Changes in disability rate due to pulmonary tuberculosis in Omsk Region

Abstract

The objective of the study: to assess the changes in the level of disability due to respiratory diseases in Omsk Region for the period from 2013 to 2017.
Subject and methods: a retrospective study. Based on the reports for clinical expert work of Omsk Regional Head Bureau of Medical and Social Assessment no. 8 by the Russian Ministry of Labor, primary and recurrent disability was analyzed.
Results. In 2013, totally 382 people were recognized as disabled for the first time due to respiratory diseases and tuberculosis, in 2014 –545, in 2015 –435, in 2016 – 512, and in 2017 – 455. The share of tuberculosis of all localizations made 51.8% in 2013, 34.1% in 2014, 48.7% in 2015, 47.1% in 2016, and 40.6% in 2017, respiratory tuberculosis was the cause of disability in 49.2% in2013, in 32.3% in2014, in 42.3% in2015, in 31.2% in 2016, and in 30.1% in 2017. 1,069 people were recognized as disable due to respiratory diseases and tuberculosis in the Omsk Region in 2013,1,322 in 2014,969 in 2015,922 in 2016, and 1,056 patients in 2017; due to tuberculosis in 2013 – 50.6%, in 2014 – 43.9%, in 2015 – 54.4%, in 2016 – 44.3%, and in 2017 – 40.1%, respiratory tuberculosis was the cause of persistent disability by years, respectively: in 2013 – in 48.2%, in 2014 – in 41.1%, in 2015 – in 50.8%, in 2016 – in 27.4%, and in 2017 – in 24.1% of cases. From 2013 to2017 in Omsk Region, tuberculosis incidence, prevalence, and mortality went down. At the same time, the index of disability due to tuberculosis decreased slightly, and the proportion of persons recognized as disabled due to tuberculosis still varies significantly.