cryptosporidiosis pada manusia dan hewan (cryptosporidiosis in humans and animals)

7/23/2019 Cryptosporidiosis pada Manusia dan Hewan (Cryptosporidiosis in Humans and Animals)

1/21

K_Y^PE[Ê_I@IE[I[ ^B@B FBLQ[IB @BL MAXBL

JACEFÊJ I

[APIBXBL ^QP_B [YBMALLY [B[XIYBLPI

IFB[ [_I LQ_MBYBPI

[AJECBM ^B[KB[B_DBLBIL[PIPQP Â_PBLIBL OEHE_

?>22


2/21

Teele{i{Ja{ambpbl Fb{ybbjbp Wapaila

[ajecbm b{kb{bdblbIl{pipqpa apblibl Oehe

?>22

2[ybm [^ ap bc, ?>22 2[ybm [^ ap bc, ?>22 2[ybm [^ ap bc, ?>22

K_Y^PE[Ê_I@IE[I[ ^B@B FBLQ[IB @BL MAXBL

[apibxbl ^qprb [ybm# Ally [b{xiyblpi# Ifb{ [ri Lqrmbybpi

^[ Ja{ambpbl Fb{ybrbjbp Waparilar[ajecbm b{kb{brdblb Il{pipqp arpblibl Oeher

I, ÂL@BMQCQBL

Ky~pe{~eiìe{i{ -ji~pe{~eiìe{i{) b`bcbm {qbpq ~alybjip teele{i{ yblh

pahecelh ja `bcbf jacef~ej xbparoelaì{ab{a{ yblh ì{aobojbl ecam ~epeteb

Kry~pe{~eriìqf{~, Ky~pe{~eiìe{i{ falyaobojbl ilgaj{i ~b`b q{q{ mbcq{ yblh

falyaobojbl ìba bjqp ~b`b fblq{ib `bl maxbl, âpbfb jbci ìpafqjbl ~b`b

cbfoqlh `bl q{q{ mbcq{ pijq{ ecam Pytta ~b`b pbmql 29>8 -[ilbfoacb ?>>=)#

{a`blhjbl jb{q{ ~b`b fblq{ib ~apbfb jbci ìpafqjbl ~b`b pbmql 2987 yblh

falyablh blbj&blbj q{ib ; pbmql àlhbl jab`bbl iffqlekef~apal `bl yblh

falhalbi eblh àxb{b àlhbl ifflqlekef~refi{a, ^b`b pbmql 2987 {bf~bi

àlhbl 29=? jb{q{ ~b`b fblq{ib dbblh ìcb~ejbl, ^b`b pbmql 29=? ìcb~ejbl

jalbijbl jadbìbl ilgaj{i {akbb `b{pi{ {apacbm ìjapbmqi Ky~pe{~eiìe{i{ b`bcbm

{qbpq ilgaj{i e~epqli{pij yblh `b~bp padbì ~b`b ~alàipb BI@[,

[~a{ia{ qpbfb yblh falyaobojbl ilgaj{i ~b`b fblq{ib `bl oilbpblh

b`bcbm Kry~pe{~eriìqf ~brwqf, Ky~pe{~eiè{i{ oamb{ic ìiàlpigijb{i ~b`b 28>

{~a{ia{ oilbpblh# ìblpbblyb bybf# jbcjql# bldilh# jq`b# oboi# èfob# pijq{ cib#

oqqlh# ijbl `bl a~pica -Kmil ?>>>: [bi` ?>>;: [ilbfoacb ?>>=), ^b`b qfqflyb

faq~bjbl ilgaj{i bjqp dblhjb ~alàj yblh ` ipqcbjb l {a kbb gakbc &ebc

{apb {ailh dqhb ìpqcbjbl facbcqi fbjblbl bpbq {qfoa bi yblh

pajelpbfilb{i eekyp{ `bi {~a{ia{ Kry~pe{~eriìqfbpbq facbcqi jelpbj

àlhbl eblh yblh pailgaj{i àlhbl ~alybjip ili {apb ~afqjbbl

cilhjqlhbl {a~ap i jecbf alblh yblh pajelpbfilb{i eekyp{, Ilgaj{i

padbì b~boicb papacbl eekyp{ fbpblh yblh ìjacqbjbl oa{bfb ga{a{

me{~a{ yblh pailgaj{i, Hadbcb ~alybjip yblh p ifoqc ~b`b qfqflyb

ìba# fqbc# `bl fqlpbm# {apb jbf ~aqp, ^b`b eblh yblh {i{paf


3/21



?>22

?[ybm [^ ap bc, ?>22 ?[ybm [^ ap bc, ?>22 ?[ybm [^ ap bc, ?>22

jajaobcbl pqoqmlyb obij# hadbcb ili pi`bj oapbmbl caoim cbfb `bl

{afoqm àlhbl {alìilyb# lbfql ~b`b ~alàipb iffqlekef~efi{a -{a~api

~alàipb BI@[) hadbcb {afbjil fafoqqj `bl {qcip ì{afoqmjbl jbalb {i{paf~apbmblbl pqoqm yblh {q`bm q{bj,

II, BHAL ÂLYAOBO

Ky~pe{~eiìe{i{ ~b`b qfqflyb ì{aobojbl ecam Kry~p{~eriìqf

~brwqf, êpeteb ili oa{igbp ilpb{acqca# lbfql aj{pb{ipe~cb{fb

oblybj ìpafqjbl ì obxbm fafobl pacqb yblh facb~i{i

~afqjbbl {ac ~b`b cbfoqlh `bl q{q{ mbcq{, Eekyp{ faq~bjbl

{pbìqf ilgajpig yblh oblybj ìpafqjbl ~b`b ga{a{ fblq{ib bpbq

maxbl yblh pailgaj{i, êpeteb ili faficiji qjqbl dbqm caoim jakic `bi~b`b

jej{iìb `bl faficiji jafbf~qbl qlpqj facajbp ~b`b {ac cb~i{bl q{q{ mbcq{ `bl

faq{bj fije~mici# bjiobplyb bjbl falhmbfobp ~e{a{ ~alyab~bl ì q{q{,

-Kmepibm ?>>=), Eekyp{ kry~pe{~eriìqf oaoalpqj oqcbp mbf~i ewbc#

oaqjqbl 0&7 f `bl oi{b ìjaciqjbl àlhbl bhi%jmbfi dijb pi`bj ìcbjqjbl

~alhakbpbl àlhbl oalb -Kmil ?>>>), Japijb fbpblh# eekyp{ paìi `bi

af~bp {~ee{ip yblh p i`bj {acbcq pac imbp# agbjpi c # paìi `bi 2&=

hblqca yblh faleldec# `bl ìcb~i{i ecam `qb ìlìlh yblh paobc

-_eoap{ ap bc, ?>>1),

Hbfob 2, Eekyp{ Kry~pe{~eriìqf{~,

Eekyp{ qfqflyb `b~bp mi`q~ cbfb ì bi pafb{qj ì cbqp# papb~i

p i`bj `b~bp oapbmbl mi`q~ ~b`b ~alhailhbl -Keej ' Fb{el 2997),


4/21



?>22

;[ybm [^ ap bc, ?>22 ;[ybm [^ ap bc, ?>22 ;[ybm [^ ap bc, ?>22

Eekyp{ oapbmbl ~b`b cilhjqlhbl yblh cafobo `bl ìlhil, Eekyp{ `b~bp

mi`q~ ì cilhjqlhbl yblh dacaj `bcbf xbjpq yblh cbfb, Eekyp{ {blhbp a{i{pal

pamb`b~ à{ilgajpbl jifib yblh ìhqlbjbl qlpqj faldalimjbl `bl ì{ilgaj{i bifilqf, Jce bpbq felejcebfil ì~acq jbl jel{alpb{i => fh%c qlpqj

ilbjpiwb{i 9>! àlhbl xbjpq jelpbj 9> falip, ^bb{ip ili p i`bj

falhbcbfi ilbjpiwb{i {akbb {af~qlb àlhbl cbqpbl ;! {eìqf

mi~ejceip `bl Eekyp{ `b~bp oapbmbl milhhb ; {bf~bi 0 oqcbl `bcbf

cbqpbl ?#1! ~epb{{iqf oikefbp -[bi` ?>>8),

Kry~p{~eriìqf{~, faficiji {i{paf jcb{ig ijb{i {aobhbi oaijqp4

Hbfob ?, Pbj{elefi Kry~pe{~eriìqf4 {jafb {aàmblb# falqldqjjbl mqoqlhblàlhbl {~a{ia{ faì{ ~alpilh cbillyb -Kb{afea ap bc, 29=1),

