Resources of the Russian medical units providing care for those with socially important infectious diseases

The objective of the study: to assess the provision of the Russian medical units with resources that provide medical care for infectious socially important diseases and compare this provision with the current epidemic situation.

Subjects and methods. Data from FGSN Forms no. 8, 14, 14 DS, 33, 61, 30, 47 for the Russian Federation were analyzed. The number of those died is presented as per the data of Rosstat.

Results. At the working age, the mortality rate of the population is significantly affected by HIV infection, tuberculosis, viral hepatitis B and C, and the combination of these socially significant diseases (9.3%). It is difficult to determine the cause of death of the patient with multiple co-morbidities. The incidence of tuberculosis is declining more rapidly than the number of tuberculosis beds. As a result, the number of patients with tuberculosis per 1 adult tuberculosis bed decreased from 4.0 in 2005 to 2.9 in 2017; and per 1 tuberculosis bed for children aged 0-17 years – from 1.2 to 0.7 respectively. As of December 31, 2017, the average number of patients per 1 position occupied by a district phthisiologist in the Russian Federation made 306 people, including 35 people with active tuberculosis, and 8 people with multiple drug resistant tuberculosis. The existing facilities and personnel of medical tuberculosis units allow expanding their functions. Given the reduction in tuberculosis incidence, growing incidence of HIV infection, a high proportion of concurrent tuberculosis, HIV infection and viral hepatitis B and C, the best option could be the establishment of Centers for socially important infectious diseases using the facilities of medical tuberculosis units.

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