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World Health Organization : Year 1988 ; World Health Organization, Programme for the Control of Diarrhoeal Diseases, Series 88.12: Guidelines for the Control of Epidemics Due to Shlgella Dysenteriae 1

By World Health Organization

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Book Id: WPLBN0000198061
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File Size: 0.5 MB
Reproduction Date: 2005

Title: World Health Organization : Year 1988 ; World Health Organization, Programme for the Control of Diarrhoeal Diseases, Series 88.12: Guidelines for the Control of Epidemics Due to Shlgella Dysenteriae 1  
Author: World Health Organization
Volume:
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Historic
Publication Date:
Publisher: World Health Organization

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Health Organization, B. W. (n.d.). World Health Organization : Year 1988 ; World Health Organization, Programme for the Control of Diarrhoeal Diseases, Series 88.12. Retrieved from http://gutenberg.cc/


Description
Medical Reference Publication

Excerpt
1. INTRODUCTION Since its discovery in the last decade of the 19th century, Shigella dysenteriae 1, the classical Shiga bacillus, has been recognized as an unusually virulent organism capable of causing widespread epidemics distinguished by high case fatality and extreme debility in survivors. After the 1920s, however, the infection virtually disappeared from the developed countries and, for unknown reasons, also became uncommon in the developing world. No major epidemic was recorded anywhere until December 1968, when epidemics due to drug-resistant strains of S. dysenteriae 1 appeared, causing endless human suffering in Central America and Mexico, and in later years in Asia and Africa.

Table of Contents
CONTENTS .Page 1 . INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2 . RECENTEPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 . RELEVANT CLINICAL AND EPIDEMIOLOGICAL INFORMATION . . . . . . . . . . 4 4 . STRATEGIES FOR PREVENTION ANO CONTROL . . . . . . . . . . . . . . . . 5 4.1.1 Early detection of epidemics . . . . . . . . . . . . . . . 5 4.1.2 Diagnosis and antimicrobial susceptibili tytesting . . . . 5 4.1.3 Treatment of cases . . . . . . . . . . . . . . . . . . . . 5 4.1.4 Surveillance and educationoof contacts . . . . . . . . . . 8 4.2 General measures . . . . . . . . . . . . . . . . . . . . . . . . 8 4.2.1 Provisiono plentyo of cleanwater . . . . . . . . . . . . 8 4.2.2 Promotion of hand-washing with soap . . . . . . . . . . . 9 4.2.3 Improvement of d o m e s t i c a n d p e r s o n a l hygiene . . . . . . . 9 4.2.4 A s s u r i n g food s a f e t y and promoting b r e a s t - f e e d i n g . . . . 9 4.2.5 P r o v i s i o n of f a c i l i t i e s f o r t h e d i s p o s a l o f human e x c r e t a 10 4.2.6 P r e v e n t i o n of f l y b r e e d i n g . . . . . . . . . . . . . . . . 10 4.2.7 D i s i n f e c t i o n and d i s p o s a l of dead b o d i e s . . . . . . . . . 10 5 . POST-EPIDEMIC FOLLOW UP . . . . . . . . . . . . . . . . . . . . . . . 10 BIBLIOGRAPHY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ANNEX 1: SYNOPSIS . PMVENTION AND CONTROL OF SHIGELLOSIS . . . . . . 12 ANNEX 2: LAAORATORY DIAGNOSTIC SUPPLIES . . . . . . . . . . . . . . 13 ANNEX 3: WHO COLLABORATING CENTRES FOR ENTERIC INFECTIONS . . . . . . 14 ANNEX 4: PROCEDURES FOR DOMESTIC DISINFECTION OF WATER . . . . . . . 15

 
 



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