Summary. Trends in prevalence and incidence of morbidity and disability of children residing within a catchment area of a Moscow health care facility were analyzed for the period of the active phase of the heath care modernization initiative (2005-2011). Mainly positive trends in prevalence and incidence of morbidity of children and adolescents have been identified. Infant morbidity is declining, while a reliable increase in incidence of diseases associated with behavior risk factors (injuries, poisoning and other external causes) and diabetes mellitus in children under 14 years of age has been reported.

Detection of congenital abnormalities, tumors, diseases of the musculoskeletal system and diseases of the blood and blood-forming organs in adolescents is increasing. Incidence of anemia, diabetes and obesity is on the rise.

Excluding diseases of respiratory system, diseases of skin and subcutaneous tissue, diseases of the musculoskeletal and genitourinary systems have become major contributors to the children morbidity prevalence; diseases of the musculoskeletal system, diseases of skin and subcutaneous tissue and diseases of the eye and adnexa are major causes of the adolescent morbidity prevalence. Diseases of the eye and adnexa, diseases of the genitourinary and digestive systems are major contributors to the infant morbidity prevalence.

Prevailance of diseases of the circulatory system, diseases of the endocrine system and musculoskeletal system and diseases of the digestive system significantly increases with age. Incidence of asthma, diabetes mellitus and obesity in adolescents is multifold higher.

Against the background of stagnated rates of disability prevalence, there is a tendency towards increased disability incidence in children and adolescents due to diseases of the central nervous system, digestive system, movement disorders and impaired physical mobility and self-care.

Visceral and metabolic and movement disorders as the major health impairments, ability to manage your body, to move and communicate as the leading impaired physical function and congenital abnormalities and diseases of the central nervous system as the attributable diseases are the major causes of the general disability. Essential growth of the share of disability cases attributed to the diseases of the digestive system was registered.

Keywords. Morbidity prevalence and incidence; disability; children population; health care modernization; megalopolis.

References

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