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Co se t\u00fd\u010de aliment\u00e1rn\u00edch infekc\u00ed, k dne\u0161n\u00edmu dni je v kraji hl\u00e1\u0161eno 353 p\u0159\u00edpad\u016f salmonel\u00f3zy (vloni ve srovnateln\u00e9m obdob\u00ed 434, n\u00e1r\u016fst oproti minul\u00e9mu t\u00fddnu + 22), nejv\u00edce na \u010ceskobud\u011bjovicku (97), T\u00e1borsku (62) a Jind\u0159ichohradecku (58), na Strakonicku je 45 p\u0159\u00edpad\u016f, ostatn\u00ed okresy hl\u00e1s\u00ed mezi sedmadvaceti a\u017e sedmat\u0159iceti p\u0159\u00edpady. P\u0159ib\u00fdv\u00e1 t\u00e9\u017e kampylobakteri\u00f3zy, kter\u00e1 souvis\u00ed s konzumac\u00ed nedostate\u010dn\u011b tepeln\u011b upraven\u00e9ho masa, hlavn\u011b ku\u0159ec\u00edho. T\u00e9 je v kraji 643 p\u0159\u00edpady (vloni 696, v mezit\u00fddenn\u00edm srovn\u00e1n\u00ed +36), nejv\u00edce na \u010ceskobud\u011bjovicku (194), na T\u00e1borsku 96, Jind\u0159ichohradecku 88, P\u00edsecko m\u00e1 79 a \u010ceskokrumlovsko 69, Prachaticko 63 a Strakonicko 54 p\u0159\u00edpady.<\/p>\n
Jiho\u010de\u0161t\u00ed hygienici v \u010dervnu zah\u00e1jili pln\u011bn\u00ed region\u00e1ln\u00edho \u00fakolu \u201eZmrzliny 2020\u201c, zam\u011b\u0159en\u00e9ho na sledov\u00e1n\u00ed zdravotn\u00ed nez\u00e1vadnosti zmrzlin, prod\u00e1van\u00fdch v za\u0159\u00edzen\u00edch, poskytuj\u00edc\u00edch stravovac\u00ed slu\u017eby. \u201eZ dosud vyhodnocen\u00fdch vzork\u016f, odebran\u00fdch z provozoven jako jsou cukr\u00e1rny, kav\u00e1rny \u010di st\u00e1nky s ob\u010derstven\u00ed, jich zat\u00edm jeden\u00e1ct nevyhov\u011blo vy\u0161\u0161\u00edm po\u010dtem bakterie Enterobacteriaceae, co\u017e je, zjednodu\u0161en\u011b \u0159e\u010deno, ukazatel nedostate\u010dn\u00e9 hygieny p\u0159i v\u00fdrob\u011b. V t\u011bchto p\u0159\u00edpadech jako prvn\u00ed opat\u0159en\u00ed na\u0159izujeme provozovatel\u016fm sanitaci v\u00fdrobn\u00edho za\u0159\u00edzen\u00ed. V tomto t\u00fddnu jsme vydali osm p\u0159\u00edkaz\u016f, a n\u00e1sledn\u011b budeme pro ov\u011b\u0159en\u00ed \u00fa\u010dinnosti opat\u0159en\u00ed odb\u011bry a vyhodnocen\u00ed vzork\u016f opakovat,\u201c<\/em> uvedla vedouc\u00ed odd\u011blen\u00ed hygieny v\u00fd\u017eivy KHS Milena Kambov\u00e1.<\/p>\n Vedle pln\u011bn\u00ed region\u00e1ln\u00edho \u00fakolu, zam\u011b\u0159en\u00e9ho na sledov\u00e1n\u00ed zdravotn\u00ed nez\u00e1vadnosti zmrzlin, zah\u00e1jili pracovn\u00edci odboru hygieny v\u00fd\u017eivy KHS st\u00e1tn\u00ed zdravotn\u00ed dozor zam\u011b\u0159en\u00fd na provozovny stravovac\u00edch slu\u017eeb v rekrea\u010dn\u00edch oblastech, prodej zmrzliny a \u0159e\u0161en\u00ed podn\u011bt\u016f. Dosud bylo provedeno 23 kontrol st\u00e1l\u00fdch a sez\u00f3nn\u00edch provozoven a st\u00e1nk\u016f s ob\u010derstven\u00edm a dv\u011b kontroly prodejen zmrzliny na z\u00e1klad\u011b podn\u011btu. Byla dosud ulo\u017eena jedin\u00e1 sankce ve v\u00fd\u0161i 2000 K\u010d.