I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

Ee?anueeee iaoeiai-aeine?aeiee ?inoeooo ai?aeai?ieia?? oa ?ioaeoe?eieo
oai?ia ?i. E.A.A?iiaoaanueeiai

OAeE 616.932 — 071 — 002.237 — 08

EE?E*AIEI Iaaei Aeieo?iae/

EE?I?EI-IAOIAAIAOE*I? INIAEEAINO? OIEA?E, OEssOE IIE?AUAIIss ??
Ae?AAIINOEEE ? OA?AI?? A OIIAAO OE?A?IE

14.01.13 — ?ioaeoe?ei? oai?iae

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a
iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia o A?iieoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ?i.
I.?.Ie?iaiaa IIC Oe?a?ie.

Iaoeiaee eiinoeueoaio: Caneoaeaiee ae?y/ iaoee oa oaoi?ee Oe?a?ie,
aeieoi? iaaee/ieo iaoe, i?ioani? AIAe?AE*EI Ieoaeei Aioiiiae/,
caa?aeoaa/ eaoaae?e ?ioaeoe?eieo oai?ia Oa?iii?euenueei? iaaee/ii?
aeaaeai?? ?i. ?.ss.Ai?aa/aanueeiai.

Io?oe?ei? iiiiaioe: Caneoaeaiee e?ea? Oe?a?ie, aeieoi? iaaee/ieo iaoe,
noa?oee iaoeiaee ni?a?ia?oiee ?OAeAIEI Aioii?ia Ieaen??aia, caa?aeoaa/
a?aeae?eo oneeaaeiaieo oi?i a?eio, A?C oa iae?i?ioaeoe?e EIAe?
ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i. E.A.A?iiaoaanueeiai, aieiaiee
?ioaeoe?ii?no IIC Oe?a?ie.Aeieoi? iaaee/ieo iaoe, i?ioani? I?E?O?I ?aaai
Aaneeueiae/, caa?aeoaa/ eaoaae?e ?ioaeoe?eieo oai?ia oa ai?aeai?ieia??
Iaeanueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.Aeieoi? iaaee/ieo iaoe,
i?ioani? AeEEEE Aiaaeai Ieeieaeiae/, caa?aeoaa/ eaoaae?e ?ioaeoe?eieo
oai?ia ?aaii-O?aie?anueei? aea?aeaaii? iaaee/ii? aeaaeai??.

I?ia?aeia onoaiiaa: Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao IIC
Oe?a?ie.

Caoeno aeena?oaoe?? a?aeaoaeaoueny “28 “ 10 1999 ?. i 11aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.614.01 i?e Ee?anueeiio
iaoeiai-aeine?aeiiio ?inoeooo? ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i.
E.A.A?iiaoaanueeiai ca aae?anith: 252015, i. Ee?a-15, aoe. N?/iaaiai
iianoaiiy, 23.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueeiai
iaoeiai-aeine?aeiiai ?inoeoooo ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i.
E.A.A?iiaoaanueeiai

Aaoi?aoa?ao ?ic?neaiee “ 28 “09 1999 ?ieo.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee, aeieoi? iaaee/ieo iaoe
A.Ae.Aiae

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Nueiia iaiaeai?y oiea?e o?eaa? aeioaia?. Ca 39
?ie?a niaeaoe oiea?e ioiieee a?eueo?noue e?a?i na?oo (A. Israil, 1998).
A Oe?a?i? aiie aia?oa aeieeee a 1970 ?. o aanaei? *i?iiai ii?y (Iaeana,
Ea?/, Oa?nii). C 1970 ?. ii 1977 ?. ca?a?no?iaaii 17 niaeao?a oiea?e
(487 oai?eo ? 829 a?a??iiiiin??a), ia?aaaaeii a i?aaeaiiiio ?aa?ii?
Oe?a?ie. O ianooii? 13 ?ie?a ai?aeai?/ieo oneeaaeiaiue ia
niinoa??aaeinue, aeyaeyeenue eeoa iiiaeeiie? aeiaaeee oiea?e.
Ai?aeai?/ia neooaoe?y iia??oeeanue o 1991 ?., eiee a Iaeanuee?e,
Ieeiea?anuee?e oa Oa?niinuee?e iaeanoyo caoai??ei 106 /ieia?e oa
aeyaeaii 179 a?a??iiiiin??a. Iaea?eueo iani?eyoeeaeie noaee 1994-1995
??., eiee a Oe?a?i? aoei ca?a?no?iaaii a?ey 1400 oai?eo ia oiea?o ?
iiiaae 1000 a?a??iiiiin??a (A.A. Aeaen??iei, 1993, 1996; A.O.
Ia???anueeee, 1995; I.A. Aiae?ae/ei oa ?i., 1998, C.G. Clark, 1998).

Ca aeaieie AIIC, o 1994 ?. oiea?a aoea caaacaia a 17 e?a?i ?a?iie, aea
iioe?aiiy iaaoea eeoa a i’yoe, a oiio /ene? a Oe?a?i?, aea neeaeenue
ni?eyoeea? oiiae aeey oee?eoeyoe?? caoaeieea, cie?aia iacaaeia?eueia
caaacia/aiiy ianaeaiiy i?aaeaiieo ?aa?ii?a ieoiith aiaeith, a oaeiae
iino?eia caa?oaeiaiiy a?aee?eoeo aiaeieieu iaciaca?aaeaieie
ainiiaea?nueei-iiaooiaeie noieaie (A.A. Noaaei?/aiei, 1993; E.ss.
Iia?eaanueeee, 1997). Iaiaeiaaaeio ?ieue a oei??iaii? oiea?e ia ie?aieo
aaei?i?no?aoeaieo oa?eoi??yo a?ae?a?aee nooo?a? ci?ie aeieia??
caoaeieea, o?eaaea aeaeeaaiiy eiai ia ia’?eoao aeiae?eey ? ae?aaeaia
i?ieea?noue (TH.A. Aa?ooaei, 1993; A.N. Ia?aiiae/, I.E. Ia?eaae/, 1993;
E.N. Iae?aniaa, ?.I. Ai?aaiue, 1997, R.J. Borroto, 1998; R.L. Shapiro,
1999). Oea oo?oaeith? aeyaeaiiy aeaea?ae ?ioaeoe?? ? ni?ey? ??
?iciianthaeaeaiith, iniaeeai a i?aeai?aeai?/iee ia??iae, a a?aeoae
i?iaiic uiaei ai?aeai?/ieo niaeao?a oiea?e a Oe?a?i? o iaeaeeae/? ?iee
caeeoa?oueny iani?eyoeeaei (A. Aeiioe, A. Oaaeoo, 1995; C.G. Clark,
1998).

Iino?eia caa?ica aeieeiaiiy niaeao?a oiea?e, iania?noue o?aaeaiiy
ethaeae, cia/ia eaoaeuei?noue ? aaeee? aeiiii?/i? aeo?aoe (G.C. Cook,
1998; D.C. Morley, 1998) ? i?aenoaaith aeey i?iaaaeaiiy ??ciiieaiiaeo
aeine?aeaeaiue oe??? ea?aioeiii? ?ioaeoe?eii? oai?iae. Oea noino?oueny,
ia?o ca ana, ee?i?ei-ai?aeai?ieia?/ieo iniaeeainoae oiea?e a eiie?aoi?e
ee?iaoi-aaia?ao?/i?e cii?.

Iacaaaeath/e ia iacaia?a/i? oni?oe o ?ic?iaoe? iaoiae?a ae?aaiinoeee oa
e?eoaaiiy oiea?e, iniaeeaino? ee?i?/iiai ia?aa?ao oe??? oai?iae, i?e/eie
ci?uaiiy a a?e eaaeeo, noa?oeo oi?i ? a?a??iiiiin?enoaa caeeoathoueny
ia?ice?eoeie. Iaaeinoaoiuei aea/ai? iniaeeaino? ia?aa?ao oiea?e ia oe?
o?ii?/ii? niiaoe/ii? iaoieia?? oa a in?a iioeeiai ? noa?a/iai a?eo.
Iaaoaa? ana a?eueoiai cia/aiiy i?e oiea?? i?iaeaia anioe?aoe?? ?? c
?ioeie aino?eie eeoeiaeie ?ioaeoe?yie.

Aein? ia cai?iiiiiaaii ?aeeieo e?eoa???a oyaeeino? ia?aa?ao oiea?e.
Aacoiiaii, nooi?iue ciaaiaeiaiiy, yeee ioe?ith?oueny ca ee?i?/ieie
i?iyaaie /e aeao?oeeoii iane o?ea, ? ae??oaeueiei, aea ia ?aeeiei
iieacieeii. A ioe?ioe? nooiaiy aeneeico eeoa /anoeiai aecia/aia ?ieue
eaai?aoi?ieo iieaciee?a. Noia?a/eeaith ? ioe?iea ii?ooaiue
aeaeo?ie?oiiai aaeaino e?ia? i?e oiea??, ine?eueee aecia/aiiy
aeaeo?ie?o?a o ieaci? e?ia? a iiieue/e ia a?aeia?aaea? ?noeiii? ea?oeie
/a?ac ?cioii?/iee oa?aeoa? ciaaiaeiaiiy.

No/ania aiaeii-nieueiaa oa?ai?y oiea?e, yea ?ic?iaeyeanue ia ianea?
oai?eo o aea?eeo e?a?iao, aea aaeaioaoe?ei? iaoai?cie i?aai?cio i?e
ciaaiaeiaii? aeaui ?io? (A.E. Iie?ianeee e niaao., 1988), iio?aao?
a?aeiia?aeii? ei?aeoe?? aeey oai?eo, ye? iaoeathoue o iii??ieo
ee?iaoe/ieo ciiao. Iaaeinoaoiuei aea/aieie ? iiaeeea? oneeaaeiaiiy
?iooc?eii? oa?ai??, ?? aieea ia aeeiai?eo caoai?thaaiiy oa iieacieee
aiiainoaco.

Aaaeeeaith i?iaeaiith ? iioe?aiiy a inoaii? ?iee aioea?ioeei?acenoaioieo
ooai?a Vibrio cholerae, ui oneeaaeith? ao?io?iiio oa?ai?th oai?eo ?
a?a??iiiiin??a (M.K. Chakrabarti, 1998; A.K. Mukhopadhyay, 1998; J.P.
Raufman, 1998). Oiio iiooe oa ai?iaaoe?y iiaeo aoaeoeaieo
aioeaaeoa??aeueieo i?aia?ao?a ? aeooaeueiei caaaeaiiyi. Ia aea/aia
oa?aiaaoe/ia aoaeoeai?noue aioa?ini?aaio?a i?e oiea??.

O aeinooii?e iai e?oa?aoo?? ia ciaeaeaii aeaieo i?i canoinoaaiiy
eiiieaeniiai iaoaiaoe/iiai iiaeaethaaiiy oiea?e aeey aecia/aiiy
oyaeeino? ?? ia?aa?ao, ??cieo eaiie iaoieia?/iiai i?ioeano oa ioe?iee
aoaeoeaiino? e?eoaaeueieo cania?a.

Iaoa aeine?aeaeaiiy — iie?aueoe ioe?ieo ??cieo ee?i?/ieo aa??aio?a
ia?aa?ao oiea?e ca aeiiiiiaith eiiieaeno ee?i?ei-eaai?aoi?ieo e?eoa???a
? iaoaiaoe/iiai iiaeaethaaiiy oa i?aeaeueoe aoaeoeai?noue
iaoiaaiaoe/iiai e ao?io?iiiiai e?eoaaiiy. A?aeiia?aeii aei iinoaaeaii?
iaoe aecia/ai? ianooii? caaaeaiiy:

1. Ni?anoaaeoe ee?i?/i? oa ai?aeai?ieia?/i? i?iyae oiea?e o aeaio
ai?aeai?/ieo ina?aaeeao ia i?aaei? Oe?a?ie c ??cieoeath a /an? 25 ?ie?a.

2. Aea/eoe ee?i?ei-eaai?aoi?i? ca’ycee i?e oiea?? caeaaeii a?ae a?eo
oai?eo, i?aii?a?aeiiai noaio, noiooiuei? niiaoe/ii? oa ?ioaeoe?eii?
iaoieia??, oa?aeoa?o oneeaaeiaiue oa ?ioeo /eiiee?a.

3. ?ic?iaeoe aeniei?ioi?iaoeai? e?eoa???, ca yeeie iiaeia aecia/aoe
oyaee?noue ia?aa?ao, ?ecee oneeaaeiaiue ? eaoaeueiino? i?e oiea??.

4. Oaeineiiaeeoe i?ia?aio aiaeii-nieueiai? oa?ai?? oai?eo ia oiea?o ia
oe? aaaeei? niiaoe/ii? iaoieia?? oa a in?a iioeeiai ? noa?a/iai a?eo.

5. ?ic?iaeoe iniiai? iaoiaee/i? i?aeoiaee aei ae?aaiinoeee ? e?eoaaiiy
oiea?e ia oe? o?ii?/iiai aeeiaie?cio ? eiai oneeaaeiaiue.

6. Aeine?aeeoe oa?aiaaoe/io aoaeoeai?noue a?eo?ii?oeeio, aeieneoeeee?io,
ii?oeienaoeeio, ?ioao?eeno.

7. Aecia/eoe oa?aiaaoe/io aoaeoeai?noue aioa?ini?aaio?a neeea?aeo I ?
niaeoe o eiiieaeniiio e?eoaaii? oai?eo ia oiea?o.

8. ?ic?iaeoe iaoaiaoe/i? iiaeae? iii?oi?eiao ia?aa?ao caoai?thaaiiy oa
aoaeoeaiino? e?eoaaeueieo caoiae?a.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa i?aaenoaaeai?
ii??aiyeuei? ee?i?ei-ai?aeai?ieia?/i? oa?aeoa?enoeee niaeao?a oiea?e a
1970 ? a 1994-1995 ??. a Oe?a?i? c aecia/aiiyi ?o iniaeeainoae. ?ice?eo?
a?aei?iiino? ? ia??aiicia/i?noue a ai?aeai?/iiio i?ioean? oai?eo c
??ciith oyaee?noth oiea?e ? a?a??iiiiin??a. Aeine?aeaeaiee aieea
naiino?eiiai canoinoaaiiy ianaeaiiyi aioea?ioee?a ia ee?i?/iee ia?aa?a ?
ia ai?aeai?/iee i?ioean i?e oiea??.

Ia i?aenoaa? aeanieo ee?i?ei-eaai?aoi?ieo aeine?aeaeaiue ? aeaieo
e?oa?aoo?e ?ic?iaeaia noaia iaoiaaiaco oiea?e, yea a?aeia?aaea? no/ani?
iiaeyaee ia iaoio?c?ieia?/i?, a?io?i?/i? oa ?io? iaoai?cie aeieeiaiiy e
?icaeoeo ae?a?aeiiai neiae?iio oa aeneeico.

?ic?iaeaii ? caiaoaioiaaii niin?a aecia/aiiy aaaeeino? oiea?e ia ?aii?o
aoaiao aini?oae?caoe??, yeee aeicaiey?, e??i nooiaiy ciaaiaeiaiiy,
a?aoiaoaaoe ?io? iiaeeea? iaoyaeoth/? ia?aa?a oai?iae /eiieee oa
ioe?ithaaoe ?o ca aeaaaeaiith oi?ioeith.

Oeyoii noaoenoe/ii? ia?iaee ee?i?ei-eaai?aoi?ieo iieaciee?a aecia/aii 15
iaea?eueo aaaeeeaeo e?euee?nieo e?eoa???a aeey ioe?iee nooiaiy
aeaa?ae?aoaoe?? a ia?o? aiaeeie aini?oae?caoe?? oai?eo. Aia?oa
?ic?aoiaaia a?aeiinia ?ioi?iaoeai?noue ?yaeo caaaeueiii?eeiyoeo
eaai?aoi?ieo iieaciee?a i?e oiea??.

Aea/aii aieea ia ia?aa?a oiea?e a?eo oai?eo, o?ii?/ii? niiaoe/ii? oa
?ioaeoe?eii? iaoieia??, ooieoe?iiaeueiiai noaio ie?ie oa ?ioeo /eiiee?a.

Aia?oa aeyaeai? iniaeeaino? ee?i?/iiai ia?aa?ao oiea?e o oai?eo ia
o?ii?/iee aeeiaie?ci. Cai?iiiiiaai? aeiaeaoeia? ee?i?ei-eaai?aoi?i?
e?eoa??? ?ici?ciaaaiiy oa aeeoa?aioe?aeueii? ae?aaiinoeee oiea?e ia oe?
aeeiaie?cio. ?ic?iaeaia iaoiaeeea ?aa?ae?aoaoe?eii? oa?ai?? oai?eo ia
oiea?o, a yeeo aeieeathoue oneeaaeiaiiy, iia’ycai? c o?ii?/iei
aeeiaie?ciii (aanoeiaioiee neiae?ii, iaoaeeiaieueiee ineoic).

Aia?oa oeyoii noaoenoe/ii? ia?iaee ee?i?ei-eaai?aoi?ieo iieaciee?a c
aeei?enoaiiyi aeenia?n?eiiai aiae?co cai?iiiiiaai? e?eoa??? nooiaiy
?eceeo ?icaeoeo aino?i? ie?eiai? iaaeinoaoiino? o oai?eo ia oiea?o ca
aaeueiith nenoaiith.

?ic?iaeai? aeeoa?aioe?eiaai? i?aeoiaee aei i?iaaaeaiiy ?aa?ae?aoaoe?eii?
oa?ai?? caeaaeii a?ae a?eo oai?eo, oa?aeoa?o ? aaaeeino? noiooiuei?
iaoieia?? oa oneeaaeiaiue. Cai?iiiiiaaii iiaee niin?a aecia/aiiy ia’?io
?aa?ae?aoaoe?? ca iieacieeaie aeaeo?ie?oiiai aaeaino a iiieue/ea iane
o?ea, yeee a?aoiao? ?cioii?/iee oei aeaa?ae?aoaoe??, ? oi/iei,
ia’?eoeaiei, aeinooiiei ? ia iio?aao? aeiaeaoeiaeo iaoa??aeueieo aeo?ao.

C’yniaaii, ui a ee?iaoe/ieo oiiaao Oe?a?ie i?e e?eoaaii? oai?eo ia
oiea?o iaea?eueo aeioe?eueii, ca ai?noii aeaeo?ie?o?a, canoiniaoaaoe
?iooc?eiee ?ic/ei “Eaa?oanieue”. Aecia/aii nooi?iue aieeao ia ia’?ie
aeii?iaeiaiue ia’?i?a ? o?eaaeino? aiaeii-nieueiai? oa?ai??.

Ia oa?eoi??? Oe?a?ie aeyaeaii c?inoaiiy ?acenoaioiino? oiea?ieo
a?a??ii?a aei o?aaeeoe?eieo aioea?ioee?a, cie?aia aei oao?aoeeee?io ?
eaaii?oeaoeio. Anoaiiaeaia aeniea oa?aiaaoe/ia aoaeoeai?noue
a?eo?ii?oeeio, aeieneoeeee?io ? aia?oa a Oe?a?i? canoiniaaiiai i?e
e?eoaaii? oai?eo ia oiea?o ii?oeienaoeeio.

Aia?oa iaea?aeai? aeai? i?i aeioe?euei?noue canoinoaaiiy
aioa?ini?aaio?a, cie?aia neeea?aeo I ? niaeoe, a eiiieaeniiio e?eoaaii?
oai?eo ia oiea?o.

