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Infectious Disease

Infectious Disease provides a unique and scientific understanding of the complex world of infectious diseases, and our experience spans the entire category.

Projected Vaccination in Abkhazia

Ramaz Mitaishvili, MD

Annual Vaccination Campaign

1.1. Influenza and Pneumococcal Vaccine Distribution PCDCP will be responsible for bulk ordering vaccine from manufacturers, and receipt, storage, handling, packing, shipping, and disposal of all publicly purchased vaccines in Abkhazia. Vaccines are ordered and stored centrally at the vaccine storage room, packaged and transported by Fed Ex. All vaccine storage units reside in a room that is kept locked after hours. All refrigerators that contain vaccine are equipped with locks. Temperatures are monitored twice daily. Standard operating procedures to safeguard vaccines during power outages include the availability of backup generators for the power refrigerators in the event of a power outage. Units located at the PCDCP vaccine depot must backup power generators, in the event of a power outage or refrigerator malfunction.

Read more: Projected Vaccination in Abkhazia

Vaccination in Abkhazia: AISER strategic plan

by Ramaz Mitaishvili
Glendale, CA
Annual Vaccination Campaign
Influenza and Pneumococcal Vaccine Distribution
PCDCP will be responsible for bulk ordering vaccine from manufacturers, and receipt, storage, handling, packing, shipping, and disposal of all publicly purchased vaccines in Abkhazia. Vaccines are ordered and stored centrally at the vaccine storage room, packaged and transported by Fed Ex. All vaccine storage units reside in a room that is kept locked after hours.

Read more: Vaccination in Abkhazia: AISER strategic plan

Proposed surveillance system in Abkhazia

By Dr. Ramaz Mitaishvili 

1.1. Proposed Surveillance System
1.1.1. Passive Surveillance of Confirmed Cases
Laboratory confirmed influenza and influenza-associated deaths are reportable in the Georgia. Reports are received from physicians, hospitals, and laboratories. Both rapid test and culture positives are reported through this system.

Read more: Proposed surveillance system in Abkhazia

Influenza AISER's Response plan in Abkhazia

By Ramaz Mitaishvili
Glendale, CA
1.    Introduction
1.1.    Pandemic influenza is considered to be a relatively high probability event, yet no one knows when the next pandemic will occur and there may be very little warning. Most experts believe that there will be between one to six months between the identification of a novel influenza virus and the time that widespread outbreaks begin to occur in the Abkhazia and Caucasus region as well as Bleak Sea countries. Outbreaks are expected to occur simultaneously throughout the all those areas, preventing relocation of human and material resources. The effect of influenza on individual communities will be relatively prolonged, an estimated six to eight weeks. Due to the prolonged nature of a pandemic influenza event, the World Health Organization (WHO) has defined phases to a pandemic in order to facilitate coordinated plans.
The Abkhazia Institute for Social and Economic Research has developed its own pandemic phases for planning purposes, convenient for proposed Center for Disease Control and Prevention

Read more: Influenza AISER's Response plan in Abkhazia

Worldwide Emergence of Extensively Drug-resistant Tuberculosis

Abstract
Mycobacterium tuberculosis strains that are resistant to an increasing number of second-line drugs used to treat multidrug-resistant tuberculosis (MDR TB) are becoming a threat to public health worldwide. We surveyed the Network of Supranational Reference Laboratories for M. tuberculosis isolates that were resistant to second-line anti-TB drugs during 2000–2004. We defined extensively drug-resistant TB (XDR TB) as MDR TB with further resistance to >3 of the 6 classes of second-line drugs. Of 23 eligible laboratories, 14 (61%) contributed data on 17,690 isolates, which reflected drug susceptibility results from 48 countries. Of 3,520 (19.9%) MDR TB isolates, 347 (9.9%) met criteria for XDR TB. Further investigation of population-based trends and expanded efforts to prevent drug resistance and effectively treat patients with MDR TB are crucial for protection of public health and control of TB.

Read more: Worldwide Emergence of Extensively Drug-resistant Tuberculosis

Overview of Drug-resistant Acinetobacter Infections in Healthcare Settings

Acinetobacter
Acinetobacter (ass in ée toe back ter) is a group of bacteria commonly found in soil and water. It can also be found on the skin of healthy people, especially healthcare personnel. While there are many types or “species” of Acinetobacter and all can cause human disease, Acinetobacter baumannii accounts for about 80% of reported infections.

Read more: Overview of Drug-resistant Acinetobacter Infections in Healthcare Settings

Preparing for Your Trip to Abkhazia: Manual for Russian tourists 2

SokhumiDon’t forget, that tourism in Abkhazia takes place illegally!
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Before visiting Abkhazia, you may need to get the following vaccinations and medications for vaccine-preventable diseases and other diseases you might be at risk for at your destination: (Note: Your doctor or health-care provider will determine what you will need, depending on factors such as your health and immunization history, areas of the country you will be visiting, and planned activities.)

Read more: Preparing for Your Trip to Abkhazia: Manual for Russian tourists 2

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