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Trends in the development of the epidemiological situation of tuberculosis in the Republic Sakha (Yakutia) in 2004-2011

Abstract

In Sakha Republic (Yakutia) for the study period from 2004 to 2011, trends in epidemiologic process based on key indicators prove that epidemiological situation for (tuberculosis) TB in the region is tensed. We observed growth in incidence of TB cases presenting with destructions in lung tissue and bacillary-positive state, persisting trend towards increase in TB cases caused by MDR MTB, high proportion of deaths during the first year of outpatient follow-up for TB, and low coverage of the population with fluorographic mass examinations. The quality of anti-TB measures conducted by local health institutions varies between different socio-geographical zones of the republic. The study proved the need for better organized control of TB that would take into account differences in socio-geographic conditions, medical economics, technical resources, and staff availability in the regions of the republic, within the ongoing context of modernization of anti-TB service.

About the Authors

M. K. Vinokurova
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry’”
Russian Federation

Vinokurova Maria Konstantinovna, Dr.Med.Sc., Deputy Director for Science

Yakutsk, Republic Sakha (Yakutia)



V. L. Aleksandrov
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry’”
Russian Federation

Aleksandrov Vyacheslav Lavrentievich, Dr.Med.Sc.

Yakutsk, Republic Sakha (Yakutia)



L. P. Yakovleva
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry’”
Russian Federation

Yakovleva Lyudmila Petrovna, Cand.Med.Sc., Head of the Dispensary Department

Yakutsk, Republic Sakha (Yakutia)



N. M. Oshchepkova
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry’”
Russian Federation

Oshchepkova Natalia Mikhailovna, Head of the Dispensary Department

Yakutsk, Republic Sakha (Yakutia)



References

1. Russian Federation Ministry of Health order from March 21, 2003 no. 109 “On improvement of tuberculosis-controlling measures in the Russian Federation”. - M.,: n.p.; 2003.- 168 p.

2. Russian Federation Ministry of Health order from February 13, 2004 no. 50 “On implementing of TB recording/reporting documentation for tuberculosis monitoring”.- M.: n.p.; 2004. 51 p.

3. The trend of development of multidrug resistance in patients with pulmonary tuberculosis in the Republic Sakha (Yakutia) / M.K. Vinokourova [et al.] // Topical problems and prospects of development of TB service in the Russian Federation: The materials of the Ist Congress Assoc. «The National Association of TB specialists.» – Spb., 2012. - P.97-98.

4. Tuberculosis in the Siberian and Far Eastern Federal Districts.- Novosibirsk; 2011.- 54 p.

5. Tyrylgin M.A. Health protection problems in the population of the Extreme North: the case of Yakutia.-Novosibirsk: “Nauka”; 2008.- 304 p.

6. Yakovleva L.P. Trends in epidemiologic indicators for tuberculosis in Republic Sakha (Yakutia) for the period from 2000 to 2010 / L.P. Yakovleva, S.P. Zorina, M.N. Kondratieva // Tuberkulez i Bolezni Legkikh. -2011.- №5.-P. 252.


Review

For citations:


Vinokurova M.K., Aleksandrov V.L., Yakovleva L.P., Oshchepkova N.M. Trends in the development of the epidemiological situation of tuberculosis in the Republic Sakha (Yakutia) in 2004-2011. Yakut Medical Journal. 2013;(1):58-62.

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ISSN 1813-1905 (Print)
ISSN 2312-1017 (Online)