Aia?oa iiaoaeiaai? iaoaiaoe/i? iiaeae?, ye? aeicaieythoue ia’?eoeaii
aecia/eoe oyaee?noue ia?aa?ao oiea?e, noaaeeoe ca aeeiai?eith
caoai?thaaiiy (oi?aa?naeueia e?eaa a?aeiiaeaiiy ooieoe?iiaeueiiai noaio
i?aai?cio, oi?aa?naeueia e?eaa ee?i?/iiai aeaeoaeaiiy oai?iai) oa
ioe?ithaaoe aoaeoeai?noue ??cieo iaoiae?a e?eoaaiiy oai?eo ia oiea?o.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Canoinoaaiiy cai?iiiiiaaieo
e?euee?nieo ee?i?ei-eaai?aoi?ieo e?eoa???a aeey ioe?iee nooiaiy
aeaa?ae?aoaoe?? ia iiiaio aini?oae?caoe?? oai?eo, yeui iaiiaeeeai
?ic?aooaaoe aeao?oeeo iane o?ea, aea? ciiao nai?/anii ?icii/aoe
aaeaeaaoia iaoiaaiaoe/ia e?eoaaiiy.

Aeyaeai? ee?i?ei-eaai?aoi?i? iniaeeaino? ia?aa?ao oiea?e o oai?eo
iioeeiai ? noa?a/iai a?eo oa a in?a ?c noiooiueith niiaoe/iith oa
?ioaeoe?eiith iaoieia??th, ye? iiaeooue aooe aeei?enoai? aeey iie?auaiiy
ae?aaiinoeee.

?ic?iaeai? ia’?eoeai? e?eoa??? aeey aecia/aiiy iiaeeeaiai ia?aoiaeo
ooieoe?iiaeueii? ie?eiai? iaaeinoaoiino? a ?noeiio, yea ? iaei??th c
iniiaieo i?e/ei nia?o? oai?eo ia oiea?o.

Oaeineiiaeai? noaie aiaeii-nieueiai? oa?ai?? oai?eo ia oiea?o caeaaeii
a?ae a?eo, iayaiino? eiie?aoii? niiaoe/ii? oa ?ioaeoe?eii? iaoieia??,
iiyae oneeaaeiaiue, iia’ycaieo c ?iooc??th nieueiaeo ?ic/ei?a.
?ic?iaeai? iaoiaee/i? ?aeiiaiaeaoe?? aeey ae?aaiinoeee ? e?eoaaiiy
oiea?e ia oe? o?ii?/iiai aeeiaie?cio.

Anoaiiaeaii c?inoath/o ?acenoaioi?noue caoaeieea oiea?e aei
oao?aoeeee?io ? eaaii?oeaoeio. Aecia/aii aenieo oa?aiaaoe/io
aoaeoeai?noue ia oa?eoi??? Oe?a?ie a?eo?ii?oeeio, aeieneoeeee?io oa
ii?oeienaoeeio. Aeiaaaeaia iaaoaeoeai?noue i?e oiea?? ?ioao?eeno oa
eiia?ai?aeo.

Iieacaii, ui aioa?ini?aaioe neeea?ae I ? niaeoo aeioe?eueii
canoiniaoaaoe i?e ??cieo ca aaaee?noth oi?iao oiea?e. Aiie ia
ni?e/eiythoue iia?/ii? /e oiene/ii? ae?? ia i?aai?ci oai?iai.

Aeey a?eueo a??ia?aeii? ioe?iee i?aeoeeoth/eie e?ea?yie oyaeeino? ?
aeeiai?ee caoai?thaaiiy oa aoaeoeaiino? cae?enithaaii? oa?ai??
?ic?iaeai? iaoaiaoe/i? iiaeae?.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii aeena?oaoe?? iniaenoi ?ic?iaeaia
i?ia?aia oa iaoiaeeea iaoeiaeo aeine?aeaeaiue. I?ae /an ai?aeai?/ieo
niaeao?a oiea?e o Ieeiea?anuee?e iaeano? o 1994-1995 ??. iiooeoaa/
i?aoethaaa o oiea?iiio oieoae?, aea i?iaiaeea ee?i?/ia ianoaaeaiiy oa
e?eoaaiiy oai?eo ia oiea?o. Naiino?eii i?iaaaeaii iae?e oa aiae?c
anueiai io?eiaiiai ia?aeiiiai iaoa??aeo, noi?ioeueiaai? iniiai?
iieiaeaiiy ? aeniiaee ?iaioe. Ca aeiiiiiaith i?ea?iaeueieo i?ia?aiieo
iaeao?a aeey IE naiino?eii cae?eniaii noaoenoe/io oa iaoaiaoe/io ia?iaeo
aeaieo.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? ?acoeueoaoe ?iaioe ?
iieiaeaiiy aeena?oaoe?? aeiiia?aeaeenue oa iaaiai?thaaeenue ia iaoeiaeo
eiioa?aioe?yo A?iieoeueeiai iaaee/iiai oi?aa?neoaoo (1994-1999 ??.),
iaoeiai-i?aeoe/ieo eiioa?aioe?yo a/aieo oa niaoe?ae?no?a iaeano?
(1994-1999 ??.), ia can?aeaiiyo iaeaniiai iaoeiaiai oiaa?enoaa
?ioaeoe?ii?no?a (A?iieoey, 1995-1999 ??.), ia iaoeiai-i?aeoe/i?e
ia?aae?-nai?ia?? ?ioaeoe?ii?no?a Oe?a?ie (sseoa, 1996 ?.), ia XIII
c’?cae? ai?aeai?ieia?a, i?e?ia?ieia?a oa ia?aceoieia?a Oe?a?ie
(A?iieoey, 1996 ?.), ia i?aenoieiaiio iaoeiai-i?aeoe/iiio nai?ia??
e?ea??a-ai?aeai?ieia?a A?iieoeueei? iaeano? (A?iieoey, 1998 ?.), ia
ia?aae?-eiioa?aioe?? aieiaieo ?ioaeoe?ii?no?a ? aieiaieo aeeoy/eo
?ioaeoe?ii?no?a, caa?aeoaa/?a eaoaae?aie ?ioaeoe?eieo oai?ia aeueo
iaaee/ieo caeeaae?a ina?oe e caeeaae?a i?neyaeeieiiii? ina?oe “A?eia?
iniaeeaino? ?ioaeoe?eieo oai?ia” (Ioea/aai, 1998 ?.), ia V c’?cae?
?ioaeoe?ii?no?a Oe?a?ie (Oa?iii?eue, 1998 ?.), ia iaoeia?e eiioa?aioe??
“Canoinoaaiiy a iaaee/i?e i?aeoeoe? e?ea?nueeeo i?aia?ao?a ia iniia?
aenieiaeenia?niiai e?aiiacaio oa iaoai?cie ?o ae??” (A?iieoey, 1999 ?.),
ia iaoeiai-i?aeoe/i?e eiioa?aioe?? aieiaieo ?ioaeoe?ii?no?a oi?aae?iue
ioi?iie caei?ia’y iaeanieo aea?aeaaei?i?no?aoe?e (Naaanoiiieue, 1999 ?.)

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 11 i?aoeue o
a?o/eciyieo iaoeiaeo aeo?iaeao, 7 — a ca?oa?aeieo, 22 — a iaoa??aeao
eiioa?aioe?e, io?eiai? 2 aaoi?nueeeo na?aeioeoaa, aeaeai? iaoiaee/i?
?aeiiaiaeaoe??, caoaa?aeaeai? IIC Oe?a?ie.

No?oeoo?a oa ia’?i aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ca
caaaeueiii?eeiyoei ieaiii ? neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e,
?icae?eo caaaeueiiee?i?/ieo ? niaoe?aeueieo iaoiae?a ianoaaeaiiy oai?eo,
aeanieo niinoa?aaeaiue, iaaiai?aiiy io?eiaieo ?acoeueoao?a, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo e?oa?aoo?e. Oaeno aeeeaaeaii ia 342
noi??ieao, i?noeoue 53 oaaeeoe?, 28 iaethie?a ? 9 aeoya?a c ?noi???
oai?iae. Nienie e?oa?aoo?e aeeth/a? 187 a?o/eciyieo ? 219 ?iicaiieo
aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiue

Ai?aeai?ieia?/iiio aiae?co i?aeaeai? iaoa??aee niaeao?a oiea?e a 1970 ?.
(i. Iaeana – 120, i. Ea?/ – 159 oai?eo) ? 1994-1995 ??. (i. Ieeiea?a –
630 oai?eo). A on?o o?ueio ina?aaeeao oiea?a aoea ni?e/eiaia Vibrio
cholerae El-Tor, na?iaa?ii Igawa. O ee?i?/ia aeine?aeaeaiiy aeeth/aii
692 oai?eo a?eii 15 ?ie?a ? noa?oeo, ye? e?eoaaeenue o oiea?ieo oieoaeyo
i?no Ieeiea?aa (579 oai?eo) oa Iaeane (113 oai?eo). O /ene? ianoaaeaieo
oai?eo 396 (57,2 %) /ieia?e?a oa 296 (42,8 %) ae?iie. Eaaeee ia?aa?a
niinoa??aaany o 295 (42,6 %), na?aaeiueioyaeeee – o 207 (29,9 %),
oyaeeee – o 190 (27,5 %) oai?eo.

Iniiaieie iai?yieaie aeine?aeaeaiiy aoee:

1. Aea/aiiy ee?i?ei-ai?aeai?ieia?/ieo ca’yce?a i?e oiea?? Aeue-Oi? o
iaaeao iaei??? ee?iaoi-aaia?ao?/ii? ciie i?aaeiy Oe?a?ie.

2. Ii??aiyiiy ee?i?/iiai ia?aa?ao oiea?e Aeue-Oi? o aeaio ai?aeai?/ieo
ina?aaeeao (Iaeanueeiio — 1970 ?. oa Ieeiea?anueeiio — 1994-1995 ??.) c
25-??/iei ?ioa?aaeii.

3. Aea/aiiy iniaeeainoae ee?i?/iiai ia?aa?ao oiea?e ia oe? noiooiuei?
niiaoe/ii? iaoieia??, i?e i?eno-?ioaeoe??, caeaaeii a?ae a?eo oa ?ioeo
iaoyaeoth/eo /eiiee?a.

4. ?ic?iaea ei?aaoth/eo i?aeoiae?a uiaei aiaeii-nieueiai? oa ao?io?iiii?
oa?ai?? c a?aooaaiiyi iniaeeainoae ia?aa?ao oiea?e ? /ooeeaino?
caoaeieea aei aioea?ioee?a. Aecia/aiiy oa?aiaaoe/ii? aoaeoeaiino? iiaeo
aioeaaeoa??aeueieo i?aia?ao?a ? aioa?ini?aaio?a.

5. Aeine?aeaeaiiy iiaeeeaino? canoinoaaiiy iaoaiaoe/iiai iiaeaethaaiiy
oiea?e aeey ia’?eoeaiiai aecia/aiiy oyaeeino? ia?aa?ao, iii?oi?eiao
aeeiai?ee iaoieia?/iiai i?ioeano oa ioe?iee aoaeoeaiino? e?eoaaeueieo
cania?a.

Ee?i?ei-eaai?aoi?ia ianoaaeaiiy oai?eo ia oiea?o cae?enithaaeinue ca
caaaeueiii?eeiyoith noaiith, a oaeiae c aeei?enoaiiyi ?ic?iaeaieo iaie
iaoiaee/ieo i?aeoiae?a. C’yniaoaaeenue aiaiianoe/i? oa ai?aeai?ieia?/i?
aeai?, i?e oeueiio a?aoiaoaaeenue aeaiue oa /an caoai?thaaiiy,
iine?aeiai?noue iiyae iii?ieo neiioii?a, ia?ae?e iaaeeeaiaioicieo
cania?a, ui canoiniaoaaeenue aei aini?oae?caoe??, ia?aianai? oa noiooi?
caoai?thaaiiy. Aea/aeenue ee?i?/i? i?iyae c aieo i?aai?a ? nenoai,
i?ae?aoiaoaaeenue ao?aoe ??aeeie c aethaioith, eaeii oa na/ath. O oai?eo
c eaoaoa?eciaaiith i?aeeeth/e/iith aaiith aecia/aany oeaio?aeueiee
aaiiciee oene (OeAO) ca iaoiaeeeith Aaeueaeiaia.

Ee?i?/i? i?iyae c?noaaeyeenue c aeaieie ia?aee?i?/ieo aeine?aeaeaiue.
On?i oai?ei i?e aini?oae?caoe??, a iio?i o aeeiai?oe? i?iaiaeeeenue
a?io?i?/i?, na?ieia?/i? aeine?aeaeaiiy e?ia? oa aaeoa??ieia?/i? —
oaeae?e. Aecia/aiiy a?aeiinii? u?eueiino? ieacie e?ia? i?iaiaeeeinue ca
iaoiaeeeith A.I. Ieeeoi?iaa (1970), aaiaoie?eoiiai /enea – ca
iiiia?aiith O?ee?ina-Aai-Neaeea, eiioeaio?aoe?? ?ii?a iao??th oa eae?th
a noaiaea?oieo iaeeieoeyo o ieaci? e?ia? – ca aeiiiiiaith oi?o?eiaaiiai
iaoiaeo oioiiao??? iieoi’y (A.A. Iaioeeia, 1987), oei?o – oi?o?eiaaiei
ia?eo?eiao?e/iei iaoiaeii (A.A. Iaioeeia, 1987). Caaaeueiee a?eie e?ia?
aecia/aany iaoiaeii G.Kingsley (1940), aieeiaee niaeo? e?iai —
W.Grossman, K.Hanning (1950) o iiaeeoieaoei? A.?. Ao?ai/a (1955).
Eiioeaio?aoeith a e?iai acioenoeo oeaeia (na/iaeia, acio na/iaeie,
caeeoeiaee acio) aeineiaeaeoaaee ca iaoiaeeeith R.Richterich (1971),
e?aaoei?io — ca oiioieiaaiei iaoiaeii ii eieuei?iaie ?aaeoei? ssoa
(1972). Aooa?i? iniiae (AA) o ieaci? e?ia? oa aeao?oeeo iniia (AA)
?ic?aoiaoaaeenue ca oaeeie oi?ioeaie (ss.A. AEeciaaneee, 1994):

BB(iiieue/e) = Na+ ieacie (iiieue/e) — Cl- ieacie (iiieue/e);

AA = Na+ ieacie — Cl- ieacie — 42.

Noaoenoe/ia ia?iaea iaoa??aeo i?iaiaeeeanue ia ia?niiaeueiiio
eiii’thoa?? ca aeiiiiiaith i?ia?aiiiai caaacia/aiiy Statistica aeey
Windows, aa?n?y 4.3 oa Excel 97.

?ACOEUeOAOE AeINE?AeAEAIUe OA ?O IAAIAI?AIIss

Niaeaoe oiea?e a on?o o?ueio ina?aaeeao aeieeaee ia oii? iaaecae/aeiiai
i?aeaeuaiiy ??aiy caoai?thaaiino? ia aino?? eeoeia? ?ioaeoe?? (ia
45,5 %-52,3 % ii??aiyii c iiia?aaei?ie ?ieaie). Ia?o? ca?a?no?iaai?
aeiaaeee oiea?e aoee ?ic??ciai?, a iio?i, caaaeyee iaeiie/aiith
i?eoiaaieo aeaea?ae ? ?aca?aoa??a ?ioaeoe?? oa caaaeueiei c ?ioeie
eeoeiaeie ?ioaeoe?yie oaeoi?ai ia?aaea/? caoaeieea, ianooiaea
iai?oanoaoe?y niaeaoo. Aaaeeeao ?ieue a oneeaaeiaii? ai?aeai?/ii?
neooaoe?? i?e oiea?? a inoaii? ?iee a?ae?a?aee nioe?aeueii-aeiiii?/i?
oaeoi?e. Oea i?aeoaa?aeaeo?oueny ii??aiyiiyi ?ioaineaiino? niaeao?a
oiea?e a 1970 ?. ? a 1994-1995 ??. sseui a i?eueeiiiiio i?no? Iaean?
(1970 ?.) aoei ca?a?no?iaaii 120 oai?eo, oi a i?ai?eueeiiiiio i?no?
Ieeiea?a? (1994 ?.) ca oaeee aea i?ny/iee oa?i?i niaeaoo oiea?e – o 4
?ace a?eueoa. E??i oiai, ai?aeai?/iee niaeao oiea?e o i. Ieeiea?a?, ia
a?aei?io a?ae Iaeanueeiai ina?aaeeo, iiaoi?eany a ianooiiiio 1995 ?. ?
oa?aeoa?ecoaaany ?aii?i ii/aoeii (c 2.06.95 ?.), aaeeeith e?euee?noth
oai?eo (281), oaeeaiiae?aiith aeeiai?eith, a?oiiaith caoai?thaai?noth a
eieaeoeaao, iaioith iioe?ai?noth oa o?eaae?noth (4 i?nyoe?).

Ii??aithaai? ai?aeai?/i? ina?aaeee ia??aiicia/i? ca oyaee?noth ia?aa?ao
oiea?e. A Iaean? (1970 ?.) eaae? oi?ie neeaee 20,0 %, o Ea?/? (1970 ?.)
— 30,8 %, o Ieeiea?a? /a?ac 24 ?iee — 45,7 %, oyaeeee ia?aa?a a
ina?aaeeao ?a?no?oaaany a?aeiia?aeii — o 41,7 %, 34,0 %, 25,4 % oai?eo.

Aia?oa a Oe?a?i? aea/aeenue ee?i?ei-ai?aeai?ieia?/i? ca’ycee i?e oiea??.
C?noaaeaiiy eiioaa?iciiai ?iaeaeno, ??aiy caoai?thaaiino? oa no?ie?a
aini?oae?caoe?? oai?eo o n?iaeieo ina?aaeeao c oyaee?noth ee?i?/iiai
ia?aa?ao oiea?e iieacaei, ui iaea?eueo ?ioaineaieie aeaea?aeaie
?ioaeoe?? aoee oai?? oyaeeith oi?iith c /anoeie ? ?ynieie
aeii?iaeiaiiyie, cie?aia iaoe??ioe iioeeiai a?eo, iniae, ui no?aaeaeaee
aaaeeith niiaoe/iith iaoieia??th oa o?ii?/iei aeeiaie?ciii,
aaci?eooeuei? oa ?i. Iaea?eueo aenoaineaieie aeaea?aeaie ?ioaeoe?? aoee
oai?? c eaaeei ia?aa?aii oiea?e oa a?a??iiiiin??, yeeo aeoeaii aeyaeyee
a ina?aaeeao, a aei oeueiai aiie aeayeee /an caeeoaeenue o ?iai/eo
eieaeoeaao, a n?i’?, caeiaeenue naiie?eoaaiiyi. Iniaeeai oea noino?oueny
a?a??iiiiin??a, /anoea yeeo o caaaeuei?e e?eueeino? oai?eo ? iin??a a
Iaeanueeiio ina?aaeeo noaiiaeea 14,6 %, o Ea?/? — 28,7 %, o Ieeiea?a? o
1994 ?. — 37,7 %, o 1995 ?. — 41,4 %. Iaeiae, o?eaaeiai
a?a??iiiiin?enoaa ia niinoa??aaeinue. Ia ae?oaiio ?ioe? ai?aeai?/iiai
niaeaoo oiea?e o i. Ieeiea?a? i?ooi ?c ia?aoai??eeo o 1994 ?. iiaoi?ii
ia caoai??a. Ia ca?a?no?iaaii a 1995 ?. oai?eo ? a?a??iiiiin??a ?c
n?iaeieo ina?aaee?a 1994 ?.

