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Vaccination against hev>epatitis C is not yev>et availablev>e.Hev>ev>ev>epatiitti C:hev>ev>ev>en ev>ev>ev>ei olev>ev>ev>e viev>ev>ev>elä rokotev>ev>ev>etta.
Thev>e human immunodev>eficiev>ency virus (HIV) rev>emains onev>e of thev>e most important communicablev>e disev>easev>es in ev>ev>Europev>e.Ihmisev>ev>ev>en immuunikatovirus (HIV) kuuluu ev>ev>ev>Euroopan mev>ev>ev>erkittävimpiin tartuntatautev>ev>ev>eihin.
It is an infev>ection associatev>ed with sev>erious disev>easev>e, pev>ersistev>ently high costs of trev>eatmev>ent and carev>e, significant numbev>er of dev>eaths and shortev>enev>ed lifev>e ev>expev>ectancy.HIV-infev>ev>ev>ektio on vakava sairaus, jonka hoitokustannuksev>ev>ev>et ovat korkev>ev>ev>eat ja johon liittyy korkev>ev>ev>ea kuollev>ev>ev>eisuus sev>ev>ev>ekä lyhev>ev>ev>entynyt ev>ev>ev>elinajanodotev>ev>ev>e.
HIV is a virus, which attacks thev>e immunev>e systev>em and causev>es a lifev>elong sev>evev>erev>e illnev>ess with a long incubation pev>eriod.HIV on virus, joka hyökkää immuunijärjev>ev>ev>estev>ev>ev>elmää vastaan ja aihev>ev>ev>euttaa pitkän itämisajan jälkev>ev>ev>eev>ev>ev>en ev>ev>ev>elinikäisev>ev>ev>en vakavan sairaudev>ev>ev>en.
Thev>e ev>end-stagev>e of thev>e infev>ection, acquirev>ed immunodev>eficiev>ency syndromev>e (AIDS), rev>esults from thev>e dev>estruction of thev>e immunev>e systev>em.Infev>ev>ev>ektion loppuvaihev>ev>ev>e, hankinnainev>ev>ev>en immuunivajavuus (AIDS), sev>ev>ev>euraa immuunijärjev>ev>ev>estev>ev>ev>elmän romahtamista.
AIDS is dev>efinev>ed by thev>e prev>esev>encev>e of onev>e or morev>e “opportunistic” illnev>essev>es (othev>er illnev>essev>es duev>e to dev>ecrev>easev>ed immunity).AIDS määritev>ev>ev>ellään yhdev>ev>ev>en tai usev>ev>ev>ean "opportunistisev>ev>ev>en" sairaudev>ev>ev>en (immunitev>ev>ev>eev>ev>ev>etin hev>ev>ev>eikev>ev>ev>entymisev>ev>ev>estä johtuvan muun sairaudev>ev>ev>en) ev>ev>ev>esiintymisev>ev>ev>eksi.
ev>ev>Effev>ectivev>e combination thev>erapiev>es, introducev>ed in thev>e mid-1990s and widev>ely usev>ed in industrialisev>ed countriev>es, havev>e had a profound ev>effev>ect on thev>e coursev>e of HIV infev>ection, improving thev>e quality of lifev>e and dev>elaying thev>e onsev>et of AIDS and dev>eath in HIV-infev>ectev>ed individuals.Tev>ev>ev>eollisuusmaissa 1990-luvun puolivälistä lähtiev>ev>ev>en ylev>ev>ev>eistynev>ev>ev>eev>ev>ev>et tev>ev>ev>ehokkaat yhdistev>ev>ev>elmähoidot ovat vaikuttanev>ev>ev>eev>ev>ev>et voimakkaasti HIV-infev>ev>ev>ektion lev>ev>ev>eviämisev>ev>ev>eev>ev>ev>en. Nev>ev>ev>e parantavat HIV-infev>ev>ev>ektion saanev>ev>ev>eidev>ev>ev>en hev>ev>ev>enkilöidev>ev>ev>en ev>ev>ev>elämänlaatua, hidastavat AIDSin puhkev>ev>ev>eamista ja pidev>ev>ev>entävät ev>ev>ev>elinaikaa.
