Search

The paper describes the epidemiological situation in the countries of the world in terms of the incidence of Hantavirus diseases. The results of an epidemiological analysis of the incidence of hemorrhagic fever with renal syndrome (HFRS) in the Russian Federation in 2023 by federal districts are presented and a forecast for 2024 is made. In 2023, 5 093 cases of HFRS were registered in the Russian Federation (3.47 per 100 thousand population). The incidence was reported in 7 out of 8 federal districts of the country. The age structure was dominated by people in the 30–59 age category (65.7 %); 247 cases of the disease were noted among children under 17 years of age. The proportion of the male population was 70.3 %. 63.2 % of the total number of cases was registered among the urban residents. The mortality rate was at the level of 0.49 % – 25 lethal outcomes. Analysis of the data has revealed a decrease in the incidence of HFRS in Russia by 27.2 % as compared to the previous year. However, the data from epizootiological monitoring and the results of laboratory research of field material indicate a continuing tense situation in the country as a whole. In a number of regions, a high risk of complications of the epidemiological situation is predicted (mainly, in the constituent entities of the Volga and Central Federal Districts). Moderate risks of developing local complications of the epidemiological situation at the level of long-term average morbidity are expected to be realized in the entities of the Northwestern, Ural and Far Eastern Federal Districts. Sporadic cases of the disease in the territory of the Southern Federal District are not excluded. The aggravation of the situation on HFRS in the territory of the North-Caucasian and Siberian Federal Districts is not anticipated in 2024.

The aim of the review was to assess the epidemiological situation in natural plague foci in the Russian Federation, near and far abroad countries in 2023 and to forecast their epizootic activity for 2024. In 2023, cases of plague were registered in five countries worldwide: the Democratic Republic of the Congo (60 cases), the Republic of Madagascar (14), the United States of America (2), the People’s Republic of China (3), and Mongolia (5). A total of 84 cases of plague were recorded, of which 22 (26.2 %) were fatal. In the Russian Federation, in 2023, epidemic risks in epizootically active natural foci were significantly reduced due to the implementation of a set of preventive measures carried out by Rospotrebnadzor institutions, which was the guarantor of ensuring epidemiological well-being as regards plague. Plague epizootics were detected on the territory of two (Gorno-Altai high-mountain and Tuva mountain) out of 11 natural plague foci in the Russian Federation in 2023. Epizootics were reported on the territory of the Kosh-Agach district of the Altai Republic and the Mongun-Taiginsky kozhuun of the Tuva Republic. The total area of epizootics was 731.2 km2 (in 2022 – 248.3 km2). In total, 55 cultures of the antique biovar of the main subspecies Yersinia pestis pestis were isolated in 2023 (19 in 2022). The forecast for continuation of the tense epidemiological situation in the territory of the Altai and Tuva Republics in 2024 is substantiated. The trend of sustained growth in the epizootic potential of the East Caucasus high-mountain and Dagestan plain-piedmont plague foci is outlined. The prospects for introducing an automated electronic system for assessing the epidemic potential of natural plague foci into practice are explained.

The review is devoted to discussing the results of survey in the Hissar high-mountain natural plague focus on the territory of the Republic of Tajikistan in 2015–2023. Regular examination of the focus was carried out in 1970–1991. According to its results, the main carrier of the plague pathogen was the juniper vole, in the population of which a strain of the non-main subspecies central asiatica (0.PE4) of Hissar biovar (0.PE4h) was steadily circulating, the strain considered avirulent for humans. During that period, 853 strains were isolated in the focus, of which 799 (93.7%) were from the juniper vole and its fleas. Secondary carriers – the silver vole, the pygmy wood mouse, and the gray hamster – were rarely involved in epizootics. The red marmot, which has epidemiological significance due to its hunting by the local population, occupies a special position in the focus. Socio-political phenomena at the end of the 20th – early 21st century caused a long break in the work of the Tajik Plague Control Station. In 2008, the Station was transformed into the Republican Center for Combating Quarantine Diseases under the Ministry of Health and Social Protection of the Population of the Republic of Tajikistan. In 2015, studies were resumed, but carried out on a small scale. In 2021–2023, epizootiological monitoring in the Hissar focus was performed jointly with Russian specialists with the testing of field material samples for plague and other natural-focal infections. Currently, against the background of low numbers and population density of small mammals and their blood-sucking ectoparasites – potential carriers and vectors of zoonoses – the circulation of agents of plague, tularemia, pseudotuberculosis, tick-borne viral encephalitis, Ixodidae tick-borne borreliosis, human granulocytic anaplasmosis, human monocytic ehrlichiosis has not been registered. Markers (DNA) of causative agents of leptospirosis and intestinal yersiniosis have been identified. Joint Tajik-Russian cooperation on issues of ensuring the epidemiological well-being of the population of the Republic of Tajikistan must be continued.