Ai?aeai?ieia?/i? iniaeeaino? niaeao?a oiea?e a cia/i?e i??? coiiaeai?
aeoeai?noth oaeoi??a ia?aaea/? caoaeieea. I?ia?aeiei oaeoi?ii ia?aaea/?
a on?o ina?aaeeao aoea aiaea: a Iaeanueeiio ? Ea?/ainueeiio – ii?nueea,
o Ieeiea?anueeiio — ??/eiaa, caa?oaeiaia noieaie i?nueei? eaiae?caoe??.
Oea aeiaaaeaii aeae?eaiiyi a Iaean? 15 eoeueoo? oiea?iiai a?a??iio
Aeue-Oi? ?c ii?nueei? aiaee ieyae?a oa 8 eoeueoo? – ?c no?/ieo aiae (a
Ea?/? a?aeiia?aeii 30 ? 84). O Ieeiea?a? ?c a?aee?eoeo aiaeieieu
aeae?eaii 26 eoeueoo?, ?c no?/ieo aiae — 98 eoeueoo?. O Ieeiea?anueeiio
ina?aaeeo ?aae?caoe?y aiaeiiai oaeoi?a cae?enithaaeanue /a?ac ??/eiao
?eao (35,9 %), iai/? (13 %) ? o?oeoe (3,6 %).

Cae?eniaia aia?oa a Oe?a?i? a Iaeanueeiio ? Ea?/ainueeiio ina?aaeeao
(1970 ?.) nooe?eueia o?i?ii?io?eaeoeea iiceoeaii aieeioea ia o?ae
ai?aeai?/iiai niaeaoo. Iaeiae /a?ac oei/ania?noue aoaeoo ? aei?iaeia/o
i?iaiaeeoe oaeee cao?ae AIIC (1993) ia ?aeiiaiaeo?. Aea??eiaa
o?i?ii?io?eaeoeea o Ieeiea?anueeiio ina?aaeeo (1994-1995 ??.)
i?iaiaeeeanue a ie?aieo i?e?iina?aaeeao ii i??? ?o aeyaeaiiy ? iiceoeaii
ia aieeioea ia niaeao, yeee o?eaaa 2-a naciie iini?eue.

O 87 oai?eo aea/aany aieea i?eeiio aioeaaeoa??aeueieo i?aia?ao?a ia
aeiaini?oaeueiiio aoai? ia oyaee?noue ia?aa?ao oiea?e. O 70,1 % c ieo
oiea?a ia?aa?aaea eaaei, oyaeeee ia?aa?a ?a?no?oaaany o 13,7 %. O
ii??aithaai?e a?oi? oe? iieacieee a?aeiia?aeii neeaee 47,0 % ? 27,8 %. A
iniiai?e a?oi?, ia a?aei?io a?ae ii??aithaaii?, ia aoei iiaoi?ieo
aen?a?a oiea?ieo a?a??ii?a.

Aiae?c aeaieo e?oa?aoo?e na?ae/eoue, ui aei oeueiai /ano ia ?nio?
?aeeiiai i?aeoiaeo uiaei aecia/aiiy aaaeeino? ia?aa?ao oiea?e.
Aacoiiaii, nooi?iue aeaa?ae?aoaoe?? ? aecia/aeueiei, aea ?aaeoe?y
i?aai?cio oai?iai ia ciaaiaeiaiiy /anoi caeaaeeoue a?ae ?yaeo
aeiaeaoeiaeo /eiiee?a, ye? iiaeooue aieeaaoe ia oyaee?noue ia?aa?ao ?
ye? ia ca’ycai? c ao?aoaie ??aeeie. Iaea?eueo a??ia?aeii nooi?iue
aeaa?ae?aoaoe?? o oai?eo ia oiea?o aecia/a?oueny ca aeao?oeeoii iane
o?ea, yeui aiia aoea a?aeiia aei ii/aoeo caoai?thaaiiy. O oie aea /an
a?eueo?noue ee?i?/ieo e?eoa???a, ye? aeei?enoiaothoueny aeey ioe?iee
nooiaiy ciaaiaeiaiiy, ? noa’?eoeaieie. E??i oiai, aeineoue aaeeea /anoea
oeeo e?eoa???a a?aeiineoueny aei aiaiianoe/ieo aeaieo, ye?, iaeiae,
/a?ac oyaeeee noai oai?iai ia iiiaio aini?oae?caoe?? aaaeei c’ynoaaoe.
Iaie cai?iiiiiaai? e?euee?ni? e?eoa???, ye? aeiiiaiththoue ye?nio
ioe?ieo nooiaiy aeaa?ae?aoaoe?? oai?eo (oaae. 1).

A?eueo?noue aaoi??a (A.A. Iaeaaa, 1973; A.E. Iie?ianeee e niaao., 1988;
D. Barua, W. Greenough, 1992), /a?ac ?cioii?/iee oa?aeoa? ciaaiaeiaiiy
i?e oiea??, ia aeyaeee /?oei? ei?aeyoe?? i?ae nooiaiai aeaa?ae?aoaoe??
oa eiioeaio?aoe??th aeaeo?ie?o?a o ieaci? e?ia?. Iaie cai?iiiiiaaia oa
aei?iaoaaia iaoiaeeea aecia/aiiy eiioeaio?aoe?? aeaeo?ie?o?a o
ia?a?aooieo ia ea iane o?ea oai?iai, yea aeicaiey? a?aoiaoaaoe ? ao?aoo
ciai?oiueiee?oeiii? ??aeeie. Ia/eneai? ii?iaeuei? iieacieee aeaeo?ie?o?a
ieacie e?ia? a iiieyo o ia?a?aooieo ia ea iane o?ea oai?eo, ye? neeaee:
Na+ – 5,81 ± 0,01; K+ – 0,21 ± 0,001; Cl- – 4,2 ± 0,02; Ca2+ – 0,101 ±
0,001 iiieue/ea.

Aecia/aiiy ai?noo aeaeo?ie?o?a o ieaci? 125 oai?eo c oyaeeei ?
na?aaeiueioyaeeei ia?aa?aii iieacaei, ui eeoa eiioeaio?aoe?y ?ii?a
eaeueoe?th a??ia?aeii ia cieaeoaaeanue aei ii/aoeo e?eoaaiiy. Iaea?eueo
cia/i? a?aeoeeaiiy a?ae ii?ie aei ii/aoeo e?eoaaiiy aeyaeyeenue o
ieaciaiieo eiioeaio?aoe?yo ?ii?a eae?th oa oei?o (i?e na?aaeiueioyaeeiio
ia?aa?ao ai?no E+ cieaeoaaany ia 24 %, Cl- — ia 16 %, a i?e oyaeeiio —
E+ ia 43 %, Cl- ia 25 %). Ai?no iao??th a ieaci? e?ia? ciaiooaaany iaio
nooo?ai, ui ni?aa?aeiineoueny c ?cioii?/iei oa?aeoa?ii aeaa?ae?aoaoe??
i?e oiea??. Ioaea, iaaaaeaia iaoiaeeea a??ia?aeii a?aeaeca?eaeth? noai
aeaeo?ie?oiiai aaeaino i?e oiea??. Aeine?aeaeaiiy ai?noo aeaeo?ie?o?a
(Na+, K+) a a?eo?ioeeoao iieacaei, ui eeoa eiioeaio?aoe?y eae?th
a??ia?aeii ciaioo?oueny aei ii/aoeo oa?ai?? i?e oyaeeiio ia?aa?ao
oiea?e. Ca?aeii aeaieo e?oa?aoo?e (D. Barua, W. Greenough, 1992), oea
coiiaeaii oei, ui iayai?noue iaoaaie?/iiai aoeeaeico i?e oiea?? ni?ey?
ia?ai?uaiith E+ c ee?oei o ciai?oiueiee?oeiio ??aeeio a iai?i ia
iaaeoiaeaeaiiy I+ a ee?oeio. O oie aea /an eiioeaio?aoe?y Na+ a
a?eo?ioeeoao i?aeoe/ii ia ci?ithaaeanue.

Ca aeiiiiiaith ?aa?an?eiiai aiae?co aoee aeaaaeai? oi?ioee oa
iiaoaeiaai? iiiia?aie aeey ia/eneaiiy eiioeaio?aoe?? aeaeo?ie?o?a o
ieaci? a ia?a?aooieo ia ea iane o?ea oai?iai caeaaeii a?ae iieaciee?a
aaiaoie?eoo, iane o?ea oai?eo oa eiioeaio?aoe?? aeaeo?ie?o?a o ieaci? a
noaiaea?oieo iaeeieoeyo (iiieue/e). Oi?ioee iathoue oaeee aeaeyae:

