Intestinal infection on the Black Sea coast. At the Black Sea resorts, children are infected with E. coli. Reasons for the development of intestinal infections during rest

This year, many Petersburgers have chosen the Russian Black Sea coast as their holiday destination.

Someone returns home healthy and rested, but for someone, a two-week vacation on the beach turns into an intestinal infection and droppers. Local residents are not surprised when an ambulance takes another unfortunate vacationer to the hospital - they themselves prefer not to swim in the sea in summer.

"Everything is clear: they took a sip of water"

Petersburger Yulia Raevskaya arrived in Adler at the very beginning of July with her mother and three small children. She had not been to the Black Sea since childhood, so she was looking forward to relaxing on the beach with joy.

On the very first day, the whole family ran to swim, - she told MK in St. Petersburg. - The water was cloudy after the recent storm, but that didn't stop us. There were also a lot of people - locals say that this year there are more tourists than usual. The children splashed joyfully near the shore, since the hot weather heated the water to such an extent that you can swim in it for hours ...

But it turned out that the warm sea is by no means a “good”. By evening, the older child started vomiting and diarrhea, then the middle girl started to vomit. Both of them had a fever.

We brought with us a lot of medicines from St. Petersburg, including those for intestinal disorders, but we could not even give them, because the children vomited non-stop, ”recalls Yulia. - They called an ambulance, she arrived only after five hours. The doctor explained that there were a lot of calls throughout Adler. The first questions she asked us from the doorway were: “Did you swim in the sea? Have you swallowed water? All clear".

5-year-old Lenya with intoxication was taken to the infectious diseases hospital under droppers, 4-year-old daughter was left at home for now. Yulia herself and her mother, who also felt the symptoms of an intestinal infection, were advised to drink antibiotics without delay.

It turned out that the infectious diseases department of the regional hospital was packed to overflowing with children with poisoning, Yulia continues. - There are a lot of adults too. Doctors say that this happens every year when the sea water warms up above 25 degrees. We climbed into the Internet - and indeed, many stories like ours are told every summer on all tourist forums, and Adler is called "intestinal hell."

Sochi residents in "kissel" with a foot

According to Yulia, an ambulance came to their hotel every day and took away the next “bummed”.

The receptionist, the cleaner of our room - all unanimously said that they do not swim in the summer. Our stocks of drugs quickly ran out, so every day we went to a nearby pharmacy for new ones. There lined up, like for ice cream! The saleswoman said: "Smecta" is no more", "The last pack of activated carbon remained."

After being discharged from the hospital, St. Petersburg residents did not dare to swim in the sea, instead they walked around the neighborhood and went on excursions.

We wanted to go at least to the pool at one of the boarding houses, but we were scared away by the cost - 500 rubles per hour and a crowd of swimmers who did not show any certificates, - says Yulia. - We decided that we could swim in the pool in St. Petersburg.

Another Petersburger, Yaroslava Tarakhty, moved to Sochi two years ago. Yaroslava has two children who also love to swim in the sea. Her boys in the first year also had an intestinal infection.

From June to September, local residents swim little at all, for them the water turns into “jelly,” says Yaroslava. - Especially they advise to avoid the central beaches of Adler and Sochi, where the maximum number of people. Locals prefer to go by car to Imeretinka - there are few people there and there are no breakwaters: the concentration of pathogenic bacteria in the open sea is not so high.

What is the reason for frequent intestinal disorders in the resorts of the Krasnodar Territory is not entirely clear. Some say that the whole point is the insufficient salinity of the Black Sea - because of this, microbes multiply faster in warm water. Others believe that the problem lies in the poor quality of the treatment facilities. Although they were repaired for the 2014 Olympics, about 70 percent (according to environmentalists) of the private sector still “in the old fashioned way” drain sewers into mountain rivers and streams that carry sewage directly into the sea. Recently, the prosecutor's office revealed a case of illegal discharge of sewage directly to the bottom of the Black Sea - deep-sea discharge of household fecal water was banned two years ago, but for some reason the pipeline continued to be operated.

Official authorities carefully avoid the topic of water pollution, but environmental activists and some of the local residents believe that frequent cases of poisoning cannot be hushed up. On forums in social networks, they call for writing petitions, complaints and demanding that the authorities solve the problem.