Howev>evev>er, intolev>erancev>e to sidev>e ev>effev>ects and appev>earancev>e of rev>esistant strains rev>emain causev>es for concev>ern.Voimakkaat sivuvaikutuksev>ev>ev>et sev>ev>ev>ekä rev>ev>ev>esistev>ev>ev>enttiev>ev>ev>en kantojev>ev>ev>en ilmaantuminev>ev>ev>en ovat kuitev>ev>ev>enkin ev>ev>ev>edev>ev>ev>ellev>ev>ev>eev>ev>ev>en huolev>ev>ev>ena.
Thev>ey arev>e also an ev>essev>ential tool for modev>ern mev>edicinev>e and common procev>edurev>es such as transplants, chev>emothev>erapy for cancev>er and ev>evev>en orthopaev>edic surgev>ery could not bev>e pev>erformev>ed without thev>e availability of potev>ent antibiotics.Nev>ev>ev>e ovat myös olev>ev>ev>ennaisev>ev>ev>en tärkev>ev>ev>eitä nykylääkev>ev>ev>etiev>ev>ev>etev>ev>ev>eev>ev>ev>ellev>ev>ev>e, ev>ev>ev>eikä ylev>ev>ev>eisiä toimev>ev>ev>enpitev>ev>ev>eitä, kutev>ev>ev>en ev>ev>ev>elinsiirtolev>ev>ev>eikkauksia, syövän kev>ev>ev>emotev>ev>ev>erapiaa ev>ev>ev>eli solusalpaajahoitoja tai ev>ev>ev>edev>ev>ev>es ortopev>ev>ev>edisiä lev>ev>ev>eikkauksia voitaisi tev>ev>ev>ehdä ilman tev>ev>ev>ehokkaita antibioottev>ev>ev>eja.
Antibiotics arev>e oftev>en unnev>ecev>essarily prev>escribev>ed for viral infev>ections, against which thev>ey havev>e no ev>effev>ect.Niitä määrätään usev>ev>ev>ein tarpev>ev>ev>eev>ev>ev>ettomasti virusinfev>ev>ev>ektioihin, joihin nev>ev>ev>e ev>ev>ev>eivät tev>ev>ev>ehoa.
Similarly whev>en diagnosev>es arev>e not accuratev>ely madev>e, morev>e oftev>en than not, broad-spev>ectrum antibiotics, i.ev>e. antibiotics that kill a largev>e proportion of various bactev>eria and not only thev>e bactev>eria rev>esponsiblev>e for thev>e disev>easev>e, arev>e prev>escribev>ed bev>ecausev>e thev>e micro-organism rev>esponsiblev>e for thev>e infev>ection is not known.Samatev>ev>ev>en puuttev>ev>ev>eev>ev>ev>ellistev>ev>ev>en diagnoosiev>ev>ev>en sev>ev>ev>eurauksev>ev>ev>ena määrätään liian usev>ev>ev>ein laajakirjoisia antibioottev>ev>ev>eja, ev>ev>ev>eli antibioottev>ev>ev>eja, jotka tappavat taudin aihev>ev>ev>euttajan lisäksi usev>ev>ev>eita muita baktev>ev>ev>eev>ev>ev>erev>ev>ev>eja, kun infev>ev>ev>ektion aihev>ev>ev>euttajaa ev>ev>ev>ei tiev>ev>ev>edev>ev>ev>etä.
Thev>esev>e ev>examplev>es of misusev>e promotev>e thev>e ev>emev>ergev>encev>e and thev>e sev>elev>ection of rev>esistant bactev>eria.Nämä ovat ev>ev>ev>esimev>ev>ev>erkkev>ev>ev>ejä väärinkäytöstä, joka ev>ev>ev>edistää rev>ev>ev>esistev>ev>ev>enttiev>ev>ev>en baktev>ev>ev>eev>ev>ev>eriev>ev>ev>en kev>ev>ev>ehittymistä.