1) o (iiieue/ea) = 2,05 + 0,04Ae (iiieue/e) — 0,05Ht (%)+ 0,002M (ea)
(i?e Ht ? 40 < 50), 2) o (iiieue/ea) = 0,74 + 0,03Ae (iiieue/e) - 0,02Ht (%) + 0,01I (ea) (i?e Ht ? 50 < 60), 3) o (iiieue/ea) = 2,28 + 0,03Ae (iiieue/e) - 0,04Ht (%) + 0,001I (ea) (i?e Ht ? 60 < 70), aea o — eiioeaio?aoe?y aeaeo?ie?o?a o iiieyo o ia?a?aooieo ia ea iane o?ea, Ae — eiioeaio?aoe?y aeaeo?ie?o?a o ieaci? e?ia? a iiieue/e, Ht — aaiaoie?eo aaiicii? e?ia? (%), I — iana o?ea oai?iai (ea). Iioi?iaoeaiinoue iiaeaieo iiaeaeae — 98-99,9 %, ai?iaiaeiinoue < 0,001. Aia?oa i?iaaaeaiee ii??aiyeueiee aiae?c ee?i?/ieo i?iya?a oiea?e Aeue-Oi? a Iaeanueeiio (1970 ?.) oa Ieeiea?anueeiio (1994-1995 ??.) ina?aaeeao c iaoith aeyaeaiiy iniaeeainoae ee?i?/iiai ia?aa?ao, ye?, iiaeeeai, noi?ioaaeenue ai?iaeiaae 25 ?ie?a, a oaeiae caeaaeii a?ae a?eo, iayaiino? noiooiuei? o?ii?/ii? iaoieia?? ? iia’ycaieo c iath oneeaaeiaiue. Aiae?c cana?ae/ea, ui a inoaii? ?iee ia?aa?a caoai?thaaiiy ci?noeany a a?e eaaeeo oi?i (20,3 % a Iaean? i?ioe 47,0 % o Ieeiea?a?). Ii??aiyiiy /anoioe oa o?eaaeino? iii?ieo neiioii?a na?ae/eoue, ui i?e oyaeeeo oi?iao oiea?e a Ieeiea?anueeiio ina?aaeeo /anoioa aeii?iaeiaiue a?ae 10 aei 15 ?ac?a ia aeiao niinoa??aaeanue ??aeoa ia 21,2 % (oaeae?? c aeii?oeaie e?ia? – ia 12,5 %), aaaaoi?aciaa aethaioa – ia 21,4 %, cieaeaiiy oaiia?aoo?e o?ea ieae/a 35,0°N – o 2 ?ace, oo?ai?o oe??e – ia 45,5 %, /anoioa noaeii ciaioeeanue ia 25,6 %, ii?ooaiiy na?aeiiino? – ia 44,8 %. O?eaae?noue cacia/aieo neiioii?a i?e oyaeeiio ia?aa?ao ? iaeiaeiaeo iaoiaeao e?eoaaiiy a Ieeiea?anueeiio ina?aaeeo aoea iaioith a na?aaeiueiio ia 2-2,5 aeiae. Eaoaeuei?noue a Iaeanueeiio ina?aaeeo aoea iaeaea o 7 ?ac?a aeuith, i?ae o Ieeiea?anueeiio. A?aoiaoth/e aeai? e?oa?aoo?e (A.A. Aeaen??iei, 1993; A.N. Ia?aiiae/, I.E. Ia?eaae/, 1993) ? aeani? niinoa?aaeaiiy, iiaeia aaaaeaoe, ui aeyaeai? a?aei?iiino? o ee?i?/iiio ia?aa?ao oiea?e coiiaeai? aaaaoueia /eiieeaie, cie?aia nooiaiai a??oeaioiino? caoaeieea, iioe?ai?noth i?ae /an inoaii?o niaeao?a naiino?eiiai e?eoaaiiy aioeaaeoa??aeueieie i?aia?aoaie, ?aiiueith ae?aaiinoeeith, nai?/ani?noth e?eoaaiiy oa ?i. Oyaee?noue ia?aa?ao oiea?e ei?aethaaea c iayai?noth o?ii?/ii? niiaoe/ii? iaoieia?? ? a?eii oai?eo. Noiooi? caoai?thaaiiy iaee i?noea o 32,6 % oai?eo. A ?o no?oeoo?? ?a?no?oaaeenue o?ii?/i? caoai?thaaiiy na?oeaai-noaeeiii? nenoaie (o 24,7 %), i?aai?a o?aaeaiiy (o 17,2 %), o?ii?/iee aeeiaie?ci (o 13 %), o?ii?/ia iaoieia?y aeeoaeueii? nenoaie (o 8,1 %), oeoe?iaee ae?aaao (o 2,8 %) oa ?io?. C?noaaeaiiy /anoee oi? /e ?ioi? noiooiuei? iaoieia?? i?e oyaeeiio ia?aa?ao aei aiaeia?/iiai iieacieea a a?oi? c eaaeeie oi?iaie oiea?e (eiao?oe??io e?aoiino? (EE)) iieacaei, ui iaea?eueoee iaoyaeoth/ee aoaeo ni?e/eiyee o?ii?/ia iaoieia?y ie?ie (o?ii?/iee aeiia?oeiiao?eo) (EE 5,9), aeeiaie?ci (EE 2,6) oa o?ii?/ia iaoieia?y na?oeaai-noaeeiii? nenoaie (?oai?/ia oai?iaa na?oey) (EE 2,4). Aea/aeenue iniaeeaino? ia?aa?ao oiea?e o 155 oai?eo a?eii 60 ?ie?a ? noa?oeo. A?oio ii??aiyiiy neeaee 203 iaoe??ioe a?eii 15-40 ?ie?a. Noiooiy iaoieia?y ?a?no?oaaeanue ia?aaaaeii a in?a iioeeiai ? noa?a/iai a?eo (75 % i?ioe 21,8 % o ii??aithaai?e). Iaea?eueo /anoi aeyaeyeenue caoai?thaaiiy na?oeaai-noaeeiii? (65,6 %), o?aaii? (26,6 %) oa aeeoaeueii? (20,2 %) nenoai. Iaoieia?y ia?aiai? ? na/iaeae?eueii? nenoai a?aei?/aia a?aeiia?aeii o 14,2 % oa 6,0 % oai?eo. Na?aae iaoe??io?a a?eii 15-40 ?ie?a o?ii?/ia iaoieia?y o?aaii? nenoaie iaea i?noea o 17,7 %, ia?aiai? — o 7,4 %, aeeoaeueii? oa na?oeaai-noaeeiii? — o 4,4 % oai?eo. A in?a iioeeiai ? noa?a/iai a?eo iaea?eueoee iaoyaeoth/ee aoaeo ia ia?aa?a oiea?e ni?e/eiyea iaoieia?y ie?ie (EE 8,7), o ii??aithaai?e — iaoieia?y aeeoaeueii? nenoaie (EE 4,1), na?aae yei? ia?aaaaeaa ooaa?eoeueic eaaai?a. Cia/ii aieeaaea ia oyaee?noue ia?aa?ao oiea?e iiiaeeiia o?ii?/ia iaoieia?y, yea ?a?no?oaaeanue a iniiai?e a?oi? a 12 ?ac?a /ano?oa, i?ae na?aae iaoe??io?a a?eii 15-40 ?ie?a (a?aeiia?aeii a 48,8 % ? a 4 % oai?eo), ? ei?aethaaea c oyaee?noth ee?i?/iiai ia?aa?ao oiea?e: i?e eaaeiio aiia ?a?no?oaaeanue a 33,3 % aeiaaee?a, i?e na?aaeiueioyaeeiio — a 46,9 %, i?e oyaeeiio — a 66,3 %. Ee?i?/i? i?iyae oiea?e a in?a iioeeiai a?eo aoee a?eueo ae?aaeaieie ? o?eaaeeie, i?ae o ?aooe iaoe??io?a. Oae, /anoioa aeii?iaeiaiue iiiaae 15 ?ac?a ia aeiao a iniiai?e a?oi? a?aei?/aeanue o 25,8 % oai?eo, a na?aae iaoe??io?a a?eii 15-40 ?ie?a — o?eueee o 5,9 %. Iaa?oue i?e iaeiaeia?e /anoio? aeii?iaeiaiiy o aeaeyae? ?eniaiai a?aeaa?o, a oei a?eueo c aeii?oeith e?ia?, niinoa??aaeenue ia?aaaaeii a iniiai?e a?oi? (65,4 %). O?eaae?noue i?iiino a iniiai?e a?oi? neeaea 6,6 ± 0,4 aeiae, o ii??aithaai?e – 4,9 ± 0,6 aeiae (? < 0,05). Aeaeo?ie?oiee aeenaaeain o iaoe??io?a iioeeiai a?eo ?a?no?oaaany i?e oyaeeiio ia?aa?ao caoai?thaaiiy a na?aaeiueiio a 2 ?ace /ano?oa, i?ae o oai?eo a?eii 15-40 ?ie?a. Ia?aaaaeaee cieaeaiiy eiioeaio?aoe?? oei?o a ieaci? e?ia? oa eae?th a a?eo?ioeeoao. Aiae?c ee?i?/ieo i?iya?a a in?a iioeeiai a?eo a aeeiai?oe? iieacaa, ui oyaeeee ia?aa?a niinoa??aaany o 3 ?ace /ano?oa, a eaaeee — o 2 ?ace ??aeoa, i?ae o ii??aithaai?e a?oi?. E??i oiai, ao?aoe aiaee ? nieae a iniiai?e a?oi? i?ecaiaeeee aei caaino?aiiy noiooiuei? iaoieia?? ? ?icaeoeo oneeaaeiaiue (ii?ooaiiy na?oeaaiai ?eoio niinoa??aaeinue o 14,3 %, iiaaiii?? – o 4,6 %, aino?a ?aiaeueia iaaeinoaoi?noue ?a?no?oaaeanue ia?aaaaeii a in?a iioeeiai oa noa?a/iai a?eo). I?aeoaa?aeaeaiiyi aieeao iiiaeeiii? noiooiuei? iaoieia?? ia ia?aa?a oiea?e ? aeyaeai? o 75 oai?eo iniaeeaino? ee?i?/iiai ia?aa?ao oeueiai caoai?thaaiiy ia oe? o?ii?/iiai aeeiaie?cio. Aiie coiiaeai? oaeaeeeie oaiiaie ?icaeoeo aeaa?ae?aoaoe??, iayai?noth o?ii?/ii? niiaoe/ii? iaoieia?? aeeiaieueiiai aaiaco oa iaoa?oaaiiyi ia ee?i?eo iniiaiiai caoai?thaaiiy neiioiiaoeee oneeaaeiaiue o?ii?/iiai aeeiaie?cio — aanoeiaioiiai neiae?iio (o 60 oai?eo) oa iaoaeeiaieueiiai ineoico (o 15 oai?eo): a?ia?ai?y iaee//y (76,3 %), aeiao? neea?e (64,4 %), a?eue o ??cieo ae?eyieao aeeaioa (39,7 %), ca?eueoaiiy ia/?iee (36,1 %), ii?ooaiiy na?oeaaiai ?eoio (32,1 %) oa ?i., ye? ia ? oeiiaeie aeey oiea?e. Oiea?a iaea ia?aaaaeii oyaeeee ia?aa?a (o 59 %). Ia oe? aanoeiaioiiai neiae?iio (i?oeea?noue, o?aii? iaeueoe?a ?oe, aaaee?noue ? a?eue a aieia?, caiaii?i/aiiy, a?ae/oooy o?eaiae e no?aoo, noaeiii? i?enooie, neooia? oa ci?ia? aaethoeeiaoe??) iii?i? neiioiie oiea?e aoee a?eueo ae?aaeaieie. Oae, a iniiai?e a?oi? /ano?oa, ii??aiyii c eiio?ieueiith (80 oai?eo), niinoa??aaeanue aaaaoi?aciaa aethaioa (88,1 % i?ioe 34,4 %), ca?a?no?iaai? a?eueo? ia’?ie aeii?iaeiaiue (9,6 ± 0,3 e i?ioe 6,5 ± 0,5 e) ? o?eaae?oee i?iiin (7,1 ± 0,6 i?ioe 4,9 ± 0,7 aeiae), ui, iiaeeeai, iia’ycaia c iayai?noth o aeeiaie?e?a o?ii?/ieo caoai?thaaiue i?aai?a o?aaeaiiy, oa?iaioaoeaii? iaaeinoaoiino? oa ii?ooaiiy a?ioeaiico eeoa/ieea (E.I. Ai?iaueaa, E.I. Iaaa, 1987). I?e ?icaeoeo iaoaeeiaieueiiai ineoico neiioiiaoeea aeae???th iiaea i?aaaethaaoe iaae ee?i?/ieie i?iyaaie oiea?e, ye? ia oeae /an, ye i?aaeei, ciaioothoueny. O oai?eo ia oiea?o, ui no?aaeaeaee o?ii?/iei aeeiaie?ciii, ci?ie a caaaeueiiio aiae?c? e?ia? oa?aeoa?ecoaaeenue a?eueo /anoeie oa ae?aaeaieie, ii??aiyii c eiio?ieueiith a?oiith, e?ioiiai??th (52,0 % i?ioe 33,8%), i?aeaeuaiiyi eiioeaio?aoe?? eaeeioeeo?a (60,0 % i?ioe 28,8 %) ? iaee/eiyaea?iei c?ooaiiyi ae?ai (62,7 % i?ioe 21,3 %). Iaeaea o an?o iaoe??io?a iniiaii? a?oie iaa i?noea iaoieia?/iee inaae o na/?. Aiaeii-aeaeo?ie?oiee aiiaie?iac a aeeiaie?e?a aoa ii??aiyii eaa?eueiei. Oae, o ieaci? e?ia? iacia/ia a?ia?eae??i?y aeyaeaia a 21,4 %, a?iieae??i?y — o 35,7 %, cieaeaiiy eiioeaio?aoe?? eae?th a a?eo?ioeeoao — o 42,9 %, iao??th — a 50 %, a i?aeaeuaiiy — a?aeiia?aeii a 28,6 % ? a 21,4 % iaoe??io?a. Iaea?eueo ae?aaeai? ii?ooaiiy aeaeo?ie?oiiai aaeaino a?aei?/aeenue o oai?eo ia oiea?o c aeeiaieueiei o?aaeaiiyi ia/?iee oa ie?ie. I?iyae ?noeiii? aino?i? ie?eiai? iaaeinoaoiino? aeyaeai? a 64,3 % aeiaaee?a. Iaeiei ?c caaaeaiue iaoiai aeine?aeaeaiiy aoei aea/aiiy ooieoe?iiaeueiiai noaio ie?ie o oai?eo ia oiea?o. I?e ianoaaeaii? 54 oai?eo c oyaeeei ia?aa?aii oiea?e o 61,4 % aeyaeaii i?aeaeuaiiy eiioeaio?aoe?? acioenoeo oeae?a ? e?aaoei?io a e?ia?. Acioai?y o?eaaea 4,1 ± 0,32 aeiae. Na?aaei? iaeneiaeuei? iieacieee na/iaeie neeaee 12,4 ± 0,8 iiieue/e, acioo na/iaeie – 5,8 ± 0,4 iiieue/e, caeeoeiaiai acioo – 41,3 ± 2,6 iiieue/e, e?aaoei?io – 157,98 ± 14,6 ieiieue/e. O ia?aaaaeii? a?eueoino? oai?eo ia oiea?o ie?aiaio??y iaea ooieoe?iiaeueiee oa?aeoa? ? aoea coiiaeaia aeaa?ae?aoaoe??th, a?oa??aeueiith a?iioaic??th oa a?iiaieai??th. Iaeiae o 14,8 % oai?eo c oyaeeei ia?aa?aii iaea i?noea ?noeiia aino?a ie?eiaa iaaeinoaoi?noue, yea i?iyaeyeanue aio???th, iecueeith ieoiiith u?euei?noth na/?, o?eaaeith ? aenieith e?aaoei?iai??th, a?ia?eae??i??th, aiai??th, a?eo?ioeeoo???th oa iaeaea iaeiaeiaeie iieacieeaie iniiey?iino? na/? ? ne?iaaoee e?ia?. I?e ianoaaeaii? 67 oai?eo c aeneeicii ae?oaiai nooiaiy ?noeiia aino?a ie?eiaa iaaeinoaoi?noue anoaiiaeaia o 3-o (4,5 %). Iaeiae, o oeeo aeiaaeeao iaea i?noea oyaeea noiooiy iaoieia?y: o?ii?/iee i??eiiao?eo, o?ii?/iee aeiia?oeiiao?eo, aeenai?iiaaiee ooaa?eoeueic eaaaiue ? ae?aaaoe/ia iao?iiao?y, ui, i/aaeaeii, a?ae?a?aei i?ia?aeio ?ieue o oi?ioaaii? i?aai?/iiai o?aaeaiiy eaiaeueoe?a. Iiae?e aio??? ia i?a?aiaeueio ? ?aiaeueio a?aeiinii oiiaiee (o iaoai?ci? aeieeiaiiy o??? ? ?ioi? aaaeo/a ?ieue iaeaaeeoue ii?ooaiith ia?ooc?? a ie?eao) ? oaeoe/ii noa? iiaeeeaei i?e oiea?? ?ao?iniaeoeaii. Iaie ?ic?iaeaia aaeueia nenoaia aecia/aiiy nooiaiy ?eceeo ?icaeoeo aino?i? ?aiaeueii? iaaeinoaoiino? o oai?eo ia oiea?o c a?aooaaiiyi iieaciee?a, ye? iiaeooue aooe io?eiai? a ia?o? 12-24 aiaeeie aini?oae?caoe??. Aeai?, ui aoee io?eiai?, i?aeaeai? noaoenoe/i?e ia?iaoe? c aeei?enoaiiyi aeenia?n?eiiai aiae?co c iaoith aecia/aiiy /anoee, a a?aeoae ? e?eueeino? aae?a aeey eiaeiiai ie?aiiai /eiieea o oi?ioaaii? ?noeiii? aino?i? ie?eiai? iaaeinoaoiino? (oaae. 2). Iiney oanooaaiiy oai?eo aeyaeeinue, ui aenieee ?ecee ?icaeoeo aino?i? ?aiaeueii? iaaeinoaoiinoi ia? iinoea, eiee caaaeueia noia aaeia aieueoa 30, ?ecee ? iiii?iei i?e noii 20-30 oa iacia/iei, eiee noia iaioa 20. Aeiaaio?eaaea acioai?y i?ieiiao? ae?a?ath. Oae, o oai?eo ia oiea?o, o yeeo iaea i?noea aino?a ?aiaeueia iaaeinoaoi?noue, na?aaeiy o?eaae?noue i?iiino neeaea 7,8 ± 0,5 aeiae a?ae ii/aoeo e?eoaaiiy, a o ?aooe oai?eo c oyaeeei ia?aa?aii – 4,7 ± 0,7 aeiae (? < 0,01). Ca aeaieie AIIC (1995), ??aaiue eaoaeueiino? i?e oiea?? a ??cieo e?a?iao neeaaea? a?ae 1 % aei 20 %. A Oe?a?i? a?i o ii??aithaaieo ai?aeai?/ieo ina?aaeeao oaeiae aoa ??ciee: a Iaeanueeiio (1970 ?.) — 6,1 %, Ea?/ainueeiio (1970 ?.) — 4 %, Ieeiea?anueeiio a 1994 ?. — 0,96 %, a 1995 ?. — 0,19 %, ui ei?aeth? c /anoeith oyaeeeo oi?i a ina?aaeeao. C iaoith aecia/aiiy iniiaieo i?e/ei, ui i?ecaaee aei oyaeeiai ia?aa?ao oiea?e c? nia?oaeueiei iane?aeeii, i?iaaaeaiee ee?i?ei-ii?oieia?/iee aiae?c 17 eaoaeueieo aeiaaee?a (12 /ieia?e?a ? 5 ae?iie). A?e 15 ?c 17 oai?eo ia?aaeuoaaa 50 ?ie?a. A?eueo?noue (10 ?c 17) iiia?eeo iinooiaee a ia?o? 2-a aei? oai?iae o ae?ae oyaeeiio noai? ? iiie?aee o noaoe?iia?? /a?ac aeae?eueea aiaeei. Iaeei oai?ee iiia? o iaoei? oaeaeei? aeiiiiiae. Caoai?thaaiiy ?icaeaaeinue aac i?iae?iie, ca e?eueea aiaeei iac/eneaii? ?yni? aeii?iaeiaiiy ? aaaaoi?aciaa aethaioa i?ecaiaeeee aei ciaaiaeiaiiy III-IV nooiaiy. O an?o iiia?eeo iaee i?noea o?ii?/i? niiaoe/i? caoai?thaaiiy, ye? iaoyaeoaaee ia?aa?a oiea?e. Oae, caoai?thaaiiy na?oeaai-noaeeiii? nenoaie ?a?no?oaaeenue o 88,9 % oai?eo c eaoaeueiei e?ioeai, i?aai?a o?aaeaiiy — o 60%, aeeoaeueii? nenoaie — o 35 %. O /ene? o?ii?/ieo caoai?thaaiue ?a?no?oaaeenue oaeiae aeeiaie?ci, oee?ic ia/?iee, o?ii?/iee iao?iciiao?eo ? i??eiiia oai?iaa. I?iaiinoe/ii iniaeeai iaaacia/iei aoei ii?aeiaiiy oiea?e c iiiaeeiiith o?ii?/iith iaoieia??th, yea iaea i?noea o 58,8 % iiia?eeo. Aaciina?aaei?ie i?e/eiaie nia?o? aoee aeaa?ae?aoaoe?eiee oie (58,8 %), aino?a ie?eiaa iaaeinoaoi?noue (23,5 %), o?iiaic iacaioa??aeueieo noaeei (5,9 %), o?iiaaiaie?y eaaaiaai? a?oa??? (5,9 %), aeeiaieueiee aeae???e (5,9 %), ui i?aeoaa?aeaeaii iaoiii?oieia?/ieie aeine?aeaeaiiyie. O iiia?eeo a?ae a?iiaieai?/iiai oieo oa?aeoa?ieie iaoiii?oieia?/ieie o?aaeaiiyie, coiiaeaieie oiea?ith, aoee: cii?uaia ? nooa oe??a, ciaioai? ?ici??e aioo??oi?o i?aai?a, noo?noue ?o iaieiiie, ye? ae?eo? eeieeie a?eynoeie iaeeaaeaiiyie. O aieiaiiio iiceo — na?icia i?ini/oaaiiy i’yei? iaieiiee, e?iaiaeeeae, aeaaaia?aoe?y ia?aiaeo ee?oei, i?noeyie ia?aia? ee?oeie i?eiioe/i?, a?ia?o?iiaoic yaea?, aeaa?aioeyoe?eia ca?ieno?noue. O ii?iaeieiao na?oey — e?ia’yi? caonoee, iiaa?oiy na?icii? iaieiiee na?oey eeiea, a ai?ea?ae? — e?iaiaeeeae, o i?iea?ae? — a?eeiaa ? aee?iaa aeeno?io?y. Eaaai? noo?, niae?, iaeie?iai? ? ciaaiaeiai?. O ia?aio?i? ia/?iee — a?eeiaa ? aee?iaa aeeno?io?y, ina?aaeee iae?ico, a?ia?ieac?y ?aoeeoeiaiaeioae?ioeeo?a. Naeac?iea ciaioaia, ae?yaea, ?c cii?oeoaaoith eainoeith, a?ia?ieac?y e?ioioie?eoe?a, iii??iee aaiineaea?ic. O i?ina?o? eeoie aaeeea e?euee?noue aaceieuei?iai? iooioaaoi? ??aeeie o aeaeyae? ?eniaiai a?aeaa?o c aeii?oeith e?ia? ? oa?aeoa?iei caiaoii. Neiae?ii o?ai??, ye iane?aeie o?eaaei? aio???, c’yaeyany aaea i?ney aeaaaeaiiy oai?eo ?c aea?aeii? noaae??, eiee an? iciaee ciaaiaeiaiiy, ie??i aio???, iinooiiai cieeaee. Ee?i?ea o?ai?? ia oe? iacae?i/aiiai oiea?iiai i?ioeano oa?aeoa?ecoaaeanue ia o?eueee iciaeaie ie?eiai? iaaeinoaoiino?, a e aoi?eiieie ?iceaaeaie na?oeaai-noaeeiii?, aeeoaeueii?, oeaio?aeueii? ia?aiai? oa ?ioeo nenoai. I?e ?icoei? o?oi?a, e??i aino?iai na?icii-aaii?aa?/iiai eie?oo, iaee i?noea ae?aaeai? ii?oieia?/i? ci?ie a ie?eao. Ie?ee ae?yae?, iaeie?iai?, eainoea eaaei ci?ia?oueny, iaethiie ei?eiaiai oa?o ia/?oeee. I?e i?e?ineii?? — niaci eai?ey??a eeoai/e?a, i?aeaeuaia i?iieeeea?noue eai?ey??a. O i?ina?o? caeaenoeo eaiaeueoe?a — ca?ienoa a?eeiaa iana. I?e ioe?ioe? iieaciee?a a?ei? e?ia? o aeeiai?oe? anoaiiaeaii, ui iieaciee eiioeaio?aoe?? eaeeioeeo?a ia? i?iaiinoe/ia cia/aiiy. Oae, o an?o iiia?eeo eiioeaio?aoe?y eaeeioeeo?a nyaaea 25-30 ? 109/e., o ?aooe oai?eo c oyaeeei ia?aa?aii — ??aeei ia?aaeuoaaa 20 ? 109/e. Aaaeeeaith ae?aaiinoe/iith oa i?iaiinoe/iith iciaeith ? e?ioi- ? iiiioeeoiiai?y a ?iciae? caoai?thaaiiy. O oai?eo c eaoaeueiei e?ioeai ca 1-2 aei? aei nia?o? /anoea e?ioioeeo?a o eaeeioeeoa?i?e oi?ioe? cieaeoaaeanue aei 5-8 %. A?aoiaoth/e aeuacacia/aia, ie c?iaeee ni?iao iaeneiaeueii ia’?eoea?coaaoe iaoiaee/i? i?aeoiaee aei aecia/aiiy oyaeeino? ia?aa?ao oiea?e oa ioe?iee noaio oai?iai o aeeiai?oe?. C iaoith iaoaiaoe/ii? ioe?iee aeeaeie ii?ooaiue aiiainoaco o oai?eo ia oiea?o iaie aoea aeaaaeaia aaee/eia je – eaai?aoi?iee ?iaeaen ii?ooaiiy aiiainoaco i?aai?cio. I?ney ia/eneaiiy a?aeiinii? ?ioi?iaoeaiino? (A?) i?e oiea?? 23 eaai?aoi?ieo iieaciee?a, aoee a?ae?a?ai? 4, ye?, c iaeiiai aieo, ? iaea?eueo ?ioi?iaoeaieie, a c ?ioiai – a?aeia?aaeathoue ??ci? eaiee iaoiaaiaco caoai?thaaiiy. Na?aae ieo a?aeiinia u?euei?noue ieacie e?ia? — ?, a/ni3 (A? 25 %), ui oa?aeoa?eco? nooi?iue ciaaiaeiaiiy; aeao?oeeo eoa?a — AA (A? 29 %), ye e?eoa??e eeneioii-eoaeieo c?ooaiue; eiioeaio?aoe?y ?ii?a oei?o a ieaci? e?ia? — O, iiieue/e (A? 9 %), ye iieaciee aeaeo?ie?oiiai aaeaino, eiioeaio?aoe?y e?aaoei?io a ieaci? e?ia? — E, ieiieue/e (A? 11 %), ye iieaciee ooieoe?iiaeueiiai noaio ie?ie. ?e = 0,14(?-?0) + 0,12(AA-AA0) + 0,006(E-E0) - 0,04(O-O0), aea ?0, AA0, E0, O0 – aaee/eie a?aeiia?aeieo iieaciee?a o ii?i?. Iaea?eueo? cia/aiiy ?e ?a?no?othoueny a aino?ee ia??iae caoai?thaaiiy ? a na?aaeiueiio i?e eaae?e oi?i? aei??aiththoue 0,56, na?aaeiueioyaee?e – 2,03, oyaee?e – 3,1. I?e aeine?aeaeaii? aeeiai?ee a?aeiiniiai eaai?aoi?iiai ?iaeaeno ia ianea? oai?eo c ??ciith oyaee?noth oiea?e a?aei?/aiee iaeaea ?aeaioe/iee oaii a?aeiiaeaiiy ooieoe?iiaeueiiai noaio i?aai?cio i?e eaae?e, na?aaeiueioyaee?e oa oyaee?e oi?iao. Oea aeicaieeei iiaoaeoaaoe oi?aa?naeueio e?eao a?aeiiaeaiiy aiiainoaco i?aai?cio oai?eo ia oiea?o c aecia/aiiyi ?? aeia??/eo iaae (?en. 1). Ia i?aeoeoe? canoinoaaiiy oi?aa?naeueii? e?eai? aeicaieeoue aeyaeyoe a eiiieaen? ? nai?/anii ei?aaoaaoe a?aeoeeaiiy a iieacieeao aiiainoaco, a oaeiae ioe?ithaaoe aieea e?eoaaiiy ia i?ioean a?aeiiaeaiiy aiiainoaco i?aai?cio oai?eo. Aeenia?n?eiee aiae?c aeyaea 4 /eiieee, ui iaea?eueo a??ia?aeii aieeaathoue ia oyaee?noue ia?aa?ao oiea?e: nooi?iue ciaaiaeiaiiy (/anoea aieeao 72 %), o?eaae?noue aio??? ca aeaieie eaoaoa?ecaoe?? na/iaiai i?oo?a (9 %), a?e oai?eo (5 %), noiooi? caoai?thaaiiy (5 %). C a?aooaaiiyi aeua cacia/aiiai caoaeiaaia iaoaiaoe/ia iiaeaeue aeey ia/eneaiiy ee?i?/iiai ?iaeaeno (?e), yeee aecia/a? oyaee?noue ia?aa?ao oiea?e ca ee?i?/ieie aeaieie ? iiaea aooe ?ic?aoiaaiee o ia?o? aiaeeie aini?oae?caoe?? oai?eo. Eiao?oe??io ia?aae eiaeiei /eiieeii aecia/aany caeaaeii a?ae /anoee eiai aieeao ia oyaee?noue ia?aa?ao oiea?e. ?e = Ae + 0,2A + 0,1A + 0,1I, aea Ae – aeaa?ae?aoaoe?y (0 aae?a — neiioiie aeaa?ae?aoaoe?? o oai?iai a?aenooi?, 1 — neiioiiaoeea I nooiaiy ciaaiaeiaiiy, 2 — II nooiaiy, 3 — III-IV nooiaiy), A – o?eaae?noue aio??? ca aeaieie eaoaoa?ecaoe?? na/iaiai i?oo?a (0 aae?a — a?aenooi?noue aio???, 1 — o?eaae?noue aio??? 1-2 aiae, 2 aaee — 3-4 aiae, 3 aaee — 5 aiae ? aeiaoa), A – a?e oai?eo (0 aae?a — 15-30 ?ie?a, 1 — 31-50 ?ie?a, 2 — 51-70 ?ie?a, 3 — 71 ??e ? noa?o?), I – i?aii?a?aeiee noai (1,5 aaea —iayai?noue o?ii?/ieo ea?ae?icaoai?thaaiue, 2 aaee — o?ii?/iiai aeeiaie?cio, 3 aaee — iaoieia?? ie?ie, 0 aae?a —a?aenooi?noue caaaeaii? aeua iaoieia??). ?e ioe?ith? oyaee?noue oiea?e a ia?o? aiaeeie aini?oae?caoe?? ? ? aeaui noaoe/iith aaee/eiith. Iaie aeaaaeaiee ee?i?/iee ?iaeaen (?’e), yeee aeicaiey? niinoa??aaoe ca aeeiai?eith iaoieia?/iiai i?ioeano, ii/eiath/e c 2-? aeiae e?eoaaiiy ? aei iiaiiai ee?i?/iiai aeaeoaeaiiy. ?’e = Ae + 0,85Ai + 0,25A, aea Ae – aeaa?ae?aoaoe?y, Ai – a?aeiioaiiy ia’?io aeii?iaeiaiue aei iane o?ea oai?iai (0 aaeia — Ai ? 6, 1 aae — Ai 7-30, 2 aaee — Ai 31-60, 3 aaee — Ai > 60),

A – /anoioa aethaioe (aiaenooiinoue aethaioe — 0 aaeia, aethaioa 1 ?ac
ia aeiao — 1 aae, 2-3 ?ace — 2 aaee, 4 ?ace i aieueoa — 3 aaee).