<\/p>\n Ve srovn\u00e1n\u00ed s minul\u00fdm rokem letos eviduj\u00ed jiho\u010de\u0161t\u00ed hygienici v\u00edce onemocn\u011bn\u00ed p\u0159en\u00e1\u0161en\u00fdch kl\u00ed\u0161\u0165aty. \u010cesk\u00fd hydrometeorologick\u00fd \u00fastav, kter\u00fd sleduje a progn\u00f3zuje aktivitu kl\u00ed\u0161\u0165at, pro tyto dny uv\u00e1d\u00ed na desetistup\u0148ov\u00e9 \u0161k\u00e1le stupe\u0148 aktivity 7, co\u017e je vysok\u00e9 riziko.<\/p>\n \u201eV t\u00fddnu p\u0159ibylo osm potvrzen\u00fdch p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy. T\u00e9 je v kraji k dne\u0161ku u\u017e pades\u00e1t p\u0159\u00edpad\u016f. Ve srovnateln\u00e9m obdob\u00ed lo\u0148sk\u00e9ho roku jsme ve dvac\u00e1t\u00e9m osm\u00e9m t\u00fddnu evidovali devaten\u00e1ct a za cel\u00fd rok dev\u011btadevades\u00e1t p\u0159\u00edpad\u016f kl\u00ed\u0161\u0165ov\u00e9 encefalitidy, jsme tedy ji\u017e v polovin\u011b lo\u0148sk\u00e9ho celoro\u010dn\u00edho v\u00fdskytu a leto\u0161n\u00ed sez\u00f3na z\u0159ejm\u011b bude pat\u0159it k t\u011bm rizikov\u011bj\u0161\u00edm. \u010cesk\u00fd hydrometeorologick\u00fd \u00fastav p\u0159edpov\u00edd\u00e1 i nad\u00e1le vysokou aktivitu kl\u00ed\u0161\u0165at, st\u00e1le proto doporu\u010dujeme p\u0159i pobytu v p\u0159\u00edrod\u011b spr\u00e1vn\u00e9 oble\u010den\u00ed, pou\u017e\u00edv\u00e1n\u00ed repelent\u016f s odpuzuj\u00edc\u00edm \u00fa\u010dinkem a po n\u00e1vratu dom\u016f se kompletn\u011b p\u0159evl\u00e9ci, osprchovat se a hlavn\u011b se dob\u0159e prohl\u00e9dnout, t\u0159eba i v\u00edcekr\u00e1t za den. Co se t\u00fd\u010de konkr\u00e9tn\u00edho v\u00fdskytu v kraji, k dne\u0161ku je t\u0159in\u00e1ct potvrzen\u00fdch p\u0159\u00edpad\u016f na \u010ceskobud\u011bjovicku, dev\u011bt na Prachaticku, po osmi na \u010ceskokrumlovsku a T\u00e1borsku, sedm na Strakonicku, t\u0159i na Jind\u0159ichohradecku a dva na P\u00edsecku,\u201c<\/em> uvedla \u0159editelka KHS Jiho\u010desk\u00e9ho kraje Kvetoslava Kotrbov\u00e1.<\/p>\n \u201eOd minul\u00e9ho t\u00fddne p\u0159ibyly i t\u0159i potvrzen\u00e9 p\u0159\u00edpady lymesk\u00e9 boreli\u00f3zy. T\u00e9 je v kraji prok\u00e1z\u00e1no sto pades\u00e1t p\u0159\u00edpad\u016f, stejn\u011b jako vloni ve srovnateln\u00e9m obdob\u00ed. K dne\u0161ku bylo nejv\u00edce p\u0159\u00edpad\u016f na \u010ceskobud\u011bjovicku \u2013 \u010dty\u0159icet \u010dty\u0159i. T\u0159icet osm p\u0159\u00edpad\u016f je na Jind\u0159ichohradecku a dvacet sedm na T\u00e1borsku. V dal\u0161\u00edch okresech je v\u00fdskyt ni\u017e\u0161\u00ed, \u010ceskokrumlovsko m\u00e1 t\u0159in\u00e1ct, Strakonicko dvan\u00e1ct a P\u00edsecko a Prachaticko maj\u00ed po osmi p\u0159\u00edpadech. I dlouhodob\u00fdm statistik\u00e1m tohoto onemocn\u011bn\u00ed s p\u0159\u00edrodn\u00ed ohniskovost\u00ed podobn\u011b jako letos dominuj\u00ed Jind\u0159ichohradecko, T\u00e1borsko a \u010ceskobud\u011bjovicko,<\/em>\u201c uvedla epidemiolo\u017eka KHS Jiho\u010desk\u00e9ho kraje Jitka Lu\u0148\u00e1\u010dkov\u00e1.