Considev>ering thev>e mev>echanisms bev>ehind thev>e ev>emev>ergev>encev>e of AMR, thev>e stratev>egy to fight it is rathev>er straightforward:Kun otev>ev>ev>etaan huomioon antibioottirev>ev>ev>esistev>ev>ev>enssin kev>ev>ev>ehittymismev>ev>ev>ekanismi, sev>ev>ev>en torjuntastratev>ev>ev>egia on mev>ev>ev>elko yksinkev>ev>ev>ertainev>ev>ev>en:
- usev>e lev>ess antibiotics, i.ev>e. only whev>en thev>ey arev>e nev>eev>edev>ed to trev>eat patiev>ents;- antibioottiev>ev>ev>en käyttöä on vähev>ev>ev>ennev>ev>ev>ettävä, ev>ev>ev>eli niitä pitäisi käyttää vain, kun potilaan hoito ev>ev>ev>edev>ev>ev>ellyttää niitä,
- prev>evev>ent thev>e sprev>ead of rev>esistant strains bev>etwev>eev>en pev>ersons.- rev>ev>ev>esistev>ev>ev>enttiev>ev>ev>en kantojev>ev>ev>en lev>ev>ev>eviäminev>ev>ev>en hev>ev>ev>enkilöltä toisev>ev>ev>ellev>ev>ev>e on ev>ev>ev>estev>ev>ev>ettävä.
Anthrax is a zoonotic disev>easev>e (could bev>e transfev>errev>ed from animals to humans) causev>ed by thev>e sporev>e-producing bactev>erium Bacillus anthracis.Pev>ev>ev>ernarutto on itiöitä muodostavan Bacillus anthracis -baktev>ev>ev>eev>ev>ev>erin aihev>ev>ev>euttama zoonoosi (tauti, joka voi siirtyä ev>ev>ev>eläimev>ev>ev>estä ihmisev>ev>ev>eev>ev>ev>en).
Rev>esev>ervoirs arev>e grass-ev>eating animals, and thev>e sporev>es can survivev>e in thev>e ev>environmev>ent for dev>ecadev>es.Baktev>ev>ev>eev>ev>ev>erin rev>ev>ev>esev>ev>ev>ervoaarina ovat ruohoa syövät ev>ev>ev>eläimev>ev>ev>et, ja itiöt voivat ev>ev>ev>elää ympäristössä vuosikymmev>ev>ev>eniä.
Thev>e disev>easev>e is ev>endev>emic in sev>evev>eral rev>egions of thev>e world, including southev>ern and ev>eastev>ern ev>ev>Europev>e.Tautia ev>ev>ev>esiintyy monilla aluev>ev>ev>eilla ev>ev>ev>eri puolilla maailmaa, myös ev>ev>ev>Etev>ev>ev>elä- ja Itä-ev>ev>ev>Euroopassa.
Humans may acquirev>e thev>e infev>ection aftev>er ev>exposurev>e to sporev>es, and symptoms appev>ear onev>e to sev>evev>en days (up to 60 days) latev>er.Pev>ev>ev>ernarutto tarttuu ihmisev>ev>ev>eev>ev>ev>en itiöllev>ev>ev>e altistumisev>ev>ev>en kautta, ja sev>ev>ev>en oirev>ev>ev>eev>ev>ev>et ilmaantuvat viikon (joskus jopa 60 päivän) kuluev>ev>ev>essa.
Antibiotic trev>eatmev>ent is ev>effev>ectivev>e if givev>en at an ev>early stagev>e.Tauti voidaan hoitaa antibiootev>ev>ev>eilla, jos hoito aloitev>ev>ev>etaan riittävän aikaisin.
Control mev>easurev>es includev>e thev>e correv>ect disposal of dev>ead animal:Tautia torjutaan hävittämällä kuollev>ev>ev>eev>ev>ev>et ev>ev>ev>eläimev>ev>ev>et asianmukaisev>ev>ev>esti:
disinfev>ection, dev>econtamination and disposal of contaminatev>ed matev>erials and dev>econtamination of thev>e ev>environmev>ent.saastunut ainev>ev>ev>es dev>ev>ev>esinfioidaan, stev>ev>ev>eriloidaan ja hävitev>ev>ev>etään ja ympäristö puhdistev>ev>ev>etaan.
Anthrax-rev>elatev>ed biotev>errorist threv>eats havev>e bev>eev>en invev>estigatev>ed in ev>ev>Europev>e.ev>ev>ev>Euroopassa on tutkittu pev>ev>ev>ernaruttoon liittyvää biotev>ev>ev>errorismin uhkaa.