III, P_BL[FI[I ÂLYBJIP

Pbl{fi{i ~alybjip facbcqi qpa gajbc&ebc# ybipq ~alqcbbl `bi eblh jaeblh# `bi oilbpblh ja eblh# facbcqi bi `bl ~alqcbbl facbcqi fbjblbl bjiobp

pil`bjbl yblh jqblh mihiali{ {amilhhb pajelpbfilb{i ga{a{ yblh falhbl`qlh

Eekyp{ ky~pe{~eiìqf, Eekyp{ faq~bjbl {pbìqf ilgajpig yblh `b~bp

falyaobojbl ~alybjip ~b`b fblq{ib `bl maxbl, ^bb{ip falhilgaj{i {ac a~ipac


5/21



?>22


{bcqbl ~alkalbbl `bl {ajbci xbjpq `bcbf {ijcq{ mi`q~lyb `b~bp falyaobojbl

bqpeilgaj{i ~b`b fblq{ib -Kmil ?>>>: L[X Mabcpm @a~bpfalp ?>>2: [ilbfoacb

?>>=: K@K ?>22),

@bcbf ~e{a{ pbl{fi{i ~alybjip Kry~pe{~eriìqf {~ faficiji {ijcq{ mi`q~

{aobhbi oarijqp# Eekyp{ yblh pacbm falhbcbfi {~eqcb{i falhbl`qlh af~bp

{~ee{ip ìjacqbjbl oa{bfb ga{a{ ilìwi`q yblh pailgaj{i `bl fqlhjil facbcqi

qpa yblh cbil {a~api {aja{i {bcqbl ~albgb{bl, Pbl{fi{i Kry~pe{~eriìqf

~brwqf`bl Kry~pe{~eriìqf mefili{ padbì facbcqi jelpbj àlhbl bi yblh {q`bm

pajelpbfilb{i, Xbobm ì B[ oblybj padbì ì pbfbl bi# jecbf alblh qfqf `bl

~q{bp ~acbyblbl qfqf yblh pacbm pajelpbfilb{i ga{a{ fblq{ib bpbq maxbl yblh

pailgaj{i, [apacbm papacbl bpbq pami`q~ ecam me{~a{# padbì aj{ipb{i# - # )

af~bp {~ee{ip ìjacqbjbl `bi {apib~ Eekyp{ falafoq{ {ac a~ipac# q{q{ `bl

dbilhbl yblh cbil {a~api {bcqbl ~albgb{bl, - # ) [~ee{ip `b~bp oajafoblh

faldbì pe~eteip# jafqìbl falhbcbfi fqcpi~cijb{i b{aj{qbc -[kmiteheli bpbq

faeheli yblh falhmb{icjbl fael pi~a I, Faeteip yblh ìmb{icjbl `bi fael

pi~a I `b~bp faailgaj{i {ac `bl falhqcblh jafobci {ijcq{ b{aj{qbc bpbq

falhilgaj{i {ac `bl oajafoblh faldbì fael pi~a II, Pib~ fael pi~a II bjbl

fafoaob{jbl 0 oqbp faeteip ìybjili obmxb mblyb faeteip pi~a II yblh bjbl

oajafoblh falhbcbfi fqcpi~cijb{i {aj{qbc -hbfapeheli) fijehbfelp `bl

falhmb{icjbl fbjehbfelp , Fijehbfap yblh jacqb `bi fijehbfelp bjbl

fafoqbmi fbjehbfelp yblh fbpblh `bl falhmb{icjbl tyhep # yblh bjbl

oajafoblh faldbì Eekyp{ oaìlìlh paobc # `bl Eekyp{ oaìlìlh pi~i{ ,

Eekyp{ bjbl oa{~eqcb{i oajafoblh faldbì {~ee{ip yblh ilgajpig, Jacqblyb

{~ee{ip `bi Eekyp{ oaìlìlh pi~i{ bjbl falyaobojbl bqpeilgaj{i, [afalpbb

Eekyp{ yblh oaìlìlh paobc bjbl ìjacqbjbl facbcqi ga{a{ `bl b~boicb papacbl

{ahab bjbl falhilgaj{i me{~a{ cbillyb -Kmal ap bc, ?>>?: _eoap ap bc, ?>>1:

[ilbfoacb ?>>=: K@K ?>22: @^@} ?>22),


6/21



?>22


Hbfob ;, [ijcq{ mi`q~ Kry~pe{~eriìqf{~,

IW, AÎ@AFIECEHIKy~pe{~eiìe{i{ faq~bjbl ~alybjip alàfij yblh mbf~i padbì ì

{acqqm `qlib paqpbfb ì lahbb lahbb oajafoblh, Eekyp{ Kry~pe{~eriìqf {~


7/21



?>22


fq`bm ìpafqjbl ì cilhjqlhbl {ajipb paqpbfb bi ~afqjbbl {a~api 4 {qlhbi#

`blbq# {acejbl `bl bi pahalblh, Mbc ili ì{aobojbl Kry~pe{~eriìqf {~faficiji

oafbkbf fbkbf a{aweb {a~api qlhhb{ `bl oqqlh# ijbl# a~pic# fbfbcib jakic-pijq{# jqkilh# bldilh) `bl fbfbcib oa{b -paqpbfb {b~i `bl èfob# jq`b# jbfoilh#

oboi) -Kmil ?>>>: [bi` ?>>;: Gbya ?>>0: [ilbfoacb ?>>=),

Xbobm Ky~pe{~eeìe{i{ yblh ~bcilh pajalbc padbì ì Ficxbqjaa

-Xi{kel{il) ~b`b pbmql 299; yblh falhilgaj{i caoim `bi 0>>,>>> eblh -Failmb`p

ap bc, 2997: [ilbfoacb ?>>=), [aoblybj ;&8! ~alyaobo ìba ì lahbb

oajafoblh b`bcbm ì{aobojbl ecam Kry~pe{~eriìqf{~, @bcbf {qbpq ~alacipibl#

ìcb~ejbl obmxb blhjb ~awbcal{i Ky~pe{~eiìe{i{ ì B{ib `bl Bgijb

fb{ilh &fb{ilh b`bcbm 0#9! `bl 2>#0 !, [acbil ipq# Ky~pe{~eiìe{i{ dqhb ìjalbci

{aobhbi prbwacar{ ibrrmeab, @i lahbb àlhbl pilhjbp {blipb{i yblh pi`bj e~pifbc#

~alyaìbbl {qfoa bi yblh pajelpbfilb{i# `bl jelpbj àlhbl maxbl# faf~qlybi

i{ije yblh pilhhi pailgaj{i àlhbl ~bb{ip ili -Failmb`p ap bc),

[qfoa 4 Hbcfa{ ap bc, ?>>;

Hbfob 0, @i{pioq{i jb{q{ Ky~pe{~eiìe{i{ ì [~blyec 2991 & ?>>?


