T1 Epidemiología

 

R1 KTJBKGJINILÇA

FI@M BASJB OA_AFAU OKRAMEI[_R

JMURJR[EJIM [MJSK_UJRA_JA AMRIMJI FIUK EAGAE@I UAN[B IE[TAEJIMAN T_IL_AGA KB[EAEJIM SJ_R[AN A BJURAMEJA UAMRJALI BK EANJ, CKO_K_I BK ?4?1

 

R1 KTJBKGJINILÇA

FI@M BASJB OA_AFAU OKRAMEI[_R

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1. IOFKRJSIU ◉ _keimiekr na jgpirtameja bk na kpjbkgjinilça apnjeaba a na sklurjbab y sanub km kn traoafi. ◉ Eigprkmbkr bk gamkra eirrketa kn rin bk na kpjbkgjinilça km na sanub Ieupaejiman ?. BKUA__INNI BK NA AERJSJBAB ?.1 ¹E[ÁN T[KBK UK_ [MA BKCJMJEJÕM BK KTJBKGJINILÇA9 Na ejkm ejkmej eja a qu quk k ks ksttubja ubja nas eau ausa sass bk na apa parj rjeejõm, jõm, pri ripa pala laej ejõm õm,, gamtkmjgjkmti y bksekmsi bk nis prionkgas bk sanub km pionaejimks, eim na cjmanjbab bk prkvkmjrnis i eimtrinarnis. Na kpjbkgjinilça bkn traoafi sk `a bkcjmjbi eigi kn kstubji bk nis kcketis bk nas kxpisjejimks km kn nular bk traoafi siork na crkeukmeja y bjstrjouejõm bk kmckrgkbabks y aba nksjimks km na pionaejõm. Tir skunis trata bkmuma bjse bjsejp jpnjnjma ma ir irjk jkmt mtab a a na kxpi kxpisj sjej ejõm õm,, qu quk k eimsjlujkmtk, ga gamt mtjk jkmk mk vçme vçmeun is eim ei na kpjbkgjinilça y eim na `jljkmk jmbustrjan. Eigi tan, utjnjza gêtibis sjgjnarks a nis kgpnkabis pir na kpjbkgjinilça lkmkran. Uk kmear kmearla la bk kst kstubj ubjar ar na nass kmc kmckrg krgkb kbabk abkss bk pr prip ipal alaej aejõm õm qu quk k pu pukb kbkm km ieasjimar um prionkga i prionkgas bk sanub pöonjea. ?.? ¹E[ÁN KU NA JGTI_RAMEJA KTJBKGJINILÇA A MJSKN NAOI_AN9

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Na kpjbkgjinilça naoiran sk kmearla bk prkvkmjr, gkbjamtk na jbkmtjcjeaejõm bk nas eimskeukmejas para na sanub, bk nas kxpisjejimks km kn nular bk traoafi, bktkrgjmar na `jstirja bk nas kxpisjejimks a nas quk `a kstabi sigktjba uma pkrsima buramtk tiba su vjba naoiran y eim ksta jmcirgaejõm tigar nas prkeauejimks para knjgjmar, bjsgjmujr i eimtrinar kn rjksli bk nis traoafabirks. Tir gk Tir gkbj bji i bk na kpjb kpjbkg kgji jini nilç lça a nao naoira irann bk pu pukb kbk k prk prkvk vkmj mjrr gk gkbj bjam amtk tk kn rkeimiejgjkmti y na kvanuaejõm bk na kxpisjejõm km quk sk kmeukmtram nis traoafabirks y eim ksti nilrar

 

?.5 ¹E[ÁNKU UIM NIU [UIU BK NA KTJBKGJINILÇA9 •

Iosk Ioskrv rvae aejõ jõm m bk na pati patini nilç lça a bk bkrj rjva vaba ba bk na kxpi kxpisj sjej ejõm õm ieup ieupae aeji jima man6n6 Lkmkrangkmtk mis prklumtagis ¹Euán ks na crkeukmeja eim na quk sk prksk prkskmt mta9 a9,, pa para ra ks ksti ti bkokg bkokgis is ei eimi miekr ekr kn mö mögk gkri ri bk pk pkrsi rsimas mas quk quk abqujkrkm um pkrçibi kspkeçcjei asjgjsgi nas pion pi onae aejõ jõm m namikmckrgkbab acke acketa taba ba,, km para para nu nukli kli bk bktk tkrg rgjm jmar ar bk na tjkgpi, cr crke keukm ukmej eja a bk na nas kmckrgk kmc krgkbabk babkss pri pricks cksjim jimank ankss y/i aee aeejbk jbkmtk mtkss bkn tra traoaf oafi, i, eim kn cjm bk tjpjcjear nis patrimks bk ieurrkmeja bk nis gjsgis y na vjljnameja.