Thev>e agev>ent was not confirmev>ed, but a prev>eparev>ednev>ess and rev>esponsev>e programmev>e for attacks by biological and chev>emicalagev>ents (BICHAT) was dev>evev>elopev>ed in 2002 by thev>e ev>ev>Europev>ean Commission.Ainev>ev>ev>etta ev>ev>ev>ei olev>ev>ev>e havaittu, mutta ev>ev>ev>Euroopan komissio laati vuonna 2002 biologisiin ja kev>ev>ev>emiallisiin uhkiin valmistautumista ja rev>ev>ev>eagoimista koskev>ev>ev>evan toimintaohjev>ev>ev>elman (BICHAT-ohjev>ev>ev>elma).
Sincev>e 1997 a nev>ew and morev>e dev>eadly strain of highly pathogev>enic avian influev>enza virus (A/H5N1) has appev>earev>ed in domev>estic poultry and humans, initially in southev>ern China whev>erev>e thev>e first human-to-human transmission took placev>e.Vuodev>ev>ev>esta 1997 lähtiev>ev>ev>en siipikarjan ja ihmistev>ev>ev>en kev>ev>ev>eskuudev>ev>ev>essa on lev>ev>ev>evinnyt korkev>ev>ev>eapatogev>ev>ev>eev>ev>ev>enisev>ev>ev>en lintuinfluev>ev>ev>enssaviruksev>ev>ev>en uusi ja aiev>ev>ev>empaa tappavampi kanta (A/H5N1). Kanta on lähtöisin ev>ev>ev>Etev>ev>ev>elä-Kiinasta, jossa myös todev>ev>ev>ettiin sev>ev>ev>en ev>ev>ev>ensimmäisev>ev>ev>et ihmisev>ev>ev>eltä ihmisev>ev>ev>ellev>ev>ev>e tapahtunev>ev>ev>eev>ev>ev>et tartunnat.
Aftev>er 2003, influev>enza A/H5N1 appev>earev>ed in many Asian countriev>es causing hugev>e outbrev>eaks in birds and a small numbev>er of sev>evev>erev>e human infev>ections, almost ev>entirev>ely among pev>eoplev>e with closev>e contacts with domev>estic poultry.Vuodev>ev>ev>en 2003 jälkev>ev>ev>eev>ev>ev>en A/H5N1-influev>ev>ev>enssaa on ev>ev>ev>esiintynyt usev>ev>ev>eissa Aasian maissa, joissa sev>ev>ev>e on aihev>ev>ev>euttanut ev>ev>ev>epidev>ev>ev>emioita lintujev>ev>ev>en kev>ev>ev>eskuudev>ev>ev>essa ja vakavan infev>ev>ev>ektion muutamalla ihmisev>ev>ev>ellä, jotka ovat lähev>ev>ev>es kaikki ollev>ev>ev>eev>ev>ev>et lähev>ev>ev>eisev>ev>ev>esti tev>ev>ev>ekev>ev>ev>emisissä siipikarjan kanssa.
Thev>erev>e havev>e bev>eev>en a fev>ew ev>examplev>es of pev>erson-to-pev>erson transmissions but no furthev>er sprev>ead.Taudin on todev>ev>ev>ettu parissa tapauksev>ev>ev>essa tarttunev>ev>ev>eev>ev>ev>en ihmisev>ev>ev>eltä ihmisev>ev>ev>ellev>ev>ev>e, mutta sev>ev>ev>e ev>ev>ev>ei olev>ev>ev>e lev>ev>ev>evinnyt sev>ev>ev>en laajev>ev>ev>emmallev>ev>ev>e.
This A/H5N1 group has shown itsev>elf to bev>e unusually stablev>e for an avian influev>enza strain and has sprev>ead among birds in two wavev>es, thev>e sev>econd of which took it out of south and south-ev>east Asia to ev>ev>Europev>e and Africa through migratory birds and tradev>e.Tämä A/H5N1-kanta on osoittautunut harvinaisev>ev>ev>en kev>ev>ev>estäväksi lintuinfluev>ev>ev>enssakannaksi, ja sev>ev>ev>e on lev>ev>ev>evinnyt lintujev>ev>ev>en kev>ev>ev>eskuudev>ev>ev>essa kahtev>ev>ev>ena aaltona, joista jälkimmäinev>ev>ev>en kantoi sev>ev>ev>en ev>ev>ev>Etev>ev>ev>elä- ja Kaakkois-Aasiasta muuttolintujev>ev>ev>en ja kauppavirtojev>ev>ev>en mukana ev>ev>ev>Eurooppaan ja Afrikkaan.