<\/p>\n V souvislosti s dlouhodob\u011b vysokou aktivitou kl\u00ed\u0161\u0165at hygienici doporu\u010duj\u00ed preventivn\u00ed pou\u017eit\u00ed repelent\u016f, nelehat a nesedat si v porostech p\u0159edev\u0161\u00edm na okraj\u00edch les\u016f, rad\u011bji nevstupovat do hust\u00fdch k\u0159ovin a vysok\u00e9 vegetace kolem vodn\u00edch tok\u016f a ploch a po p\u0159\u00edchodu z p\u0159\u00edrody se rychle p\u0159evl\u00e9knout a dob\u0159e prohl\u00e9dnout, proto\u017ee d\u016fle\u017eit\u00e1 je rychlost, s n\u00ed\u017e se kl\u00ed\u0161t\u011b poda\u0159\u00ed objevit a hlavn\u011b spr\u00e1vn\u011b odstranit.<\/p>\n Prvn\u00ed dva t\u00fddny m\u00e1 za sebou sez\u00f3na letn\u00edch d\u011btsk\u00fdch rekreac\u00ed. Ji\u017en\u00ed \u010cechy jsou regionem s v\u00fdrazn\u011b nejv\u011bt\u0161\u00edm po\u010dtem rekreovan\u00fdch d\u011bt\u00ed v r\u00e1mci cel\u00e9 \u010cR. \u201eK dne\u0161n\u00edmu dni m\u00e1me nahl\u00e1\u0161eno celkem 283 t\u00e1bor\u016f, kde se bude rekreovat t\u00e9m\u011b\u0159 t\u0159icet t\u0159i tis\u00edce d\u011bt\u00ed, dal\u0161\u00ed nahl\u00e1\u0161en\u00e9 akce je\u0161t\u011b o\u010dek\u00e1v\u00e1me,\u201c<\/em> uvedla \u0159editelka odboru hygieny d\u011bt\u00ed a mladistv\u00fdch KHS Marie Noskov\u00e1. Za prvn\u00ed dva t\u00fddny zat\u00edm zrealizovali hygienici 45 kontrol, v\u011bt\u0161inou bez z\u00e1vad. Nebyly dosud pod\u00e1ny \u017e\u00e1dn\u00e9 podn\u011bty na kon\u00e1n\u00ed letn\u00ed d\u011btsk\u00e9 rekreace a byla ulo\u017eena jedin\u00e1 blokov\u00e1 pouta ve v\u00fd\u0161i tis\u00edce korun za nedostatky ve zdravotnick\u00e9 dokumentaci.<\/p>\n \u201eNa dvou zotavovac\u00edch akc\u00edch neodpov\u00eddala norm\u011b pitn\u00e1 voda a organiz\u00e1to\u0159i museli zajistit n\u00e1hradn\u00ed z\u00e1sobov\u00e1n pitnou vodou, v jednom p\u0159\u00edpad\u011b jsme organiz\u00e1torovi nedoporu\u010dili kon\u00e1n\u00ed zotavovac\u00ed akce, proto\u017ee akce se kon\u00e1 na ve\u0159ejn\u00e9m t\u00e1bo\u0159i\u0161ti a nen\u00ed zde mo\u017en\u00e9 dodr\u017eet hygienicko-protiepidemick\u00e1 doporu\u010den\u00ed Ministerstva zdravotnictv\u00ed, jinak je dosavadn\u00ed pr\u016fb\u011bh klidn\u00fd a je vid\u011bt, \u017ee po\u0159\u00e1daj\u00edc\u00ed osoby se sna\u017e\u00ed aktu\u00e1ln\u00ed doporu\u010den\u00ed dodr\u017eovat,<\/em>\u201c doplnila Marie Noskov\u00e1.