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_kna _knaej ejõm õm Eaus Eausan an66 Ei Eims msjs jstk tk km bk bktk tkrg rgjm jmar ar kn pk pkrc rcjnjn earaet earaetkrç krçst stje jei i bk nis caetirks bk rjksli asiejabis a uma kmckrgkbab naoiran. Nas asiejaejimks kmtrk kstas earaetkrçstjeas y na ieurrkmeja bk na kmckrgkbab pukbkm surljr  pir eijmejbkmeja, pir rknaejimks mi eausanks a itras earaetkrçstjeas, i pir  rknaejimks bk eausa ― kcketi. Trukoa Trukoass bjal bjalmõst mõstjea jeas6 s6 Uk rk rkanj anjzam zam ei eim m kn cjcjm m bk iot iotkmkr kmkr k kvjb vjbkme kmeja ja iof iofktj ktjva va bk na prkskmeja i auskmeja bk um kcketi a na sanub bkrjvabi bk na kxpisjejõm ieupaejiman.

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Bktk Bktkrg rgjm jmae aejõ jõm m bk na `jst `jstir irja ja ma matu tura rann bk na kmck kmckrg rgkb kbab ab ieup ieupae aeji jima man6n6 Eimsjstk km tjpjcjear kn eursi bk uma kmckrgkbab bksbk kn kstabi bk sanub y oj ojkmk kmkst star ar `a `ast sta a na gukrt gukrtk, k, pa pasa sambi mbi pir ni niss eago eagojis jis su suoe oençnçmj mjei eis, s, kmckrgk kmc krgkbab bab ençmje ençmjea, a, y/i varjaon varjaonks ks bk rkeu rkeupkra pkraejõ ejõm m (pareja (parejann i tit titan) an) i gukrtk.

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Bkserj Bkserjpej pejõm õm bkn k ksta stabi bi bk sanub sanub k jm jmvkst vkstjla jlaejõ ejõm m bk cae caetir tirks ks primõst primõstjei jei bk nis traoafabirks6 Na bkserjpejõm bkn kstabi bk sanub bk nis traoafabirks vjkmk babi oásjeagkmtk pir kn bjalmõstjei bk sanub y su rknaejõm eim nis caetirks bk rjksli.

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Kvanua Kvanuaejõ ejõm m bk na jmt jmtkrvk krvkmej mejõm6 õm6 Ks Kstao taonke nkek k nas va varja rjaeji ejimks mks bk bknn jgp jgpaet aeti i a na sanub y kn agojkmtk bkrjvabas bk na abipejõm bk gkbjbas prkvkmtjvas y bk eimtrin km sanub, `jljkmk y/i sklurjbab naoiran.

 

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Amán Amánjs jsjs js bk na kcje kcjeae aeja ja66 Tk Tkrg rgjtjtk k kstu kstubj bjar ar kn kq kquj ujnjnjor orji ji aekp aekpta taon onk k km kmtr trk k rjkslis para na sanub bk nis traoafabirks y nis eistis keimõgjeis bk prkvkmejõm y eimtrin.

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Kstub stubjji y bk bkttkr krg gjmae jmaejjõm bk va vannir irks ks mi mirg rgan anks ks i bk rk rkcckr krkm kmej eja6 a6 Nis Nis kstubjis quk pkrgjtkm kstaonkekrkpjbkgjinõljeis nas eimbjejimks oásjeagkmtk bkn agojkmtk lkmkram y na sanubrksuntabis bk nis traoafabirks.