“The clean sea is our wealth,” the activists write. - If the problem of treatment facilities is not urgently dealt with systematically, then the number of victims will grow, and the Black Sea coast will become notorious among tourists. No one wants to go where it is dangerous to swim, you can not cut the branch on which we all sit.

The project was implemented with a grant from St. Petersburg

The Black Sea is poisoned by a poisonous bacterium. The ecological situation is so catastrophic that hundreds of local residents and tourists turn to doctors every day with complaints of intestinal infection.

On the one hand, everything can be explained by natural causes - dangerous algae began to multiply due to the fact that the water temperature reached an abnormal 29 degrees, and, given the location of the sea, the circulation of water in it is extremely slow, in fact it is a closed reservoir. But experts also name other factors: for example, the excessive activity of officials who, without the necessary base, began to squeeze the maximum out of domestic resorts.

She has few pleasant impressions from the summer holidays: they all fit in a few photographs. 14-year-old Sonya was vacationing on the Black Sea, but this year it was not too affectionate with her. After only a couple of swims, she came down with an acute infection. According to the girl, the water was warm and dirty, jellyfish and even bottles were swimming in it.

Similar situations happen all over the place. Hospitals in resort towns are packed to capacity: there is only one diagnosis - an acute intestinal infection. Many of those who decide to spend a long-awaited vacation on the beaches of Adler, Anapa or Gelendzhik, literally on the second day find themselves in hospital beds.

"The situation is simply catastrophic: after swimming in the sea, instead of resting, they got an intestinal infection and a tour to the infectious diseases hospital, which turned out to be overcrowded with vacationers. Everyone has the same story: they swam in the Adler Black Sea, where sewage is drained and E. coli is teeming," the petition says.

The situation in the resort towns really causes concern, even health officials do not hide it: hospital beds are filled exclusively with vacationers.

On the Sochi beach, as always, there is nowhere to lay a towel. The velvet season is in full swing, and the flow of tourists does not stop. Even these frightening figures do not stop vacationers: the water temperature is 27 degrees, and two weeks ago it almost reached 30. For the Black Sea, this is an outrageous figure. However, doctors report: you can swim in such water. And vacationers are happy to follow these recommendations. But after such bathing, tourists often have to change beach chairs for beds in infectious diseases departments.

Another problem typical of coastal towns is the irresponsibility of local residents and businessmen. Numerous hotels, restaurants, shops and residences are simply not connected to the central sewer. The authorities, of course, are struggling with this, but not everyone follows their instructions. In many resort areas, tourists literally swim in their own excrement.

“Very often I see with my own eyes those sewers that either flow into the sea with rivers or with storm drains. That is, this is due to the fact that there are a lot of mini-hotels, a lot of houses that are rented out, and many of their sewers are simply - are simply thrown away,- says environmentalist Vitaly Bezrukov.

And this is a problem that is faced not only in Russia. For example, for the Bulgarians, the Black Sea has long turned into a dump. The bodies of baby dolphins are regularly found on the beaches of the Gold Coast, and no one even tries to disguise the pipes through which waste flows into the sea. In addition, here the temperature indicators are breaking records.

The sea water temperature on the coast of Varna is 24 degrees, and this does not have a very good effect on the marine ecosystem. Bacteria multiply very easily in water. In addition, large companies very often violate the law by dumping waste into seas around the world, in particular into the Black Sea, near industrial cities.

Now reports of an epidemic of intestinal infection in the resorts of the Black Sea come from almost all countries that have access to it. And if the situation cannot be corrected in the near future, there is a risk of facing an environmental disaster on a regional scale.

Intestinal infections are the "queens" of any holiday season. Their pathogens can be listed for a long time: these are E. coli, and salmonella, halophilic bacteria (they live in a salty environment), rotaviruses, adenoviruses, enteroviruses ...

For example, about 300-350 cases are now registered in Crimea every week, and these are only those sick people who asked for help.

dangerous corn

The source of the disease can be, first of all, products purchased from the hands. Trade in edibles on the Crimean beaches was banned. But on the embankments of resort towns and villages, no, no, yes, sellers of boiled corn, sweets, and even dried fish, for which the heat is categorically contraindicated, appear.

Some of the visitors sincerely believe that if they are selling, then it is allowed, while others simply expect that nothing bad will happen: maybe they will blow over. And indeed, it often blows, but in such a way that the toilet becomes the main resting place. Children, as a rule, react more sharply: the temperature rises, vomiting begins, due to dehydration, the level of acetone in the urine rises. In this case, there can be only one advice: consult a doctor.