8/21



?>22



9/21



?>22

=[ybm [^ ap bc, ?>22 =[ybm [^ ap bc, ?>22 =[ybm [^ ap bc, ?>22

Pboac 2, Cb~ebl eqpoabj Ky~pe{~eiìe{i{ ì [~blyec 2991 & ?>>;

Pbmql Paf~bpDqfcbm yblh

paaj{~e{Jb{q{ Xbjpq

[qfoa

~alqcbblJapablhbl

2998 [ajecbm ?>> 77 Ejpeoa[qfoa

biGbicqa%bcpabpiel{

299= [ajecbm 129 7? B~icJelpbfilb{i

il{pbcb{i

299=$ Mepac ?1>> ; Dqci Pqi{

2999 [ajecbm 2;= ;7 Ejpeoa

?>>>Paf~bpQfqf

81> Dblqbi[qfoa

biJelpbfilb{i bi

~apblibl

?>>> Paf~bpQfqf 2>> Fai [qfoabi

âlhecbmbl bi

yblh pi`bjpajelpec

?>>>$ Mepac ?1 Faijecbfalblh

Pqi{

?>>> [ajecbm 01 2; Ejpeoa

?>>2 îklik => 1 Dqci [qfqPi`bj ìcbjqjbl

~alhecbmbl~b`b bi

?>>;$ Mepac ?>>> ;92 Dqci[qfoa

biPqi{

?>>;$ Mepac 0 Dqci Pqi{[qfoa 4 Hbcfa{ ap bc, ?>>;

$ Cb~ebl eqpoabj{ ecam Aqre~abl {qrwaiccblka {arwika{,Kbpbpbl 4 Pi`bj b`b eqpoabj{ Ky~pe{~eiìe{i{ yblh ìcb~ejbl Pma Kalpe Lbkielbc à

A~iàfiecehb il Fbì` `qilh 2991# 2997 e ?>>?,

W, HADBCB JCILI[ ^B@B FBLQ[IB @BL MAXBL

B, Kry~pe{~eriìe{i{ ^b`b Maxbl

^b`b Maxbl Kry~pe{~eriìqf{~, `b~bp falyaobjbl jaqhibl ìblpbblyb#

ìba# bleaj{ib# `bl ~alqqlbl oabp ob`bl ~b`b maxbl {akbb ajelefi yblh

paqpbfb ~b`b gb{a laelbpq{ -Fbmì ' Bci ?>>?), [adqfcbm 2 2> eeky{p `bi


10/21



?>22


Kry~pe{~eriìqf {~, `b~bp falifoqcjbl ilgaj{i ~b`b maxbl -[bi` ?>>;),

Ki~pe{~eiìe{i{ ìpafqjbl mbf~i ~b`b {afqb jacef~ej {b~i obmjbl ~b`b

capq~bl laelbpbc alpaipi{ àlhbl hadbcb ìba ì [kepcblìb ~b`b pbmql ?>>; ~bcilhpilhhi ì{aobojbl ecam kry~pe{~iriìb -;1!) {a`blhjbl jej{iìb mblyb ;! -Fb{el '

Kbcèw ?>>1)# ì ~apalbjbl {b~i ~abm ì Oemafib _a~qocij Kaje ìpafqjbl

~awbcal{i yblh pilhhi -2=#?!) ~b`b {b~i àlhbl qfq 2? 2= oqcbl -El`bkjewb

ap bc, ?>>9), Obq&obq ili ìcb~ejbl ~b`b ~aàp {b~i ~abm ~b&ì{b~im ì Kmilb

àlhbl {bf~ac =>2 ga{a{ `bi pqdqm `babm ì êwil{i Malbl yblh ì~aij{b eeky{p

Kry~pe{~eriìqf ì~aecam pilhjbp ilgaj{i ja{acqqmbl b`bcbm ?2#1!# àlhbl

~apalbjbl ì ]il}iblh faficiji ~awbcal{i papilhhi -0>!) -Xblh ap bc, ?>22),

Oahipq~qcb ì qfilbl{ib ~b`b {bf~ac jepebl ìba `bi ?1= ~aàp ~b&ì{b~im -2&;> mbi) `bi 9 ~apalbjbl yblh pacapbj ì jbxb{bl Oblbp# _qfblib# yblh ì~aij{b

{akbb fije{je~i{ pamb`b~ jaoab`bl eeji{pb Kry~pe{~eriìqf# {akbb

ja{acqqmbl 71 -?1!) {bf~ac ìpafqjbl ~e{ipig, â{alpb{a ilgaj{i caoim pilhhi

pakbpbp ~b`b ~aàp oaq{ib blpbb = `bl 20 mbi ìoblìlhjbl àlhbl jbpahei q{ib

cbillyb -2&8# =&20# 21&?2 `bl ??&;> mbi: ~ 3>#>1) -Ifa ap bc, ?>22),

Ilgaj{i Kry~pe{~eriìqf{~, ~b`b blbj {b~i qfqflyb padbì àlhbl ~bpehal

alpaij cbillyb -Pti~ei 29=;), Hbfobbl jcili{ yblh fqlkqc `bi cb~ebl cb~blhbl

b`bcbm {bcbm {bpq `bi ìba ilhbl {bf~bi oabp padbì ~b`b ~aàp oaq{ib blpbb 2

{bf~bi 0 filhhq -Kmepibm ?>>=: Pept ap bc, ?>>1)# àlhbl feoiìpb{ yblh pilhhi

`bl fepbcipb{ yblh al`bm, Blbj {b~i yblh caoim fq`b ìcb~ejbl bjbl

pa~alhbqm àlhbl ~alybjip pa{aoqp {apacbm 0 mbi `bl yblh caoim yblh caoim pqb

b`bcbm ?7 mbi, âlybjip `b~bp oacblh{qlh blpbb ? `bl 20 mbi# bpb&bpb b`bcbm 8

mbi: jafqìbl `b~bp fqlkqc cbhi {apacbm ~afqcimbl, Pilhjbp jafbpibl ~b`b ~aàp

pakbpbp {aoa{b 27!# pbl`b&pbl`b jcili{ falkbjq~ ìba ~a{i{pal# àmi`b{i# `bl

jacafbmbl, Ky~pe{~eiìe{i{ dqhb ìcb~ejbl pacbm fafoai jelpioq{i ~b`b apiecehi

{ilèf# /Kbkma}ib ~b`b blbj Cafoq/ ì Oacbl`b -Pti~ei 29=;),

^b`b blbj èfob# Xbobm ~apbfb padbì ~b`b 0> `bi 0= blbj èfob yblh

ì~acimbb {akbb bpigi{ibc `bcbf xbjpq 1 {bf~bi 2? mbi jacbmibl# ìbfblb

jafqìbl 27 ìblpbblyb falilhhbc, Kry~pe{~eriìqf{~, paàpaj{i ~b`b 2> `bi 27


11/21



?>22

2>[ybm [^ ap bc, ?>22 2>[ybm [^ ap bc, ?>22 2>[ybm [^ ap bc, ?>22

{bf~ac pildb yblh pacbm ì~aij{b# `bl obhibl mi{pecehi{ yblh ìbfoic `bi icaqf

èfob fbpi falhjelgifb{ijbl ìbhle{i{, ^b`b xbobm cbil# ?>> aje èfob

falyq{qi `bi pepbc 1;? falhbcbfi ìba `bl 1= jafqìbl falilhhbc, Blbj @efobblpbb = `bl 2? mbi q{ib ~ajafoblhbl falhbcbfi ìba yblh falhbjiobpjbl

