title: [An epidemiological analysis of hemorrhagic fever with renal syndrome morbidity in the Republic of Bashkortostan in 1997].
abstract: The outbreak of hemorrhagic fever with renal syndrome (HFRS) in the Republic of Bashkortostan, resulting in 10,057 registered cases of the disease (287 cases per 100,000 of the population), was analyzed. HFRS cases among the population were registered in 52 out of 54 regions of Bashkortostan. 31% of the total number of patients were the inhabitants of rural regions (170 cases per 100,000) and 69% were urban dwellers (295 cases per 100,000), mainly in Ufa (512 cases per 100,000). HFRS morbidity among males was fourfold higher than among females. In 70% of cases persons aged 20-49 years were affected. 5% of the total number of patients were children aged up to 14 years. In 34 cases (0.4%) the severe clinical course of the disease had a fatal outcome. Cases of HFRS were registered from April 1997 till March 1998 with the highest morbidity rate observed during the period of August-December. In most cases (46.8%) both urban and rural dwellers contacted infection during a short-term stay in the forest. As the result of the serological examination of the patients, all HFRS cases were etiologically attributed to hantavirus, serotype Puumala. The main natural reservoir of this virus and the source of human infection in Bashkortostan were bank voles (Clethrionomys glareolus), the domination species among small mammals in this region.
authors.affiliation: Bashkir Republican Center of State Sanitary and Epidemiological Surveillance, Ufa, Russia.
authors.forename: R G
authors.initials: RG
authors.lastname: Nurgaleeva
authors.forename: E A
authors.initials: EA
authors.lastname: Tkachenko
authors.forename: A G
authors.initials: AG
authors.lastname: Stepanenko
authors.forename: I M
authors.initials: IM
authors.lastname: Mustafin
authors.forename: S G
authors.initials: SG
authors.lastname: Kireev
authors.forename: T K
authors.initials: TK
authors.lastname: Dzagurova
authors.forename: A E
authors.initials: AE
authors.lastname: Dekonenko
authors.forename: L A
authors.initials: LA
authors.lastname: Klimchuk
authors.forename: G D
authors.initials: GD
authors.lastname: Minin
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000818:Animals; D001486:Bashkiria / Q000453:epidemiology; D002648:Child; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D004197:Disease Reservoirs / Q000706:statistics & numerical data / Q000662:veterinary; D004199:Disease Vectors; D005260:Female; D006480:Hemorrhagic Fever with Renal Syndrome / Q000453:epidemiology* / Q000276:immunology / Q000635:transmission; D006801:Humans; D008297:Male; D008875:Middle Aged; D012377:Rodentia; D012424:Rural Population / Q000706:statistics & numerical data; D012621:Seasons; D016036:Seroepidemiologic Studies; D017678:Sex Distribution; D014505:Urban Population / Q000706:statistics & numerical data
vernacular_title: Epidemiologicheskiĭ analiz zabolevaemosti gemorragicheskoĭ likhoradkoĭ s pochechnym sindromom v Respublike Bashkortostan v 1997 g.