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    The evaluation of the opinions and attitudes of healthcare personnel of the province Diyarbakir against influenza A (H1N1) and the vaccination
    (Landes Bioscience, 2011) Sevencan, Funda; Ertem, Meliksah; Ozcullu, Neval; Dorman, Vedat; Kubat, Namik Kemal
    In this study it was aimed to evaluate the opinions and attitudes of healthcare personnel of the province Diyarbakir against Influenza A(H1N1) and the vaccination and to determine the undesired effects after the vaccination. In this descriptive study, 1691 healthcare personnel participated. The participants were asked about their opinions about being included in the risk group or not, status of advising and having Influenza A(H1N1) vaccination, reasons of having or not having the vaccination, their opinions and attitudes about the pandemic and influenza vaccine and the practices of the press and the Ministry of Health. Of participants, 49.6 % stated that they advised pandemic influenza vaccination. Of healthcare personnel, 35% stated that they had pandemic influenza vaccine. Age, sex, profession, having seasonal influenza vaccine, using Media and the Ministry of Health as a source of information were important factors for the status of advising and having Influenza A(H1N1) v vaccine. The healthcare personnel should be informed about the purpose and practices of protection programs. It might be suggested to use press, which is regarded as the most important communication media, in accordance with the conditions in order to achieve suitable risk communication with the society.
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    Retrospective evaluation of laboratory-confirmed and recovered cases of influenza A(H1N1)v
    (Tubitak Scientific & Technological Research Council Turkey, 2011) Sevencan, Funda; Ertem, Mehmet Meliksah; Ozcullu, Neval; Dorman, Vedat; Ormanli, Abdulvahit; Kubat, Namik Kemal; Albayrak, Nurhan
    Aim: To retrospectively evaluate patients that were diagnosed with H1N1 and recovered from the disease in the initial period of an influenza A(H1N1)v epidemic in the province of Diyarbakir. It is estimated that 34-67 million individuals around the world have been infected by influenza A(H1N1)v, that 154,000-303,000 individuals have been hospitalized, and that 7000-13,000 individuals have lost their lives. Materials and methods: We were able to include 250 of 362 cases (69.0%) of confirmed influenza A(H1N1)v, from which the patients recovered, from the samples received between 19 October and 3 December 2009 after a pandemic alarm was given in the province of Diyarbakir. Patients with laboratory-confirmed cases were reached by telephone 15 days after the onset of influenza symptoms. Results: In terms of demographics, 44.8% of patients were between the ages of 0-14, 51.6% were male, and 44.0% were students. In 77.6% of the cases, fever was observed, while 53.2% had coughs and 18.4% had vomiting problems. It was determined that patients older than 45 years old, pregnant women, and individuals with chronic diseases were hospitalized more frequently than the young, nonpregnant women, and individuals without a chronic disease. The secondary attack rate within the clinic was 24.6%. Conclusion: Children and individuals with chronic diseases are important risk groups. It is believed that precautions such as hand-washing, limiting visits, and ensuring proper ventilation within houses will reduce in-house infectivity and the secondary attack rate.
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    Two Consecutive Outbreaks of Foodborne Gastroenteritis Caused by Salmonella Enteritidis in Turkey
    (Ortadogu Ad Pres & Publ Co, 2011) Dorman, Vedat; Aslan, Selda; Gulsun, Serda; Kubat, Namik Kemal; Cevrim, Ugur; Yasar, Ekrem; Ozbek, Erdal
    Objective: We report two foodborne outbreaks caused by Salmonella enterica serovar Enteritidis occurred in four youth hostels and two private schools in Diyarbakir, Turkey to identify the involving pathogen(s) in the possible source of infection, to control and to prevent further of the outbreaks. Material and Methods: An outbreak survey was conducted and food items, water supply, work surface samples and stool cultures were analyzed. Results: Out of 346 persons, a questionnaire was administered to 208 persons, 117 affected ill and 91 control healthy persons, to describe the illness and to identify its likely source. Salmonella enterica serovar Enteritidis was isolated from 51 stool cultures and also samples of chicken and potatoes meals in the first outbreak and samples of green salad in the second outbreak. Conclusion: In this study, we described how we identified the sources of both outbreaks and how we managed it with a case control study.