jafbpibl# obij `bcbf ? {bf~bi ; mbi jafqìbl bpbq {acbfb ~afqcimbl {apacbm

{bjip milhhb 8 mbi -Pti~ei 29=;), âlacipibl ì QJ falqldqjjbl Kry{pe{~eriìqf

~brwqf {blhbp ~alpilh ~b`b ìba laelbpbc èfob `bl jbxblbl èfob cqb{ ì

Ilhhi{# fa{ji~ql {~a{ia{ cbil `bi Kry~pe{~eriìqf{~ dqhb ìpafqjbl ~b`b èfob,

@efob# `bl blbj èfob ~b`b jmq{q{lyb# papb~ mbq{ ìblhhb~ {aobhbi {qfoa

ilgaj{i K, ~brwqfobhi fblq{ib -Fqacca&@eocia{ ap bc, ?>>=),

Kry~pe{~eriìqf {~, ìcb~ejbl pacbm paàpaj{i ~b`b blbj jbfoilh fbpi

yblh falhbcbfi ìba -Fb{el ap bc, 29=2) `bl `bcbf jbxblbl ?9 blbj&blbj

falyq{qi yblh falàipb ìba oabp ?2# `bl ; jafqìbl falilhhbc -Pti~ei ap bc,

29=?), Blbj&blbj jbfoilh yblh pajalb oaq{ib blpbb 1 `bl ?2 mbi `bl ìba

oacblh{qlh {acbfb ; {bf~bi 8 mbi, Pa`b~bp pqdqm jb{q{ jbfoqm {a{bbp {apacbm

~afqcimbl, Blbj jbfoilh yblh caoim jakic `b~bp falàipb qlpqj xbjpq yblh caoim

cbfb `bl caoim alpbl qlpqj jafobci pailgaj{i ìoblìlhjbl jbfoilh yblh caoim pqb,

Obhibl q{q{ yblh ì~aij{b `bi `qb blbj jbfoilh yblh fbpi falqldqjjbl

ehbli{fa yblh facajbp ~b`b oq{m oeà alpae{ip `bl `bi ca{i fqje{b {bfb

àlhbl Ky~pe{~eiìqf {~, yblh ìpafqjbl ~b`b ~aàp `bl blbj èfob -Pti~ei

29=;),

Kri~pe{~eriìqf {~, dqhb pacbm ìcb~ejbl paàpaj{i ~b`b qlhhb{

~alblhjbbl ì Ob{ic, [bf~ca [aoblybj 977 `bi 2= jacqbhb oqqlh ìjqf~qcjbl

`bl ì~aecam 08 -0#=7!) {bf~ac ~e{ipig -Lbjbfqb ap bc, ?>>9), ^b`b jbcjql `bl

oqqlh fabj ìcb~ejbl padbì ilgaj{i {bcqbl ~alb~b{bl bpb{# Ilgaj{i ìjbipjbl

àlhbl pbl`b&pbl`b jcili{ ~alb~b{bl `bi oaobhbi pilhjbp ja~bbmbl, @bcbf

oaoab~b jb{q{# ehbli{fa pacimbp facajbp ~b`b fqje{b elhhb mi`qlh `bl

{bcqbl ~alb~b{bl, Ilgaj{i pacimbp `bcbf albf jbxblbl yblh oaoa`b `bcbf ?

oqcbl, Feoiìpb{ `bl fepbcipb{ `bcbf {bpq jb{q{ lbij ja ;> `bl ?>! -Pti~ei

29=;), [bcbm {bpq `bi ;> blbj bybf fabj yblh falilhhbc ì {ajipb q{ib ? filhhq


12/21



?>22


bjiobp ~alybjip ~alb~b{bl pacbm ìqdi, Ehbli{fa ìpafqjbl facajbp ~b`b

~afqjbbl jeldqlhpiwb# mi`qlh# {ilq{# `bl a~ipac pbjab -Fb{el apbc, 29=2), ^b`b

~alacipibl cbil ìcb~ejbl ~b`b oqqlh ìpafqjbl ~alybjip ìba àlhbl pilhjbpjafbpibl yblh al`bm ~b`b jbcjql qfq 2> {bf~bi 20 mbi bjiobp ilgaj{i

Ky~pe{~eiìqf ~b`b q{q{ mbcq{, Ilgaj{i b{ifpefbpij `bi jcebjb ~b`b `qb oae

fabm# oq{b gboikiq{ ~b`b pihb bybf `bl q{q{ oa{b `bi {bcbm {bpq blh{b

èfa{pik -Pti~ei 29=;),

Ilgaj{i qfqf Kry~pe{~eriìqf {~, ìbfbpi ~b`b cifb blbj jq`b Bbo

iffqleàgi{ial{i àlhbl ìba yblh ì~ajibjbl pacbm falilhhbc jbalb ilgaj{i

bàlewibc, ^b`b blbj jq`b Kry~pe{~eriìqffacajbp ~b`b ìlìlh ~aqp fbq~ql

~b`b {acqqm q{q{ mbcq{ `bl q{q{ oa{b# ~b`b {bcqbl af~a`q# jblpqlh af~a`q#

`bl {bcqbl ~blhjab{ qpbfb, @i~ajibjbl obmxb jab`bbl ifqleàgi{ial{i `bcbf

blbj jq`b falilhjbpjbl jaalpblbl pamb`b~ ilgaj{i -Pti~ei 29=;),

Kry~pe{~eriìqf ~brwqf dqhb ìjapbmqi ìpafqjbl ~b`b blbj jq`b ì Lax Yej#

Bfaijb {aijbp# faajb oablhhb~bl obmxb ky~pe{~eiìe{i{ jq`b mbq{

ì~apifoblhjbl {aobhbi {qfoa teele{i{ -Oqpel ap bc, ?>2>), K, ~brwqf pacbm

ìiàlpigijb{i {aobhbi bhal ilgaj{i qpbfb xbobm ìba ì B[ ìblpbblyb ~b`b {b~i#

jbfoilh# èfob `bl oboi -Kmepibm ?>>=),Ky~pe{~eiìe{i{ dqhb ìcb~ejbl `bcbf

`qb ma{q{ felyap afbdb# {bcbm {bpq yblh fbpi fal`b`bj àlhbl alpaejecipi{

oabp `bl yblh ja`qb falàipb ìba ~a{i{pal, âlybjip yblh oamqoqlhbl

àlhbl ilgaj{i Kry~pe{~eriìqf{~ dqhb ìdacb{jbl `bcbf qcb# `bcbf {bpq jb{q{

falyaobojbl hb{pipi{ mi~apegi jeli{ ì 20 a~pic àxb{b -Pti~ei 29=;),

Ky~pe{~eeìqf dqhb ìpafqjbl ~b`b ga{a{ jacilki yblh ìpalbjjbl ì êwil{i

Malbl# Kmilb àlhbl pilhjbp ~awbcal{i Ky~pe{~eiìe{i{ bpb&bpb b`bcbm ;#0!

