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2007Zielinki Andrzej; Czarkowski Miroslaw P
[Infectious diseases in Poland in 2005]
Przegla¸d epidemiologiczny 2007;61(2):177-87.
In 2005 numerous important modifications were introduced into surveillance of infectious diseases in Poland according to the requirements of European Union. The most important modification was introduction of European case definitions. Concerning list of infectious diseases, all positions recommended by EU are reported in Poland. Incidence of influenza, the most frequent infectious disease in Poland increased 117.7% to 733,234 cases (1921.4 /100,000). Number of cases of diarrhea among children 0-2 (viral, bacterial and of unknown origin) was 20,194 (2834.2 /100,000). Among them 6877 were viral. This number includes rotavirus infections as probably the dominant component. There was noted decrease of incidence of newly diagnosed cases of viral hepatitis B (4.5 /100,000) which dropped to the level below the incidence of viral hepatitis C (7.8 /100,000). Hepatitis A remains at the low level (0.14 /100,000) Level of newly diagnosed cases of AIDS (146 cases, 0.38 /100,000) is 15.6% lower then in the previous year. The major problem with HIV reporting is low fraction of reported risk factors. Infectious diseases caused 0.70% of deaths. Mortality from infectious diseases was 6.8 per 100,000 population and was significantly higher among men (8.9) then among women (4.8). In urban settings mortality from infectious diseases was higher (7.0 per 100,000) then in the country (6.3). In particular districts (voivodeships) mortality indices remained in the range of 4.7 (podlaskie) to 10.2 (lubuskie). With the decreasing trend of deaths due to tuberculosis and increased numbers of deaths from sepsis, for the first time in 2005 number of deaths from sepsis (967; 2.5/100,000, without neonatal sepsis) was bigger than number of deaths from tuberculosis (834; 2.2).

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