Zentralblatt fur Bakteriologie, Parasitenkunde, Infektionskrankheiten und Hygiene. Erste Abteilung Originale. Reihe B: Hygiene, praventive Medizin最新文献

In the Federal Republic of Germany a decline of population is expected, because fertility is very low. This article deals with the implications of this trend for the health system. On the basis of population models and population forcasts the author comes to the conclusion that in the long run the burden of health costs will not become lower but higher, because of the growing proportion of old people. Nevertheless it is supposed that the influence of other factors than demographic ones may be greater.

1. When cells of E. coli and Staph. aureus are dried, the efficacy of phenol is reduced but the efficacy of formaldehyde is increased. 2. A change of the aw-value by addition of salts changes the efficacy of formaldehyde as well as that of phenol. For these tests the chlorides of various alkali and alkaline earth metals were used in different concentrations. 3. The optimal efficacy of phenol and formaldehyde within the tested concentration gradientis caused by different concentrations of the ions: In low concentrations the efficacy of formaldehyde is optimally increased, the efficacy of phenol, however, attains a minimum at this concentration range. By higher concentrations of ions the efficacy of phenol is increased, that of formaldehyde is reduced. 4. The position of the cations in the periodic system also plays a role in the influence on the efficacy of the phenol and formaldehyde respectively. The cations of the lower periods from the main groups I and II favour the damage to the cells by phenol, the cations of the higher periods favour the damage by formaldehyde.

7 intensiv-care-units (I.U.C.) were compared by analysing the charts of 100 patients from each station. They showed remarkable differences concerning the diagnosis of admittance, age and other factors related to the risk of infection. Consequently, kind and number of intensive care related medical procedures, the use of antibiotics, the duration of the patients stay on the station and the death rate differed widely. Some criteria concerning the layout, personnel, organisation and therapy on I.C.U. are named, which are mainly related to the patients condition and to the thereby given risk of infection.

During the winter-half-year 1976/77 the concentrations of airborne microorganisms in the open air were measured in Bonn and at a place in the Sauerland. Simultaneously the data of wind direction, wind speed, atmospheric rel. humidity, temperature, intensity of solar radiation were registered. It can be shown, that the denominated parameters are influencing the content of microorganisms of the air in different proportions.

Epidemiological studies have implicated three factors in the overall increase of lung cancer--tobacco, especially cigarette smoking, urban pollution and, to a lesser extent, certain industrial respiratory environments. Some data were discussed on carcinogenic industrial inhalants, and on the possible effect of urban pollution. The reduction of pollution and that of specific environmental agents is stressed. Laboratory studies on the identification of carcinogens in cigarette smoke and their reduction toward the "less harmful cigarette" represent a part of this aspect.

1405 neonates and infants were vaccinated with BCG Vaccine (strain 1331 Copenhagen) at five clinics in the Federal Republic of Germany. Doses in logarithmic increments from 22000 to 250000 VU (viable units)/0.1 ml were given by strictly intradermal injection. Carrying out the post-vaccinal tuberculin test by the MENDEL-MANTOUX technique, the dose-effect relationship could be demonstrated (Fig. 3). Conversion rates raised from 43% to 76% (Tab. 1); they are furthermore depending from the tuberculin dose and the assessment of the skin reaction. Tests with up to 50 I.U. of purified tuberculin were resulting in conversion rates over 90% for vaccination doses of 100 000 VU and more, any palpable infiltration regarding as a positive result (Fig. 4). The vaccine showed good safety in all concentrations employed concerning reactions at the site of injection. Lympnode enlargement, palable even 12 weeks postvacc., was common. In the course of the trial there was one case of suppurative lymphadenitis among the 262 children who were given the vaccine in the highest concentration (250000 VU). Subsequent trials revealed a rate of this complication in the 1:1000 range. The approval for the vaccine with 100000-300000 VU/dose has subsequently been given by the Federal Bureau for Sera and Vaccines.