The filarial nematode Dirofilaria repens is currently considered to be one of the most extensively spreading human and animal parasites in Europe. In Ukraine, reporting cases of dirofilariasis has been mandatory since 1975, and the disease was included in the national surveillance system for notifiable diseases. Up until December 31st 2012, a total of 1533 cases have been registered, with 1465 cases occurring within the previous 16 years. Most of the cases of dirofilariasis were registered in 6 regions: Kyiv, and the Donetsk, Zaporizhzhya, Dnipropetrovsk, Kherson and Chernihiv oblasts. In the years 1997-2002 the highest incidence rate was noted in the Kherson oblast in the south of the country (9.79 per 100 000 people), and the lowest in western Ukraine (0.07-1.68 per 100 000 people). D. repens infections were registered in all oblasts. Parasitic lesions were most often located in the head, the subconjunctival tissue and around the eyes. D. repens lesions were also found in the limbs, torso, male sexual organs, and female mammary glands. Dirofilariasis was diagnosed in persons aged from 11 months to 90 years old, most often among people between 21-40 years of age. Most patients had only one parasitic skin lesion; the majority of isolated nematodes were female. The results of our analysis point to a constant increase in D. repens dirofilariasis incidence in humans in Ukraine. Despite educational efforts, infections have become more frequent and the territory in which the disease occurs has enlarged to encompass the whole of Ukraine. Nevertheless, the Ukrainian sanitary-epidemiological services managed to achieve some measure of success, e.g. by creating a registration system for D. repens infections and establishing proper diagnostics for the disease.
Through the lens of modernization theories, the process of European integration can be perceived as Poland’s second modernization, following the systemic transformation in the nineties. In this article, we analyze the divergent perceptions of the European Union, and attitudes toward European integration, as they coexist within contemporary Polish society. We introduce the notion of European integration as a triple modernization, encompassing economic, institutional, and cultural changes. Using a mixed methods approach based on qualitative and quantitative data from the European Values Study 2017, we demonstrate that Poles generally accept the peripheral status of Poland in the economic context and expect financial support from the core of the EU. Simultaneously, within the cultural context, there exists a marginal but salient attitude that is based on opposition toward cultural pressures and on a claim to an active role in the shaping of the European axiological agenda. Distinguishing the three aspects of this general process of European integration allows for the identification of the source of tensions that are described in literature as cross-European populist tendencies to question the very idea of European integration in member societies of the EU.
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