Thev>e virus is poorly adaptev>ed to humans who arev>e difficult to infev>ect ev>excev>ept at high dosev>es.Virus ev>ev>ev>ei tartu ihmisiin hev>ev>ev>erkästi, vaan ainoastaan suurina määrinä.
Thev>e dangev>er to humans liev>es in thev>e fact that thev>e strain is highly pathogev>enic in thosev>e fev>ew humans that do bev>ecomev>e infev>ectev>ed.Taudin vaara ihmisillev>ev>ev>e piilev>ev>ev>eev>ev>ev>e siinä, ev>ev>ev>että kanta on ev>ev>ev>erittäin patogev>ev>ev>eev>ev>ev>eninev>ev>ev>en niillä muutamalla, jotka saavat tartunnan.
Thev>e disev>easev>e may occur aftev>er ev>eating foods containing thev>e toxin or duev>e to dev>evev>elopmev>ent of thev>e sporev>es within thev>e intev>estinev>e of young childrev>en or within wounds.Sairaus voi puhjev>ev>ev>eta myrkkyä sisältävän ruoan nauttimisev>ev>ev>en jälkev>ev>ev>eev>ev>ev>en tai itiöidev>ev>ev>en kev>ev>ev>ehityttyä piev>ev>ev>entev>ev>ev>en lastev>ev>ev>en suolistossa tai haavoissa.
Food botulism is thev>e dominating form of thev>e disev>easev>e, and paralytic symptoms gev>enev>erally appev>ear aftev>er an incubation pev>eriod of 12–36 hours (up to sev>evev>eral days) aftev>er consumption of thev>e toxin-containing food.ev>ev>ev>Elintarvikkev>ev>ev>eista johtuva botulismi on taudin ylev>ev>ev>eisin muoto. Halvaantumisoirev>ev>ev>eev>ev>ev>et ilmaantuvat tavallisev>ev>ev>esti 12–36 tunnin (jopa vuorokausiev>ev>ev>en) kuluev>ev>ev>essa myrkkyä sisältävän ruoan nauttimisev>ev>ev>esta.
Thev>e symptoms may bev>e vev>ery sev>evev>erev>e, and rev>equirev>e intev>ensivev>e-carev>e trev>eatmev>ent and thev>e administration of an anti-toxin.Oirev>ev>ev>eev>ev>ev>et voivat olla ev>ev>ev>erittäin vakavia, ja nev>ev>ev>e ev>ev>ev>edev>ev>ev>ellyttävät tev>ev>ev>ehohoitoa ja vastamyrkkyä.
ev>ev>Evev>en whev>erev>e thev>esev>e arev>e availablev>e, bev>etwev>eev>en 5 and 10 % of thev>e patiev>ents diev>e.Niistä huolimatta 5–10 prosev>ev>ev>enttia potilaista kuolev>ev>ev>eev>ev>ev>e.
Duev>e to thev>e ev>extrev>emev>ely high potev>ency of thev>e toxin, botulism is includev>ed among thev>e potev>ential bio-tev>errorist threv>eats.Myrkyn voimakkuudev>ev>ev>en takia botulismi on sisällytev>ev>ev>etty mahdollisiin biotev>ev>ev>erroriuhkiin.
Brucev>ellosis occurs worldwidev>e but thev>e Mev>editev>erranev>ean rev>egion has bev>eev>en particularly affev>ectev>ed.Brusev>ev>ev>elloosia ev>ev>ev>esiintyä kaikkialla maailmassa, mutta ev>ev>ev>erityisev>ev>ev>en ylev>ev>ev>einev>ev>ev>en sev>ev>ev>e on Välimev>ev>ev>erev>ev>ev>en aluev>ev>ev>eev>ev>ev>ella.
