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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">actabiomedica</journal-id><journal-title-group><journal-title xml:lang="ru">Acta Biomedica Scientifica</journal-title><trans-title-group xml:lang="en"><trans-title>Acta Biomedica Scientifica</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2541-9420</issn><issn pub-type="epub">2587-9596</issn><publisher><publisher-name>Scientific Centre for Family Health and Human Reproduction Problems</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">actabiomedica-1176</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS OF LITERATURE</subject></subj-group></article-categories><title-group><article-title>СОВРЕМЕННЫЕ ТЕНДЕНЦИИ РАСПРОСТРАНЕНИЯ ЛЕПТОСПИРОЗА ЗА РУБЕЖОМ</article-title><trans-title-group xml:lang="en"><trans-title>MODERN TRENDS OF THE SPREADING LEPTOSPIROSIS OVERSEAS</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаракшанов</surname><given-names>М. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Sharakshanov</surname><given-names>M. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бренева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Breneva</surname><given-names>N. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Носков</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Noskov</surname><given-names>A. K.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киселева</surname><given-names>Е. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kiseliova</surname><given-names>E. Yu.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Косилко</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kosilko</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шкаруба</surname><given-names>Т. Т.</given-names></name><name name-style="western" xml:lang="en"><surname>Shkaruba</surname><given-names>T. T.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чеснокова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Chesnokova</surname><given-names>M. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Иркутский научно-исследовательский противочумный институт Сибири и Дальнего Востока</institution></aff><aff xml:lang="en"><institution>Irkutsk Antiplague Research Institute of Siberia and Far East</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>28</day><month>09</month><year>2012</year></pub-date><volume>0</volume><issue>5(1)</issue><fpage>389</fpage><lpage>392</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шаракшанов М.Б., Бренева Н.В., Носков А.К., Киселева Е.Ю., Косилко С.А., Шкаруба Т.Т., Чеснокова М.В., 2012</copyright-statement><copyright-year>2012</copyright-year><copyright-holder xml:lang="ru">Шаракшанов М.Б., Бренева Н.В., Носков А.К., Киселева Е.Ю., Косилко С.А., Шкаруба Т.Т., Чеснокова М.В.</copyright-holder><copyright-holder xml:lang="en">Sharakshanov M.B., Breneva N.V., Noskov A.K., Kiseliova E.Y., Kosilko S.A., Shkaruba T.T., Chesnokova M.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.actabiomedica.ru/jour/article/view/1176">https://www.actabiomedica.ru/jour/article/view/1176</self-uri><abstract><p>При анализе эпидемиологической ситуации по лептоспирозу в мире выявлена тенденция к увеличению числа завозных случаев заболеваний из эндемичных стран и к возникновению заболеваний в ранее не известных природных очагах лептоспироза. Определены новые группы риска лиц, подверженных инфицированию - путешественники, участники экстремальных соревнований, военных действий.</p></abstract><trans-abstract xml:lang="en"><p>In this study the increased number of the imported cases from endemic countries or occurring of the disease in earlier unknown natural leptospirosis foci in the world among participants of various extreme competitions, hostilities and travelers was revealed at analysis of the epidemiological leptospirosis situation. New human risk groups subjected to infection were determined.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>лептоспирозы</kwd><kwd>эпидемиологическая ситуация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>leptospirosis</kwd><kwd>epidemiological situation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ананьина Ю.В. 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