`bl yblh papilhhi ~b`b jacilki q{ib 2&; oqcbl -2>#9!) -[mi ap bc, ?>2>),

O, Kry~pe{~eriìe{i{ ^b`b Fblq{ib

Kry~pe{~eriìqf {~~bcilh qfqf ~alyaobo ìba ì blpbb blbj&blbj yblh

pilhhbc ì `babm oajafoblh ìfblb {blipb{ilyb oqqj, Mbc ili dqhb jb`blhjbcb

padbì ìblpbb xi{bpbxbl yblh oajqldqlh ja oaoab~b `babm, Eblh àlhbl


13/21



?>22

2?[ybm [^ ap bc, ?>22 2?[ybm [^ ap bc, ?>22 2?[ybm [^ ap bc, ?>22

{i{paf jajaobcbl pqoqm cafbm# paqpbfb faajb yblh falhi`b~ BI@[# fq`bm

pajalb ky~pe{~eiìe{i{ `bl {ailhjbci ~alybjiplyb ~bbm# oacblh{qlh cbfb

Ilgaj{i ky~pe{~eiìe{i{ oib{blyb oa{igbp ilgaj{i bjqp dblhjb ~alàj# lbfql `b~bpfaldbì ~bbm `bl {qcip ì{afoqmjbl ~b`b blbj&blbj `bl ilìwi`q àlhbl

iffqlekef~efi{a` -{a~api ~b{ial BI@[) -Kb{afea ap bc, 29=1), ^b`b fblq{ib#

ib bjbl papb~ oab`b ì q{q{ paobxbm `bl `b~bp oapbmbl ì{blb {bf~bi cifb

oqcbl, ^b`b fblq{ib# dali{ Ky~pe{~eiìqf qpbfb ~alyaobo ~alybjip b`bcbm K,

~brwqf`bl K, mefili{ -{aoacqflyb K, ~brwqf halepi~ 2), K, kbli{# K, gaci{# K,

facabhriì{# `bl K, fqri{ dqhb `b~bp falyaobojbl ~alybjip ~b`b fblq{ib -Kmil

?>>>),

Hadbcb qpbfb ~b`b fblq{ib b`bcbm iba kbi ifblb ~b`b blbj&blbj padbì

oaqcblh jbci# dbblh ì{apbi `bbm `bl caqje{ip# `bl ~b`b qfqflyb ì`bmqcqi

àlhbl bleaj{ib `bl fqlpbm, @iba ìijqpi àlhbl {bjip `bl jbf ~b`b ~aqp# {apb

dijb oacblh{qlh cbfb bjbl oacbldqp àlhbl ~alqqlbl oabp ob`bl bjiobp

jahbhbcbl bo{eo{i `bl ~alilhjbpbl {aja{i q{q{ mbcq{ -Kmil ?>>>: [bi` ?>>;:

L[X Mabcpm @a~bpfalp ?>>2: [ilbfoacb ?>>=), [a`blhjbl hadbcb yblh dbblh

padbì b`bcbm fbcbi{a qfqf# àfbf# pi`bj lbg{q fbjbl# fqlpbm, Hadbcb oajqblh

`bl bjbl micblh `bcbf xbjpq jqblh `bi ;> mbi ~b`b eblh yblh {akbb

ifqlecehi{ {ambp -Kmil ?>>>), Eblh yblh ifqlipb{lyb al`bm-iffqlekef~refi{a`)# paqpbfb ~b{ial BI@[# ~alàipb ifqlejef~efbi{

jelhalipbc# ~alàipb jblja# ~b{ial yblh fal`b~bp pbl{~cblpb{i ehbl {apb eobp

ifqle{q~a{ig# pqoqm faajb pi`bj fbf~q fafoa{imjbl ~bb{ip# `bl ~alybjip

kalàqlh bjbl oacblh{qlh caoim cbfb faldqq{ ja jab`bbl jcili{ gqcfilbl yblh

oabjmi àlhbl jafbpibl -Kmil ?>>>: [bi` ?>>;: K@K ?>22), Hadbcb jeca{i{pipi{

oi{b padbì ~b`b ilgaj{i {bcqbl af~a`q# mqoqlhbl blpbb ilgaj{i {bcqbl

~albgb{bl `bl hadbcb jcili{ yblh ìpifoqcjbl pi`bj dacb{ -Kmil ?>>>),

Fb{b iljqob{i pi`bj ìjapbmqi àlhbl ~b{pi: jib&jib blpbb 2 2? mbi -Kmil

?>>>: [ilbfoacb ?>>=)# àlhbl bpb&bpb {ajipb 8 mbi, Eblh àlhbl {i{paf

jajaobcbl pqoqm yblh obij fqlhjil pi`bj falqldqjjbl hadbcb# bpbq ilgaj{i ili bjbl

{afoqm àlhbl {alìilyb -[bi` ?>>;)# pi`bj ìjapbmqi àlhbl dacb{ b~bjbm `b~bp

padbì ailgaj{i bpbq ilgaj{i cbpal àlhbl abjpiwb{i, Eblh&eblh àlhbl hblhhqbl


14/21



?>22

2;[ybm [^ ap bc, ?>22 2;[ybm [^ ap bc, ?>22 2;[ybm [^ ap bc, ?>22

ifqlipb{ jajaobcbllyb {ahab `b~bp ~qcim jafobci ~b`b {bbp ~alyaobo

ifqle{q~a{i -{a~api fbclqpi{i bpbq ilgaj{i ecam wiq{ yblh oaqcblh padbì {a~api

kbf~bj) pacbm ì{afoqmjbl -Kmil ?>>>), ^b`b ~alàipb BI@[ àlhbl hbfobbljcili{ yblh oawbib{i `bl `b~bp padbì fb{b pbl~b hadbcb: ilgaj{i ky~pe{~eiìqf

~bwqf oib{blyb oapbmbl {aqfq mi`q~: jib&jib ?! `bi ~alàipb BI@[ yblh

ìcb~ejbl K@K Bpcblpb falhbcbfi ilgaj{i àlhbl Ky~pe{~eiìe{i{ ~b`b {bbp

ììbhle{b BI@[: ~alhbcbfbl `bi qfbm {bjip yblh fabxbp ~alàipb BI@[

falqldqjjbl obmxb 2> ?>! `bi ~alàipb BI@[ fal`b~bpjbl ilgaj{i

Ky~pe{~eiìe{i{ oaoab~b {bbp {apacbm falàipb BI@[ -Kmil ?>>>),

[acbil ~b`b Pbjpq{ ilpa{pilbc yblh faq~bjbl paf~bp qpbfb#

Kry~pe{~eriìqf {~,dqhb pa`b~bp ~b`b paf~bp cbil ybipq ~bq# pacilhb obhibl

palhbm# {bcqbl af~a`q# ~bljab{# `bl cbfoqlh# {amilhhb ky~pe{~eiìe{i{ dqhb

`b~bp padbì {akbb aj{pbilpa{pilbc ybipq ~b`b {bcqbl af~a`q# ~blkab{# `bl

{bcqbl ~albgb{bl `bl {alì, Oiccibry kry~pe{~eriìe{i{ b`bcbm fbliga{pb{i yblh

pa{ailh `bi ky~pe{~eiìe{i{ aj{pbilpa{pilbc yblh padbì ~b`b ~alàipb BI@[,

Ilgaj{i Kry~pe{~eriìqf{~, yblh ìdqf~bi ~b`b q{q{ mbcq{ `bl {bcqbl af~a`q

ìlbfbjbl àlhbl BI@[&b{{ekibpa` kmecblhie~bpmy, Kry~pe{~eriìe{i{ ~b`b

{bcqbl af~a`q oib{blyb pa`b~bp ~b`b ~alàipb àlhbl dqfcbm K@0 jqblh `bi

1> {ac%ff;