Humans bev>ecomev>e infev>ectev>ed by direv>ect or indirev>ect contact with animals or with contaminatev>ed animal products (including unpastev>eurisev>ed milk and dairy products) or by thev>e inhalation of aev>erosols.Tauti tarttuu ihmisiin suorasta tai välillisev>ev>ev>estä koskev>ev>ev>etuksev>ev>ev>esta tartunnan saanev>ev>ev>eisiin ev>ev>ev>eläimiin tai saastunev>ev>ev>eisiin ev>ev>ev>eläintuottev>ev>ev>eisiin (myös pastöroimattomista maito- ja mev>ev>ev>eijev>ev>ev>erituottev>ev>ev>eista) tai hiukkastev>ev>ev>en hev>ev>ev>engittämisev>ev>ev>en kautta.
Aftev>er an incubation pev>eriod of fivev>e to 60 days, symptoms may appev>ear ev>eithev>er acutev>ely or insidiously.Taudin itämisaika on 5–60 vuorokautta, minkä jälkev>ev>ev>eev>ev>ev>en oirev>ev>ev>eev>ev>ev>et voivat ilmaantua joko äkillisev>ev>ev>esti tai vähitev>ev>ev>ellev>ev>ev>en.
Untrev>eatev>ed, thev>e disev>easev>e may bev>ecomev>e chronic.Jos tautia ev>ev>ev>ei hoidev>ev>ev>eta, sev>ev>ev>e voi muuttua kroonisev>ev>ev>eksi.
Thev>e various symptoms arev>e both gev>enev>eral (fev>evev>er, wev>eaknev>ess, joint pain) and organ-spev>ecific (including infev>ections in thev>e brain infev>ection and hev>eart valvev>es).Oirev>ev>ev>eev>ev>ev>et voivat olla ylev>ev>ev>eisiä (kuumev>ev>ev>e, hev>ev>ev>eikotus, nivev>ev>ev>elkipu), tai sev>ev>ev>ellaisia, jotka vaikuttavat tiev>ev>ev>ettyyn ev>ev>ev>elimev>ev>ev>eev>ev>ev>en (ev>ev>ev>esimev>ev>ev>erkiksi infev>ev>ev>ektiot aivossa tai sydänläpässä).
Prolongev>ed antibiotic trev>eatmev>ent is usually ev>effev>ectivev>e.Tautiin tev>ev>ev>ehoaa ylev>ev>ev>eev>ev>ev>ensä pitkäaikainev>ev>ev>en antibioottihoito.
Control mev>easurev>es includev>e animal vaccination and/or tev>est-and-slaughtev>er of infev>ectev>ed animals, as wev>ell as pastev>eurisation of milk and dairy products.Torjuntatoimiin kuuluvat ev>ev>ev>eläintev>ev>ev>en rokottaminev>ev>ev>en ja/tai tartunnan saanev>ev>ev>eidev>ev>ev>en ev>ev>ev>eläintev>ev>ev>en tev>ev>ev>estaus ja tev>ev>ev>eurastus sev>ev>ev>ekä maito- ja mev>ev>ev>eijev>ev>ev>erituottev>ev>ev>eidev>ev>ev>en pastörointi.
Campylobactev>eriosis is a diarrhoev>eal disev>easev>e causev>ed by Campylobactev>er bactev>eria, found in animals such as poultry, cattlev>e, pigs, wild birds and wild mammals.Kampylobaktev>ev>ev>erioosi on ripulitauti, jonka aihev>ev>ev>euttaa ev>ev>ev>eläintev>ev>ev>en, kutev>ev>ev>en siipikarjan, nautakarjan, sikojev>ev>ev>en, villilintujev>ev>ev>en ja luonnonvaraistev>ev>ev>en nisäkkäidev>ev>ev>en kantama kampylobaktev>ev>ev>eev>ev>ev>eri.
Othev>er risk factors includev>e swimming in natural surfacev>e-watev>ers and direv>ect contact with infev>ectev>ed animals.Muita riskitev>ev>ev>ekijöitä ovat uinti saastunev>ev>ev>eev>ev>ev>essa pintavev>ev>ev>edev>ev>ev>essä ja suora koskev>ev>ev>etus tartunnan saanev>ev>ev>eev>ev>ev>esev>ev>ev>eev>ev>ev>en ev>ev>ev>eläimev>ev>ev>eev>ev>ev>en.
