{"title":"Protective effects of molecular hydrogen on hepatotoxicity induced by sub-chronic exposure to chlorpyrifos in rats.","authors":"Zhi-Ming Xun, Fei Xie, Peng-Xiang Zhao, Meng-Yu Liu, Zhi-Yuan Li, Jian-Mei Song, Xian-Min Kong, Xue-Mei Ma, Xiao-Yang Li","doi":"10.26444/aaem/125504","DOIUrl":"https://doi.org/10.26444/aaem/125504","url":null,"abstract":"INTRODUCTION Chlorpyrifos (CPF) is a organophosphate insecticide widely used in agriculture with attendant adverse health outcomes. Chronic exposure to CPF induces oxidative stress and elicits harmful effects, including hepatic dysfunction. Molecular hydrogen has been identified as a novel antioxidant which could selectively scavenge hydroxyl radicals. OBJECTIVE The aim of this study was to determine whether the intake of hydrogen-rich water (HRW) could protect rats from hepatotoxicity caused by sub-chronic exposure to CPF. MATERIAL AND METHODS Rats were treated with hydrogen-rich water by oral intake for 8 weeks. Biochemical indicators of liver function, SOD and CAT activity, GSH and MDA levels were determined by the spectrophotometric method. Liver cell damage induced by CPF was evaluated by histopathological and electron microscopy analysis. PCR array analysis was performed to investigated the effects of molecular hydrogen on the regulation of oxidative stress related genes. RESULTS Both the hepatic function tests and histopathological analysis showed that the liver damage induced by CPF could be ameliorated by HRW intake. HRW intake also attenuated CPF induced oxidative stress, as evidenced by restored SOD activities and MDA levels. The results of PCR Array identified 12 oxidative stress-related genes differentially expressed after CPF exposure, 8 of chich, including the mitochondrial Sod2 gene, were significantly attenuated by HRW intake. The electron microscopy results indicated that the mitochondrial damage caused by CPF was alleviated after HRW treatment. CONCLUSIONS The results obtained suggest that HRW intake can protect rats from CPF induced hepatotoxicity, and the oxidative stress signaling and the mitochondrial pathway may be involved in the protection of molecular hydrogen.","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"368-373"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.26444/aaem/125504","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38400749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ewa Guz, Magdalena Brodowicz-Król, Ewa Kulbaka, Magdalena Bartoszuk-Popko, Piotr Lutomski
{"title":"Parents' attitudes towards a difficult situation resulting from the chronic disease of their child.","authors":"Ewa Guz, Magdalena Brodowicz-Król, Ewa Kulbaka, Magdalena Bartoszuk-Popko, Piotr Lutomski","doi":"10.26444/aaem/119085","DOIUrl":"https://doi.org/10.26444/aaem/119085","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The family is a reliable and permanent source of support for every human being. It is the key link in the welfare system. The aim of the study is to assess parents' attitudes towards the occurrence of a difficult situation resulting from a child's chronic illness.</p><p><strong>Material and methods: </strong>The study involved randomly selected parents of children with chronic diseases (N=107). The study was carried out at the Dental Clinic of the 'Little Prince' Children's Hospice in Lublin.</p><p><strong>Results: </strong>The study revealed that for parents a difficult life situation is mainly associated with the disability of a family member or a friend, whereas the action approach is the most frequently chosen attitude towards a child's chronic disease. In the examined group of parents, a significant correlation was observed between the age of the parents and the choice of a specific parental attitude towards the child's chronic disease (in terms of intellectual approach). However, no significant correlations were found between the parents' place of residence and the choice of a specific parental attitude towards the chronic disease of a child.</p><p><strong>Conclusions: </strong>During the diagnosis of chronically ill children, parents should also be educated in this regard. Therapy and psychological help, as well as directing parents to relevant support groups, organizations or associations, will prove immensely valuable while coping with a difficult life situation.