince su akitilmadan devreye sokulmasi surecinin superpoze olmasi ile sistemin ana depoda kirlenmesi olarak tespit edilmistir. [TAF Prev Med Bull 2011; 10(5.000): 501-510

Epilepsy Prevalence in the 0-17 Age Group in Trabzon, Turkey

Objective: Epilepsy is a most common serious neurological disorder and is one of the world’s most prevalent non-communicable diseases. The aim of this study was to determine the prevalence and risk factors of epilepsy in 0–17 year old children in Trabzon, Turkey. Methods: A cross-sectional epidemiological investigation was performed in two phases, a screening phase and a confirmation of the diagnosis phase. The gold standard was a clinical investigation and neurological examination. The diagnosis of epilepsy followed clinical guidelines proposed by the International League against Epilepsy (ILAE). The chi-square test was used in analysis of the results and P-value <0.05 was calculated. Findings: The prevalence per 1000 participants of epilepsy was 8.6 (5.9–11.4; 95%CI). We detected 37 cases (18 males and 19 females) of epilepsy. The male/female ratio was 0.95. This study showed an increased risk for epilepsy with low socioeconomic level, a history of postpartum seizure, meningitis, head trauma, febrile convulsion and family history of epilepsy. More than one seizure type was present in 15 (40.5%) of epileptic children. Generalized tonic-clonic seizures were determined in 24 patients (64.9%) and absence type in 9 (24.3%). It was found that 25.0% of children with epilepsy had never visited the school at the time the study was performed due to the disease and attendant seizures. Conclusion: The prevalence of epilepsy in Trabzon is low compared to other parts of Turkey and other developing countries