Stroke epidemiology based on experience from Krasnik county in eastern Poland

Introduction. Cerebrovascular diseases in Poland constitute a bigger threat to life in men than in women, especially after the age of 60. Death rates indicate higher stroke over-mortality in the rural population rather than the urban. At the same time, stroke is the main cause of long-term disability, since half of the patients are unable to independently perform daily activities, which makes them dependent on other people. Materials and method. The study was conducted in the Independent Public Healthcare Institution in Kraśnik, eastern Poland. It covered the medical records of 1,500 patients, 780 women (52%) and 720 men (48%), aged 20–100, diagnosed with cerebral infarction. The patients were hospitalised between 2011–2016 in the Neurology Ward with a Stroke Unit, the Internal Medicine Ward, and the Anaesthetics and Intensive Care Ward. Results. The stroke patients hospitalised in the Independent Public Healthcare Institution in Kraśnik were residents of urban communes (59.1% of subjects) and rural communes (40.9%). The most often diagnosed type of stroke was due to embolism of the cerebral arteries (I63.4) in women (63.48%). In men, the most most often diagnosed type was cerebral infarction due to thrombosis of the cerebral arteries (I63.3; 51.33%). Stroke in 36.15% of the female subjects resulted in death. In male subjects, death occurred in 26.11% of the cases. Conclusions. Women aged around 78-years-old were the most likely to suffer a stroke. In men, it occurred eight years earlier. Despite residents of urban areas being hospitalised due to stroke more often, deaths caused by this disease were recorded the most frequently among rural residents. It can be concluded that primary stroke prevention is the only effective measure for reducing morbidity and premature mortality in the population

Epidemiological features and changes in the occurrence of infectious diseases in Poland from 2015 to 2020 in the context of the emerging novel SARS-CoV-2 (COVID-19) pandemic

Introduction. The novel emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global public health concern. The ongoing pandemic outbreak in Poland makes a great impact on the diagnosis and treatment of other conditions including cancer and non-neoplastic diseases such as other infectious diseases.  Research design. This study aimed to analyze trends in morbidity of selected infectious diseases in Poland over the last 6 years and assess the impact of the SARS-CoV-2 (COVID-19) pandemic on the incidence of other infectious diseases from January 1, 2020, to December 31, 2020, compared to the same period in 2019.  Results. No clear trend in the total number of cases of infectious diseases in Poland in the years 2015–2019 was observed. During the period from January 1, 2020 to December 31, 2020, a total of 1 273 155 SARS-CoV-2 infections were recorded in Poland; they represented the second most common disease entity in the analyzed period (after flu and suspected flu). At the same time, there was a decrease in morbidity for almost all disease entities for which at least one case had been reported in 2019. The mean hospitalization rate for COVID-19 amounted to 250.2 cases per 100 000 inhabitants.  Conclusions. The lack of a clear trend in data for the years 2015–2019 makes it difficult to measure the impact of COVID-19 disease on the occurrence of other infectious diseases in Poland. The latest data indicate a significant reduction in the number of cases reported in 2020 vs. 2019. The question remains, whether this reduction results from limitations in interpersonal contacts forced by the SARS-CoV-2 pandemic, or is it a matter of underreporting of other diseases