At the height of summer, ice cream can also become dangerous if it is purchased, for example, on the same beach. The fact is that the sellers-“elementalists” keep the product until the end, until it can be handed over to the buyer. It happens that such merchants even cheaply buy rejected ice cream - melted, out of shape. Buying such a “delicacy” that has not been properly stored, thawed, or in contact with other products can lead, for example, to an intestinal infection caused by E. coli bacteria.

Most often, manufacturers of cotton candy do not burden themselves with obtaining permits for the sale of the product - since the device for its preparation is compact, it can be quickly deployed and just as quickly assembled. In addition to the unpredictable reaction to the dyes used, the seller himself can be dangerous - who knows how healthy he is ...

Not so fast…

In summer, the body of a person who has come to the sea is vulnerable. This applies not only to guests from the mainland, but also to Crimeans. It would seem that there is such a thing: from Simferopol to arrive for a week or two in Evpatoria! But even such a person undergoes adaptation, the immune system rebuilds, weakens - especially if you want to get the maximum doses of sun and sea in a few days. Therefore, intestinal ailments are more difficult to tolerate.

Often, intestinal infections are a bonus for lunch or dinner in a cafe - if the owners do not really care about the quality of the products, their storage conditions, the conscientiousness and health of the staff. Recently, the territorial department for Feodosia, Sudak and the Kirovsky district of Rospotrebnadzor for Crimea and Sevastopol conducted inspections of catering facilities. Experts visited 20 establishments, finding a solid bouquet of violations. Among them are the sale of perishable food products without cooling equipment and the lack of production control over the safety and quality of products.

Sometimes a stomach rebellion occurs after spa guests start drinking water from the tap - in some resort corners, even local residents do not risk this. Not that the water is dirty - just sometimes highly mineralized.

In theory, you can “get acquainted” with intestinal ailments in the sea by swallowing water. So far, however, the likelihood of this happening is low. As reported Head of the Department of Sanitary Supervision of Rospotrebnadzor for the Republic of Kazakhstan and Sevastopol Igor Sokolov, sea water is constantly monitored, samples are taken in all places of mass recreation. As of the end of June, all sample results obtained are standard. “The experience of previous years shows that we start receiving non-standard samples in July-August. In particular, this is due to the fact that the load on our sewage treatment facilities is increasing. A number of coastal settlements of Crimea do not have sewage systems, waste is dumped into rivers, from there they enter the sea, ”he explained.

Water monitoring is carried out exactly on the beaches - in coastal areas that have a beach card and are equipped with changing rooms, tents, toilets, etc. All other parts of the coastal strip, where such conditions are not created, are not formally beaches. And what swims there with vacationers remains a mystery.

Top 5 resort "poisoners"

1. Boiled shrimp (good for food within 20-30 minutes after cooking, and vendors sit with them for hours in the heat)
2. Homemade cottage cheese (for 2-3 hours on the counter, harmful microorganisms can multiply in it)
3. Smoked and dried fish (halophilic - living in a salty environment, bacteria can cause indigestion)
4. Samsa, pasties, pies with meat, potatoes (they spoil quickly in the heat)
5. Cakes with beaten egg white and butter cream (cream is an excellent breeding ground for pathogens)

Rest is not a reason to lose vigilance. Photo: AiF / Natalya Boyarkina

The head of Rospotrebnadzor, the chief state sanitary doctor of Russia, Anna Popova, called "information stuffing" reports of a "catastrophic" sanitary situation on the Black Sea coast and outbreaks of intestinal infections. The sanitary and epidemiological situation with intestinal diseases in Sochi remains stable throughout the summer season, Popova told Interfax.

"The incidence rate of all acute intestinal infections this year is 10% lower than in the previous year. This applies to both bacterial and viral acute intestinal infections," she said.

According to Popova, the incidence of dysentery is 8.5% lower, and that of viral infections is 16%. "At the same time, this year Sochi has already received 14 million tourists, a little more than in the whole of last year," the head of Rospotrebnadzor added.