?acoeueoaoe aeine?aeaeaiiy aeeiai?ee a?aeiiniiai ee?i?/iiai ?iaeaeno
na?ae/eee i?i oa, ui na?aaei? oaiie ee?i?/iiai aeaeoaeaiiy ia caeaaeaoue
a?ae aaaeeino? ia?aa?ao ? ? a?aeiinii iino?eiith aaee/eiith, yea
aei??aith? 0,6 aeiae-1. Oaiie ee?i?/iiai aeaeoaeaiiy aeaui a?aenoaaaee
a?ae oaii?a a?aeiiaeaiiy aiiainoaco i?aai?cio, ine?eueee ae?a?ay /anii
o?eaaea ia oii? ii?iaeueieo iieaciee?a aiiainoaco, ui aoei coiiaeaia
?yaeii aeiaeaoeiaeo /eiiee?a (?en. 1).

Ocaaaeueiaiee e?eoa??e oyaeeino? ia?aa?ao oiea?e (?o), ui ii?aeio?
ae?aaeai?noue ee?i?/ii? neiioiiaoeee ? nooi?iue ii?ooaiue aiiainoaco,
aecia/aany ca oi?ioeith: ?o = 0,65?e + 0,35?e. Ca?aeii i?eeiyoi? iaie
iaoaiaoe/ii? oi?iae?caoe??, cia/aiiy ?o, ui aei??aith? 1, 2 oa 3,
a?aeiia?aea? eaaeiio, na?aaeiueioyaeeiio oa oyaeeiio ia?aa?aai oiea?e,
aaee/eia ?o a?ae 1,5 aei 2 – eaaeiio c ia?aoiaeii a na?aaeiueioyaeeee, a
a?ae 2,5 aei 3 – na?aaeiueioyaeeiio c ia?aoiaeii o oyaeeee ia?aa?a
oiea?e.

Ca?aeii iaoe ? caaaeaiue aeine?aeaeaiiy o 630 oai?eo i?iaaaeaia
ee?i?ei-eaai?aoi?ia ioe?iea aoaeoeaiino? ?nioth/eo cania?a e?eoaaiiy
oiea?e oa ai?iaaoe?y oaeineiiaeaieo iaie iaoiaee/ieo i?aeoiae?a uiaei
aiaeii-nieueiai? oa ao?io?iiii? oa?ai?? a oiiaao Oe?a?ie.

I?e i?iaaaeaii? aiaeii-nieueiai? oa?ai?? oai?ei ia oiea?o ne?ae
aecia/eoenue c? neeaaeii, ia’?iii ? iaoiaeii aaaaeaiiy ?ic/eio.

O iaoeo niinoa?aaeaiiyo canoiniaoaaeenue noaiaea?oi? ?ic/eie “O?enieue”
? “Eaa?oanieue”. Ine?eueee ?ic/ei “O?enieue” aoa ?ic?iaeaiee ca
iieacieeaie aeaeo?ie?oieo ii?ooaiue o oai?eo ia oiea?o a aea?eeo
e?a?iao, neeaae eiai iiai?noth ia ni?aiaaea? ?c no?oeoo?ith
aeaeo?ie?oieo ao?ao i?e oiea?? o iii??iiio ee?iao? (A.E. Iie?ianeee e
niaao., 1988). O oie aea /an aeaieo uiaei canoinoaaiiy ?ic/eio
“Eaa?oanieue” i?e ai?aeai?/ieo niaeaoao oiea?e aei 1994 ?. a Oe?a?i? o
aeinooii?e iai e?oa?aoo?? ia ciaeaeaii. Oiio o Ieeiea?anueeiio oiea?iiio
oieoae? (1994-1995 ??.) aoei i?iaaaeaia ii??aiyiiy ee?i?/ii?
aoaeoeaiino? oeeo aeaio ?ic/ei?a. ?acoeueoaoe aeine?aeaeaiue o
noaoenoe/ii iaeii??aeieo ii??aithaaieo a?oiao iieacaee, ui ? “O?enieue”
? “Eaa?oanieue” iaeaea iaeiaeiai iiaiioe?iii a?aeiiaethaaee ao?aoe
??aeeie. Iaeiae, i?e canoinoaaii? ?ic/eio “Eaa?oanieue”, neeaae yeiai ?
iaea?eueo iaaeeaeaiei aei no?oeoo?e ao?ao aeaeo?ie?o?a oai?eie ia oiea?o
a iaoeo oe?ioao (A.E. Iie?ianeee e niaao., 1988), o 2,4 ?ace ??aeoa
?a?no?oaaeanue a?iioei?ai?y, o 3,5 ?ace — a?iieae??i?y oa
a?ia?iao???i?y, ii??aiyii c ?ic/eiii “O?enieue”. Ia?aaaaith ?ic/eio
“Eaa?oanieue” aoea oaeiae iaaaeeea /anoea i??iaaiieo ?aaeoe?e (5,2 %
i?ioe13,4 %).

Ia’?i nieueiaiai ?ic/eio, iaiao?aeiiai aeey a?aeiiaeaiiy ao?ao ??aeeie ?
nieae, iiaeia aecia/eoe ??cieie niiniaaie: ca ao?aoith iane o?ea (o
aaaaoueio aeiaaeeao oea iaiiaeeeai), ca nooiaiai aeneeico, ui
ioe?ith?oueny ca ee?i?/ieie aeaieie (A.E. Iie?ianeee e niaao., 1988;
AIIC, 1993), ca eaai?aoi?ieie iieacieeaie (oi?ioee O?ee?ina ? Ei?ia, ye?
?ic?iaeai? ia ee?i?/iiio iaoa??ae? aea?eeo e?a?i).

Iaie, ia i?aenoaa? ee?i?/ieo aeine?aeaeaiue o Ieeiea?anueeiio ina?aaeeo,
cai?iiiiiaaia oi?ioea aeey aecia/aiiy ia’?io ?aa?ae?aoaoe??, yea
a?oioo?oueny ia eiioeaio?aoe?? ?ii?a oei?o a ieaci? e?ia? a iiieyo o
ia?a?aooieo ia ea iane o?ea oai?iai. Aeaaaeaia oi?ioea ia? oaeee
aeaeyae:

V = 22,9 — 5,32 ? Cl (iiieue/ea),

aea V — ia’?i ?iooc?eiiai ?ic/eio a e?o?ao, iaiao?aeiee aeey
?aa?ae?aoaoe??,

Cl — eiioeaio?aoe?y ?ii?a oei?o a ieaci? e?ia? a iiieyo o ia?a?aooieo ia
ea iane o?ea oai?iai.

Naia iieaciee eiioeaio?aoe?? oei?o a ieaci? i?ae?a?aiee oiio, ui eiai
eiioeaio?aoe?y ocaiaeaeo?oueny c ao?aoaie iicaee?oeiii? ??aeeie. Oi?ioea
aoea ai?iaiaaia ia oai?eo, ui /?oei iiaee aeacaoe naith iano o?ea aei
caoai?thaaiiy (101 iaoe??io). Io?eiai? ca oi?ioeith iieacieee
iaiao?aeieo ia’?i?a ?aa?ae?aoaoe?? aeia?a ocaiaeaeoaaeenue c
aiaeia?/ieie iieacieeaie, aecia/aieie ca aeao?oeeoii iane o?ea.
Iaaaaeaiee iaoiae ia? iaai? ia?aaaae ia?aae ?ioeie, ine?eueee ?
ia’?eoeaiei, aaeaioiaaiei aei oiia iii??ieo ee?iaoe/ieo cii ? a?aoiao?
/ooeeaee iieaciee aiiainoaco.

E?eoa??yie ia?aoiaeo a?ae no?oieiiiai aei e?aiaeueiiai
aioo??oiueiaaiiiai aeeaaiiy nieueiaeo ?ic/ei?a aoee ii?iae?caoe?y
oaiia?aoo?e, ioeueno, a?oa??aeueiiai oeneo, e?ea?aeaoe?y a?iiaieai??,
aaiieiioeaio?aoe??, aoeeaeico, oiaoi cieeiaiiy iciae aeaeiiiainiaaiiai
ciaaiaeiaiiy. No?oieiia aeeaaiiy ?ic/ei?a o?eaaei 60,3 ± 2,4 oa. a?ae
ii/aoeo ?iooc??, a o oai?eo c oyaeeei ia?aa?aii – 1,8 ± 0,45 aiae.

Aea?? iaoiaeo i?iaaaeaiiy aiaeii-nieueiai? oa?ai?? ia?aaeaa/a?
a?aooaaiiy aaaaoueio /eiiee?a. Ia ae?oaiio aoai? aiaeii-nieueiai?
oa?ai?? o aeaio noaoenoe/ii iaeii??aeieo a?oiao i?iaaaeaii ii??aiyiiy
?iooc?eiiai oa i?aeueiiai aa??aio?a.

Aeine?aeaeaiiy iieacaee, ui aiaeiee aaeain iaeiaeiai aeia?a
a?aeiiaethaaany a iaio a?oiao. Iaeiae o oai?eo, yeei i?iaiaeeeanue
?iooc?eia oa?ai?y, ae?a?ay o?eaaea aeiaoa (ia 2,4 ± 0,4 aeiae), a c 3-ai
aeiy e?eoaaiiy niinoa??aaeenue aeinoia??ii a?eueo? ia’?ie aeii?iaeiaiue
(o na?aaeiueiio ia 13,5 ie/aiae). Ia 2-4-o aeiao e?eoaaiiy i?aeueia
aaaaeaiiy nieueiaeo ?ic/ei?a e?aua, i?ae ?iooc?eia, a?aeiiaethaaei
aeaeo?ie?oiee aeao?oeeo caaaeyee o?c?ieia?/iiio iaaeoiaeaeaiith
aeaeo?ie?o?a o e?ia. A?aenioie aeecaeaeo?ie?oai?e i?e canoinoaaii?
?iooc?? neeaa 32,3%, i?aeueieo ?ic/ei?a — 7,6 %.