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"476-480"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38501474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemiology of scabies in relation to socio-economic and selected climatic factors in north-east Poland.","authors":"Joanna Korycinska, Ewa Dzika, Marta Kloch","doi":"10.26444/aaem/109319","DOIUrl":"https://doi.org/10.26444/aaem/109319","url":null,"abstract":"INTRODUCTION Scabies is a contagious parasitic disease, a skin infestation caused by Scaroptes scabieri, tiny mites that burrow under the skin. Outbreaks of scabies can be difficult to control and require the implementation of appropriate control programme. OBJECTIVE The purpose of the study was to analyze the epidemiology of scabies in north-east Poland, considering socio-economic and selected climatic factors. MATERIAL AND METHODS The analysis was based on data reports (n=26,362) obtained from the Polish National Health Fund (NFZ) for the period 2007-2014. Monthly climate data were collected from the Institute of Meteorology and Water Management/National Research Institute (IMGW-PIB) in Warsaw, including data on temperature and relative humidity. Additionally, the influence of socio-economic factors on the prevalence of scabies was analyzed. Data on population size, medical staff, and unemployment rate were obtained from the Central Statistical Office (GUS) in Warsaw, and analyzed using SPSS Statistics 24.0 programme. RESULTS The age group of 10-19 years showed the highest infestation rates. Seasonality of scabies was demonstrated. The highest numbers of cases were reported during the autumn and winter months. There was a significant negative correlation (rho = -0.499; p<0.001) between air temperature and the incidence of scabies, and a positive correlation (r = 0.532; p<0.001) between relative humidity and the number of cases reported. A rise in the unemployment rate also caused an increase in the scabies incidence rate (r = 0.294; p<0.001). CONCLUSIONS The results suggest that an improvement of socio-economic conditions may contribute to a reduction in the number of scabies infections. The possibility should be considered of monitoring the parameters, such as air temperature and humidity, particularly when scabies outbreaks occur.","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"374-378"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38400750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cezary Wojtyła, Michał Ciebiera, Paulina Wojtyła-Buciora, Anna Janaszczyk, Paulina Brzęcka, Andrzej Wojtyła
{"title":"Physical activity patterns in third trimester of pregnancy - use of pregnancy physical activity questionnaire in Poland.","authors":"Cezary Wojtyła, Michał Ciebiera, Paulina Wojtyła-Buciora, Anna Janaszczyk, Paulina Brzęcka, Andrzej Wojtyła","doi":"10.26444/aaem/110480","DOIUrl":"https://doi.org/10.26444/aaem/110480","url":null,"abstract":"<p><strong>Introduction: </strong>Adverse pregnancy outcomes are less common among physically active women, and children born to such mothers are less likely to be at risk for macrosomia, obesity and metabolic diseases in the future.</p><p><strong>Objectives: </strong>The aims of the study were to establish physical activity (PA) patterns among pregnant women in the third trimester, and to determine the attitudes of prenatal care providers to maternal PA during pregnancy.</p><p><strong>Material and methods: </strong>The study was conducted in 2017 using surveys from the Polish Pregnancy-related Assessment Monitoring System program (Pol-PrAMS). The study included 3,451 postpartum women. The Pregnancy Physical Activity Questionnaire was used to investigate their PA. This part of Pol-PrAMS study was completed by 2,744 postpartum women who were subjected to statistical analysis.</p><p><strong>Results: </strong>Sedentary or light physical activity comprised 75% of the overall PA in the third trimester of pregnancy (mean values of energy expenditure: 67 and 93.3 MET-h/week, respectively). Household or caregiving activities accounted for almost 50% of all activities and were the most common PA types (mean energy expenditure: 105 MET-h/week). Restriction of PA in pregnancy was reported by over 60% of the women, most often due to concerns over proper foetal development. Over 85% of prenatal care providers either did not address the issue of PA with the future mothers at all, or recommended PA restriction.</p><p><strong>Conclusions: </strong>Sedentary and light-intensity PA are the two predominant types of physical activity in the third trimester. The most energy-consuming tasks involve household and caregiving activities. Restriction of activity was reported by the majority of the respondents. Prenatal care providers either did not address the matter of PA in pregnancy or recommended PA restriction.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"388-393"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38400753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Strzelecka, Michał Stachura, Tomasz Wójcik, Anna Beata Pacian, Teresa Kulik, Jolanta Pacian, Monika Kaczoruk, Elżbieta Monika Galińska, Ewa Kawiak-Jawor, Grażyna Nowak-Starz
{"title":"Using affinity analysis in diagnosing the needs of patients as regards e-Health.","authors":"Agnieszka Strzelecka, Michał Stachura, Tomasz Wójcik, Anna Beata Pacian, Teresa Kulik, Jolanta Pacian, Monika Kaczoruk, Elżbieta Monika Galińska, Ewa Kawiak-Jawor, Grażyna Nowak-Starz","doi":"10.26444/aaem/123872","DOIUrl":"https://doi.org/10.26444/aaem/123872","url":null,"abstract":"<p><strong>Introduction: </strong>E-Health tools allow a medical facility to set a given patient's data in order using ICT techniques, and the patient to use those techniques when contacting a given organisation.</p><p><strong>Material and methods: </strong>Secondary statistical data was used in the research. The study was carried out among primary health care patients. Mining for affinity rules was done in the R programme. The apriori and inspect functions from the arules package were used. Moreover, any redundant rules were removed from thoseobtained using the afero-mentioned method. Applying the general description of the affinity analysis method onto the survey described herein, it should be stressed that the aim of using affinity analysis was to discover the rules which contain the sub-transaction B={V_6=1} as a consequent. This was determined by the intention to discover associations regarding the knowledge about a uniform information system that the patients under study might have.</p><p><strong>Results: </strong>In the discovered rules, the antecedent most often contained an indication of the need for introducing a uniform solution as regards telemedicine. Moreover, according to the opinions of 'conscious'patients, a uniform IT system should improve the work at primary health care institutions, introducing an on-line booking system for visits should improve the productivity and comfort of doctors, and an IT system should provide unambiguous identification of a patient.</p><p><strong>Conclusions: </strong>There is potential in using affinity analysis within e-Health. The example of affinity analysis described in his study led to the discovery of interesting and important (from the point of view of a medical facility) regularities regarding the knowledge and expectations of patients as regards e-Health.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"435-441"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38404186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Agnieszka Gniadek, Anna Białecka, Iwona Opach, Agnieszka Kulig, Paweł Krzyściak, Patrycja Ostrogórska, Anna Barbara Macura
{"title":"Fungal contamination of ward furnishings and medical equipment used in the treatment and nursing of newborns.","authors":"Agnieszka Gniadek, Anna Białecka, Iwona Opach, Agnieszka Kulig, Paweł Krzyściak, Patrycja Ostrogórska, Anna Barbara Macura","doi":"10.26444/aaem/111830","DOIUrl":"https://doi.org/10.26444/aaem/111830","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Newborn babies staying on hospital wards are likely to be colonized by microorganisms, including potentially pathogenic fungi. The aim of the study was to assess the mycological purity of hospital wards and medical equipment utilized in the treatment and nursing of newborns.</p><p><strong>Material and methods: </strong>The study was conducted in Neonatal High Dependency Units (NHDU) and Neonatal Intensive Care Units (NICU). 539 samples were collected from 24 different sources, 130 from ward furnishings and 289 from medical equipment. The study was carried out following the microbiology research methods for sample collection. Subsequently, the samples (swabs, water from incubators, washings from respirator tubes and nasal cannulas (nCPAP)) were cultivated on Sabouraud agar plates. The stamps were collected with the application of Count-Tact method. The samples were incubated at the temperature of 25+/-2 o C and the number of fungi assessed (cfu/cm -2 of the surface area). The species were identified based on their morphological and biochemical features.</p><p><strong>Results: </strong>Fungal growth was observed on 60% of samples collected from ward furnishings and 7% of samples collected from medical equipment. The average number of cfu/cm -2 ranged between 0-8.84 in the case of ward furnishings and between 0-1.22 cfu/cm -2 in the case of medical equipment. In 180 samples collected from the material which had direct contact with newborns no fungal growth was observed.</p><p><strong>Conclusions: </strong>The furnishings of the wards on which newborns were treated and nursed were contaminated with fungi to an extent which did not pose a threat to the life and health of the newborns. Medical equipment (respirators, incubators, nCPAP cannulas and masks) which came into direct contact with newborns was free from fungi.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"348-355"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38499125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Romuald Górski, Malgorzata Kotwicka, Izabela Skibińska, Magdalena Jendraszak, Stanisław Wosiński
{"title":"Effect of low-frequency electric field screening on motility of human sperm.","authors":"Romuald Górski, Malgorzata Kotwicka, Izabela Skibińska, Magdalena Jendraszak, Stanisław Wosiński","doi":"10.26444/aaem/116019","DOIUrl":"https://doi.org/10.26444/aaem/116019","url":null,"abstract":"<p><strong>Introduction: </strong>The human body is constantly exposed to an extremely low electromagnetic field (ELF-EMF), in particular at 50 Hz, emitted by power lines, domestic distribution lines, electrical appliances, etc. It is assumed that the increase in electromagnetic exposure may cause adverse effects upon human health, as well as raising concerns regarding the impact on human fertility.</p><p><strong>Objective: </strong>The aim of this in vitro study was to investigate the influence of ELF-EMF with a frequency of 50 Hz on the motility of human sperm. At the same time, the effectiveness of the dielectric screen constructed by ADR Technology ® in absorbing the emitted radiation was examined.</p><p><strong>Material and methods: </strong>Semen samples of 20 patients were exposed to the influence of an extremely low electromagnetic field. After 5, 15 and 30 min., spermatozoa motility was analysed using a computer-assisted spermatozoa motility analysis system. The following sperm motility parameters were examined: 1) velocity straight linear motility; 2) cross-beat frequency; 3) lateral head displacement; 4) homogeneity of progressive motility velocity.</p><p><strong>Results: </strong>It was found that the ELF-EMF presented a negative effect on the motility of human spermatozoa. A significant decrease in spermatozoa motility speed and a significant increase in lateral head deviation values were observed under the influence of the electromagnetic field. ELF-EMF did not show an effect on either lateral head displacement or homogeneity of progressive motility velocity.</p><p><strong>Conclusions: </strong>A positive effect of the dielectric screen ADR Technology® was found. This effect compensated spermatozoa motility changes induced with ELF-EMF.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"427-434"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38404185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dorota Groffik, Karel Frömel, Michal Vorlíček, Jacek Polechoński
{"title":"The trend and structure of adolescents' weekly step count in the context of the Polish school environment.","authors":"Dorota Groffik, Karel Frömel, Michal Vorlíček, Jacek Polechoński","doi":"10.26444/aaem/126062","DOIUrl":"https://doi.org/10.26444/aaem/126062","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Weekly physical activity (PA) in adolescents is significantly correlated with the educational programme and school environment, where the basis of healthy work habits and a healthy lifestyle is laid. The aim of the study was to identify the differences in the trend and the structure of the weekly step count in adolescent boys and girls in the context of the Polish school environment.</p><p><strong>Material and methods: </strong>A total of 930 boys and 1,354 girls aged 15-19 years from 64 secondary schools in the Katowice region participated. The research was conducted between 2011-2018. For the objective monitoring of weekly PA, Yamax Digiwalker SW-700 pedometers were used.</p><p><strong>Results: </strong>Between 2011-2014 and 2015-2018, no significant differences were observed in step counts on an average week day, school day, or weekend day. This means that the level of PA, expressed as daily step count, did not decrease between the two 4-year periods. On average, boys performed 10,799 steps/day, while girls performed 10,130 steps/day. The recommendation of 11,000 steps/day was achieved by 42.2% of boys and 35.3% of girls. A significant decrease by 8.6 percentage points in the achievement of 11,000 steps/day between the two 4-year periods was observed only in boys.</p><p><strong>Conclusions: </strong>It is positive that in the 8-year monitoring of PA, there was no significant decrease in the average steps/day for Polish boys and girls. However, most boys and girls did not meet the 11,000 steps/day recommendation. Both boys and girls were most physically active on Friday and least physically active on Sunday.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"442-447"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38404187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marek Roszkiewicz, Klaudia Dopytalska, Elżbieta Szymańska, Artur Jakimiuk, Irena Walecka
