Socially important infectious diseases posing a biological threat to the population of Russia

The objective: to determine the status and prospects of medical care provision for socially important infectious diseases that pose a biological
threat to the population of Russia.
Subjects and methods. Data from FGSN forms no. 4, 8, 12, 14, 14 DS, 30, 33, 47, 61 were analyzed. The number of those died is presented as per the data of Rosstat. Research methods: epidemiological and statistical analysis, expert assessment, content analysis of publications and regulations.
Results. For diseases that pose a biological threat to the population (tuberculosis, HIV infection, viral hepatitis B and C), various epidemiological trends are currently observed: improved situation with tuberculosis and acute viral hepatitis B and C, stabilization with a tendency to improve in hronic viral hepatitis B and C, and stabilization in HIV infection situation.
At employable age, diseases representing a biological threat to the population and their combination as causes of death in 2018 were registered in 9.2% of those died (excluding the cause of death from external causes).
Monitoring of HIV incidence and HIV mortality in the Russian Federation and activities aimed at preventing the transmission of the disease caused by HIV, as well as viral hepatitis B and C, requires improvement. There are no FGSN forms on viral hepatitis; FGSN forms on HIV infection are to be improved. There are no registration forms for notification of HIV infection and viral hepatitis B and C cases. As a result, the indicators calculated based on data from FGSN forms and Rospotrebnadzor differ. Thus, there are no reliable data on the incidence and prevalence of HIV infection, viral hepatitis B and C.

Due to a significant decrease in tuberculosis incidence resulting from changes in the socio-economic situation in the country and properly organized work in tuberculosis care provision to the population, at present, the number of contingents of tuberculosis medical organizations does not allow closing the visit plan for TB doctors in outpatient settings and fulfilling work standards for beds in in-patient TB units. Properly organized TB service, able to work with different units and services, can help to provide medical care to patients infected with HIV and hepatitis B and C.
Setting up medical units such as Centers for Socially Important Infectious Diseases in the regions of the Russian Federation using the facilities of TB services and AIDS centers can help in the organization of control over diseases that pose a biological threat to the population of this country.

1. Аsratyan А.А., Soloviev D.V., Smirnova O.А., Kazaryan S.M., Rusakova E.V. Parenteral viral hepatitis and tuberculosis: current problems of epidemiology and prevention. Epidemiologiya i Infektsionnye Bolezni, Aktualnye Voprosy, 2017, no. 3, pp. 9-14. (In Russ.)

2. VICH-infektsiya u vzroslykh: klinicheskie rekomendatsii. [HIV infection in adults: clinical recommendation]. 2017, 64 p. Epub., 2017, Available: https://arvt.ru/sites/default/files/rf-2017-protokol-vich-vzroslie.pdf (Accessed as of June 11, 2019).

3. Zalyalov B.А., Pimenov N.N., Komarova S.V., Karandashova I.V., Chulanov V.P. Epidemiological parameters of hepatitis B and C in the Arctic Region. Epidemiologiya i Infektsionnye Bolezni. Aktualnye Voprosy, 2019, no. 1, pp. 81-92. (In Russ.) doi: https://dx.doi.org/10.18565/epidem.2019.1.81-92.

4. Kravchenko А.V. Protease inhibitor of viral hepatitis C within the regimen of triple therapy of chronic hepatitis C in HIV patients. VICH-Infektsiya i Immunosupressii, 2014, no. 6 (3), pp. 86-94. (In Russ.) https://doi.org/10.22328/2077-9828-2014-6-3-86-94.

5. Mikhaylova Yu.V., Nechaeva O.B., Shikina I.B., Mikhaylov А.Yu. Resources of the Russian medical units providing care for those with socially important infectious diseases. Tuberculosis and Lung Diseases, 2019, vol. 97, no. 6, pp. 8-14. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-6-8-14.

6. Nechaeva O.B. TB situation in Russia.Tuberculosis and Lung Diseases, 2018, vol. 96, no. 8, pp. 15-24. (In Russ.) https://doi.org/10.21292/2075-1230-2018-96-8-15-24.

7. Nikitin I.G., Chulanov V.P., Аndreeva K.V., Murashko M.M. Topical issues of medical care provision for patients with chronic viral hepatitis. Epidemiologiya i Infektsionnye Bolezni, Aktualnye Voprosy, 2016, no. 1, pp. 4-11. (In Russ.)

8. Edict no. 204 by the RF President as of May 07, 2018 On National Goals and Strategic Tasks for the Russian Federation Development till 2024. Epub., 2018, Available: https://nangs.org/docs/prezident-rf-ukaz-ot-07-05-2018-g-o-natsionalnykh-tselyakh-i-strategicheskikh-zadachakh-razvitiya-rossijskoj-federatsii-na-period-do-2024-goda (Accessed as of May 17, 2018). (In Russ.)