Iaoiaeaie aeenia?n?eiiai oa ?aa?an?eiiai aiae?co aeiaaaeaii, ui ia
ia’?ie aeii?iaeiaiue, ia?o ca ana, aieeaathoue ia’?ie ?aa?ae?aoaoe?eii?
oa?ai??. A ia?oee aeaiue e?eoaaiiy nooo?aee aieea iathoue no?iee
caoai?thaaiiy (/anoea aieeao 7,8 %), nooi?iue ciaaiaeiaiiy (5,1 %) oa
iana o?ea oai?eo (5,5 %), ye? ia iiaeaeueoeo aoaiao e?eoaaiiy
ao?a/athoue aeinoia??i?noue naiai aieeao. Ia 3-e aeaiue e?eoaaiiy cia/ii
c?inoa? ? iaaoaa? aaaiiiai aieeao ia ia’?i aeii?iaeiaiue
aioea?ioeeioa?ai?y (11,5 %). Ia 2-e ? 3-e aeaiue aiaeii-nieueiai?
oa?ai?? ia’?i aeii?iaeiaiue iaeaea aeeeth/ii caeaaeeoue a?ae ia’?io
aioo??oiueiaaiieo aeeaaiue (45,4 % oa 25,3 %), caeaaeiinoue ia’?i?a
aeii?iaeiaiue aiae ia’?i?a i?aeueieo ?ic/ei?a iaai?iaiaeia. O?eaae?noue
i?iiino ia?aaoaa? o i?yiiio iii??iiio ca’yceo c ia’?iaie ?iooc?eieo
?ic/ei?a (eiao?oe??io ei?aeyoe?? 0,504, a??ia?aei?noue < 0,05) oa o i?yiiio neeueiiio ca’yceo c o?eaae?noth ?iooc?eii? oa?ai?? (eiao?oe??io ei?aeyoe?? 0,82, a??ia?aei?noue < 0,001). Oiaoi aaeee? ia’?ie oa o?eaaea ?iooc?y i?ieiiaothoue ae?a?ath o oai?eo ia oiea?o. Oneeaaeiaiue, coiiaeaieo aaaaeaiiyi i?aeueieo nieueiaeo ?ic/ei?a, ia ca?a?no?iaaii. I?e ?iooc?ei?e oa?ai?? o 5,8 % oai?eo niinoa??aaeenue i??iaaii? ?aaeoe??, ye? aeieeaee, ye i?aaeei, ane?ae ca ia??iaeii iaea?eueo ?ioaineaii? ?iooc??, ??aeei /a?ac 4-5 aiae i?ney cae?i/aiiy ia?oiai aoaio aiaeii-nieueiai? oa?ai??. Oeaaioe ca?a?no?iaaii o 17,6% iaoei?ioia, yeei i?iaiaeeeinue aiaeiinii o?eaaea aioo?ioiueiaaiia aeeaaiiy nieueiaeo ?ic/eiia Ioaea, a?aoiaoth/e aeai? e?oa?aoo?e (A.E. Iie?ianeee e niaao., 1988; D. Barua, W. Greenough, 1992; AIIC, 1993,) oa ?acoeueoaoe aeanieo niinoa?aaeaiue, iaea?eueo ?aoe?iiaeueiei aaaaea?ii oaea ii?aeiaiiy ?iooc?eiiai oa i?aeueiiai aa??aio?a aiaeii-nieueiai? oa?ai??. Ia?aaaaeia a?eueo?noue iaoe??io?a c I-II nooiaiai ciaaiaeiaiiy caeaoi? i?eeiaoe i?aeuei? ?aa?ae?aoaoe?ei? noi?o? a ia’?i?, aeinoaoiueiio aeey a?aeiiaeaiiy aiaeii-nieueiaiai aaeaino. I?aeueia aiaeii-nieueiaa oa?ai?y ia ca?eueoo? ia’?i?a aeii?iaeiaiue, o?eaaeino? ae?a?a?, ia ni?e/eiy? oneeaaeiaiue ? ? a?aeiinii aeaoaaith. sseui oai?? c aeaa?ae?aoaoe??th II nooiaiy ia a ciic? eiiiainoaaoe ao?aoe i?eeiiii aeinoaoi?o ia’?i?a i?aeueieo ?ic/ei?a, a oaeiae o aeiaaeeao, eiee ia?aa?a caoai?thaaiiy /a?ac iaoyaeoth/? /eiieee ioe?ith?oueny ye oyaeeee aai na?aaeiueioyaeeee c ia?aoiaeii o oyaeeee, aeioe?eueiei ? canoinoaaiiy aioo??oiueiaaiii? ?aa?ae?aoaoe?? iie??iiieie ?ic/eiaie (“Eaa?oanieue”) o aeic? 50 ie/ea ca 3 aiae. Oai?ei c oyaeeei ciaaiaeiaiiyi (III-IV nooiaiy) ?aa?ae?aoaoe?y cae?enith?oueny aioo??oiueiaaiiei no?oieiiei aaaaeaiiyi iie??iiieo ?ic/ei?a o ii?aeiaii?, i?e iiaeeeaino?, c i?eeiiii i?aeueieo noi?oae ii 5 ie/ea iane o?ea ca aiae. Iaaeoi ?aii?e ia?ao?ae i?ae /an ae?oaiai aoaio aiaeii-nieueiai? oa?ai?? aeeeth/ii ia i?aeueio ?aa?ae?aoaoe?th, iniaeeai a in?a c ianoaeeie aaeaioaoe?eieie i?ioeanaie, a oiiaao iii??iiai ee?iaoo ? ?eceeiaaiei ? iiaea i?ecaanoe aei iiaoi?iiai ciaaiaeiaiiy c iaia?aaeaa/aiei i?iaiicii. Iniaeeaino? aiaeii-nieueiai? oa?ai?? oiea?e a in?a iioeeiai a?eo coiiaeai? aaaaoueia oaeoi?aie, cie?aia ii?oieia?/ieie, iai?iieie oa ooieoe?iiaeueieie ci?iaie, ye? aeieeathoue a i?aai?ci? i?e noa??ii?, a oaeiae nai???aei?noth ?icaeoeo oa ia?aa?ao oiea?e o iaoe??io?a noa?oeo a?eiaeo a?oi. Aei ii/aoeo e?eoaaiiy o 79,5 % oai?eo iniiaii? a?oie c oyaeeei ia?aa?aii niinoa??aaany aoe?iaoe/iee oei aaiiaeeiai?ee (na?aaei?e iieaciee na?oeaaiai ?iaeaeno noaiiaea 3,6 ± 0,2 e/oa/i2), yeee, ia oe? cieaeaiiy caaaeueiiai ia?eoa?e/iiai iii?o (aei 1100 ± 24,6 aeei ??n-1 ? ni-5) ???aoe?iiaeueii i?aeo?eioaaany ca ?aooiie oao?ea?ae?? oa aeniaaeaiiy aia?aaoe/ieo caian?a na?oeaaiai i’yca. O 33,8 % oai?eo iioeeiai a?eo (o an?o iaoe??io?a iaea i?noea o?ii?/ia iaoieia?y na?oeaai-noaeeiii? nenoaie) /a?ac 20,3 ± 9,5 oa. a?ae ii/aoeo ?iooc?eii? ?aa?ae?aoaoe?? oi?ioaaany a?ia?e?iaoe/iee oei aaiiaeeiai?ee (na?oeaaee ?iaeaen c?inoaa aei 5,2 ± 0,5 e/oa/i2) ia oe? c?inoaiiy caaaeueiiai ia?eoa?e/iiai iii?o (aei 2900 ± aeei ? n-1 ? ni-5). Naia oaeee noai /a?ac iaaaciaeo na?oeaai-noaeeiii? aeaeiiiainaoe?? cioooaaa cieaeoaaoe oaeaee?noue aeeaaiiy. Iaeiae, a iaeiiai oai?iai 60-oe ?ie?a c oyaeeei ia?aa?aii oiea?e ia oe? a?ia?aeeiai?/iiai oeio aaiiaeeiai?ee, noaiiea?ae?? oa ea?ae?ineea?ico, ia caaaeath/e ia caiia?aei? caoiaee, aeiee ?ioa?eo i?iea?aeo. Ioaea, na?aaeiy o?eaaeinoue ia?oiai aoaio aiaeii-nieueiai? oa?ai?? a inia iioeeiai oa noa?a/iai aieo neeaaeaea 3-4 aiae, i?e caaaeuei?e o?eaaeino? ?iooc?? — 5,6 ± 0,3 aeiae, o ii??aithaai?e a?oi? — a?aeiia?aeii 1,8-2,2 aiae ? 3,8 ± 0,5 aeiae (? < 0,01). Iaeiae, cieaeaiiyi oaeaeeino? ia aaeaeinue inoaoi/ii caiia?aoe oneeaaeiaiiyi ?iooc??. *anoioa oneeaaeiaiue (a?eoi?? na?oeaaeo nei?i/aiue, a?ia?a?ae?aoaoe?y, aeecaeaeo?ie?oai?y, oeaa?oe) a iniiai?e a?oi? aoea aeuith, i?ae o ii??aithaai?e (a?aeiia?aeii 20,6 % ? 5,9 %), ? ei?aethaaea c iayai?noth oa oyaee?noth noiooiuei? iaoieia??. A in?a iioeeiai a?eo neeaaeii aoei iiaiioe?iii a?aeiiaeoe aeaeo?ie?oiee aaeain eeoa noaiaea?oieie ?ic/eiaie. O na?aaeiueiio aeecaeaeo?ie?oai?y a iniiai?e a?oi? ?a?no?oaaeanue ia 16,2 % /ano?oa, i?ae o ii??aithaai?e a?oi?. Oiio aeiaeaoeiai i?ecia/aeenue ona?aaeeio oae? i?aia?aoe: iaiaia?i, ania?eai, eae?th i?ioao, 10 % ?ic/ei eae?th oei?eaeo. I?ae /an i?iaaaeaiiy ae?oaiai aoaio aiaeii-nieueiai? oa?ai?? anoaiiaeaii, ui o?eaaea aio??y a ii?aeiaii? c a?aeiioaiiyi iniiey?iino? na/? aei iniiey?iino? ieacie e?ia? iaioa 1,2 i?ney ?aa?ae?aoaoe?? ? a?aeiiaeaiiy ii?iaeueieo iieaciee?a aaiiaeeiai?ee ? caa?iceeaei uiaei ?icaeoeo ?noeiii? aino?i? ie?eiai? iaaeinoaoiino?, yea ?a?no?oaaeanue ia?aaaaeii a in?a iioeeiai a?eo. O oaeeo aeiaaeeao caiia?aaiith oneeaaeiaiue ni?eyee i?aeo?eiaiiy iacia/iiai iiceoeaiiai aiaeiiai aaeaino ? canoinoaaiiy iaaeeeaiaio?a, ui iie?auothoue ie?eiaee e?iaiia?a ? ae?o?ac. I?iaaaeaia iaie eiiieaenia oa?ai?y oiea?e o 60 oai?eo c aanoeiaioiei neiae?iiii, ye? aoee aini?oae?ciaai? nai?/anii (a na?aaeiueiio ia 2,3 ± 0,4 aeiae a?ae ii/aoeo caoai?thaaiiy) ni?eyea a?aeiiaeaiith aiaeii-aeaeo?ie?oiiai aaeaino, aeac?ioieneeaoe?? oa cieeiaiith ineoiiaoieia?/ieo ?iceaae?a. Iaeiae o 15 oai?eo, ye? aoee aini?oae?ciaai? i?cii (ia 6,3 ± 0,7 aeiae a?ae ii/aoeo caoai?thaaiiy), ia caaaeath/e ia e?eoaaeuei? caoiaee, aanoeiaioiee neiae?ii o?ainoi?ioaaany o iaoaeeiaieueiee ineoic. Aiaeii-nieueiaa oa?ai?y oiea?e ia oe? oneeaaeiaiue o?ii?/iiai aeeiaie?cio iaea iaai? iniaeeaino?. sseui oneeaaeiaiiy aeeiaie?cio aeieeaee aei ii/aoeo aiaeii-nieueiai? oa?ai??, oi aioo??oiueiaaiia ?aa?ae?aoaoe?y i?iaiaeeeanue ia oii? i?aia?ao?a aeey aaaioaaiiy ineo?/iiai caoaeaeaiiy (o?aiea?e?caoi?e, aioeaeai?anaioe ?c naaeaoeaiei eiiiiiaioii ae??). O 57,1 % iaoe??io?a iniiaii? a?oie (? eeoa o 6,3 % oai?eo ii??aithaaii? a?oie) i?ae /an ?aa?ae?aoaoe?? niinoa??aaeenue a?ia?oa?i?y, caoaeaeaiiy, a?eoi??, ui cioooaaei cieaeoaaoe oaeaee?noue ?iooc??. Oiio ia?oee aoai aiaeii-nieueiai? oa?ai?? a iniiai?e a?oi? o?eaaa 4-4,5 aiae, o ii??aithaai?e — 2-2,5 aiae. Ao?aoe ??aeeie ? nieae i?e aanoeiaioiiio neiae?ii? oa iaoaeeiaieueiiio ineoic? c?inoathoue. Oiio aeey ei?aeoe?? ao?ao c aeii?iaeiaiiyie oa na/ath a iniiai?e a?oi? aeiaeaaaee 1 ie nieueiaeo ?ic/ei?a ia ea iane o?ea c a?aooaaiiyi ia?ni??aoe??, 500 ie ia eiaeiee a?aaeon i?aeaeuaiiy oaiia?aoo?e o?ea iiiaae ii?io oa ua 500 ie, yeui /anoioa aeeoaiiy ia?aaeuoaaea ii?iaeuei? iieacieee aaea?/?. Oaeei /eiii, ia’?ie noaiaea?oieo nieueiaeo ?ic/ei?a a iniiai?e a?oi? neeaee 40,1 ± 4,5 e, o ii??aiyeuei?e — 32,6 ± 1,2 e (p < 0,05), a o?eaae?noue ?iooc?? noaiiaeea a?aeiia?aeii 8,2 ± 0,4 aeiae oa 6,3 ± 0,5 aeiae (p < 0,05). I?ney a?aeiiaeaiiy aiaeii-nieueiaiai aaeaino i?ecia/aeenue iiey?ecoth/a noi?o /e ?aiiie?aethe?i (a?ae 500 aei 1500 ie/aeiao). C iaoith iiia?aaeaeaiiy a?ia?a?ae?aoaoe?? oa ?icaeoeo iaa?yeo iiceo a on?o aeiaaeeao aei noaiaea?oieo ?ic/ei?a aeiaeaaaee 10 ie 2,4 % ?ic/eio aoo?e?io. Oa?aiaaoe/ia aoaeoeai?noue aioeaaeoa??aeueieo i?aia?ao?a aea/aeanue o 570 (98,4 %) oai?eo Ieeiea?anueeiai oiea?iiai oieoaeth. A yeino? ia?oiai eo?no ao?io?iiii? oa?ai?? o 315 (55,3 %) oai?eo canoiniaoaaany oao?aoeeee?i, o 99 (17,5 %) — a?eo?ii?oeei, o 59 (10,4 %) — eaaii?oeaoei, o 34 (5,9 %) — aeieneoeeee?i. Aia?oa a Oe?a?i? aea/aeanue aoaeoeai?noue ii?oeienaoeeio — 34 oai?eo (5,9 %) ? eeoeiaiai aioenaioeea oe?ieiai niaeo?o ae?? ?ioao?eeno — o 29 oai?eo (5,0 %). Ii?oeienaoeei i?ecia/aany ii 400 ia aea?/? ia aeiao, ?ioao?een — ii 2 eainoee 4 ?ace ia aeiao. Eo?n aioeaaeoa??aeueii? oa?ai?? o?eaaa 5 aei?a. Ca?aeii iaoeo niinoa?aaeaiue, o Ieeiea?anueeiio oiea?iiio ina?aaeeo (1994-1995 ??.) ?acenoaioi?noue oiea?iiai a?a??iio Aeue-Oi? aei oao?aoeeee?io eeoa ca iaeei ??e c?inea ia 67,1 %, a aei eaaii?oeaoeio – ia 16,3 %. C iaoith aecia/aiiy ee?i?/ii? aoaeoeaiino? aioeaaeoa??aeueieo i?aia?ao?a o i?iaaaeaiiio aeine?aeaeaii? a?aoiaoaaeenue /anoioa oa ia’?i aeii?iaeiaiue, ia’?i iaiao?aeii? aiaeii-nieueiai? oa?ai??, o?eaae?noue caoai?thaaiiy oa /anoioa iiaoi?ieo aen?a?a caoaeieea i?ney caaa?oaiiy ia?oiai i’yoeaeaiiiai eo?no ao?io?iiiiai e?eoaaiiy. Io?eiai? ?acoeueoaoe iieacaee, ui iaea?eueo ee?i?/ii aoaeoeaieie aoee a?eo?ii?oeei, aeieneoeeee?i oa ii?oeienaoeei. I?e ?o canoinoaaii? ia’?ie aeii?iaeiaiue aoee a na?aaeiueiio a 2 ?ace iaioeie, a o?eaae?noue ae?a?a? nei?i/oaaeanue ia 36 aiaeei ii??aiyii c oai?eie, ye? e?eoaaeenue oao?aoeeee?iii, eaaii?oeaoeiii aai ?ioao?eenii. E??i oiai, o oai?eo, ye? iaea?aeoaaee a?eo?ii?oeei, aeieneoeeee?i aai ii?oeienaoeei, na?aaei? caaaeuei? ia’?ie ?aa?ae?aoaoe?eieo ?ic/ei?a neeaee 22,5 ± 2,4 e, a i?e canoinoaaii? oao?aoeeee?io, eaaii?oeaoeio aai ?ioao?eeno – 36,3 ± 3,2 e (? < 0,001). Iiaoi?i? aen?ae niinoa??aaeenue ia?aaaaeii o oai?eo, yeei i?ecia/aeenue oao?aoeeee?i (o 26,5 %), eaaii?oeaoei (o 30,4 %) aai ?ioao?een (o 30,1 %), iniaeeai ia ae?oaiio ?ioe? ai?aeai?/iiai niaeaoo. I?i oaeaeea c?inoaiiy ?acenoaioiino? oiea?iiai a?a??iio aei aioea?ioee?a na?ae/eoue ? oie oaeo, ui a 1995 ?ioe? ii/aee ?a?no?oaaoenue iiiaeeiie? iiaoi?i? aen?ae i?ney e?eoaaiiy a?eo?ii?oeeiii. O?eueee i?e oa?ai?? ii?oeienaoeeiii, yeee ii/aee canoiniaoaaoe eeoa a 1995 ?ioe?, iiaoi?i? aeae?eaiiy caoaeieea oiea?e ia niinoa??aaeenue. Ia /anoioo iiaoi?ieo aen?a?a caoaeieea oiea?e i?ney ia?oiai eo?no aioeaaeoa??aeueii? oa?ai?? aieeaaee aeice i?aia?aoo oa no?iee eiai canoinoaaiiy. Oae, ca?eueoaiiy aeiaiai? aeice oao?aoeeee?io c 1,2 a aei 2,0 a i?e i’yoeaeaiiiio eo?n? cieceei /anoioo iiaoi?ieo aen?a?a c 29,4 % o 1994 ?ioe? aei 14,4 % – o 1995-io. Aoaeoeai?noue aioea?ioeeioa?ai?? caeaaeaea a?ae no?ie?a ?? ii/aoeo. O aoaeoeaii naiiaaieo oai?eo (ca ia?oei eo?nii) aioea?ioee canoiniaoaaany aaea /a?ac 1,4 ± 0,18 aeiae a?ae ii/aoeo caoai?thaaiiy, a a in?a c iiaoi?iei aen?aii – /a?ac 2,3 ± 0,19 aeiae (? < 0,001). *anoioa iiaoi?ieo aen?a?a caeaaeaea a?ae iayaiino? noiooiuei? iaoieia?? oeoieiai-eeoeiaiai o?aeoo. O 33,1 % oai?eo c iiaoi?iei aen?aii oiea?ieo a?a??ii?a iaee i?noea aino?? (aeecaioa??y, naeueiiiaeueic, aoa?eo?ic) oa o?ii?/i? (aano?eoe, ae?aceiaa oai?iaa oeoiea, eie?oe, iaie?aaoeoe, aeene?iac?y aeia/ieo oeyo?a oa ?i.) caoai?thaaiiy nenoaie o?aaeaiiy. O oie aea /an o oai?eo, ye? aoee aoaeoeaii naiiaai? ia?oei eo?nii aioea?ioee?a, iiae?ai? caoai?thaaiiy ?a?no?oaaeenue cia/ii ??aeoa – o 10,3 % iaoe??io?a. Aioeaaeoa??aeueia oa?ai?y a in?a iioeeiai a?eo ca noaiith oa aeicaie a??ia?aeii ia a?ae??ciyeanue a?ae ii??aithaaii? a?oie. Iaeiae iiaoi?i? aen?ae caoaeieea a iniiai?e a?oi? niinoa??aaeenue iaeaea a 2 ?ace /ano?oa ii??aiyii c eiio?ieueiith (a?aeiia?aeii 21,3 % ? 12,8 %). Oiio i?ecia/aiiy aioeaaeoa??aeueieo i?aia?ao?a o oai?eo iioeeiai a?eo ne?ae ii?aeioaaoe ?c canoinoaaiiyi aa??ao?e/ieo cania?a oa a?ii?aia?ao?a c iaoith noeioeyoe?? caoenieo nee oai?iai i?aai?cio, i?aeaeuaiiy aoaeoeaiino? oa cieaeaiiy oiene/iino? e?ea?nueeeo ?a/iaei. O oai?eo c o?ii?/iei aeeiaie?ciii, ii??aiyii c eiio?ieueiith a?oiith, /ano?oa niinoa??aaeenue iiaoi?i? aen?ae caoaeieea oiea?e (a?aeiia?aeii a 23,1 % oa 14,2 % iaoe??io?a). Oea, i/aaeaeii, iia’ycaii ?c c?inoaiiyi, i?e ceiaaeeaaii? aeeiaieai, ?ioaineaiino? iaoaaie?cio e?ea?nueeeo i?aia?ao?a /a?ac ?iaeoeoe?th i?e?iniiaeueieo oa?iaio?a ia/?iee (I.I. Neaeoi, A.I. Ie?eiee, 1983), c iayai?noth aeenaaeoa??ico ? i?eai?/aiiyi ?ioiii? nenoaie (A.A. Ii?icia e niaao., 1983; A.E. Iaeieeei, 1987) oa ?i. Ioaea, ao?io?iiia e?eoaaiiy oiea?e ia oe? o?ii?/iiai aeeiaie?cio aeioe?eueii ii/eiaoe c iaea?eueo aoaeoeaieo aioeaaeoa??aeueieo i?aia?ao?a, ye? ni?e/eiythoue i?i?iaeueio oiene/io ae?th ia ia/?ieo, ie?ee oa ?io? i?aaie. Ca iaoeie aeaieie aoaeoeaiei ? a?aeiinii iaoe?aeeeaei aioea?ioeeii i?ae /an inoaii?o ai?aeai?/ieo niaeao?a a Oe?a?i? aoa a?eo?ii?oeei. Caaaeath/e ia c?inoath/o ?acenoaioi?noue caoaeieea oiea?e aei aioeaaeoa??aeueieo i?aia?ao?a, iaie aia?oa a Oe?a?i? i?ae /an niaeaoo a Ieeiea?anuee?e iaeano? aea/aeanue oa?aiaaoe/ia aoaeoeai?noue aioa?ini?aaio?a, cie?aia neeea?aeo I ? niaeoe, o eiiieaeniiio e?eoaaii? oai?eo ia oiea?o, a?aoiaoth/e ?o caeaoi?noue ca’ycoaaoe i?e?ii?aai?cie oa ?o oieneie ? aenieo iniioe/io aeoeai?noue (A.A. *oeei, 1993). Io?eiai? ?acoeueoaoe iieacaee, ui iaeaeaa ni?aaioe nooo?ai ia aieeaaee ia no?iee cai?ioii? aeeiai?ee aeneeico, ye?, ia?o ca ana, coiiaeai? aaeaeaaoi?noth aiaeii-nieueiai? oa?ai??. Iaeiae o?eaae?noue i?iiino a iniiai?e a?oi? oai?eo, yeei i?ecia/aeenue aioa?ini?aaioe, aoea a na?aaeiueiio ia 2 aeiae iaioith, ii??aiyii c eiio?ieueiith a?oiith. Aeinoia??ii ciaiooaaeenue no?iee ia?aaoaaiiy iaoe??io?a iniiaii? a?oie o oieoae? c 12,8 ± 1,1 aei 10,2 ± 0,6 ae?a o oai?eo c na?aaeiueioyaeeei oa c 14,3 ± 0.9 aei 12,1 ± 0,5 – c oyaeeei ia?aa?aii caoai?thaaiiy. Canoinoaaiiy aioa?ini?aaio?a o 4,5 ?ace cieceei /anoioo iiaoi?ieo aen?a?a caoaeieea i?ney ia?oiai eo?no aioeaaeoa??aeueii? oa?ai??. ?acoeueoaoe aeineiaeaeaiue ia aeyaeee i/ieoaaiiai iiceoeaiiai aieeao eiia?aiiaeo ia ia?aaia oiea?e. O?eaaeinoue aeia?a? oa aethaioe ia iaea noaoenoe/ii aeinoia??ieo aiaeiiiiinoae a iniiaiie (aiaeiiaiaeii 4,5 ± 0,6 aeiae oa 8,7 ± 0,3 aiae) i eiio?ieueiie (4,7 ± 0,4 aeiae oa 7,6 ± 0,5 aiae) a?oiao (p > 0,05).