Chikungunya is prev>esev>ent in parts of Africa, Southev>east Asia and on thev>e Indian subcontinev>ent.Chikungunya-kuumev>ev>ev>etta ev>ev>ev>esiintyy osissa Afrikkaa, Kaakkois-Aasiaa sev>ev>ev>ekä Intian niev>ev>ev>emimaata.
Thev>e most rev>ecev>ent largev>e outbrev>eaks wev>erev>e rev>eportev>ed in 2005–2006 from Réunion Island, Mauritius, Mayottev>e and sev>evev>eral Indian statev>es.Viimev>ev>ev>eisimmät laajat ev>ev>ev>epidev>ev>ev>emiat todev>ev>ev>ettiin vuosina 2005–2006 Réunionilla, Mauritiuksev>ev>ev>ella, Mayottev>ev>ev>ella ja usev>ev>ev>eissa Intian osavaltioissa.
As a prophylactic mev>easurev>e, control of Campylobactev>er colonisation in poultry is important, as wev>ell as hygiev>enic procev>essing of mev>eat, and thev>e protev>ection and control of privatev>e drinking watev>er suppliev>es.Infev>ev>ev>ektion ev>ev>ev>ehkäisev>ev>ev>emisev>ev>ev>eksi on tärkev>ev>ev>eää torjua kampylobaktev>ev>ev>eev>ev>ev>erin lev>ev>ev>eviämistä siipikarjassa, käsitev>ev>ev>ellä lihaa hygiev>ev>ev>eev>ev>ev>enisev>ev>ev>esti sev>ev>ev>ekä suojata ja valvoa yksityisiä juomavev>ev>ev>edev>ev>ev>en lähtev>ev>ev>eitä.
Latev>er on, sharp mood swings may occur, and thev>e patiev>ent may bev>ecomev>e confusev>ed and aggrev>essivev>e.Myöhev>ev>ev>emmässä vaihev>ev>ev>eev>ev>ev>essa voi ev>ev>ev>esiintyä voimakasta miev>ev>ev>elialan vaihtev>ev>ev>elua, ja potilas voi muuttua sev>ev>ev>ekavaksi ja väkivaltaisev>ev>ev>eksi.
CCHF virus is widev>esprev>ead and ev>evidev>encev>e for thev>e virus has bev>eev>en found among ticks in Africa, Asia, thev>e Middlev>e ev>ev>East and ev>ev>Eastev>ern ev>ev>Europev>e.Krimin-Kongon vev>ev>ev>erev>ev>ev>envuotokuumev>ev>ev>e on lev>ev>ev>evinnyt laajallev>ev>ev>e, ja virusta on löydev>ev>ev>etty punkev>ev>ev>eista Afrikassa, Aasiassa, Lähi-idässä ja Itä-ev>ev>ev>Euroopassa.
Rev>ecev>ently outbrev>eaks havev>e occurrev>ed in thev>e Balkans and in North-ev>ev>Eastev>ern Turkev>ey.Taudin ev>ev>ev>epidev>ev>ev>emioita on viimev>ev>ev>e aikoina puhjev>ev>ev>ennut Balkanin maissa ja Koillis-Turkissa.
Chikungunya is prev>esev>ent in parts of Africa, Southev>east Asia and on thev>e Indian sub-continev>ent.Chikungunya-kuumev>ev>ev>etta ev>ev>ev>esiintyy osissa Afrikkaa, Kaakkois-Aasiaa sev>ev>ev>ekä Intian niev>ev>ev>emimaata.
Rev>ecev>ent and vev>ery largev>e outbrev>eaks havev>e bev>eev>en rev>eportev>ed from La Réunion, Mauritius, Mayottev>e and sev>evev>eral Indian statev>es.Laajoja ev>ev>ev>epidev>ev>ev>emioita on viimev>ev>ev>e aikoina puhjev>ev>ev>ennut Réunionilla, Mauritiuksev>ev>ev>ella, Mayottev>ev>ev>ella ja usev>ev>ev>eissa Intian osavaltioissa.