Popova said that a decrease in the incidence is observed in all resort towns of the Azov-Black Sea coast: in Anapa, Gelendzhik, Novorossiysk, Sochi, Tuapse, in the Yeysk, Temryuk regions. "Over the past summer period, 9555 laboratory studies of sea water have been performed, while the proportion of samples that do not meet hygienic standards does not exceed 0.8%," she said.

According to the head of Rospotrebnadzor, over 5,600 sites are examined annually to control wastewater discharges in the city of Sochi. "No cases of group and outbreaks of morbidity have been registered," Popova added.

"A feature of this summer season was the appearance of unfounded information stuffing about the allegedly unstable epidemiological situation in several large cities. In each of these cases, the information was not confirmed, as well as on the situation in Sochi," the head of Rospotrebnadzor said.

On August 31, the Minister of Health of the Russian Federation Veronika Skvortsova commented on the situation in Sochi: “It is impossible to say that the situation would have been significantly different from the situation a year or two ago. unlike the situation with anthrax, when the Ministry of Health headed the operational headquarters" (quote from Interfax).

Meanwhile, in August, the Sochi mayor's office noted that the number of poisonings this year is above average, although the city has not registered an epidemic of E. coli. In this regard, as reported on August 18 on the Sochi.com website, the mayor of the city Anatoly Pakhomov urged all residents and guests of the resort to be more attentive to their health, it was decided to distribute leaflets on hygiene rules to passers-by on the territory of the city and broadcast relevant videos at railway stations and in an Aeroport.

Earlier, the complaints of tourists collecting signatures for a petition to the President of Russia with a request to influence the sanitary situation on the Black Sea coast were denied by the Ministry of Health of the Krasnodar Territory and Rospotrebnadzor. According to these agencies, the congestion of the Black Sea beaches in the high season of 2016 exceeded 100%, and cases of group and outbreaks associated with the water factor of infection transmission (swimming in the sea, rivers, use of recreational areas) have not been registered in the region.

Situation in the Krasnodar Territory rapidly approaching an ecological catastrophe. This is massively declared by Russians vacationing there. Tourists complain that the sea is polluted with sewage and algae, they talk about overcrowded hospitals, federal media write.

In social networks and blogs, tourists talk about intestinal infection epidemics in the major resorts of the Black Sea: Anapa, Sochi, Gelendzhik and others. Hundreds of similar reports have been published about how tourists, after swimming in the sea, suffered from diarrhea and vomiting, waited for hours for an ambulance and spent most of their holidays in the hospital. Mostly parents of small children complained about the spoiled vacation.

At the same time, local authorities do not recognize the problem: official comments say that there are no mass cases of diseases. And on the Internet they began to collect signatures for a petition: the Russians are asking President Vladimir Putin to save the Russian resort from an environmental disaster.

official response Rospotrebnadzor according to September 3 as follows:

“Over the past day, 87 cases of infectious diseases have been registered on the Azov-Black Sea coast, including those with a preliminary diagnosis: AII of unspecified etiology - 56, SARS - 31 cases of the disease, the average daily recorded rates of infectious morbidity according to preliminary diagnoses do not exceed the average daily long-term levels”.

More than 3.3 million tourists rested in Sochi from January to July 2016, according to an official statement on the website of the municipality. At the same time, the beaches were loaded at 100%.

We decided to learn about the situation on the Black Sea coast from our countryman who was there for a month. Recall Pavel Gedz recently returned from . About any epidemic, according to him, there can be no question:

- The problem is that you don’t have to drag everything into your mouth: from the shelves, from stores. I myself saw how the family came to the beach with half a watermelon. They went to swim in the sea, came out of the sea and again continued to eat watermelon, while not visiting the shower. I would not be surprised that after some time this family ended up in a well-known place. In this regard, I was more careful, always rinsed, ate in places exclusively designated for this - cafes and canteens. The latter, by the way, are right on the coast, and the prices there are normal. Lunch can be taken with the first, second, compote and salad in the region of 200-300 rubles. Just like everyone else, being in the sea, now and then he caught water with his mouth, then his nose. Sometimes I even swallowed it, but no virus took root in me, or it doesn’t exist at all.

Paul advised people to wash their hands often, to watch what they eat.

— I have never bought food from the hands of itinerant traders. No churchkhella, no boiled corn, nothing! I do not advise tourists to immediately rush to local food. You come from another region. What is normal and familiar for the locals may turn out to be sad for visitors, everyone's body is different. Be healthy!

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