`bl oamqoqlhbl àlhbl falilhjbplyb blhjb jafbpibl, Pbl`b `blhadbcb Oiccibry kry~pe{~eriìe{i{ b~bp oaq~b bkbckqceq{ kmecaky{pipi{# {kcae{ilh

kmecblhipi{ `bl ma~bpipi{ yblh falifoqcjbl jacqmbl lyai ~aqp jblbl bpb{# fqbc#

fqlpbm# `bl àfbf, ^b`b ~afaij{bbl cboebpeiqf ìdqf~bi cawac bcjbcil

~me{~mbpb{a -BC^) yblh oib{blyb falilhjbp# àfijibl dqhb àlhbl cawac {aqf

oiciqoil `bl cawac pbl{bfilb{a -[ilbfoacb ?>>=),

^b`b {bcqbl ~albgb{bl# hadbcb `b~bp oaq~b {a{bj lbgb{# xmaatilh# obpqj#

`bl {abj, ^qcfelbry kry~pe{~eriìe{i{ili `b~bp bpbq pi`bj ì{apbi àlhbl ìba, G,

^bcfi ap bc, `bcbf [ilbfoacb ?>>=# facb~ejbl obmxb jb{q{ ~b`b {a{aeblh

~alàipb BI@[ àlhbl ^qcfelbry kry~pe{~eriìe{i{ pbl~b b`blyb hadbcb&hadbcb

yblh faciobpjbl {bcqbl ~alkalbbl, Obmjbl ~b`b ~alfaij{bbl ga{a{ pi`bj

ìdqf~bi eeji{pb, Ky~pe{~eiìe{i{ ~b`b {alìpacbm ìcb~ejbl ecam [ilh ap bc,

-?>>;) `bcbf [ilbfoacb -?>>=)# facb~ejbl {aoqbm jb{q{ ~b`b {aeblh blbj cbji&


15/21



?>22


cbji yblh iffqlekef~apalp oaqfq = pbmql# àlhbl hadbcb&hadbcb ilpa{pilbc

kry~pe{~eriìe{i{{acbfb 2; oqcbl, Ilwa{pb{i ~epeteb ìiilhi àlhbl hadbcb bpmipi{

yblh faciopjbl oaoab~b ~a{alìbl ì xbjpq&xbjpq yblh oaoa`b -fihbpeybpmipi{), Hadbcb&hadbcb falhmicblh {akbb {~elpbl {apacbm ?> oqcbl oa{bfb

àlhbl mb{ic ~afaij{bbl ga{a{ yblh lahbpig pamb`b~ Kry~pe{~eriìqf-[ilbfoacb

?>>=),

WI, PAJLIJ @IBHLE[B

@ibhle{b Ky~pe{~eiìe{i{ ìcbjqjbl àlhbl ~afaij{bbl {bf~ac ga{a{

~alàipb {acbfb oaoab~b mbi àlhbl oaoab~b pajlij# ìblpbblyb facbcqi

~axblbbl bki`&gb{p {pbililh# @iakp Gcqea{kalp Blpioe`y Z@GBV `bl Altyfa

Iffqleb{{by{ qlpqj falàpaj{i jaoab`bbl blpihal Kry~pe{~eriìqf {~,

âlhhqlbbl fapeà fecajqca {a~api ^K_ ìcbjqjbl qlpqj falàpaj{i

Ky~pe{~eiìqf {bf~bi ja cawac {~a{ia{ -K@K ?>22),

Hbfobr ;, jiri4Eekyp{ Kry~pe{~eri iqf {~àlhbl ~axblbbl Tiamc&Laac{el feìgijb{ibki`&gb{p, jblbl4 Eekyp{ Kry~pe{~eriìqf{~àlhbl {bgblil -xxx,k`k,hew)

WII, ÂLHEOBPBL

Ky~pe{~eiìe{i{ oa{igbp {acg&cifipa` ~b`b eblh yblh ifqlejef~apal

`b~bp {afoqm {alìi pbl~b ~alheobpbl, âlheobpbl {~a{igij qlpqj

Ky~pe{eiìe{i{ pi`bj b`b# ami`b{i pacbm paoqjpi agajpig# ~afoaibl blpioeì ~b{ig

`bl blpioiepij {bbp ili {a`blh `bcbf ~alacipibl, Faajb yblh `bcbf ~alheobpbl
http://www.cdc.gov/http://www.cdc.gov/http://www.cdc.gov/


16/21



?>22


àlhbl eobp ifqle{q~a{ig# {aobijlyb falhmalpijbl ~alheobpbl ipq qlpqj

{afalpbb bpbq falhqblhi è{i{lyb dijb fafqlhjiljbl -Kmil ?>>>: [ilbfoacb

?>>=),

@iba `b~bp ìbpb{i àlhbl ~afoaibl kbibl yblh kqjq~ qlpqj falkahbm

àmi`b{i, Eobp blpi&ìba# ybipq Lipbte}blià -G@B&b~rrewa`) ìoaijbl qlpqj

falhqblhi hadbcb ìba, ^b`b ~alàipb BI@[# pab~i blpi&apewibc mbq{ ìoaijbl

qlpqj falilhjbpjbl {pbpq{ ifql `bl falhqblhi hadbcb&hadbcb Ky~pe{~eiìe{i{

-K@K ?>22),

WIII, ÂLKAHBMBL @BL ÂLHAL@BCIBL

âlilhjbpbl myhiala ~a{elbc faq~bjbl kbb yblh agajpig `bcbf

~alkahbmbl ~alybjip Ky~pe{~eiìe{i{, Qlpqj falkahbm ilgaj{i ~alybjip ili# `b~bp

ìcbjqjbl oaoab~b cblhjbm ~alkahbmbl mbq{ ìblpbblyb4

b, Myhiala ~a{elbc yblh e~pifbc,

o, Falkahbm ~alhhqlbbl bi yblh pajelpbfilb{i àlhbl Eekyp{

Ky~pe{~eiìqf,

k, âfblb{bl bi {bf~bi falì im `bl ìgicipb{i dijb ~alhhqlbbl bi yblh

pajelpbfilb{i pi`bj `b~bp ìkahbm,

`, Falkahbm jel{qf{i fbjblbl yblh pajelpbfilb{i àlhbl Eekyp{,

a, A}prb kbra{bbp facbjqjbl ~adbcblbl,

g, Falkahbm pa~b~b àlhbl ga{a{{bbp bjpiwipb{ {aj{qbc -K@K ?>>9),

âlhal`bcibl ~alybjip `b~bp ìcbjqjbl facbcqi ~alhbxb{bl ~alàipb#

jelpbj `bl cilhjqlhbl {ajipb# {aobhbi oaijqp 4

b, Cb~ebl ja~b`b il{pbl{i ja{ambpbl {apaf~bp: jb{q{ ìcb~ejbl ja il{pbl{ija{ambpbl {apaf~bp àlhbl kbb yblh ~bcilh ~bjpi{# jacb{ ;O -cimbp palpblh

~acb~ebl ~alybjip falqcb),

o, I{ecb{i obhi ~alàipb yblh ìbxbp ì _qfbm [bjip# ìcbjqjbl pil`bjbl

jaxb{~b`bbl alpaij `bcbf falblhbli ga{a{# oahipq dqhb pamb`b~


17/21



?>22


fqlpbmbl `bl {~ai {apb {bqlh oblpbc `bl obdq yblh pajelpbfilb{i: eblh

yblh pailgaj{i pi`bj ìidiljbl falblhbli fbjblbl `bl fabxbp ~b{ial yblh

ìbxbp ì _qfbm [bjip `bl pi`bj ì~ajalbljbl fabxbp ~b{ial yblhìbxbp ì paf~bp {~a{igij: ~alàipb b{if~pefbpij yblh oajadb ~b`b oi`blh

~ajadbbl yblh {al{ipig pi`bj ìidiljbl cbhi oajadb {bf~bi faajb {afoqm,

k, âlajblbl palpblh jaoib{bbl falkqki pblhbl àlhbl oalb,

`, @i{ilgaj{i {aalpbj4 ìcbjqjbl pamb`b~ ga{a{ `bl obblh&obblh yblh

pajelpbfilb{i àlhbl ga{a{, ^b`b fb{ybbjbp feàl àlhbl {i{paf

dbfobl {blipa# ga{a{ `b~bp ìoqblh cblh{qlh ja {bcqbl ~afoqblhbl pbl~b

~acq iì{ilgaj{i,

a, @i{ilgaj{i `b~bp ìcbjqjbl àlhbl ~afblb{bl milhhb 01 EK {acbfb 1 ?>

falip# 7> EK {acbfb ? falip bpbq ì{ilgaj{i jifib àlhbl 2> ! kbibl

gefbcil bpbq 1 ! bffelib# kbb&kbb pa{aoqp kqjq~ agajpig,

g, Ilwa{pihb{i jelpbj bpbq {qfoa ilgaj{i facbcqi ~afaij{bbl fije{je~i{

pamb`b~ ga{a{ blhhepb qfbm pblhhb `bl jelpbj cbil yblh ìkqihbi#

paqpbfb eblh&eblh pbl~b hadbcb, Pamb`b~ faajb yblh jelpbj àlhbl

maxbl palbj `bl oilbpblh ~acimbbbl ìmbq{jbl dqhb qlpqj ìcbjqjbl

~afaij{bbl, Dijb ìkqihbi ~alqcbbl padbì facbcqi bi# ~alybilhbl bi`bcbf dqfcbm {bf~ac yblh oa{b `b~bp ìcbjqjbl qlpqj facimbp b`blyb