{"title":"Environmental risk factors and epigenetic alternations in psoriasis.","authors":"Marek Roszkiewicz, Klaudia Dopytalska, Elżbieta Szymańska, Artur Jakimiuk, Irena Walecka","doi":"10.26444/aaem/112107","DOIUrl":"https://doi.org/10.26444/aaem/112107","url":null,"abstract":"<p><strong>Introduction and objective: </strong>Psoriasis isa quite common, chronic and immune-mediated skin disorder. The prevalence of psoriasis differs in various countries, but it is said to affect 2% of the world's population in general. Psoriasis has many different clinical features but all lesions have the same characteristic: erythema, thickening and scale, although other clinical features are also connected, such as psoriatic arthritis, obesity and metabolic syndrome. All of these may lead to conditions impairing the quality of life. This review is an attempt to summarize recent data regarding environmental factors, together with epigenetic markers and processes playing an important role in psoriasis.</p><p><strong>State of knowledge: </strong>Many different environmental factors play a role in genetically predisposed patients. This is causes epigenetic alternations which may be a linking part in the whole process. Many studies have indicated a connection between psoriasis and various genes and antigens. The presence of HLA-Cw6 is common as well a strong link between its presence and the onset of psoriasis being observed. The main alternations are DNA methylation, histone's modifications and the role of microRNA. Excessive reaction is usually not present without a triggering factor. Environmental factors are mostly rated, such as drugs, life style and habits (smoking, alcohol), diet, physical trauma (skin injury provoking Koebner phenomenon), stress, microorganism and infections.</p><p><strong>Conclusions: </strong>The correlation between pathogenesis of psoriasis and environmental risk factors, together with epigenetic alternations still require more investigation. Education about diet habits, nutrition, weight loss and healthy lifestyle seems to be important during the treatment of psoriasis.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"335-342"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38499123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Augustynowicz, Iwona Bojar, Mariola Borowska, Krzysztof Bobiński, Aleksandra Czerw
{"title":"Self-government HPV vaccination programmes in Poland, 2009-2016.","authors":"Anna Augustynowicz, Iwona Bojar, Mariola Borowska, Krzysztof Bobiński, Aleksandra Czerw","doi":"10.26444/aaem/109620","DOIUrl":"https://doi.org/10.26444/aaem/109620","url":null,"abstract":"<p><strong>Introduction: </strong>Cervical cancer is the fourth neoplasm in women with respect to incidence. In Poland, both cervical cancer incidence and corresponding mortality are gradually decreasing. Despite these improvements, the epidemiological situation significantly deviates from European standards. Poland has one of Europe's lowest five-year survival rates at 54.1% for patients diagnosed in 2000-2002, compared to the European mean value of 62.1%.</p><p><strong>Objective: </strong>The aim of this study is to present health policy programmes related to HPV vaccinations run by local self-government units in 2009-2016.</p><p><strong>Material and methods: </strong>The research is based on analysis of already existing data developed by provincial governors and annual information reviews on health-policy programmes implemented by local self-government units presented to the Ministry of Health. All the programmes that included HPV vaccinations have been subjected to analysis.</p><p><strong>Results: </strong>In 2009-2016, local government units implemented a total of 1,204 health policy programmes that covered HPV vaccinations. Under these programmes, 2.05% of girls aged 10-14 were vaccinated. Percentage-wise, these were communes that contributed the most financially to the HPV vaccination programmes, whereas the counties the least.</p><p><strong>Conclusions: </strong>Local self-government's programmes covering HPV vaccinations conform with the trends outlined in strategic documents on fighting neoplastic diseases. It is possible that the availability of HPV vaccination was limited for girls living in rural communes. Differences in the number of programmes, number of vaccinated girls and the financial outlays allocated for the implementation of HPV vaccination programmes in particular provinces, may be determined by the epidemiological situation in a given region, measured by the incidence rate of cervical cancer.</p>","PeriodicalId":520557,"journal":{"name":"Annals of agricultural and environmental medicine : AAEM","volume":" ","pages":"379-383"},"PeriodicalIF":1.7,"publicationDate":"2020-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38400751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}