M.A. Ivanova¹, O.V. Porshina², L.G. Voronina^2
1 Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow
² Orenburg Medical Academy, Orenburg

Summary. It is situation with syphilis morbidity that is among most topical themes as concerns sexually transmitted infections. It is still in the focus of professional attention of medical experts.

Just as in the whole of Russia, region of Orenburg presented with trichomoniasis and chlamydial infections as leading diseases among sexually transmitted infections, while incidental cases of syphilis and gonococcal infection accounted in Russia as a whole for 14.0% and 12.6% (2009), 12.5% and 12.7% (2011) of the total sexually transmitted infections pool, accordingly, and in this region - for 11.4% and 15.3% (2009), 8.3% and 13.3% (2011), accordingly. Both in Russia as a whole, and in this region most sexually transmitted infections were declining bringing about a diminishment in total sexually transmitted infections incidence from 53.3 to 37.6 cases upon 100,000 people of population in Russia during 2009-2011; from 61.7 to 39.1 cases (2009-2011) in the region of Orenburg. Nevertheless, the latent/retarded patterns of some sexually transmitted infections presented sustained growth in numbers - both in Russia as a whole, and also in this region, e.g. latent/retarded syphilis incidence increased in these three years by 19.8% in Russia as a whole, and by 28.2% in this particular region. Puerile incidence of syphilis follows the All-Russian steady trend for its diminishment:   syphilis incidence in the population of Russia aged 0-14 years diminished by 29.1% (58.3% in this region) during 2009-2011; population-based incidence diminished from 3.0 to 2.1 cases (3.6 to 1.5 in this region) upon 100,000 people during 2009-2011. Congenital syphilis incidence in Russia as a whole diminished in 2009-2011 by 32.6% (40% in this region): population-based incidence diminished from 0.9 to 0.6 cases in 2009-2011.

Conclusions: All sexually transmitted infections ' morbidity was 1.6 higher in the region of Orenburg compared to all-Russian values. Continuing diminishment of incidence of certain sexually transmitted infections in this region was accompanied with steady growth of another sexually transmitted infections, making local epidemiologic situation with sexually transmitted infections morbidity rather equivocal.

Keywords. Morbidity indicators; sexually transmitted infections; epidemiologic situation; syphilis; epidemiologic trends in Orenburg region.

References

1. Batkayev E.A. Gonoreya [Gonorrhea]. Vestnik poslediplomnogo med. obrazovaniya 2005;(2):11-19.
2. Gomberg M.A. Reproduktivnoye zdorovye i infektsii, vyzvannyye Chlamydia trachomatis [Reproduction health and Chlamydia trachomatis infections]. Consilium medicum. Ginekologiya 2011;13(1):13-17.
3. Loseva O.K., Loseva O.K., Ostroukhova T.N Sotsialno-demograficheskiye i povedencheskiye kharakteristiki beremennykh zhenshchin, seropozitivnykh po sifilisu [Socio-demographic and behavioral characteristics of syphilis seropositive pregnant women]. IPPP 2002;(2):30-33.
4. Lyutsko V.V. Sistema okazaniya meditsinskoy pomoshchi bolnym infektsiyami, peredavayemymi polovym putem, i mekhanizmy povysheniya eye effektivnosti [The system of delivering health care to STI patients and ways for rising its efficiency]: [PhD. Thesis]. Moscow. 2009. 24 p.
5. Malashko V.A., Nesterovich G.T., Suslov V.S.. Epidemiologicheskaya situatsiya po zabolevayemosti IPPP v Mogilevskoy oblasti za period s 1998 po 2007 gg. [Epidemiological situation with STI morbidity in Mogilev region for the period from 1998 to 2007]. In: Materialy nauch.-prakt.konferentsii «Innnovatsionnyye tekhnologii v terapii dermatozov i okazanii dermatokosmetologicheksoy pomoshchi. Minsk. 2008. P. 59-60.
6. Navrotskiy A.L. Epidemiologiya i tendentsiya zabolevayemosti infektsiyami, peredavayemymi polovym putem, i zaraznymi dermatozami v Respublike Belarus [Epidemiology and tendencies in STI morbidity and infectious dermatosis in the Republic of Velarus] // Tezisy nauchnykh rabot I Rossiyskogo kongresa. dermatovenerologov. SPb. 2003. Vol. 2. P. 198-199.
7. Navrotskiy A.L. Natsionalnaya strategiya i zadachi po usileniyu kontrolya i profilaktiki infektsiy, peredavayemykh polovym putem [The national strategy and objectives to improve STI control and prevention]. In: Mezhdunarodnaya nauchno-prakticheskaya konferentsiya: Sovremennyye podkhody k diagnostike lecheniyu i profilaktike infektsiy, peredavayemykh polovym putem. Grodno. 2005. P. 11-16.
8. Nashkhoyev M.R. Sotsialno-psikhologicheskiye, povedencheskiye kharakteristiki seks-rabotnits i profilaktika infektsiy, peredavayemykh polovym putem, v etoy srede [Socio-psychological and behavioral characteristics of sex-workers and STI prevention in this group]. [PhD. Thesis]. M. 2002. 19 p.
9. Potekayev N.S., Olisov A.O., Olisova O.Yu., et al. Sifilis u detey [Syphilis in children]. Vestnik poslediplomnogo meditsinskogo obrazovaniya 2001;(1):130.
10. Starodubov V.I., Kiselev A.S., Boyko Yu.P. Dinamika sotsiopatiy v sovremennoy Rossii [Dynamics of sociopathy in the present day Russia]. Moscow. 2001. 68 p.
11. Sokolovskiy Ye.V., Karapetyan A.V., Ostrovskiy D.V Narkozavisimyye prostitutki: mediko-sotsialnaya kharakteristika grupp povyshennogo riska [Drug abuse prostitutes: health and social characteristics of high risk groups]. Zhurnal dermatovenerologii i kosmetologii 1999;(1):49-52.
12. Domeika M. Epidemiology and Management of Sexually transmitted infections in Europe. In: Int. Scien. Pract. Conf. “Modern approach to the diagnostics, treatment and prophylaxis of sexually transmitted diseases”. Grodno. 2005. P. 13-16.
13. Domeika M., Zhurauskaya L., Savicheva A. et al. Guidelines for the laboratory diagnosis of trichomoniasis in East European countries. Eur Acad Dermatol Venerol 2010;(Mar):4.
14. Gomberg M.A. Syphilis 1990’-s - the Russian experience. In: Abstracts of 6th Congress of the European Academy of Dermatology and venerology. Dublin. 1997. P. 75.
15. Chodynicka B., Hryniwicka J., Jakubowski A., et al. Ocena czestosci zakasen rsezaczka nabytych po spozyciu alkoholu. Przegl.Derm. 1984;71(1):53-59.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*