?.2 ¹Q[Ê KU [MA SA_JAONK KTJBKGJINÕLJEA9 Sarjaonks kpjbkgjinõljeas bk pkrsima, bk tjkgpi y bk nular. Na bkserjpejõm bk nis nis kvkm kvkmti tiss kp kpjb jbkg kgji jinõ nõlj ljei eis, s, su rk rkna naej ejõm õm kmtr kmtrk k sj eigi eigi kvkm kvkmti tiss amtkekbkmtks y suosjlujkmtks, na asiejaejõm eausan kmtrk um caetir bk rjksli y um kcketi, mi eimstj eimstjtuykm tuykm ckmõgkmis ckmõgkmis ajsnabis, sjmi quk kstám jmenujbis jmenujbis km um kmlramafk quk sk rkpjtk km ejreumstamejas eigpnktagkmtk bjvkrsas. Na rknaejõm eausa-kcketi bkok gamtkmkrsk km kn gjsgi skmtjbi jmbkpkmbjkmtkgkmtk bk na varjaojnjbab bk nas ejreumstamejas quk nk ribkam. •

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Nas km Nas kmck ckrg rgkb kbab abks ks jm jmck ckee eeji jisa sass su sukn knkm km sk skrr al alub ubas as y anlu anlumas mas,, ei eigi gi na jm jmcncnukm ukmza, za, tjtjkm kmkm km ks ksta taej ejim iman anjb jbab ab (u (um m patr patrõm õm rkl rklun unar ar bk var varja jaej ejõm õm km kmtr trk k ksta kstaej ejim imks ks bkn añ añi), i), ni eu euan an pkrg pkrgjtjtk k am amtjtjej ejpa parr su ie ieur urrkm rkmej eja a y ab abipt iptar  ar  gkbjbas prkvkmtjvas. Na jbkmtjcjeaejõm bk nis kvkmtis quk ieurrkm amtks i bkspuês bk um jmerkgkmti km na tasa bk kmckrgkbab pkrgjtk jbkmtjcjear  caetirks bk rjksli. •

N[LA_ Na nieanjzaejõm lkilrácjea bk nis prionkgas bk sanub ks cumbagkmtan para eimiekr su kxtkmsjõm y vkniejbab bk bjskgjmaejõm. Na umjbab lkilrácjea pukbk skr kn bigjejnji, na eannk, kn oarrji, na nieanjbab, kn bjstrjti, na privjmeja, kn kstabi u itri mjvkn bk alrklaejõm lkipinçtjea, y kn nular tagojêm pukbk skr uma furjsbjeejõm bk sanub, um `ispjtan, kn árka bk traoafi, kn árka ruran i uroama, kn nular bk maejgjkmti u itri kspaeji bk jmtkrês ês.. Kn amánjsj sjss bkn nula larr km euam amtti a sus earaetkrçstjeas cçsjeas y ojinõljeas pkrgjtkm lkmkrar `jpõtksjs siork pisjonks caetirks bk rjksli y bk tramsgjsjõm.

 

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TK_UIMA Nas earaetkrçstjeas bk nas pkrsimas, tanks eigi na kbab, kn lêmkri, kn kstabi mutrjejiman, sus `áojtis y eimbuetas (ieupaejõm y kstjnis bk vjba), y su eimbjejõm siejan (jmlrksi, kstabi ejvjn, rknjljõm), pkrgjtkm jbkmtjcjear na bjstrjouejõm bk nas kmckrgkbabks y pisjonks lrupis y cae aettir irks ks bk rj rjks ksli li.. Nas va varj rjae aeji jim mks bk na ie ieur urrk rkme meja ja bk na kmckrgkbab bk aeukrbi eim nas earaetkrçstjeas bk nas pkrsimas pukbkm bkokrsk a bjckrkmejas km kn mjvkn bk kxpisjejõm bk nas pkrsimas a ejkrtis caetirks bk rjksli, a su susekptjojnjbab a nis gjsgis, i a uma eigojmaejõm bk agois.

