Background: Leptospirosis occurs sporadically and as outbreaks throughout Ukraine and is a nationally reportable disease. Zakarpattia oblast, in the southwestern region of the country, is endemic for disease. This study examines changes in epidemic patterns from 2005 to 2015. Materials and Methods: Suspected cases from health care services were identified based on clinical presentation and serological samples were collected. Patient sera were tested by microscopic agglutination test (MAT) against serovars of Leptospira spp. belonging to 13 serogroups. Small mammals were also collected, sampled, and tested near locations of suspected exposures. Changes in leptospirosis incidence in Zakarpattia oblast were characterized over an 11-year period. Results: A total of 420/2079 possible human cases were identified as having leptospirosis and 401/420 were confirmed by MAT. There was no annual trend in prevalence. Incidence increased from 2005 to 2009, peaked in 2010 (6.24 cases/100,000), and by 2015, there were only sporadic cases (0.88/100,000). The predominant serogroups were Icterohaemorrhagiae, Hebdomadis, and Grippotyphosa of Leptospira spp. The dominant serogroups shifted during the study from predominantly Icterohaemorrhagiae to Grippotyphosa in later years. A total of 2820 small mammals were assayed for Leptospira spp. Apodemus agrarius , Rattus norvegicus , and Mus musculus were the most common species sampled (76.1% of all captures). Among small mammals, antibodies were found mostly for Icterohaemorrhagiae, Pomona, and Grippotyphosa serogroups, and were detected in 276 samples (9.79% ± 0.56%). The dominant serogroups of Leptospira spp. isolated from mammals and patients changed cyclically, but the common human serogroups tended to differ from that seen in the concurrent mammal populations. Conclusions: Patients with leptospirosis in this endemic region decreased more than fivefold during the past decade. Leptospira infections in small mammals remained common across multiple species ranging from 5% to 14%.

We aim to identify possible biological, social, and economic factors that could influence the prevalence of foodborne botulism (FB). The objective of this article is to assess epidemiological peculiarities of FB in Ukraine from 1955 to 2018 using national epidemiological surveillance data. This article presents an epidemiological descriptive population-based study of the epidemiology of FB using correlation analysis. From 1955 to 2018, 8614 cases of botulism were recorded in Ukraine causing 659 deaths. The distribution of types of botulism toxins is represented by type A (7.97%), B (59.64%), suspected as C (0.56%), E (25.47%), others (5.33%), and unidentified (1.04%). From 1990 to 2015, the rate correlation between Human Development Index (HDI) and incidence of botulism was −0.75 ± 0.20. Homemade canned meat and fish continue to be the leading causes of botulism in Ukraine. Cases related to commercial food were rare or absent, but in recent years (2017–2018), their percentage has increased to 32.56%. The HDI and botulism have an inverse mathematical correlation and predictable logical relationship: with an HDI increase, the incidence of FB decreased. In general, food botulism in Ukraine is related to traditional socioeconomic factors related to cultural food habits. In the face of declining living standards and uncertainty that food products will be physically or economically available, homemade preservation increases. Home food preservation is a major cause of botulism in Ukraine. The elimination of FB is possible in Ukraine only with the complete cessation of home canning and state control over the manufacture and sale of commercial canned products.

2016 -45.5% (vaccination) and 30.2% (revaccination). In spite of progress in the measles and rubella vaccination in 2017 (93.3% -vaccination and 90.7% -revaccination)

Leptospirosis remains one of the most widespread natural-focal, zoonotic infectious diseases in the world and in Ukraine. Leptospirosis is enzootic in the entire territory of Ukraine. Cases of diseases are registered in all regions of Ukraine. We initiated a study of comparative analysis of territorial distribution of leptospirosis outbreaks among animals and incidence in humans in Ukraine covering the years 2009–2016 inclusive. This study of the incidence of leptospirosis in Ukraine shows a significant circulation of leptospirosis both among humans and animals. Among cattle herds in Ukraine the percentage of positive animals was found to be 4.2% of the surveyed population. The dominant serovars of Leptospira were kabura (12.4%) and polonica (9.5%). Positive reactions with other serovars were observed less frequently: tarassovi – 5.1%, bratislava – 4.9%, copenhageni – 4.1%, grippotyphosa – 2.4%, pomona – 1.1%, canicola – 1.0%. In pigs, the percentage of positive animals amounted to 3.2%, the dominant serovars of Leptospira were bratislava (29.1%) and copenhageni (25.1%). Positive reactions with other serovars were observed less frequently: tarassovi – 4.3%, canicola – 3.0%, pomona – 2.7%, grippotyphosa – 1.3%, polonica – 1.2%, kabura – 0.6%. In horses, the percentage of positive animals amounted to 9.5% of the surveyed population. The serological range of Leptospira in horses was as follows: copenhageni – 14.2%, bratislava – 12.1%, canicola – 6.8%, grippotyphosa – 4.8%, tarassovi – 4.7%, pomona – 2.1%, kabura – 1.4%, polonica – 1.3%. Analysis of the results of research indicates extensive circulation of leptospirosis among humans in Ukraine as evidenced by the percentage of humans positively responding to MAT – 12.1% of the studied samples. The etiological structure of leptospirosis cases includes all the 14 serovars of the diagnostic set. The basis of the etiological spectrum was the serovar copenhageni – 37.3%. The share of other serovars as the etiological factor of leptospirosis in humans was different in different spans of the considered period. Most frequently, those were kabura – 12.3%, grippotyphosa – 11.7%, canicola – 9.5%, pomona – 9.1%. We mapped annual incidence of leptospirosis in animals and humans. Choropleth maps of annual leptospirosis incidence and cluster maps show opposite spatial patterns for animals and humans. The highest human rates were in the western and central parts of the country while the highest animal rates were mainly in the eastern part.