9. On the Program of State Guarantee of the Free Medical Care Provision for the Population for 2019 and Planned Period of 2020 and 2021. Edict no. 1506 by the RF Government as of December 10, 2018. (In Russ.) Epub. 2018, Available: https://www.garant.ru/products/ipo/prime/doc/72023058/ (Accessed as of June 13, 2019) (In Russ.) Edict no. 440 by the Russian President as of April 12, 2019. Epub., 2019, Available: https://fzakon.ru/postanovleniya-pravitelstva/postanovlenie-pravitelstva-rf-ot-12.04.2019-n-440/ (Accessed as of June 13, 2019). (In Russ.)

10. O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossiyskoy Federatsii v 2018 g. Gosudarstvenny doklad. [State report on the state on sanitary and epidemiological welfare of population in the Russian Federation in 2018]. Moscow, Federal Surveillance Service for Protection of Consumers' Rights and Well-being Publ., 2019. 254 p. Epub., 2019, Available: https://rospotrebnadzor.ru/upload/iblock/798/gosudarstvennyy-doklad-osostoyanii-sanitarno_epidemiologicheskogo-blagopoluchiya-naseleniya-vrossiyskoy-federatsii-v-2018-godu.pdf (Accessed as of June 11, 2019). (In Russ.)

11. On the Strategy on the National Safety of the Russian Federation. Edict no. 683 by the RF President dated December 31, 2015. Epub., 2015. Available: https://base.garant.ru/71296054/ (Accessed as of April 03, 2019). (In Russ.)

12. On the Strategy for Health Care Development in the Russian Federation till 2025. Edict no. 254 by the RF President as of June 06, 2019. Epub., 2019, Available: http://www.garant.ru/products/ipo/prime/doc/72164534/ (Accessed as of June 11, 2019). (In Russ.)

13. Letter no. 11-7/10/1-511 by the Russian Ministry of Health as of December 21, 2018 On the Formation and Feasibility of Regional Program of the State Guarantee for Free Medical Care for Citizens for 2019 and the planned period of 2020 and 2021. Epub., 2018, Available: https://www.garant.ru/products/ipo/prime/doc/72044032/ (Accessed as of June 13, 2019). (In Russ.)

14. On Approval of Ministerial Targeted Program on Prevention and Control of Socially Important Infectious Diseases. Edict no. 199 by the Russian Ministry of Health dated April 05, 2019. Epub., 2018, Available: https://base.garant.ru/72227892/ (Accessed as of June 13, 2019). (In Russ.)

15. Order no. 1640 by RF Government as of December 26, 2017 On Approval of State Program of the Russian Federation on Health Care Development. Epub., 2018, Available: https://www.garant.ru/products/ipo/prime/doc/71748440/ (Accessed as of Thursday, June 13, 2019). (In Russ.)

16. On Approval of State Strategy on HIV Infection Transmission Control in the Russian Federation till 2020 and further. Edict no. 2203-p by the RF Government dated October 20, 2016. Epub., 2016, Available: http://docs.cntd.ru/document/420380452/ (Accessed as of September 27, 2017). (In Russ.)

17. Edict no. 529n by the Russian Ministry of Health as of August 06, 2013 On Approval of Nomenclature of Medical Units. (Registered in the Russian Ministry of Health no. 29950 dated as of September 13, 2013). Epub. 2013, Available:https://base.garant.ru/70453400/#friends (Accessed as of September 27, 2019). (In Russ.)

18. Edict no. 715 as of December 1, 2004 by the Russian Federation Government On Approval of the List of Socially Important Diseases and List of Diseases Presenting the Threat to the Community. 2004, Available: http://base.garant.ru/12137881/ (Accessed as of September 27, 2017). (In Russ.)

19. On Approval of Activities Aimed to Implement State Strategy on HIV Infection Transmission Control in the Russian Federation till 2020 and further. Edict no. 754-p by the RF Government dated April 20, 2017. Epub., 2017, Available: http://docs.cntd.ru/document/420397283/ (Accessed as of September 27, 2017). (In Russ.)

20. Pimenov N.N., Chulanov V.P. Topical issues of epidemiology of viral hepatitis in the Russian Federation. Epidemiologiya i Infektsionnye Bolezni, 2012, no. 3, pp. 4-10. (In Russ.)

21. Chulanov V.P. Topical issues of epidemiology and diagnostics of viral hepatitis B and C in the Russian Federation. Materialy mezhvedomstvennoi nauchno-prakticheskoy konferentsii Infektsionnye bolezni – aktualnye problemy, metody borby, profilaktiki. [Materials of Inter-Agency Scientific Practical Conference on Infectious Diseases – Topical Issues, Methods of Control and Prevention]. 2015, pp. 12-15. (In Russ.)