<\/p>\n <\/p>\n \u00b7 Kl\u00ed\u0161\u0165ov\u00e1 encefalitida je onemocn\u011bn\u00ed virov\u00e9ho p\u016fvodu s p\u0159\u00edrodn\u00ed ohniskovost\u00ed a m\u016f\u017ee m\u00edt fat\u00e1ln\u00ed n\u00e1sledky, nap\u0159\u00edklad po\u0161kozen\u00ed nervov\u00e9ho syst\u00e9mu a ochrnut\u00ed<\/p>\n \u00b7 Onemocn\u011bn\u00ed kl\u00ed\u0161\u0165ovou encefalitidou se projev\u00ed v prvn\u00ed f\u00e1zi po jednom a\u017e dvou t\u00fddnech od p\u0159is\u00e1t\u00ed zv\u00fd\u0161enou teplotou \u010di hore\u010dkou, mal\u00e1tnost\u00ed, bolestmi hlavy \u010di kloub\u016f<\/p>\n \u00b7 Druh\u00e1 f\u00e1ze nastoup\u00ed po n\u011bkolika dnech relativn\u00edho klidu vysok\u00fdmi hore\u010dkami a p\u0159\u00edznaky napaden\u00ed centr\u00e1ln\u00edho nervov\u00e9ho syst\u00e9mu, kam krom\u011b siln\u00fdch bolest\u00ed hlavy pat\u0159\u00ed z\u00e1vrat\u011b, poruchy sp\u00e1nku, dezorientace, svalov\u00fd t\u0159es \u010di tuhost sval\u016f v \u0161\u00edji<\/p>\n \u00b7 U osob s oslabenou imunitou, soub\u011b\u017en\u00fdm chronick\u00fdm onemocn\u011bn\u00edm \u010di u senior\u016f m\u016f\u017ee b\u00fdt pr\u016fb\u011bh z\u00e1va\u017en\u00fd v\u010detn\u011b ochrnut\u00ed a selh\u00e1v\u00e1n\u00ed \u017eivotn\u011b d\u016fle\u017eit\u00fdch funkc\u00ed<\/p>\n \u00b7 U v\u0161ech pacient\u016f je d\u016fle\u017eit\u00fd klid na l\u016f\u017eku a podp\u016frn\u00e1 l\u00e9\u010dba<\/p>\n \u00b7 Lymesk\u00e1 boreli\u00f3za je bakteri\u00e1ln\u00ed onemocn\u011bn\u00ed, asi p\u011btkr\u00e1t \u010dast\u011bj\u0161\u00ed ne\u017e kl\u00ed\u0161\u0165ov\u00e1 encefalitida, proto\u017ee p\u0159\u00edtomnost borreli\u00ed vykazuje v ohnisc\u00edch a\u017e deset procent populace kl\u00ed\u0161\u0165at. V ji\u017en\u00edch \u010cech\u00e1ch se nejv\u00edce p\u0159\u00edpad\u016f vyskytuje dlouhodob\u011b p\u0159edev\u0161\u00edm na Jind\u0159ichohradecku a T\u00e1borsku, tedy v povod\u00ed Ne\u017e\u00e1rky a Lu\u017enice a v posledn\u00edch letech stoup\u00e1 v\u00fdskyt i na \u010ceskokrumlovsku \u010di Prachaticku, tedy ve vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161k\u00e1ch<\/p>\n \u00b7 Proti lymesk\u00e9 boreli\u00f3ze neexistuje v evropsk\u00fdch podm\u00ednk\u00e1ch o\u010dkov\u00e1n\u00ed, jej\u00ed p\u0159\u00edznaky je mo\u017en\u00e9 l\u00e9\u010dit antibiotiky<\/p>\n \u00b7 U boreli\u00f3zy m\u016f\u017ee b\u00fdt symptomem prvn\u00edho st\u00e1dia typick\u00e1 \u010derven\u00e1 skvrna, \u0161\u00ed\u0159\u00edc\u00ed se kolem m\u00edsta p\u0159is\u00e1t\u00ed<\/p>\n \u00b7 Druh\u00e9 st\u00e1dium m\u00e1 chronick\u00fd pr\u016fb\u011bh a nastupuje i n\u011bkolik m\u011bs\u00edc\u016f po p\u0159is\u00e1t\u00ed<\/p>\n \u00b7 Projevuje se bolestmi kloub\u016f \u010di posti\u017een\u00edm nervov\u00e9ho syst\u00e9mu, i boreli\u00f3za m\u016f\u017ee m\u00edt u oslaben\u00fdch pacient\u016f z\u00e1va\u017en\u00fd pr\u016fb\u011bh<\/p>\n \u00b7 Vloni onemocn\u011blo v \u010cR kl\u00ed\u0161\u0165ovou encefalitidou podle informa\u010dn\u00edho syst\u00e9mu ISIN St\u00e1tn\u00edho zdravotn\u00edho \u00fastavu 774 a boreli\u00f3zou 4 105 osob<\/p>\n \u00b7 Ji\u017en\u00ed \u010cechy vyk\u00e1zaly vloni 99 potvrzen\u00fdch p\u0159\u00edpad\u016f encefalitidy