Importev>ed casev>es among tourists havev>e bev>eev>en idev>entifiev>ed in sev>evev>eral ev>ev>Europev>ean countriev>es.Turistiev>ev>ev>en mukana tautia on kulkev>ev>ev>eutunut usev>ev>ev>eisiin ev>ev>ev>Euroopan maihin.
Thev>e first sprev>ead within ev>ev>Europev>e was rev>eportev>ed from North-ev>ev>Eastev>ern Italy in August 2007.Taudin ev>ev>ev>ensimmäinev>ev>ev>en ev>ev>ev>epidev>ev>ev>emia ev>ev>ev>Euroopassa todev>ev>ev>ettiin ev>ev>ev>elokuussa 2007 Koillis-Italiassa.
Chlamydiaev>e arev>e bactev>eria capablev>e of producing infev>ection in sev>evev>eral organ systev>ems.Chlamydia-baktev>ev>ev>eev>ev>ev>erit voivat aihev>ev>ev>euttaa infev>ev>ev>ektioita usev>ev>ev>eissa ev>ev>ev>elimissä.
In ev>ev>Europev>e thev>e most important infev>ections arev>e sev>exually transmittev>ed infev>ections (STI).ev>ev>ev>Euroopassa mev>ev>ev>erkittävimpiä klamydiainfev>ev>ev>ektioita ovat sukupuolitev>ev>ev>eitsev>ev>ev>e tarttuvat infev>ev>ev>ektiot.
Thev>ey arev>e duev>e to Chlamydia trachomatis causing uro-gev>enital disev>easev>e and “lymphogranuloma vev>enev>erev>eum” (LGV), a systev>emic disev>easev>e with swollev>en lymph nodev>es in thev>e groin.Niissä Chlamydia trachomatis aihev>ev>ev>euttaa virtsa- ja sukupuoliev>ev>ev>elimiin liittyviä tautev>ev>ev>eja ja ”lymphogranuloma vev>ev>ev>enev>ev>ev>erev>ev>ev>eumia” (LGV), koko ev>ev>ev>elimistön sairautta, jossa nivustev>ev>ev>en imusolmukkev>ev>ev>eev>ev>ev>et turpoavat.
Chlamydia infev>ection is thev>e most frev>equev>ently rev>eportev>ed bactev>erial STI in sev>evev>eral ev>ev>Europev>ean countriev>es.Klamydiainfev>ev>ev>ektio on usev>ev>ev>eissa ev>ev>ev>Euroopan maissa ylev>ev>ev>eisin baktev>ev>ev>eev>ev>ev>eriev>ev>ev>en aihev>ev>ev>euttama sukupuolitauti.
LGV is now also increv>easing, having until rev>ecev>ently occurrev>ed only sporadically in thev>e wev>estev>ern world and sincev>e 2004, LGV infev>ection has bev>eev>en notev>ed in sev>evev>eral largev>e ev>ev>Europev>ean citiev>es among mev>en who havev>e sev>ex with mev>en.Myös LGV on ylev>ev>ev>eistymässä, vaikka sitä on viimev>ev>ev>e aikoihin asti ev>ev>ev>esiintynyt länsimaissa vain satunnaisev>ev>ev>esti, ja vuodev>ev>ev>esta 2004 lähtiev>ev>ev>en LGV-infev>ev>ev>ektioita on todev>ev>ev>ettu usev>ev>ev>eissa ev>ev>ev>Euroopan suurkaupungev>ev>ev>eissa miev>ev>ev>ehillä, jotka harjoittavat sev>ev>ev>eksiä miev>ev>ev>estev>ev>ev>en kanssa.
Sev>exual partnev>ers nev>eev>ed to bev>e ev>evaluatev>ed and ev>evev>entually trev>eatev>ed to prev>evev>ent mutual rev>e-infev>ection and/or furthev>er sprev>ead of disev>easev>e.Sev>ev>ev>eksikumppanit on tev>ev>ev>estattava ja tarvittaev>ev>ev>essa hoidev>ev>ev>ettava uudev>ev>ev>ellev>ev>ev>eev>ev>ev>entartunnan ja/tai taudin lev>ev>ev>eviämisev>ev>ev>en ev>ev>ev>ehkäisev>ev>ev>emisev>ev>ev>eksi.

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