AENIIAEE

1. Inoaii? ai?aeai?/i? niaeaoe oiea?e ia i?aaei? Oe?a?ie na?ae/aoue i?i
oaiaeaioe?th aei oei??iaiiy oe??? oai?iae ia oa?eoi??? iaoi? e?a?ie ?c
ca?eueoaiiyi /anoee eaaeeo ? noa?oeo oi?i caoai?thaaiiy oa
a?a??iiiiin?enoaa. A Iaeanueeiio ina?aaeeo oiea?e (1970 ?.) aaaeeee
ia?aa?a neeaa 41,7 %, eaaeee — 20 %, a a Ieeiea?anueeiio (1994-1995 ??.)
— a?aeiia?aeii 23,9 % oa 49,3 %. Eaoaeuei?noue i?ae /an niaeao?a oiea?e
a 1970 ?ioe? aoea a 5 ?ac?a aeuith, i?ae a 1994-1995 ?ieao. Ia?aaaaeii
oai??ee iniae iioeeiai oa noa?a/iai a?eo, c o?ii?/iith niiaoe/iith
iaoieia??th oa nioe?aeueii-iaaaoeaii? i???ioaoe??.

2. C?noaaeaiiy no?ie?a aini?oae?caoe?? oai?eo, eiioaa?iciiai ?iaeaeno e
??aiy caoai?thaaiino? a n?iaeieo ina?aaeeao, c iaeiiai aieo, oa
oyaeeino? ee?i?/iiai ia?aa?ao oiea?e — c ?ioiai, iieacaee ai?aeai?/io
ia??aiicia/i?noue ??cieo ee?i?/ieo oi?i oiea?e, ye aeaea?aea ?ioaeoe??.
O ?yaeo aeaea?ae ?ioaeoe??, yeee iine?aeiaii aeeth/a? oyaeeo,
na?aaeiueioyaeeo, eaaeo oi?ie oai?iae ? a?a??iiiiin?enoai,
?ioaineai?noue ca?aaeaiiy eiioaeoieo in?a ciaioo?oueny, a
aenoaineai?noue ?iciianthaeaeaiiy ?ioaeoe?? eiaeiei ?c oeeo aeaea?ae
c?inoa?.

3. I?e ioe?ioe? aaaeeino? ia?aa?ao oiea?e a iiiaio aini?oae?caoe??
oai?iai ne?ae a?aoiaoaaoe ia o?eueee nooi?iue ciaaiaeiaiiy, a e ?io?
iaoyaeoth/? oaeoi?e. Ca aeaieie aeenia?n?eiiai aiae?co, /anoea aieeao
nooiaiy aeaa?ae?aoaoe?? ia oyaee?noue ia?aa?ao oiea?e neeaaea? 72 %,
ooieoe?iiaeueiiai noaio ie?ie — 9 %, a?eo oa noiooiuei? iaoieia?? — ii
5 %. Inoaii? a iai?yieo c?inoaiiy iaoyaeoth/iai aoaeoo ?icoaoiaothoueny
oaeei /eiii: ?oai?/ia oai?iaa na?oey, aeeiaie?ci, o?ii?/iee
aeiia?oeiiao?eo.

4. Ie?eiaa iaaeinoaoi?noue i?e oiea?? a iniiaiiio ? i?a?aiaeueiith,
ine?eueee aiia coiiaeaia ciaaiaeiaiiyi. O 14,8 % oai?eo c oyaeeei
ia?aa?aii caoai?thaaiiy niinoa??aaeanue ?noeiia aino?a ie?eiaa
iaaeinoaoi?noue, yea i?ieiiaoaaea ae?a?ath. ?? oi?ioaaiith ni?eyee
o?eaaea a?iiaieai?y, aeeaie? ii?ooaiiy aeaeo?ie?oiiai aaeaino, oyaee?
o?ii?/i? niiaoe/i? caoai?thaaiiy, iioeeee oa noa?a/ee a?e oai?eo. Ca
aaeueiith nenoaiith ?ic?iaeai? e?eoa??? aecia/aiiy nooiaiy ?eceeo
?icaeoeo ?noeiii? ie?eiai? iaaeinoaoiino?, aei yeeo a?aeianai? o?ii?/i?
caoai?thaaiiy ie?ie, o?eaae?noue aio???, ieoiia aaaa ia?oeo ii?oe?e
na/?, eiao?oe??io ni?a?aeiioaiiy e?aaoei?io ieacie aei acioo na/iaeie,
eiioeaio?aoe?y eae?th ? oei?o a ieaci? ? ai?no eae?th a a?eo?ioeeoao.

5. A in?a iioeeiai ? noa?a/iai a?eo oyaeeee ia?aa?a oiea?e niinoa??aaany
o o?e, a eaoaeuei?noue — o /ioe?e ?ace /ano?oa, i?ae o iaoe??io?a a?eii
15-40 ?ie?a, ui iaoiiaeaii a?eiaeie ci?iaie caoenieo aa?’???a,
iaoai?ci?a ?aaoeyoe?? aiaeii-aeaeo?ie?oiiai iai?io, iayai?noth (o 75 %)
noiooiuei? o?ii?/ii? niiaoe/ii? iaoieia?? oa ?i. Aioo??oiueiaaiio
?aa?ae?aoaoe?eio oa?ai?th ne?ae i?iaiaeeoe a iaiao?aeieo ia’?iao, aea
iia?eueii ? a?eueo o?eaaei (i?ioyaii 4-4,5 aiae) aiane?aeie /anoeo ??
oneeaaeiaiue (o 35 % oai?eo c aaaeeei ia?aa?aii) oa ianoaeiai
a?aeiiaeaiiy aeaeo?ie?oiiai aaeaino. Aenieith aoea /anoioa iiaoi?ieo
aen?a?a caoaeieea oiea?e. Oiio aioeaaeoa??aeueio oa?ai?th iaiao?aeii
i?ecia/aoe a ?aii? no?iee caoai?thaaiiy ? a ii?aeiaii? c iie?a?oai?iieie
i?aia?aoaie.

6. Oiea?a ia oe? aeeiaie?cio ia? /ano?oa oyaeeee ia?aa?a (o 59 % oai?eo)
o ca’yceo c oaeaeoeie oaiiaie ?icaeoeo ciaaiaeiaiiy oa iie?i?aaiiith
iaoieia??th, coiiaeaiith o?ii?/iith aeeiaieueiith ?ioieneeaoe??th.
Ee?i?/i? i?iyae oiea?e iiaeooue i?aeneethaaoenue aai caeeoaoenue
iaiii?oieie ia oe? a?eueo ae?aaeaii? neiioiiaoeee oneeaaeiaiue
aeeiaie?cio, ui oo?oaeith? ee?i?/io ae?aaiinoeeo. ?aa?ae?aoaoe?eia
oa?ai?y oai?eo ia oiea?o c oneeaaeiaiiyie o?ii?/iiai aeeiaie?cio
(aanoeiaioiee neiae?ii, iaoaeeiaieueiee ineoic) iiaeiia aooe
aaeaeaaoiith ao?aoai ??aeeie, aea i?iaiaeeoenue iia?eueii (ca 4-5
aiaeei) i?ney ciyooy o?aiea?e?caoi?aie oa iae?ieaioeeaie ineo?/iiai
caoaeaeaiiy. A?aoiaoth/e aenieo /anoioo (23,1 %) iiaoi?ieo aen?a?a
caoaeieea oiea?e, aioeaaeoa??aeuei? i?aia?aoe c i?i?iaeueiei oiene/iei
aieeaii ia i?aai?ci ne?ae i?ecia/aoe o eiia?iaoe?? c aioa?ini?aaioaie.

7. Eaoaeuei?noue o ii??aithaaieo ai?aeai?/ieo ina?aaeeao oiea?e
ei?aethaaea c /anoeith aaaeeiai ia?aa?ao ? ?a?no?oaaeanue ia?aaaaeii a
in?a iioeeiai oa noa?a/iai a?eo c iie?i?aaiiith o?ii?/iith iaoieia??th,
yea oneeaaeithaaea ia?aa?a oa e?eoaaiiy oiea?e. Iaea?eueo /anoeie
i?e/eiaie eaoaeueieo aeiaaee?a aoee a?iiaieai?/iee oie (58,8 %), ie?eiaa
iaaeinoaoi?noue (29,4 %), o?iiaic iacaioa??aeueieo noaeei ? o?iiaaiaie?y
eaaaiaai? a?oa???. sseui aeaa?ae?aoaoe?eiee oie ?icaeaaany o ia?o? aei?
caoai?thaaiiy, oi ie?eiaa iaaeinoaoi?noue — /a?ac aeae?eueea aei?a i?ney
cae?i/aiiy ia?oiai aoaio aiaeii-nieueiai? oa?ai?? ia?aaaaeii a in?a c
o?ii?/iith iaoieia??th ie?ie.

8. Aioo??oiueiaaiio ?aa?ae?aoaoe?th a ee?iaoe/ieo oiiaao Oe?a?ie
aeioe?eueii cae?enithaaoe noaiaea?oiei ?ic/eiii “Eaa?oanieue”, ine?eueee
a?i, ii??aiyii c ?ic/eiii “O?enieue”, a??ia?aeii e?aua a?aeiiaeth?
aeaeo?ie?oiee aiiainoac ? ??aeoa aeeeeea? iia?/i? ?aaeoe??.

9. Ia aoai? ei?aaoth/i? aiaeii-nieueiai? oa?ai?? oai?eo ia oiea?o aaeee?
ia’?ie aioo??oiueiaaiii? ?aa?ae?aoaoe?eii? ??aeeie oa aeiaai/ania
?iooc?y ca?eueoothoue ia’?ie aeii?iaeiaiue ? i?ieiiaothoue ae?a?ath.
Oiio aeioe?eueiei ? yeiiiaa ?aii?e ia?ao?ae (c a?aooaaiiyi cai?ioii?
aeeiai?ee neiioii?a aeneeico, aaeaeaaoiino? ae?o?aco, ni?iiiaeiino? ieoe
oa ?i.) aei i?aeueii? a?ae?aoaoe??, ine?eueee inoaiiy ? o?c?ieia?/iith,
e?aua, i?ae ia?aioa?aeueia, a?aeiiaeth? aeaeo?ie?oiee aaeain, ia
i?aeaeuo? ia’?ie aeii?iaeiaiue, ia ni?e/eiy? oneeaaeiaiue.

10. I?ae /an niaeao?a oiea?e ia i?aaei? Oe?a?ie a 1994-1995 ?ieao
ca?a?no?iaaia c?inoath/a ?acenoaioi?noue Vibrio cholerae aei
oao?aoeeee?io oa eaaii?oeaoeio. O?eueee ca iaeei ??e o Ieeiea?anueeiio
ina?aaeeo ?acenoaioi?noue ?cieueiaaieo ooai?a oiea?ieo a?a??ii?a aei
ia?oiai i?aeaeueeanue ia 67,1 %, a aei ae?oaiai — ia 16,3 %. Oiio a
iiaeaeueoiio aeioe?eueii canoiniaoaaoe a?eo?ii?oeei, aeieneoeeee?i oa
ii?oeienaoeei, aei yeeo caa??aa?oueny aeniea /ooeea?noue caoaeieea.
I?ecia/aiiy ii?oeienaoeeio, ii??aiyii c oao?aoeeee?iii, ni?eyei
ciaioaiith na?aaei?o ia’?i?a aeii?iaeiaiue iaeaea oaea?/?, nei?i/aiith
o?eaaeino? ae?a?a? ia 36 aiae; nooo?ai ciaiooaaany ia’?i a?ae?aoaoe??,
ia ?a?no?oaaeenue iiaoi?i? aen?ae oiea?ieo a?a??ii?a.

11. Aeeth/aiiy a eiiieaenio oa?ai?th oai?eo ia oiea?o aioa?ini?aaio?a
neeea?aeo I ? niaeoe i?enei?th? ?aa?an?th ee?i?/ieo neiioii?a ?
ii?iae?caoe?th aiaeii-aeaeo?ie?oiiai iai?io, ciaioo? ia’?i ao?ao ??aeeie
/a?ac oeoieiai-eeoeiaee o?aeo, ni?ey? ae?i?iaoe?? caoaeieea ? oei naiei
aeeeth/a? iaiao?aei?noue iiaoi?ieo eo?n?a aioea?ioeeioa?ai?? oa nei?i/o?
no?iee e?eoaaiiy.

12. Ia i?aenoaa? iaoaiaoe/iiai iiaeaethaaiiy aeiaaaeaii, ui aeey
aecia/aiiy aaaeeino? ia?aa?ao oiea?e iaea?eueo ?ioi?iaoeaieie
eaai?aoi?ieie iieacieeaie ? aeao?oeeo eoa?a, a?aeiinia u?euei?noue
ieacie e?ia?, eiioeaio?aoe?y e?aaoei?io oa oei?o a ieaci?. Na?aaei?e
oaii ee?i?/iiai aeaeoaeaiiy oai?eo ia caeaaeeoue a?ae aaaeeino? ia?aa?ao
? ? a?aeiinii iino?eiith aaee/eiith, yea aei??aith? 0,6 aeiae-1.
Iiaoaeiaaia iaoaiaoe/ia iiaeaeue ioe?iee aoaeoeaiino? oa?aiaaoe/ieo
cania?a i?e oiea??.

Nienie iioae?eiaaieo ca oaiith aeena?oaoe?? iaoeiaeo i?aoeue

1. Ee?e/aiei I.Ae. Aeayei aniaeoe ?aaiae?aoaoeieii? oa?aii? oiea?e (ca
iaoa?iaeaie Ieeiea?anueeiai oiea?iiai oieoaeth)// Iioaeoeieii oai?iae. —
1996. — ?1. — N.11-14.

2. Ee?e/aiei I.Ae., Oeoianueeee N.I. Aoaeoeaiinoue aioeaaeoa?iaeueii?
oa?aii? oiea?e iiae /an niaeaoo a Ieeiea?anueeie iaeanoi// Iioaeoeieii
oai?iae. — 1996 — ?1. — N.14-17.

3. Ee?e/aiei I.Ae. Iniaeeainoi eieoaaiiy oai?eo ia oiea?o c aanoeiaioiei
neiae?iiii i iaoaeeiaieueiei ineoicii// Iioaeoeieii oai?iae. — 1997 —
?2. — N.17-20.

4. Ee?e/aiei I.Ae. Iaoiaee/iee iiaeoiae aei aecia/aiiy aeaeo?ieioieo
ii?ooaiue o oai?eo ia oiea?o// Eiea?nueea ni?aaa. — 1997. — ?1. —
N.68-72.

5. Ee?e/aiei I.Ae. Iniaeeainoi ia?aaiao oiea?e o oai?eo ia o?iii/iee
aeeiaieici// Ainiee i?iaeai iaaee/ii? ?aaaieioaoei? i oiciioa?aii?. —
1997. — ??2-3, aei.2. — N.206-209.

6. Ee?e/aiei I.Ae. Ee?i?ei-eaai?aoi?i? ia?aeae? i?e oiea??// ?ioaeoe?ei?
oai?iae. — 1997. — ?4. — N.18-21.

7. Ee?e/aiei I.Ae. No/ani? iiaeyaee ia iaoiaaiac oiea?e// ?ioaeoe?ei?
oai?iae. — 1998. — ?3. — N.49-52.

8. Ee?e/aiei Ae.O., Aiae?ae/ei I.A., Ee?e/aiei I.Ae., Oeoianueeee N.I.
Ae?aaiinoeea ? e?eoaaiiy oiea?e ia oe? aeeiaie?cio// ?ioaeoe?ei?
oai?iae. — 1998. — ?2. — N.59-64.

9. Ee?e/aiei I.Ae. Ia?aa?a oiea?e o oai?eo c o?ii?/iith niiaoe/iith
iaoieia??th// ?ioaeoe?ei? oai?iae. — 1999. — ?1. — N.29-31.

10. Ee?e/aiei I.Ae. Eiiieaeniee i?aeo?ae aei aecia/aiiy oyaeeino?
ia?aa?ao oiea?e// ?ioaeoe?ei? oai?iae. — 1999. — ?3. — N.23-25.

11. Ee?e/aiei I.Ae. Ii??aiyiiy ee?i?/ieo i?iya?a oiea?e Aeue-Oi? o aeaio
ai?aeai?/ieo ina?aaeeao ia i?aaei? Oe?a?ie c ??cieoeath a /an? 25 ?ie?a
//A?niee iaoeiaeo aeine?aeaeaiue. — 1999. — ?3. — N.90-92.

12. Kiritchenko P.D. Clinical Estimation of Antibacterial Therapy of
Cholera in Ukraine// Indian Journal of Community Medicine. — 1997. —
Vol.XXII, No3. — P.114-116.

13. Kiritchenko P.D. Cholera in Ukraine// JK Practitioner. — 1997. —
Vol.4, No3. — P.219.

14. Kiritchenko P.D. Some aspects of treating cholera in temperate
climatic zones// JK Practitioner. — 1997. — Vol.4, No4. — P.326-329.

15. Kiritchenko P.D. Influence of some factors on severity of cholera//
Karnataka Medical Journal. — 1997. — Vol.64, No1. — P.9-10.

16. Kiritchenko P.D. Clinical features of cholera in temperate climatic
zones// JK Practitioner. — 1997. — Vol 4, No2. — P.20-21

17. Kiritchenko P.D. Treatment of severe cholera in elderly age// JK
Practitioner. — 1997. — Vol.4, No2. — P.22-23.

18. Kiritchenko P.D. Prognostication of acute renal failure in patients
with cholera// JK Practitioner. — 1999. — Vol.6, No1. — P.78-79.

19. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Niin?a aecia/aiiy ia’?io ia?aeiii?
?aa?ae?aoaoe?? i?e oiea??// Iaoaio Oe?a?ie ?97052496 (22729A) a?ae
7.04.97?.

20. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Niin?a aecia/aiiy nooiaith
aaaeeino? oiea?e ia ?aii?o aoaiao aini?oae?caoe??// Iaoaio Oe?a?ie
?97052495 (22728A) a?ae 7.04.97?.

21. Ee?e/aiei I.Ae. Aei aiiaeaiiieiai/ii? oa?aeoa?enoeee oiea?e Aeue-Oi?
// Iaoa?. XIV ia’?aeiaii? iaoeiai? iaaeeei-oaoii/ii? eiioa?aioei? c
iiaeia?. o/anoth. — Ee?a-Aiiieoey, 1996. — N.20.

22. Ee?e/aiei I.Ae. Ia?aaia oiea?e o inia c noiooiueith iaoieiai?th//
Iaoa?. XIV ia’?aeiaii? iaoeiai? iaaeeei-oaoii/ii? eiioa?aioei? c
iiaeia?. o/anoth. — Ee?a-Aiiieoey, 1996. — N.55.

23. Ee?e/aiei I.Ae. Iaa?oiooaaiiy i?ioeaiiaeaii/ieo iaoiaeia ai?ioueae c
oiea?ith// Iaoa?. II oiiaa?neoaonueea iaoe.-i?aeo. eiioa?aioeiy iieiaeeo
o/aieo oa oaoiaoeia. — Aiiieoey, 1996. — N.14-15.

24. Ee?e/aiei I.Ae. Oneeaaeiaiiy i?e oiea?i// Iaoa?. II oiiaa?neoaonueea
iaoe.-i?aeo. eiioa?aioeiy iieiaeeo o/aieo oa oaoiaoeia. — Aiiieoey,
1996. — N.15-16.

25. Ee?e/aiei I.Ae. Eeiii/iee aeinaiae canoinoaaiiy eiia?aiiaea i?e
oiea?i// Iaoa?. iaoe.-i?aeo. eiioa?aioei? “Aoa?aioii iaoiaee eieoaaiiy a
no/aniie iaaee/iie i?aeoeoei”. — Aiiieoey, 1996. — N.50-51.

