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Чебан Василий. Исторический аспект и современная опасность вирусно-бактериальных заболеваний (по материалам мирового и отечественного опыта). Заболеваемость, в частности, сезонныйм и пандемическим гриппом и острые респираторные вирусные инфекции, очередной раз формируют волну рисков как для общественного здоровья, так и для жизни кого-либо из нас. Поэтому ее эпидемический (пандемичный) процесс является не только медицинским, но и особенно актуальной социальной проблемой и формирует новые вызовы для общества. В данной статье приведен обзор литературных источников, которые касаются международного и отечественного опыта преодоления эпидемиологических процессов на примере гриппа штамма Н1N1, его последствий и осложнений. Ключевые слова: заболеваемость, эпидемия, пандемия, острые респираторные вирусные инфекции, вирусно-бактериальная пневмония, грипп АН1N1, респираторный дистрес - синдром. Cheban Vasyl. Historic aspect and current threat of viral bacterial diseases (on the materials of international and domestic experience). Morbidity, including seasonal and pandemic influenza, as well as acute respiratory viral infections not for the first time provokes a lot of risks both for social and for individual heath of people. That is why this epidemic( pandemic) process is both medical and acute social problem which develops new challenges for society. Nowadays, according to WHO (2009) epidemiology of pandemic virus infection (H1N1), shows that the highest incidence was observed among children and youth, and it shows a wide spectrum of clinical symptoms, ranging from light untemperatured diseases of upper respiratory tract, including subfebrile flu-like states, ending severe or even fatal complications, in most cases fast-progressive viral-bacterial pneumonia. Researchers from Mexico, led by Guillermo Dominguez-Cherit with the Instituto Nacional de Ciencias Medicas Nutricion Salvador Zubiran in the survey data analyzed 899 patients with a new influenza are treated from 24 March until June 1, 2009 intensive care patients was 58 (6.5%) , including 29 confirmed cases of infection with influenza A strain H1N1, 14 - and 15 probable – suspected. Researchers in Australia say that the course was characterized by the development of new flu severe respiratory distress syndrome (RDS), and patients requiring hospitalization in intensive care and artificial ventilation (artificial pulmonary ventilation) with trans-membrane oxygenation. Next - research scientists in Brazil, the scientists have identified two of the most vulnerable age groups of patients: children under 5 years of age and 20-29 years. Lethal completed 11.2% of cases of acute PPC. During the epidemic of influenza in October and November 2009 in Ukraine, was clearly identified that physicians have dealt with the outbreak of seasonal influenza in combination with influenza A Н1N1 This paper gives a review of references, dealing with international and domestic experience of fighting epidemic processes illustrated by H1N1 influenza, it consequences and complications. Key words: morbidity, epidemic, pandemia, acute respiratory viral infections, viral bacterial pneumonia, influenza A (H1N1) virus, respiratory distress syndrome.