The aim of the work was to assess the epidemic situation on plague in the world and epizootic activity of natural plague foci of the Russian Federation in 2022. Following the implementation of comprehensive preventive interventions plans, there was a decrease in the epizootic activity of the Gorno-Altai high-mountain and Tuva mountain natural foci, the cessation of plague epizootics in the Central Caucasian high-mountain focus. The total area of epizootics in the Russian Federation in 2022 reached 248.3 km2, which is 7 times less than in 2021. Infected animals were not found in the Tersko-Sunzhensky low-mountain, Dagestan plain-piedmont, Caspian North-Western steppe, Volga-Ural steppe, Trans-Baikal steppe, Volga-Ural sandy, Caspian sandy, East Caucasian high-mountain natural foci. Persistence of tense epizootiological situation in 2023 is predicted for the territory of the Altai Republic and the Republic of Tuva. The prospects of using the GIS portal of the Russian Anti-Plague Institute “Microbe” of the Rospotrebnadzor for an operational assessment of the actual epidemiological situation in natural plague foci are substantiated.

The aim of the research was to assess epizootic activity of natural plague foci in the Russian Federation in 2021 and provide a prognosis for 2022. Activation of epizootic process has been detected in Central-Caucasian high-mountain natural plague focus after a recess since 2007. Local epizootics persist to develop in Tuva Mountain and Gorno-Altai highmountain plague foci. Total area of epizooties in Russia in 2021 amounted to 1649.5 km2. 28 plague microbe strains were isolated. Animals infected with plague were not found in Tersko-Sunzhensky low-mountain, Dagestan plain-piedmont, Precaspian north-western steppe, Volga-Ural steppe, Trans-Baikal steppe, Volga-Ural sandy, Caspian sandy and EastCaucasian high-mountain natural plague foci. It is demonstrated that epidemiological welfare as regards plague in Russia in 2017–2021 was achieved through annual epizootic monitoring of plague-enzootic territories, timely epizooty detection and preventive activities aimed at reducing the risk of infection. Substantiated has been the forecast for tense epidemiological situation on the territory of Karachay-Cherkessia, Kabardino-Balkaria, Altai Republic and Tuva Republic in 2022. A new Epitracker application has been proven to be prospective for rapid assessment of actual epidemiological situation in natural plague foci.

The aim of the study was molecular-genetic identification and analysis of the phylogenetic relationship of Yersinia pestis strains isolated on the Ukok Plateau in 2020, in order to establish the current boundaries of the natural mega focus of plague in the Altai Mountains in Russia and Mongolia.Materials and methods. 37 strains of Y. pestis of the main subspecies isolated in the Tuva mountain and Gorno-Altai high-mountain plague foci and adjacent territories of Mongolia in 1971–2020 were studied. The whole genome sequencing of the strains was performed using the Ion S5 XL System (Thermo Fischer Scientific). Ion Torrent Suite software package 5.12 and Newbler gsAssembler 2.6 were used to process the data and assemble de novo the sequences of raw reads. The average size of the collected genome was 4.55 million base pairs. Core SNPs were detected by aligning the contigs of Y. pestis strains on the CO92 genome using the Snippy 4.6 program, then 28 SNP homoplasies were removed. The resulting set of SNPs contained only the core region of the genome (955 SNPs). The dendrogram was constructed using the Maximum Likelihood method applying the PhyML 3.1 program.Results and discussion. The current population structure of Y. pestis of the main subspecies, antique biovar, phylogenetic line 4.ANT, endemic to the foci of the Altai Mountains in Russia and Mongolia has been determined. The presence of 4.ANT-21 clone, which became widespread in the territory of these natural foci of plague at the begining of the XXI century, was revealed. It is shown that three strains isolated on the Ukok Plateau in 2020 belong to clone 4.ANT-21. According to phylogenetic analysis, evidence of 4.ANT circulation on the Ukok Plateau before 2018 was obtained. The lesson that has been learned is that it is necessary to study the territories of Mongolia, Kazakhstan and China bordering the Ukok Plateau in order to establish the current boundaries of the 4.ANT mega focus.