?.; ¹Q[Ê UIM Z TA_A Q[Ê UJ_SKM NAU GKBJBAU BK C_KE[KMEJA9 Kn pasi jmjejan bk tiba jmvkstjlaejõm kpjbkgjinõljea ks gkbjr na crkeukmeja bk nis kvkmtis bk sanub eim kn cjm bk `aekr eigparaejimks kmtrk bjstjmtas pionaejimks i km na gjsga pionaejõm a travês bkn tjkgpi. Mi iostamtk, babi quk kn mögkri aosinu aosinuti ti bk kvkmt kvkmtis is bkpkmbk km lram gkbjba bkn tagañi bk na pionaejõm km na quk sk jmvkstjla, kstas eigparaejimks mi sk pukbkm rkanjz rka njzar ar utjnjz utjnjzamb ambi i ejcras ejcras bk crk crkeuk eukmej meja a aos aosinu inuta ta (i mögkri mögkri aosinu aosinuti ti bk kvkmtis). Nas gkbjbas bk crkeukmeja gás usabas km kpjbkgjinilça sk rkcjkrkm a na gkbjejõm bk na girtanjbab i na girojnjbab km uma pionaejõm. Na girtanjbab ks ötjn ötjn par para a kstubj kstubjar ar kmc kmckrg krgkbab kbabks ks quk priv privieam ieam na gukr gukrtk, tk, kspkeja kspkejangk ngkmtk mtk euambi su nktanjbab ks jgpirtamtk. Kgpkri, euambi na nktanjbab ks oafa y, km eimskeukmeja, na crkeukmeja eim na quk sk prkskmta uma kmckrgkbab mi pukbk amanjzarsk abkeuabagkmtk eim nis batis bk girtanjbab, na girojnjbab sk eimvjkrtk km na gkbjba kpjbkgjinõljea bk gayir jgpirtameja. 3. ¹KM Q[Ê UK BJCK_KMEJAM NA T_KSANKMEJA Z NA JMEJBKMEJA9  A bjckrkmeja bk nis kstubjis bk prkvankmeja, nis ks kstubjis tubjis bk jmejbkmeja jmjejam eim pionaejimks bk susekptjonks njorks bkn kvkmti km nas euanks sk ioskrva na prkskmtaejõm bk easis mukvis a ni narli bk um pkrjibi bk sklujgjkmti. Bk ksta gamkra, nis rksuntabis mi sõni jmbjeam kn vinugkm cjman bk easis mukvis aparkejbis aparkej bis buramt buramtk k kn sklujg sklujgjkmti, jkmti, sjmi quk pkrgjt pkrgjtkm km kstaon kstaonkekr kekr rknaejimks bk eau eausa sa-k -kck cket eti i km kmtr trk k bk bktk tkrg rgjm jmab abas as earaet earaetkrç krçst stje jeas as bk na pi pion onaej aejõm õm y kmckrgkbabks kspkeçcjeas.

 

5. _KCK_KMEJAU  Arljgim FG, Fjgêmkz F. Gêtibis bk Jmvkstjlaejõm Ençmjea y Kpjbkgjinõljea. Gabrjb6 Knsjkrvjkr8 ?44?.

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Okalnnk`in Okal k`ink k _, Oi Oimj mjta ta _, Hf Hfkn knnnstró stróg g. \as`jmltim, B.E.6 Irlamjzaejõm Tamagkrjeama bk na Uanub. 1::2.

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Kp Kpjb jbkg kgji jini nilç lça a

Oá Oásj sjeea.

E`kehiway @, Tkarek M, Erawcirb-Oriwm BF. _kskare` Gkt`ibs jm Ieeupatjiman Kpjbkgjin Kpjbkg jinily ily.. ?ba ?ba.. Kbjejõ Kbjejõm. m. Mkw Zir Zirh. h. Ixcirb Ixcirb [mjvkr [mjvkrsjt sjtyy Trk Trkss, ss, ?442. Lirbjs N. Kpj Lirbjs Kpjbkg bkgjin jinily. ily. T`j T`jnab nabknp knp`ja `ja66 \. \.O. O. Uau Uaumbkr mbkrss Eig Eigpamy pamy88 1::3. Nast FG. A Bjetjimary ic kpjbkgjinily. Mkw Zirh6 Ixcirb [mjvkrsjty Trkss8 ?441. Nkavknn @_, Enarh KL. Trkvkmtjvk Gkbjejmk ti t`k Bietir jm `js Eiggumjty. 5t` Kb. Mkw Zirh6 Gae Lraw @jnn. 1:3;

Niigjs B, Uanjmas G, Eugsjnnk C. Kpjbkgjinilça Ieupaejiman. Ejkme Rrao. ?44283(11)62?-23. 

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Gae Ga`im O, Tjskm F, R`ims T. Gêtibis bk Kpjbkgjinilça. Gêxjei6 Na Trkmsa Gkbjea Gkxjeama. 1:3:. _jzzj E, kt an. Jmtribueejõm a na Gkbjejma Uamjtarja. Oukmis Ajrks6 Nõpkz Njorkris Kbjtirks U._.N8 1: