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<article article-type="review-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">microbe</journal-id><journal-title-group><journal-title xml:lang="ru">Проблемы особо опасных инфекций</journal-title><trans-title-group xml:lang="en"><trans-title>Problems of Particularly Dangerous Infections</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0370-1069</issn><issn pub-type="epub">2658-719X</issn><publisher><publisher-name>Russian Research Anti-Plague Institute “Microbe”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21055/0370-1069-2026-3-43-52</article-id><article-id custom-type="elpub" pub-id-type="custom">microbe-2393</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</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Эпизоотолого-эпидемиологическая ситуация по туляремии в Российской Федерации в 2025 г. Прогноз на 2026 г.</article-title><trans-title-group xml:lang="en"><trans-title>Epizootic and Epidemiological Situation on Tularemia in the Russian Federation in 2025. Forecast for 2026</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1876-5397</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пичурина</surname><given-names>Н. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Pichurina</surname><given-names>N. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0762-3628</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаевская</surname><given-names>Н. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Gaevskaya</surname><given-names>N. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4896-9369</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Транквилевский</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Trankvilevsky</surname><given-names>D. 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Трилиссера, 78</p></bio><bio xml:lang="en"><p>78, Trilissera St., Irkutsk, 664047</p></bio><email xlink:type="simple">adm@chumin.irkutsk.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4864-9576</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сокиркина</surname><given-names>Е. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokirkina</surname><given-names>E. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4329-8340</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хаметова</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Khametova</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7772-9276</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аронова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Aronova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4091-649X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Цимбалистова</surname><given-names>М. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tsimbalistova</surname><given-names>M. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6304-2780</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Куриленко</surname><given-names>М. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Kurilenko</surname><given-names>M. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Куриленко Марина Леонидовна.</p><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>Marina L. Kurilenko.</p><p>117/40, M. 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Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3973-6392</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Соколова</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Sokolova</surname><given-names>E. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. 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Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8997-5573</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кривенко</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Krivenko</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4010-2138</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Анисимова</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Anisimova</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0006-7679-032X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Махмудов</surname><given-names>Р. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Makhmudov</surname><given-names>R. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>344002, Ростов-на-Дону, ул. М. Горького, 117/40</p></bio><bio xml:lang="en"><p>117/40, M. Gorkogo St., Rostov-on-Don, 344002</p></bio><email xlink:type="simple">plague@aaanet.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0843-4757</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мазепа</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mazepa</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>664047, Иркутск, ул. Трилиссера, 78</p></bio><bio xml:lang="en"><p>78, Trilissera St., Irkutsk, 664047</p></bio><email xlink:type="simple">adm@chumin.irkutsk.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6247-6221</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борзенко</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Borzenko</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>664047, Иркутск, ул. Трилиссера, 78</p></bio><bio xml:lang="en"><p>78, Trilissera St., Irkutsk, 664047</p></bio><email xlink:type="simple">adm@chumin.irkutsk.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8882-6477</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васильева</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasil’eva</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>355035, Ставрополь, ул. Советская, 13–15</p></bio><bio xml:lang="en"><p>13–15, Sovetskaya St., Stavropol, 355035</p></bio><email xlink:type="simple">stavnipchi@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9044-1808</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гнусарева</surname><given-names>О. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gnusareva</surname><given-names>O. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>355035, Ставрополь, ул. Советская, 13–15</p></bio><bio xml:lang="en"><p>13–15, Sovetskaya St., Stavropol, 355035</p></bio><email xlink:type="simple">stavnipchi@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Ростовский-на-Дону научно-исследовательский противочумный институт</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Rostov-on-Don Research Anti-Plague Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральный центр гигиены и эпидемиологии; Институт дезинфектологии ФНЦГ им. Ф.Ф. Эрисмана; Российская медицинская академия непрерывного профессионального образования</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Center of Hygiene and Epidemiology; Institute of Disinfectology, F.F. Erisman Federal Scientific Center of Hygiene; Russian Medical Academy of Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Service for Surveillance on Consumers Rights Protection and Human Wellbeing</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Иркутский научно-исследовательский противочумный институт Сибири и Дальнего Востока</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Irkutsk Research Anti-Plague Institute of Siberia and the Far East</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Ставропольский научно-исследовательский противочумный институт</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Stavropol Research Anti-Plague Institute</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>08</day><month>10</month><year>2026</year></pub-date><volume>0</volume><issue>3</issue><fpage>43</fpage><lpage>52</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Пичурина Н.Л., Гаевская Н.Е., Транквилевский Д.В., Павлович Н.В., Скударева О.Н., Иришкова И.Е., Куликалова Е.С., Сокиркина Е.Н., Хаметова А.П., Аронова Н.В., Цимбалистова М.В., Куриленко М.Л., Тушинский А.А., Сорокин В.М., Соколова Е.П., Водопьянов А.С., Кривенко А.С., Анисимова А.С., Махмудов Р.С., Мазепа А.В., Борзенко М.А., Васильева О.В., Гнусарева О.А., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Пичурина Н.Л., Гаевская Н.Е., Транквилевский Д.В., Павлович Н.В., Скударева О.Н., Иришкова И.Е., Куликалова Е.С., Сокиркина Е.Н., Хаметова А.П., Аронова Н.В., Цимбалистова М.В., Куриленко М.Л., Тушинский А.А., Сорокин В.М., Соколова Е.П., Водопьянов А.С., Кривенко А.С., Анисимова А.С., Махмудов Р.С., Мазепа А.В., Борзенко М.А., Васильева О.В., Гнусарева О.А.</copyright-holder><copyright-holder xml:lang="en">Pichurina N.L., Gaevskaya N.E., Trankvilevsky D.V., Pavlovich N.V., Skudareva O.N., Irishkova I.E., Kulikalova E.S., Sokirkina E.N., Khametova A.P., Aronova N.V., Tsimbalistova M.V., Kurilenko M.L., Tushinsky A.A., Sorokin V.M., Sokolova E.P., Vodop’yanov A.S., Krivenko A.S., Anisimova A.S., Makhmudov R.S., Mazepa A.V., Borzenko M.A., Vasil’eva O.V., Gnusareva O.A.</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://journal.microbe.ru/jour/article/view/2393">https://journal.microbe.ru/jour/article/view/2393</self-uri><abstract><p>Проведен анализ эпизоотолого-эпидемиологической ситуации по туляремии в Российской Федерации в 2025 г., представлен прогноз на 2026 г. В 2025 г. на территории Российской Федерации зарегистрировано 45 случаев (относительный показатель заболеваемости на 100 тыс. человек – 0,03) заболевания людей туляремией в 16 субъектах всех федеральных округов. Наибольший удельный вес больных отмечен в Ставропольском крае и Ханты-Мансийском автономном округе – Югре (ХМАО-Югра) – 21,6 и 16,2 % соответственно. На Архангельскую область и Республику Карелия пришлось по 10,8 %, на Кировскую, Омскую и Челябинскую области – по 8,1 %, на Воронежскую, Ярославскую, Нижегородскую области и Краснодарский край – по 2,7 %. Основная доля (48,9 %) от всех заболевших пришлась на август и сентябрь. В структуре заболеваемости преобладало городское население – 62,2 %. Заболеваемость характеризовалась относительно равномерным распределением по полу: мужчины составили 55,6 %, женщины – 44,4 %. Наибольшая доля пострадавших приходилась на лиц трудоспособного возраста, однако обращает на себя внимание значительная доля заболевших детей до 17 лет – 24,5 %. Преобладала ульцерогландулярная туляремия (A21.0), на долю которой приходилось 71,1 % случаев. Вакцинировано и ревакцинировано против туляремии 871 599 человек. В целом по стране из проб полевого материала изолировано 28 культур Francisella tularensis в 7 субъектах. Высокий уровень риска эпидемических осложнений по туляремии сохранится в 20 субъектах Российской Федерации: в Архангельской, Ленинградской, Волгоградской, Кировской, Новосибирской, Омской, Томской, Херсонской и Запорожской областях, республиках Карелия, Крым, Мордовия, Тыва, Бурятия и Саха (Якутия), Ставропольском и Алтайском краях, ХМАО-Югре, Донецкой и Луганской народных республиках.</p></abstract><trans-abstract xml:lang="en"><p>Epizootiological-epidemiological situation on tularemia in the Russian Federation in 2025 has been assessed and forecast for 2026 is provided. In 2025, 45 cases of human tularemia were registered in the Russian Federation (incidence rate of 0.03 per 100,000 population) across 16 regions of the country. The highest proportion of cases was recorded in the Stavropol Territory and the Khanty-Mansi Autonomous Region (21.6 and 16.2 %, respectively). Arkhangelsk Region and Republic of Karelia accounted for 10.8% each, the Kirov, Omsk and Chelyabinsk Regions – 8.1% each, Voronezh, Yaroslavl, Nizhny Novgorod Regions and the Krasnodar Territory – 2.7% each. The main share (48.9%) of all cases occurred in August and September. The urban population predominated in the morbidity structure – 62.2%. The incidence was characterized by a relatively even distribution by gender: men accounted for 55.6%, women – 44.4%. The largest share of the affected was among people of working age, but noteworthy is the significant proportion of sick children under 17 years of age – 24.5%. Ulceroglandular tularemia (A21.0) predominated, accounting for 71.1% of cases. A total of 871,599 people were vaccinated or revaccinated against tularemia. Nationwide, 28 cultures of Francisella tularensis were isolated from field material in 7 entities. High risk of epidemiological complications due to tularemia will persist in 20 regions of the Russian Federation: Arkhangelsk, Leningrad, Volgograd, Kirov, Novosibirsk, Omsk, Tomsk, Kherson and Zaporozhe Regions; the Republics of Karelia, Crimea, Mordovia, Tuva, Buryatia and Sakha (Yakutia); Stavropol and Altai Territories; Khanty-Mansi Autonomous Region; and the Donetsk and Luhansk People’s Republics.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>туляремия</kwd><kwd>Francisella tularensis</kwd><kwd>эпизоотологическая ситуация</kwd><kwd>эпидемиологическая ситуация</kwd><kwd>природные очаги</kwd><kwd>прогноз</kwd></kwd-group><kwd-group xml:lang="en"><kwd>tularemia</kwd><kwd>Francisella tularensis</kwd><kwd>epizootiological situation</kwd><kwd>epidemiological situation</kwd><kwd>natural foci</kwd><kwd>forecast</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">Ираклионова Н.С., Сысуев Е.Б., Мась Е.С. 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