The specific features of the epidemic process of acute respiratory infections caused by different etiological agents


DOI: https://dx.doi.org/10.18565/epidem.2020.10.4.45-51

Zhigarlovsky B.A., Saltykova T.S., Briko N.I., Gerasimov A.N., Ivanenko A.V., Volkova N.A., Lioznov D.A., Danilenko D.M.

1) Center for Strategic Planning, Federal Biomedical Agency of Russia, Moscow, Russia; 2) I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), Moscow, Russia; 3) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 4) Center of Hygiene and Epidemiology in the City of Moscow, Moscow, Russia; 5) A.A. Smorodintsev Research Institute of Influenza, Ministry of Health of Russia, Saint Petersburg, Russia; 6) I.I. Pavlov First Saint Petersburg State Medical University, Ministry of Health of Russia, Saint Petersburg, Russia
Objective. To identify the specific features of the development of the epidemic process of acute respiratory viral infection (ATVI) in relation to the pathogen etiology attribution.
Materials and methods. The weekly results of PCR diagnosis of the causative agents of influenza and ARVI were analyzed using the database of the A.A. Smorodintsev Research Institute of Influenza, Ministry of Health of Russia, in 4 cities (Yekaterinburg, Kazan, Rostov-on-Don, and Saint Petersburg), as well as data from the Virology Laboratory, Center for Hygiene and Epidemiology in the City of Moscow.
Results. In 2014–2018, the largest proportion of the causative agents of influenza and ARVI were parainfluenza virus types 1, 2, and 3 (25.5%), influenza A (H1N1) 2009 (25.2%), and influenza A (H3N2) (24.3%) viruses in Moscow, rhinoviruses (24.6%) and influenza A (H1N1) 2009 (21.2%) virus in Yekaterinburg, rhinoviruses (26%) in Kazan, rhinoviruses (19.6%) and adenoviruses (18.2%) in Rostov-on-Don, and influenza B (20%) and influenza A (H3N2) (19.3%) viruses in Saint Petersburg. By and large, the epidemic process of influenza and ARVI in the 5 cities began with parainfluenza infection and ended with influenza infection caused by the influenza B virus. Unlike influenza viruses, non-influenza etiological agents were characterized by longer activities.
Conclusion. The manifestations of the epidemic process of influenza and ARVI are largely determined by the specificity of causative agents and have developmental features in both different territories and different population groups.
Keywords: coronavirus, epidemic process, ARVI, influenza, etiology
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About the Autors

Bronislav A. Zhigarlovsky, Cand. Med. Sci., Analyst, Center for Strategic Planning, Biomedical Agency of Russia, Moscow, Russia, e-mail: BZhigarlovskiy@cspmz.ru; ORCID: http://orcid.org/ 0000-0002-2982-0112
Tatiana S. Saltykova, Cand. Med. Sci., Associate Professor, Department of Epidemiology and EvidenceBased Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenovskiy University), Moscow, Russia; e-mail: saltykova.t.s.2012@gmail.com; ORCID: https://orcid.org/0000-0001-7329-2268
Prof. Nikolay I. Briko, MD, Аcademician of the Russian Academy of Sciences; Honored Scientist of the Russian Federation; Head, Department of Epidemiology and Evidence-Based Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenovskiy University); Moscow, Russia; е-mail: nbrico@mail.ru; ОRCID: http://orcid.org/0000-0002-6446-2744
Prof. Andrey N. Gerasimov, Ph-MathD, Head, Department of Medical Informatics and Statistics, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; e-­mail: andr­gerasim@yandex.ru; ORCID: https://orcid.org/0000-0003-4549-7172
Aleksandr V. Ivanenko, MD, Chief Doctor, Moscow Center of Hygiene and Epidemiology in the City of Moscow, Moscow, Russia; е-mail: fguz@mossanepid.ru
Natalia A. Volkova, Head, Department of Epidemiology, Moscow Center of Hygiene and Epidemiology in the City of Moscow, Moscow, Russia; е-mail: fguz@mossanepid.ru
Dmitry A. Lioznov, MD, Acting Director, A.A. Smorodintsev Research Institute of Influenza; Head, Department of Infectious Diseases and Epidemiology, Academician I.P. Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia; е-mail: office@influenza.spb.ru; ORCID: https:// orcid.org/0000-0003-3643-7354
Daria M. Danilenko, Cand. Biol. Sci., Deputy Director for Research, A.A. Smorodintsev Research Institute of Influenza, Saint Petersburg, Russia; е-mail: office@influenza.spb.ru ORCID https://orcid.org/0000-0001-6174-0836


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