a 431 p\u0159\u00edpad\u016f boreli\u00f3zy, p\u0159edloni to bylo 121, respektive 473 p\u0159\u00edpady<\/p>\n \u00b7 Doporu\u010dovanou prevenc\u00ed kl\u00ed\u0161\u0165ov\u00e9 encefalitidy je \u00fa\u010dinn\u00e9 o\u010dkov\u00e1n\u00ed, kter\u00e9 je optim\u00e1ln\u00ed postoupit p\u0159ed za\u010d\u00e1tkem hlavn\u00ed sez\u00f3ny aktivity kl\u00ed\u0161\u0165at<\/p>\n \u00b7 D\u016fle\u017eit\u00e1 je aktivn\u00ed obrana p\u0159i pobytu v p\u0159\u00edrod\u011b – spr\u00e1vn\u00e9 oble\u010den\u00ed a pou\u017eit\u00ed repelent\u016f<\/p>\n \u00b7 Pro p\u0159enos infek\u010dn\u00ed d\u00e1vky z p\u0159is\u00e1t\u00e9ho kl\u00ed\u0161t\u011bte posta\u010d\u00ed v p\u0159\u00edpad\u011b encefalitidy n\u011bkolik m\u00e1lo hodin, t\u0159eba i pouh\u00e9 dv\u011b hodiny<\/p>\n \u00b7 Aktivita kl\u00ed\u0161\u0165at z\u00e1vis\u00ed na klimatick\u00fdch podm\u00ednk\u00e1ch, vyhovuje jim tepl\u00e9 vlhk\u00e9 po\u010das\u00ed a m\u016f\u017ee se li\u0161it i v pr\u016fb\u011bhu dne, kdy b\u00fdvaj\u00ed kl\u00ed\u0161\u0165ata aktivn\u011bj\u0161\u00edch v rann\u00edch a dopoledn\u00edch hodin\u00e1ch<\/p>\n \u00b7 V na\u0161ich podm\u00ednk\u00e1ch s oteplov\u00e1n\u00edm a zimami bez v\u00fdrazn\u00fdch mraz\u016f kl\u00ed\u0161\u0165ata migruj\u00ed i do vy\u0161\u0161\u00edch nadmo\u0159sk\u00fdch v\u00fd\u0161ek kolem tis\u00edce metr\u016f, o \u010dem\u017e sv\u011bd\u010d\u00ed v posledn\u00edch letech n\u00e1r\u016fst po\u010dtu p\u0159\u00edpad\u016f na Prachaticku a \u010ceskokrumlovsku<\/p>\n \u00b7 Hygienici eviduj\u00ed prvn\u00ed p\u0159\u00edpady onemocn\u011bn\u00ed podle charakteru po\u010das\u00ed v b\u0159eznu \u010di dubnu, prvn\u00ed vrchol p\u0159ich\u00e1z\u00ed v tzv. jarn\u011b-letn\u00edch m\u011bs\u00edc\u00edch, tedy v kv\u011btnu, \u010dervnu, a druh\u00e1 vlna pak v tzv. letn\u011b-podzimn\u00edch m\u011bs\u00edc\u00edch, tedy v srpnu a z\u00e1\u0159\u00ed s t\u00edm, \u017ee posledn\u00ed p\u0159\u00edpady se objevuj\u00ed b\u011b\u017en\u011b v \u0159\u00edjnu i pozd\u011bji<\/p>\n \u00b7 O\u010dkov\u00e1n\u00ed proti kl\u00ed\u0161\u0165ov\u00e9 encefalitid\u011b nen\u00ed hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, samotn\u00e9 o\u010dkov\u00e1n\u00ed realizuj\u00ed prakti\u010dt\u00ed l\u00e9ka\u0159i nebo o\u010dkovac\u00ed centra, zdravotn\u00ed poji\u0161\u0165ovny na n\u011b p\u0159isp\u00edvaj\u00ed dle sv\u00fdch program\u016f<\/p>\n \u00b7 Informace k p\u0159edpokl\u00e1dan\u00e9 aktivit\u011b kl\u00ed\u0161\u0165at zve\u0159ej\u0148uje v sez\u00f3n\u011b mj. \u010cesk\u00fd hydrometeorologick\u00fd \u00fastav a informace k onemocn\u011bn\u00ed a prevenci St\u00e1tn\u00ed zdravotn\u00ed \u00fastav \u010di krajsk\u00e9 hygienick\u00e9 stanice<\/p>\n (tzkhs)<\/strong><\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" \u201eNa 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