Tuberculosis situation in children in 2021 and the prospects of its change in 2022
https://doi.org/10.21292/2075-1230-2022-100-11-13-19
Abstract
The article analyzes changes in the epidemic tuberculosis situation in children and factors influencing it. Data from tuberculosis statistical surveillance forms and on-line monitoring data for the biggest available period were studied. It was found that in 2021, tuberculosis incidence increased in children of 0-14 years old, and this increase was statistically significant (p < 0.05) in the group of children of 7-14years old (from 5.6 to 6.3 per 100,000 children of 7-14 years old), which may be related to the COVID-19 pandemic: increased epidemic risk of tuberculosis infection sources and increased exposure of children primarily of school age, who were switched to distant learning.
The increase in tuberculosis incidence among children exposed to tuberculosis patients from 143.8 to 183.0 per 100,000 exposed children may be further attributed to decreased dissociating of contacts by hospitalizing children to tuberculosis sanatoria. Theepidemic tuberculosis situation in children is expected to deteriorate due to increased migration from the country with an unfavorable tuberculosis situation, i.e. Ukraine. Tuberculosis mortality in children continued to decline; there were no signs that it would increase in 2022.
About the Authors
V. A. AksenovaRussian Federation
Valentina A. Aksenova, Doctor of Medical Sciences, Professor, Head of Children and Adolescents Tuberculosis Department
S. A. Sterlikov
Russian Federation
Sergey A. Sterlikov, Doctor of Medical Sciences, Head of Department for Tuberculosis and HIV Epidemiology and Monitoring
11, Dobrolyubova St., Moscow, 127254
D. A. Kucheryavaya
Russian Federation
Darya A. Kucheryavaya, Chief Specialist of Statistics Department
11, Dobrolyubova St., Moscow, 127254
A. V. Gordina
Russian Federation
Aleksandra V. Gordina, Researcher of Tuberculosis Children and Adolescents Department
Ya. Yu. Pankova
Russian Federation
Yana Yu. Pankova, Senior Researcher of Health and Demography Department
11, Dobrolyubova St., Moscow, 127254
I. A. Vasilyeva
Russian Federation
Irina A. Vasilyeva, Doctor of Medical Sciences, Professor, Director
1, Bd. 7, Ostrovityanova St., Moscow, 117997
Phone: + 7 (495) 6311515, ext. 1001
References
1. Aksenova V.A., Sterlikov S.A., Belilovsky E.M., Kazykina T.N., RusakovaL.I. Tuberculosis epidemiology in children. Sovremennye Problemy Zdravookhraneniya i Meditsinskoy Statistiki, 2019, no. 1, pp. 8-43. (In Russ.) doi: 10.24411/2312-2935-2019-10002.
2. Vasilyeva I.A., Testov V.V., Sterlikov S.A. Tuberculosis situation in the years ofthe COVID-19 pandemic – 2020-2021. Tuberculosis and Lung Diseases, 2022, no. 3, pp. 6-12. (In Russ.) doi: 10.21292/2075-1230-2022-100-3-6-12.
3. V Rossiyu pribyli svyshe 2,2 mln bezhentsev s Ukrainy i iz Donbassa. [More than 2.2 million refugees from Ukraine and Donbas arrived in Russia]. Available at: https://iz.ru/1357503/2022-06-30/v-rossiiu-pribyli-svyshe-22-mln-bezhentcev-s-ukrainy-i-iz-donbassa.
4. Pryimak A.A., Kucherov A.L., Dukarsky B.G., Cherniy A.N. Status andprospects of preventive fluorography in the RSFSR. Probl. Tub., 1991, no. 9, pp. 11-14. (In Russ.)
5. Rider G.L. Epidemiologicheskie osnovy borby s tuberkulezom. [Epidemiological basics of tuberculosis control]. Moscow, Vest Mir Publ., 2001, 192 p.
6. Rusakova L.I., Kucheryavaya D.A., Sterlikov S.A. Assessment of the impact ofthe COVID-19 pandemic on the system of tuberculosis care in the Russian Federation. Sovremennye Problemy Zdravookhraneniya i Meditsinskoy Statistiki, 2021, no. 2, pp. 553-577. (In Russ.) doi: 10.24412/2312-2935-2021-2-553-577.
7. Svyshe 4 mln bezhentsev pribyli v RF s nachala SVO s territoriy Donbassa i Ukrainy. [Over 4 million refugees have arrived in the Russian Federation since the beginning of the SMO from Donbass and Ukraine]. Available at: https://argumenti.ru/world/2022/09/788599.
8. Stupak V.S., Mikhaylova Yu.V., Averyanova E.L., Sterlikov S.A. Epidemic situation on tuberculosis, HIV and viral hepatitis in Russia and Ukraine. Sovremennye Problemy Zdravookhraneniya i Meditsinskoy Statistiki, 2022, no. 4, pp. 298-315. (In Russ.) doi: 10.24412/2312-2935-2022-4-298-315.
9. Shilova M.V. Metodika analyza epidemiologicheskoy situatsii po tuberkulezu: metodicheskiye rekomendatsii. [Methods of analysis for tuberculosis epidemic situation. Guidelines], Moscow, 2007, 56 p.
10. Shtefko V.G. Tuberkulez legkikh i konstitutsiya. [Pulmonary tuberculosis and body type]. Moscow, Leningrad, Gos. Med. Izd-vo Publ., 1930, 92 p.
11. Epidemiya koronavirusa: vozdeystviye na sferu obrazovaniya. [Coronavirus epidemic: impact on education]. Moscow, Schetnaya Palata Rossiyskoy Federatsii Publ., 2020, 12 p.
12. Buonsenso D., Iodicec F., Bialad J.S., Golettie D. COVID-19 effects on tuberculosis care in Sierra Leone. Pulmonology, 2020. doi: 10.1016/j.pulmoe.2020.05.013.
13. Togun T., Kampmann B., Stoker N.G., Lipman M. Anticipating the impact of the COVID-19 pandemic on TB patients and TB control programmes. Ann. Clin. Microbiol. Antimicrob., 2020, no. 21. doi: 10.1186/s12941-020-00363-1.
Review
For citations:
Aksenova V.A., Sterlikov S.A., Kucheryavaya D.A., Gordina A.V., Pankova Ya.Yu., Vasilyeva I.A. Tuberculosis situation in children in 2021 and the prospects of its change in 2022. Tuberculosis and Lung Diseases. 2022;100(11):13-19. (In Russ.) https://doi.org/10.21292/2075-1230-2022-100-11-13-19