M.V. Vorobyev
Kuvaievy memorial municipal hospital, Ivanovo
Summary. Viral hepatitis primary morbidity during the three years of 2009-2011 has declined by 3.6% in the Russian Federation.
The overwhelming majority of viral hepatitis primary cases pertained
to people aged 18 years and older, and this proportion increased in
Russia from 93.6% in 2009 up to 95.9% in 2011. In primary cases of 15-17
years of age, the male proportion was 58.4% in 2009 and 59.2% in 2011.
In puerile population, overall incidence of viral hepatitis reduced by
18.8%, while primary morbidity - by 34.5%. Analysis of registry for this
three-year period in every of Federal District has shown that most
unfavorable situation with viral hepatitis overall morbidity lingered on
in Far Eastern, Siberian, and North-Eastern Federal Districts, and with
viral hepatitis primary incidence - in Far Eastern, Siberian, Urals,
Pryvolzhsky (Near-Volga), and North-Eastern Federal Districts. Central
Federal District accounted for 18.7% in 2009 and 19.8% in 2010 of
primary incidence cases in Russia. Relative primary incidence slightly
dropped down in these three-year period in Central Federal District:
population-based ratio fell down from 55.1 to 54.3 cases upon 100,000
people of general population.
As for Ivanovo region among Russia’s administrative divisions, it was
ranked for viral hepatitis prevalence as 16th in 2009, 14th in 2010,
and 11th in 2011, while most highly prevalent regions were those of
Voronezh, Belgorod, Orel, and Tula. Region of Ivanovo accounted for 1.4%
in 2009, 1.2% in 2010, and 1.4% in 2011 of registered viral hepatitis
primary cases in Russia. Primary cases of 18 years of age and older
accounted for 85.5% of viral hepatitis primary cases in 2009 and 88.0%
in 2011 in the region of Ivanovo. A certain reduction in primary viral
hepatitis incidence in this region was mostly due to diminishing number
of cases of 0-14 years of age, in whom primary incidence fell down by
18.8% in this three-year period. Male adolescence dominance in overall
and primary viral hepatitis incidence in puerile+adolescent (summed-up)
population tended to grow through this period.
The data processed in this study have evidenced certain improvements
in the region of Ivanovo in the prevention of viral hepatitis spread in
puerile population, and also among young parents.
Keywords. Viral hepatitis; HIV overall morbidity; primary incidence; male adolescents; children; prevention.
References
- Abdukadyrova M.A. Prognosticheskiye markery khronizatsii gepatita C
[Prognosis markers for developing chronic stage of hepatitis C]. Immunologiya 2002;(1):47-54.
- Dolbik M.S. Kliniko-laboratornyye osobennosti khronicheskogo
gepatita D [Clinic and laboratory features of chronic hepatitis D]. In:
Materialy respublikanskoy konferentsii Respubliki Belarus
«Mediko-sotsialnyye aspekty VICh-infektsii, parenteralnykh virusnykh
gepatitov i infektsiy, peredavayemykh polovym putem». Minsk; 2003. P.
73-75.
- Pokrovskiy V.I. Virusnyye gepatity [Viral hepatitis]. V.I.
Pokrovskiy, S.G. Pak, N.I. Briko, B.K.Danilkin. Infektsionnyye bolezni i
epidemiologiya. Moscow:GEOTAR-Media; 2000. P. 177 - 188.
- Ivanova M.A., Pavlova T.M., Buzik O.Zh. K voprosu ob organizatsii
meditsinskoy pomoshchi bolnym s narkoticheskoy zavisimostyu [On
organization of health care to drug abuse patients]. Voprosy narkologii 2010;(4):117-122.
- Klyuchenovich V.I. Novyye strategii i osnovnyye zadachi po
protivodeystviyu VICh-infektsii, parenteralnykh gepatitov i IPPP na
sovremennom etape [New strategies and basic goals in combating
HIV-infection, parenteral hepatitis, and STI at the current stage]. In:
Materialy respublikanskoy konferentsii Respubliki Belarus
«Mediko-sotsialnyye aspekty VICh-infektsii, parenteralnykh virusnykh
gepatitov i infektsiy, peredavayemykh polovym putem». Minsk; 2003. P.
3-6.
- Koshkina Ye.A. Problema alkogolizma i narkomaniy v Rossii na
sovremennom etape [Alcohol and drug abuse problems in Russia at the
current stage]. Voprosy narkologii 2003;(4):65-71.
- Koshkina Ye.A., Kirzhanova V.V., Ruzhnikov Yu.N. et al.
Sovremennyye epidemiologicheskiye metody monitoringa rasprostranennosti
upotrebleniya narkotikov [The current epidemiological methods in
monitoring drug abuse prevalence]. M. 2005; P. 10-41.
- Lelevich V.V. Osobennosti rasprostraneniya parenteralnykh
inyektsiy, sredi potrebiteley narkotikov Respubliki Belarus [Specific
features in prevalence of parenteral infections in drug abuse patients
in the Republic of Belarus]. V.V. Lelevich, A.G. Vinitskaya, A.V.
Kozlovskiy, Ya.M. Sherendo. In: Materialy respublikanskoy konferentsii
Respubliki Belarus «Mediko-sotsialnyye aspekty VICh-infektsii,
parenteralnykh virusnykh gepatitov i infektsiy, peredavayemykh polovym
putem». Minsk. 2003. P. 60.
- Pavlova T.M. Organizatsionnyye osnovy okazaniya meditsinskoy
pomoshchi bolnym s alkogolnoy i narkoticheskoy zavisimostyu pri
razlichnoy somaticheskoy patologii [The organizational frameworks in
providing health care to alcohol and drug abuse patients with various
somatic pathology]. [PhD. Thesis]. Moscow; 2012. 25 p.
- Son I.M. Sotsialno obuslovlennyye zabolevaniya molodezhi [Socially
determined disease in young people]. I.M. Son, S.A.Leonov, A.V.Grechko,
Ye.S. Skvortsova, A.F. Meysner, M.A. Ivanova. In: Rossiyskaya molodezh.
Problemy i resheniya. Moscow: FGUP «Proizvodstvenno-izdatelskiy kombinat
VINITI»; 2005. P. 302-317.
Views: 27362
|