Eekyp{ ~b`b bi,

âlblhhqcblhbl xbobm ybipq àlhbl facbjqjbl ilwa{pihb{i a~iàfiecehi{

pamb`b~ jb{q{ yblh oajacef~ej yblh padbì ~b`b {qbpq `babm bpbq il{pipq{i

papalpq qlpqj falhapbmqi {qfoa ilgaj{i `bl kbb&kbb ~alqcbbllyb: ~alyaciìjbl

jafqlhjilbl {qfoar ~alqcbrbl Keffel {eqrka# {a~arpi {brblb rajrab{i bir# bir

filqf# {q{q falpbm bpbq fbjblbl bpbq filqfbl yblh ~epal{ibc pakafb `bl

facbjqjbl q~byb ~alkahbmbl `bl ~afoablpb{bl yblh fq`bm ì pab~jbl, Q~byb

qlpqj falkahbm ~alqcbbl `bi eblh ja eblh bpbq `bi oilbpblh ja fblq{ib

falajbljbl ~b`b q~byb jaoa{imbl ~aeblhbl `bl ~afoqblhbl ga{a{ yblh

{blipa,


18/21



?>22


I], JA[IF^QCBL

Ky~pe{~eiìe{i{ faq~bjbl teele{i{ yblh pahecelh ja `bcbf jacef~ej

xbparoela ì{ab{a,

âlybjip ili falyaobojbl ìba bjqp obij ~b`b maxbl fbq~ql fblq{ib,

âlybjip ili `b~bp {afoqm {alìi papb~i `b~bp faldbì jeli{ paqpbfb ~b`b

~alàipbiffqlekef~refi{a`{a~api ~alàipb BI@[,

âlheobpbl {akbb {~a{igij pi`bj b`b `bl oaq~b pab~i {q~epig {bdb,

âlhal`bcibl `bl ~alkahbmbl caoim ìqpbfbjbl àlhbl ~alilhjbpbl

{blipb{i `bl mihiala ~a{elbc,

], @I[JQ[I

B~b ~aa`bbl ilgaj{i Kry~pe{~eriìqf{~, `bl Aifarib{~, Falhb~b yblh

pafb{qj gee` oerla `bl afarhilh ì{ab{a b`bcbm Kry~pe{~eriìqf {~, oqjbl

Aifarib{~,5

Dbxbo 4

Kry~pe{~eriìqf {~, faficiji fbkbf fbkbf a{aweb {a~api qlhhb{#oqqlh# ijbl#a~pic# pijq{# bldilh# jqkilh# {b~i# jbfoilh# èfob# jq`b `bl fblq{ib

[a`blhjbl Aifarib {~, faficiji ilblh yblh {~a{igij oib{blyb oaoa`b pib~ {~a{ia{

`bl jaoblybjbl ~bpehal ~b`b maxbl ~acimbbbl {a~api bybf -Aifaribpalaccb)#

jacilki -Aifarib ~argerbl{)# ijbl {bìl -Aifarib {brìlba)# èfob# jbfoilh# {b~i

`bl oboi, ^b`b fblq{ib oib{blyb Aifarib {~, mblyb caxbp {bdb ì{bcqbl

~alkalbbl yblh ì{aoqp ~b{{blp,

Eeji{pb ~b`b Aifarib {~, paìi `bi af~bp {~eeji{pb `bl pib~ {~eeji{pb

oai{i `qb {~eeteip, B~boicb eeji{pb papacbl fbjb ì q{q{ mbcq{ ìca~b{jbl

{~eeji{pb, B~boicb jelì{i pi`bj fafqlhjiljbl -oqjbl ilblh {~a{igijlyb) fbjb

Aifarib {~, bjbl caxbp {bdb `bl pi`bj falhilgaj{i, [a`blhjbl ~b`bKry~pe{~eriìqf {~, ìfblb eeji{pblyb pi`bj faficiji {~eeji{pb papb~i cblh{qlh

{~eeteip, B~boicb eeji{pb papacbl fbjb# ì q{q{ mbcq{ {~eeteip yblh oab`b

`bcbf eeji{pb oi{b cblh{qlh jacqb `bl fb{qj ja a~ipac q{q{ jakic fafoalpqj

pegeteip `bl {apaq{lyb bjbl oacblh{qlh {a{qbi {ijcq{ mi`q~lyb,


19/21



?>22

2=[ybm [^ ap bc, ?>22 2=[ybm [^ ap bc, ?>22 2=[ybm [^ ap bc, ?>22

@BGPB_ ^Q[PBJB

Oqpel BD# @W Li`bf# PJ àbal# J Fipkmacc# @@ Oexfbl# C ]ibe, ?>2>, Pma~awbcalka eg Ky~pe{~eiìqf# bl` iàlpigikbpiel eg pma Ky~pe{~eiìqf

me{a halepy~a il gebc{ il Lax Yej [pbpa, Wap ^brb{ipec28042;9200,

Kb{afea @^# _C [bl`{# B Kqy, 29=1, Kry~pe{~eriìqf {~akia{ b /lax/ mqfbl

~bpmehal, D Kcil ^bpmec;=42;?2&2;;7,

ZK@KV Kalpa ge @i{ab{a Kelpec bl` âwalpiel, ?>22,

Kry~pe{~eriìqf, Z pamqoqlh oajbcbV, mpp~4%%xxx,k`k,hew%

~bb{ipa{%ky~pe% Z?0 Ejpeoa ?>22V,

Kmil D# aìpe, ?>>>, Fblqbc ~afoablpb{bl ~alybjip falqcb, Zpamqoqlh oajbcbV

mpp~4%%lyefbljbl`ql,pi~e`,kef%{ipaoqicàkelpalp%{ipaoqicàgica{%fblqbcU~?

f,~`g Z?1 Ejpeoa ?>22V,

Kmepibm [, ?>>=, @iba ^b`b Blbj [b~i4 Bhal âlyaobo# @ibhle{b# `bl

âlbhhqcblhbl, @i `bcbf4 @ixyblpe J# A Xilb# B îyblpi# C Lbpbcib# P

Mabxbpi# O ^qxbl`byb# aìpe, ^re{iìlh ^re{~aj Il`q{pri [b~i ârbm

Falqdq âr`bhblhbl Oaob{b ?>?>: Dbjbpb# ?2 B~ic ?>>=, Oehe4 ^q{bp

âlacipibl `bl âlhafoblhbl âpalbjbl, mcf ;;7&;0;,

Keej# H Fbl{el, 2997, Pe~ikbc ì{ab{a, 2997,A` ja&?>, Celèl4 XO

[bqlà{# 2?4=;&?=,

Z@^@}V Cboebpei Iàlpig ikbpil ^bb{ipa{eg ^qocik Mabcpm Kelkal,

?>22, Ki~pe{~iiìe{i{, Z pamqoqlh oajbcbV, mpp~4%%xxx,`~`,k`k,hew%`~`}%mpfc%Ky~pe{~eiìe{i{,mpf Z?1 Ejpeoa ?>22V,

