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The data on the sanitary and epidemiological situation in the Republic of Daghestan during the period of high flood in 2002. The scope of sanitary, hygienic and prophylactic measures carried out during this period with a view to prevent the appearance of the outbreaks of acute enteric infections and viral hepatitis A in the Republic of Daghestan is shown.

The Republic of Daghestan is at present one of the most unsafe territories in the Russian Federation with respect to brucellosis morbidity among humans. The figures of human morbidity in brucellosis grew from 3.4 per 100,000 of the population in 1999 to 10.5 per 100,000 of the population in 2002, thus exceeding the figures for the whole of Russia 15- to 20-fold. The analysis of human morbidity in the Kizlyar region (where the interregional regrouping of the cattle was made) after the natural calamity, as well a in other regions where live-stock was evacuated, indicated that by the end of 2002 an essential deterioration of the epidemiological situation took place in these regions. In view of grave epizootological situation and the absence of epidemiological safety in brucellosis in the Republic of Daghestan the sanitary, epidemiological and veterinary services should, together with other priority tasks in their work aimed at the liquidation of the emergency situation, pay greater attention to measures for the prevention of the spread of brucellosis.

Materials characterizing the sanitary and epidemiological situation in the Republic of Daghestan which arose as the consequence of the emergency situation caused by the high flood and inundation in summer 2002 are presented. The work of the sanitary and epidemiological service, carried out in cooperation with the relevant departments, on the organization and realization of measures aimed at preventing the deterioration of the epidemiological situation on the territories of the republic, affected by the natural calamity, is described. As shown in the presented materials, all these measures made it possible to ensure the effective control on the sanitary, hygienic and epidemiological situation in the republic and to prevent the appearance and spread of the outbreaks of infectious diseases.

The results of the analysis of sanitary and epidemiological situation in the Republic of Daghestan are presented. The tendency towards the deterioration of epidemiological situation in a number of infections is noted. This unsatisfactory sanitary and epidemiological situation is caused by the low level of the sanitary and hygienic security of the population as the consequence of failures in the accomplishment of the planned works and measures, regulated and approved by the Republican Government, due to insufficient financing.

In Daghestan in the focus of the flood-plain swamp type 64 persons fell ill with tularemia in 1999. During the epizootological survey 8 Francisella tularensis strains were isolated from vectors and carriers and in 7 samples taken from open water reservoirs, as well as in 1 sample obtained from Ixodes ticks, tularemia antigen was detected. Humans were infected mainly by the transmissive route, as found in 71.8% of patients. 28% of patients were infected through contacts. The disease took mainly a mild course, registered in 95.6% of patients. The disease affected those persons who had not been immunized against tularemia.

The detailed description of measures aimed at ensuring the sanitary and epidemiological safety of the population of Daghestan at the period of hostilities on its territory in 1999. At the finish of the antiterrorist operation an opinion was advanced on the deterioration of the epidemic situation in infections on the territory of hostilities, as well as in the whole of the republic. Nevertheless, due to the measures taken by the sanitary and epidemiological service of the republic, its well-coordinated work and its effective cooperation with different ministries and departments complications in the epidemiological situation in the Republic of Daghestan could be avoided.