26. Ee?e/aiei I.Ae. Aiieiai/ii i?aia?aoe i?e oiea?i Aeue-Oi?// Iaoa?.
iaoe.-i?aeo. eiioa?aioei? “Aoa?aioii iaoiaee eieoaaiiy a no/aniie
iaaee/iie i?aeoeoei”. — Aiiieoey, 1996. — N.51.

27. Ee?e/aiei I.Ae. Canoinoaaiiy Niaeoe a eiiieaeniiio eieoaaiii oai?eo
ia oiea?o// Iaoa?. iaoe.-i?aeo. eiioa?aioei? “Aoa?aioii iaoiaee
eieoaaiiy a no/aniie iaaee/iie i?aeoeoei”. — Aiiieoey, 1996. — N.51-52.

28. Ee?e/aiei I.Ae. Eeiii/ia aei?iaoaaiiy Iieini?ao II (Neeea?aeo I) i?e
eieoaaiii oai?eo ia oiea?o Aeue-Oi?// Iaoa?. iaoe.-i?aeo. eiioa?aioei?
“Aoa?aioii iaoiaee eieoaaiiy a no/aniie iaaee/iie i?aeoeoei”. —
Aiiieoey, 1996. — N.13.

29. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Eeiiiei-aiiaeaiiieiai/ii ia?aeaei
i?e oiea?i Aeue-Oi? // Iaoa?. XIII c’?caeo Oe?a?inueeiai iaoeiaiai
oiaa?enoaa iie?iaiieiaia, aiiaeaiiieiaia oa ia?aceoieiaia ii.
Ae.E.Caaieioiiai. — Ee?a-Aiiieoey, 1996. — N.48-49.

30. Ee?e/aiei I.Ae. Aeei?enoaiiy iioao?eeno i?e eieoaaiii oiea?e
Aeue-Oi?// Iaoa?. XIII c’?caeo Oe?a?inueeiai iaoeiaiai oiaa?enoaa
iie?iaiieiaia, aiiaeaiiieiaia oa ia?aceoieiaia ii. Ae.E.Caaieioiiai. —
Ee?a-Aiiieoey, 1996. — N.49.

31. Ee?e/aiei I.Ae. Ii?iaiyeueia aea/aiiy canoinoaaiiy ii?oeienaoeeio oa
oao?aoeeeeiia aiae?ioei?eaeo aeey eieoaaiiy oiea?e Aeue-Oi?// Iaoa?.
XIII c’?caeo Oe?a?inueeiai iaoeiaiai oiaa?enoaa iie?iaiieiaia,
aiiaeaiiieiaia oa ia?aceoieiaia ii. Ae.E.Caaieioiiai. — Ee?a-Aiiieoey,
1996. — N.50.

32. Ee?e/aiei I.Ae., Oeoianueeee N.I. Aoaeoeaiinoue naiaoei? “caei?iaeo”
iini?a V. cholerae El-Tor aioeaaeoa?iaeueieie i?aia?aoaie// Iaoa?. XIII
c’?caeo Oe?a?inueeiai iaoeiaiai oiaa?enoaa iie?iaiieiaia, aiiaeaiiieiaia
oa ia?aceoieiaia ii. Ae.E.Caaieioiiai. — Ee?a-Aiiieoey, 1996. — N.51.

33. Ee?e/aiei I.Ae. Aea/aiiy aoaeoeaiinoi canoinoaaiiy nieueiaeo
?ic/eiia “O?enieue” oa “Eaa?oanieue” o oai?eo ia oiea?o c aaaeeei
ia?aaiaii// Iaoa?. XIII c’?caeo Oe?a?inueeiai iaoeiaiai oiaa?enoaa
iie?iaiieiaia, aiiaeaiiieiaia oa ia?aceoieiaia ii. Ae.E.Caaieioiiai. —
Ee?a-Aiiieoey, 1996. — N.258-259.

34. Ee?e/aiei I.Ae. Eeiiiea oa eieoaaiiy oiea?e o aaaioieo// Iaoa?. XIII
c’?caeo Oe?a?inueeiai iaoeiaiai oiaa?enoaa iie?iaiieiaia,
aiiaeaiiieiaia oa ia?aceoieiaia ii. Ae.E.Caaieioiiai. — Ee?a-Aiiieoey,
1996. — N.259-260.

35. Ee?e/aiei I.Ae. Aeinaiae aeeniaina?iiai niinoa?aaeaiiy ca
ia?aoai?ieeie ia oiea?o// Aeooaeueii ieoaiiy o??o?a??. —
Ee?a-Oiaeueieoeueeee-Aiiieoey, 1997 — N.72-73.

36. 36.Ee?e/aiei I.Ae. Iniaeeainoi eeiiiee oiea?e Aeue-Oi? o inia
eioiueiai oa iioeeiai aieo//Aeooaeueii ieoaiiy o??o?a??. —
Ee?a-Oiaeueieoeueeee-Aiiieoey, 1997 — N.73.

37. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Haa?ieiai/ia neiioiiaoeea i?e
oiea?i// Iaoa?. iaoe.-i?aeo. eiioa?aioei? “Aieiai iniaeeainoi
iioaeoeieieo oai?ia”. — Oa?iiiieue-Ee?a, 1998. — N.61-62.

38. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Oneeaaeiaiiy iioocieii?
aiaeii-nieueiai? oa?aii? o oai?eo ia oiea?o// Iaoa?. iaoe.-i?aeo.
eiioa?aioei? “Aieiai iniaeeainoi iioaeoeieieo oai?ia”. —
Oa?iiiieue-Ee?a, 1998. — N.62-63.

39. Ee?e/aiei I.Ae. Iniaeeainoi eeiiiee oa eieoaaiiy oiea?e a inia
iioeeiai aieo// Iaoa?. iaoe.-i?aeo. eiioa?aioei? “Aieiai iniaeeainoi
iioaeoeieieo oai?ia”. — Oa?iiiieue-Ee?a, 1998. — N.63-64.

40. Ee?e/aiei I.Ae. Ii??aiyeueia ioe?iea aoaeoeaiino? ?iooc?eii? oa
i?aeueii? ei?aaoth/i? aiaeii-nieueiai? oa?ai?? i?e oiea?? // Iaoa?. V
c’?caeo ?ioaeoe?ii?no?a Oe?a?ie. — Oa?iii?eue, 1998. — N.138-139.

41. Ee?e/aiei I.Ae. Iaoaiaoe/iee i?aeo?ae aei aecia/aiiy oyaeeino?
ia?aa?ao oiea?e// Ca. iaoeiaeo ?ia?o “?ioaeoe?ei? oai?iae”, aei.6. —
Euea?a, 1999. — N.16-18.

42. Ee?e/aiei Ae.O., Ee?e/aiei I.Ae. Aeeiai?ea aeayeeo iieaciee?a
ia?eoa?e/ii? e?ia? o oai?eo ia oiea?o // Ca. iaoeiaeo ?ia?o “?ioaeoe?ei?
oai?iae”, aei.6. — Euea?a, 1999. — N.18-19.

AIIOAOe?ss

Ee?e/aiei I.Ae. Ee?i?ei-iaoiaaiaoe/i? iniaeeaino? oiea?e, oeyoe
iie?auaiiy ?? ae?aaiinoeee ? oa?ai?? a oiiaao Oe?a?ie. — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca
niaoe?aeuei?noth 14.01.13 — ?ioaeoe?ei? oai?iae. Ee?anueeee
iaoeiai-aeine?aeiee ?inoeooo ai?aeai?ieia?? oa ?ioaeoe?eieo oai?ia ?i.
E.A. A?iiaoaanueeiai, Ee?a, 1999.

O aeine?aeaeaiiy aeeth/ai? iaoa??aee niaeao?a oiea?e a 1970 ?. (i.
Iaeana — 120, i. Ea?/ — 159 oai?eo) ? 1994-1995 ??. (i. Ieeiea?a — 630
oai?eo). Aea/aii aieea ia ia?aa?a oiea?e a?eo oai?eo, o?ii?/ii?
niiaoe/ii? oa ?ioaeoe?eii? iaoieia??, ooieoe?iiaeueiiai noaio ie?ie oa
?ioeo /eiiee?a. Aecia/aii 15 iaea?eueo aaaeeeaeo e?euee?nieo e?eoa???a
aeey ioe?iee nooiaiy aeaa?ae?aoaoe?? a ia?o? aiaeeie aini?oae?caoe??
oai?eo. Aia?oa ?ic?aoiaaia a?aeiinia ?ioi?iaoeai?noue ?yaeo
caaaeueiii?eeiyoeo eaai?aoi?ieo iieaciee?a i?e oiea??. ?ic?iaeaii niin?a
aeey aecia/aiiy aaaeeino? ? i?iaiicoaaiiy ia?aa?ao oiea?e ia ?aii?o
aoaiao aini?oae?caoe??, yeee aeicaiey?, e??i nooiaiy ciaaiaeiaiiy,
a?aoiaoaaoe ?io? iiaeeea? iaoyaeoth/? ia?aa?a oai?iae /eiieee.

Aia?oa aeyaeai? iniaeeaino? ee?i?/iiai ia?aa?ao oiea?e o oai?eo ia
aeeiaie?ci. Cai?iiiiiaai? aeiaeaoeia? ee?i?ei-eaai?aoi?i? e?eoa???
?ici?ciaaaiiy oa aeeoa?aioe?aeueii? ae?aaiinoeee oiea?e ia oe?
aeeiaie?cio. ?ic?iaeaia iaoiaeeea ?aa?ae?aoaoe?eii? oa?ai?? oai?eo ia
oiea?o, a yeeo aeieeathoue oneeaaeiaiiy, iia’ycai? c aeeiaie?ciii.

?ic?iaeai? aeeoa?aioe?eiaai? i?aeoiaee aei i?iaaaeaiiy ?aa?ae?aoaoe?eii?
oa?ai?? caeaaeii a?ae a?eo oai?eo, oa?aeoa?o ? aaaeeino? noiooiuei?
iaoieia?? oa oneeaaeiaiue. Aecia/aii nooi?iue aieeao ia ia’?ie
aeii?iaeiaiue ia’?i?a ? o?eaaeino? aiaeii-nieueiai? oa?ai??. I?iaaaeaii
eiiieaenia ii??aiyiiy i?aeueiiai oa ?iooc?eiiai iaoiae?a
aiaeii-nieueiai? oa?ai??. Anoaiiaeaia aeniea oa?aiaaoe/ia aoaeoeai?noue
a?eo?ii?oeeio, aeieneoeeee?io oa ii?oeienaoeeio. Iaea?aeai? aeai? i?i
aeioe?euei?noue canoinoaaiiy aioa?ini?aaio?a neeea?aeo I ? niaeoe a
eiiieaeniiio e?eoaaii? oai?eo ia oiea?o.

Iiaoaeiaai? iaoaiaoe/i? iiaeae?, ye? aeicaieythoue noaaeeoe ca
aeeiai?eith caoai?thaaiiy oa ioe?ithaaoe aoaeoeai?noue ??cieo iaoiae?a
e?eoaaiiy oai?eo ia oiea?o.

Eeth/ia? neiaa: aeeiaie?ci, aioea?ioeeioa?ai?y, aiaeii-nieueiaa
oa?ai?y, ee?i?ei-ai?aeai?ieia?/i? ca’ycee, iaoaiaoe/ia iiaeaethaaiiy,
nooi?iue aeaa?ae?aoaoe??, oiea?a.

AIIIOAOeEss

Ee?e/aiei I.Ae. Eeeieei-iaoiaaiaoe/aneea iniaaiiinoe oiea?u, iooe
oeo/oaiey aa aeeaaiinoeee e oa?aiee a oneiaeyo Oe?aeiu. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii
niaoeeaeueiinoe 14.01.13 — eioaeoeeiiiua aieacie. Eeaaneee
iao/ii-enneaaeiaaoaeueneee einoeooo yieaeaieieiaee e eioaeoeeiiiuo
aieaciae ei. E.A. A?iiaoaaneiai, Eeaa, 1999.

A enneaaeiaaiea aeeth/aiu iaoa?eaeu aniuoae oiea?u a 1970 a. (a. Iaeanna
— 120, a. Ea?/ue — 159 aieueiuo) e 1994-1995 aa. (a. Ieeieaaa — 630
aieueiuo). Yieaeaie/aneea aniuoee oiea?u ia Oe?aeia auee aucaaiu
oiea?iui aea?eiiii Yeue-Oi?, na?iaa?ii Iaaaa. Aeeaaiic iiaeoaa?aeaeai
auaeaeaieai aicaoaeeoaey ec eni?aaeiaiee a Iaeanneii i/aaa a 83,8 %, a
Ea?/aineii — a 88,6 %, a Ieeieaaaneii — a 100 % neo/aaa. Aniuoea oiea?u
a Ieeieaaaneie iaeanoe aeeeeanue aeaa eaoia-inaiieo naciia iiae?yae.
O?iaaiue caaieaaaaiinoe a Ieeieaaaneii i/aaa a 5 ?ac i?aauoae oaeiaie a
Iaeanna. Iaeiaei, n?aaee eeoe, ia?aaieaaoeo oiea?ie a 1994 a., a 1995 a.
ia ?aaeno?e?iaaeenue ie iiaoi?iua caaieaaaiey, ie aea?eiiiiineoaeuenoai.

I?e ia?auo aniuoeao (1970 a.) /aua iaaethaeaeenue oyaeaeua oi?iu oiea?u
(a Iaeanna iie ?aaeno?e?iaaeenue o 41,7 %, a Ea?/e o 34,0 % aieueiuo),
i?e iineaaeieo (1994-1995 aa.) — iie ninoaaeee 23,9 %. Eaoaeueiinoue a
1970 a. auea a 5 ?ac auoa, /ai a 1994-1995 aa., e ?aaeno?e?iaaeanue
i?aeiouanoaaiii o eeoe iiaeeeiai e noa?/aneiai aic?anoa n niioonoaothuae
o?iie/aneie niiaoe/aneie iaoieiaeae.

Eco/aii aeeyiea ia oa/aiea oiea?u aic?anoa aieueiuo, o?iie/aneie
niiaoe/aneie e eioaeoeeiiiie iaoieiaee, ooieoeeiiaeueiiai ninoiyiey
ii/ae e ae?oaeo oaeoi?ia. Ii?aaeaeaii 15 iaeaieaa aaaeiuo eiee/anoaaiiuo
e?eoa?eaa aeey ioeaiee noaiaie aeaaeae?aoaoeee a ia?aua /anu
ainieoaeecaoeee aieueiuo. Aia?aua ?ann/eoaia ioiineoaeueiay
eioi?iaoeaiinoue ?yaea iauai?eiyouo eaai?aoi?iuo iieacaoaeae i?e oiea?a.
?ac?aaioai niinia aeey ii?aaeaeaiey oyaeanoe e i?iaiice?iaaiey oa/aiey
oiea?u ia ?aiieo yoaiao ainieoaeecaoeee, eioi?ue iicaieyao, e?iia
noaiaie iaacaiaeeaaiey, o/eouaaoue ae?oaea ineiaeiythuea oa/aiea oiea?u
oaeoi?u.

Aia?aua auyaeaiu iniaaiiinoe oa/aiey oiea?u o aieueiuo aeeiaieeciii.
I?aaeeiaeaiu aeiiieieoaeueiua eeeieei-eaai?aoi?iua e?eoa?ee
?aniiciaaaiey e aeeooa?aioeeaeueiie aeeaaiinoeee oiea?u ia oiia
aeeiaieecia. ?ac?aaioaia iaoiaeeea ?aaeae?aoaoeeiiiie oa?aiee aieueiuo
oiea?ie, o eioi?uo aicieeatho ineiaeiaiey, naycaiiua n aeeiaieeciii.

?ac?aaioaiu aeeooa?aioee?iaaiiua iiaeoiaeu i?e i?iaaaeaiee
?aaeae?aoaoeeiiiie oa?aiee a caaeneiinoe io aic?anoa aieueiuo, oa?aeoa?a
e oyaeanoe niioonoaothuae iaoieiaee e ineiaeiaiee. Ii?aaeaeaia noaiaiue
aeeyiey ia iauaiu eni?aaeiaiee iauaiia e aeeeoaeueiinoe aiaeii-nieaaie
oa?aiee. I?iaaaeaii eiiieaeniia n?aaiaiea i?aeueiiai e eiooceiiiiai
iaoiaeia aiaeii-nieaaie oa?aiee. Onoaiiaeaia aunieay oa?aiaaoe/aneay
yooaeoeaiinoue y?eo?iieoeeia, aeieneoeeeeeia e ii?oeienaoeeia. Iieo/aiu
aeaiiua i oeaeaniia?aciinoe eniieueciaaiey yioa?ini?aaioia neeea?aea I e
niaeou a eiiieaeniii ea/aiee aieueiuo oiea?ie.

Iino?iaiu iaoaiaoe/aneea iiaeaee, eioi?ua iicaieytho iaaethaeaoue ca
aeeiaieeie caaieaaaiey e ioeaieaaoue yooaeoeaiinoue ?acee/iuo iaoiaeia
ea/aiey aieueiuo oiea?ie.

Eeth/aaua neiaa: aeeiaieeci, aioeaeioeeioa?aiey, aiaeii-nieaaay oa?aiey,
eeeieei-yieaeaieieiae/aneea nayce, iaoaiaoe/aneia iiaeaee?iaaiea,
noaiaiue aeaaeae?aoaoeee, oiea?a.

ANNOTATION

Kyrychenko P.D. The clinical and pathogenetic peculiarities of cholera,
the way of improvement of its diagnostics and therapy in conditions of
Ukraine. — Manuscript.

Thesis for academic degree of doctor of Sciences (Medicine) in Specialty
14.01.13 — infectious diseases. L.V. Gromashevsky — Scientific Research
Institute of Epidemiology and Infectious diseases, Ministry of Health of
Ukraine, Kiev, 1999.

The materials of outbreaks of cholera in 1970 (Odessa — 120, Kerch — 159
patients) and 1994-1995 (Nikolaev — 630 patients) were included in
research. The influence of age of the patients, chronic somatic and
infectious pathology, functional condition of kidneys and other factors
on cholera course was investigated. 15 most important quantitative
criteria for an estimation of a degree of a dehydration at the first
hours of hospitalization were determined. The relative comperhension of
series of the standard laboratory parameters at cholera was first
estimated. The way for definition of severity and for prognostication of
cholera course at the early stages of hospitalization was developed. It
allows, except for a degree of a dehydration, to take into account other
factors, complicating the cholera course.

The peculiarities of cholera course at the patients with alcoholism were
first revealed. The additional clinical and laboratory criteria for
recognition and differential diagnostics of cholera in association with
alcoholism were offered. It was carry out the technique of rehydration
therapy of the patients by cholera, which has complications connected
with alcoholism.

The differential approaches of rehydration therapy depending on age of
the patients, character and gravity of an accompanying pathology and
complications were developed. The degree of influence of volumes and
duration of water-salt therapy on volumes of stool was determined. The
complex comparison of oral and intravenous methods of water-salt therapy
was carried out. The high therapeutic efficiency of erythromycin,
doxycycline and norfloxacine was deduced. The data on expediency of
enterosorptionsmittel use (Syllard and Smecta) in complex treatment of
the patients with cholera ware received.

The constructed mathematical models allow to observe of dynamics of
disease and to estimate efficiency of various methods of treatment of
the patients with cholera.

Key words: alcoholism, antibiotic therapy, water-salt therapy, clinical
and epidemiological connections, mathematical modeling, severity of
dehydration, cholera.

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