Hbcfa{ B# Likecbq B# Boelb B# Hefi{ A# Hqfb F# [fipm&^bcfa B, ?>>;,

Ky~pe{~eiìe{i{ eqpoabj il Oipi{m peqi{p{ xme {pbya` bp b mepac il

Fbdekb# [~bil, Aqre{qrwaiccblka Xaajcy ?>>;: 8-;;)420%>=%?>>;,

mpp~4%%xxx,aqe{qwaiccblka,eh%ax%?>>;%>;>=20,b{~

Medcylh# L,# bl` O,L, Dal{al, 29==, _a{~ibpey ky~pe{~eiìe{i{ il MIW ~e{ipiwa

~bpialp{, Cblkap ii, 19>&192,

Ifa J# CF Ceoe# E Fbpe{# K ê~a{kq# K Halkmi# H @bboq{, ?>22, Fecakqcb

kmbbkpai{bpiel eg Ky~pe{~eiìqf i{ecbpa{ gef ~a&xabla` kbcwa{ il_efblib4 I{ pmaa bl bkpqbc i{j eg teelepik ilgakpiel{5 Wap ^brb{ipec

2=24;?2;?0,
http://www.eurosurveillance.org/ew/2003/030814.asphttp://www.eurosurveillance.org/ew/2003/030814.asphttp://www.eurosurveillance.org/ew/2003/030814.asp


20/21



?>22


Jeke{mi{# [, B,# F, C, Kioqci# P, A, @bwi{# D, P, Milpel# F,[ai~# bl` D, H, Oblxacc,

29=0, Ilpa{pilbc bl` ~qcfelby ky~pe{~eiìe{i{ il bl lgblp xipm {awaa

kefoila` iffqla àgikialky, D âìbp Hb{prealparec Lqpr;4209&21,

LJ ' LM Bci, ?>>?, Ky~pe{~eiìe{i{ bfelh blifbc mbl`ca{ bl` pmai ciwa{pekj il

ob{bm# Ibr, A Bgr Fa` D89-2>)411>&11;,

Fb{el _X# XD Mbpcay# C Picp, 29=2, Ilpa{pilbc ky~pe{~eiìe{i{ il b ji` hebp, Bq{p

Wap D184;=7&;==

Fb{el# K ' H, Kbcèx, ?>>1, Pma kelpec bl` fblbhafalp eg kbcg ìbmab il oaag

ma`{, Pakmlikbc Lepa -PL) 187, [q~~epilh pma cbl`&ob{a` il`q{pia{ ge

ewa b kalpqy -[BK) Xa{p Fbil{ _eb`# Aìloqhm AM9 ;DH, [BK a{aiwa{

{q~~ep gef pma [keppi{m A}akqpiwa alwielfalp bl` _qbc Bggbi{

@a~bpafal,

Failmb`p ^C# @^ Kb{afea# JO Ficca, 2997, A~iàfiecehik B{~akp{ eg MqfblKy~pe{~eiìe{i{ bl` pma _eca eg Xbpaoela Pbl{fi{{iel, A~iàfiec _aw

2=-?)422=&2;7,

Fqacca&@eocia{ @# F Hica{# J Acxil# _^ [fipm# GB Kcigpel&Mab`cay# _F Kmbcfa{,

?>>=, @i{pioqpiel eg Kry~pe{~eriìqf {~akia{ il {maa~ il pma QJ, Wap

^brb{ipec2104?20?29,

Lbjbfqb BB# @K [ifea{# _H Blpqla{# @K `b [icwb# FW Faiaca{, ?>>9, Fecakqcb

kmbbkpaitbpiel eg Kry~pe{~eriìqf {~~, gef gakbc {bf~ca{ eg oi`{ ja~p il

kb~piwipy il Obtic, Wap ^brb{ipec27740812,

L[X Mabcpm @a~bpfalp, ?>>2, Ky~pe{~eiìe{i{, Fqcpikqcpqrbc Keffqlikbpiel:@EM&8221, mpp~4%%xxx,fmk{,mabcpm,l{x,hew,bq%~qocikbpielU~`g{%8221%@EM&

8221&IL@,~`g Z?1 Ejpeoa ?>22V,

El`bkjewb T# F Jwbk# O [bj# @ Jwapelewb# F _e{p , ?>>9, âwbcalka bl`

fecakqcb kmbbkpaitbpiel eg Kry~pe{~eriìqf{~~, il `biy kbppca il [eqpm

Oemafib# pma Ktakm _a~qocik, Wap ^brb{ipec2714202200,

_eoap C[# D Dblewy D# H@ [kmfi`p, ?>>1, Gel`bpiel eg ^bb{ipecehy,

A` ja&8# Lax Yej4 Pma Fk Hbx&Mic c Kef~blia{,

[bi` LI, ?>>;, âlkafbbl bi filqf `bl `bf~bjlyb pamb`b~ ja{ambpbl,

Zpamqoqlh oajbcbV mpp~4%%xxx,jacbi,o~~p,he,i`%^qocijb{i%OqjqBiFilqf%OBO2ÂLKAFB_BL,~`g Z?1 Ejpeoa ?>22V,

[bi` LI, ?>>8, @a{ilgaj{i qlpqj ~e{a{ ~alhecbmbl bi filqf, DBI;-2)421&?=,


21/21


[ajecbm b{kb{bdblbIl{pipqpa âpblibl Oehe

?>[ybm [^ ap bc, ?>22 ?>[ybm [^ ap bc, ?>22 ?>[ybm [^ ap bc, ?>22

[mi ap bc, ?>2>, G dibl# K Cw# K Lilh# C Tmblh# ] _al# PJ @abal# L Ci# F Ri# C ]ibe,

âwbcalka# halapik kmbbkpai{pik# bl` teelepik ~epalpibc eg Kry~ep{~ereìqf

{~a{ia{ kbq{ilh ilgakpiel il gbf booip{ il Kmilb, D Kcil Fikreoiec

0=-9)4;?7;;?77,

[ilbfoacb BM, ?>>=, Ki~pe{~eiìe{i{, Q[ a&_a{~e{ipery, [qfbpab Qpbb4

@a~bpafal ^bb{ipecehi# Gbjqcpb{ Jaèjpabl# Qliwa{ipb{ [qfbpab Qpbb,

Pept&Xiccibf{ CB# O@ Dbwia# [X Fbpil# JA Ca{cia# B[ âahila, ?>>1, âwbcalka

eg Kry~pe{~eriìe{i{ ~brwqf ilgakpiel il {eqpm xa{parl Elpbrie bl` ip{

b{{ekibpiel xipm ìbmab il laelbpbc `biy kbcwa{, Kbl Wap D074;09&;12,

Pti~ei [# D Cb{al# F [fipm# _ Cqhgc, 29=?, @ibmeab il hebp ji`{ bppioqpa` pe

Ky~pe{~eiìqf ilgakpiel, Wap _ak2224;1&;7,

Pti~ei [, 29=;, Ky~pe{~eiìe{i{ il Blifbc{ bl` Mqfbl{, Fikreoiec _aw084=0&97

Xblh _# M Xblh# Y [ql# C Tmblh# G Dibl# F Ri# K Lilh# C ]ibe, ?>22,

Kmbbkpai{pik{ eg Kry~pe{~eriìqfPbl{fi{{iel il âxabla` @biy Kbppca

il Malbl# Kmilb, D Kcil Fikreoiec09-;)42>88&2>=?,

Xiccibf C, Kqalp bl` Cylla [, Hbkib, 2992, Ky~pe{~eiìe{i{, Kcil Fikreoiec _aw

;?1&;1=,

cryptosporidiosis pada manusia dan hewan (cryptosporidiosis in humans and animals)

Documents