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Main arrow Archive of previous Issues arrow ¹4 2018 (62) arrow IMPACT OF MIGRATION FACTOR ON TB AND HIV EPIDEMIC SITUATION IN RUSSIA
IMPACT OF MIGRATION FACTOR ON TB AND HIV EPIDEMIC SITUATION IN RUSSIA Print
Wednesday, 15 August 2018

DOI: 10.21045/2071-5021-2018-62-4-4

1Ìikhaylova YU.V., 1,2Nechaeva O.B., 1,2Shikina I.B., 1,3Sorokin V.N.
1
Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Moscow
2
Central State Medical Academy of the Russian Presidential Administration, Moscow
3
Central Dental Clinic of the Ministry of Internal Affairs of the Russian Federation", Moscow

Contact information: Shikina Irina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Mikhaylova Yu.V.,
http://orcid.org/0000-0001-6779-726X
Nechaeva O.B., http://orcid.org/0000-0002-9651-2662
Shikina I.Â., http://orcid.org/0000-0003-1744-9528
Sorokin V.N., http://orcid.org/0000-0003-4581-4318
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interests.

Abstract

Russia is one of the countries experiencing a substantial influence of migration on the population development. Within the context of positive migration effects such as demographic, labour and economic, one can’t underestimate its health risks to population. To estimate migration impact on the TB and HIV epidemic situation in Russia, the authors have analyzed legislative and normative basis determining organization of diagnostics, treatment and statistical registration of TB and HIV cases in migrants (foreign citizens) as well as official statistics (forms #33 and #8 on TB and #4 and #61 on HIV testing and HIV patients contingents).

The study showed that foreign citizens do not significantly affect the TB and HIV epidemic situation in Russia. In 2017 the share of foreign migrants among newly detected TB cases equaled to 3.5% (3.8% in 2015 and 3.6% in 2016).

The similar situation is with newly detected HIV cases among foreign migrants (4,672 cases in 2015, 3,285 in 2016, and 3,160 in 2017).

Among newly detected TB and HIV cases in migrants the share of Ukraine citizens increases while the share of representatives of other NIS countries reduces.

Information about migrants’ health status including socially sound infections (TB and HIV) requires verification because on one hand there could be repeated medical examinations due to change of place of residence or place of work, on the other hand – underestimation of actual number of disease cases in illegal migrants.

In this respect it is appropriate to develop a unified automated monitoring system “Migrants’ health”. Cooperation across boundaries between medical and social services of Russia and the NIS/EU countries requires legislative regulation to treat active TB prior to the migrant’s entrance to the country to ensure safety of the population.

Keywords : external migration; epidemic situation; tuberculosis; HIV-infection.

References

  1. Akramov Sh.Yu., Ryazantsev S.V. Trudovye migranty: reproduktivnoe zdorov'e i vklad v rossiyskuyu rozhdaemost' [Labor migrants: reproductive health and contribution to birth rate in Russia]. Migratsionnoe pravo 2014; (2): 20-24. (In Russian).
  2. Amirkhanyan A.G. Dostup trudovykh migrantov k uslugam zdravookhraneniya [Access of labor migrants to health care services]. Sovremennye tendentsii razvitiya nauki i tekhnologiy 2016; (5-2): 93-96. (In Russian).
  3. Amlaev K.R., Shikina I.B., Zafirova V.B., Baronova O.D., Vechorko V.I. Rezul'taty izucheniya informirovannosti vrachey pervichnogo zvena v voprosakh profilaktiki i lecheniya tuberkuleza [Results of the study of primary care physicians’ knowledge in TB prevention and treatment]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2016 [cited 2018 Jul 05]; 2(48). Available from: http://vestnik.mednet.ru/content/view/744/30/lang,ru/ DOI: 10.21045/2071-5021-2016-48-2-6. (In Russian).
  4. Bakanova M.V. Migratsiya kak sotsial'naya determinanta obshchestvennogo zdorov'ya [Migration as a social determinant of public health]. Meditsinskaya antropologiya i bioetika [serial online] 2017 [cited 2018 Jul 05];1(13). Available from: http://www.medanthro.ru/?page_id=3083. (In Russian).
  5. Bedrina E.B., Neklyudova N.P., Struin N.L. Rezul'taty monitoringa zdorov'ya immigrantov i naseleniya Sverdlovskoy oblasti [Results of monitoring of the health status in immigrants and population of Sverdlovsk region]. In: Materialy V Ural'skogo demograficheskogo foruma. Ekaterinburg: Institut ekonomiki UrO RAN; 2014. P. 113-117. (In Russian).
  6. Vorob'eva O.D. Migratsionnye protsessy naseleniya: voprosy teorii i gosudarstvennoy migratsionnoy politiki [The migration processes of the population: the theoretical issues and the state migration policy]. Problemy pravovogo regulirovaniya migratsionnykh protsessov na territorii Rossiyskoy Federatsii. Analiticheskiy sbornik Soveta Federatsii FS RF 2003;9 (202): 35. (In Russian).
  7. Grechko A.V., Chechelashvili N.G., Gorokhova T.A., Klyuykova E.A. Problemy sotsial'no-znachimykh zabolevaniy [The problems of socially-significant diseases]. In: Novye organizatsionno-pravovye i nauchnye printsipy v usloviyakh modernizatsii zdravookhraneniya Rossii [New organization and legal and scientific principle in conditions of healthcare modernization]. Moscow: FGU TsNIIOIZ Roszdrava; 2006. P. 230-233. (In Russian).
  8. Demihova O.V., Nechaeva O.B. Voprosy dostupa migrantov k meropriyatiyam po rannemu vyyavleniyu, diagnostike, profilaktike i lecheniyu tuberkuleza i tuberkuleza, sochetannogo s VICh-infektsiey v stranakh SNG (analiticheskiy obzor) [The issues of access of migrants to early detection, diagnosis, prevention, and treatment of tuberculosis and HIV-associated tuberculosis in CIS countries (analytical review)]. Moscow. 2016. 66 p. [Online] [cited 2018 Jul 05]. Available from: http://www.mednet.ru/images/stories/files/CMT/migranty.pdf . (In Russian).
  9. Ershova A.V., Sterlikov S.A. Otsenka zabolevaemosti tuberkulezom vnov' pribyvshikh trudovykh immigrantov s uchetom ikh vozrastno-polovogo sostava [Assessment of tuberculosis morbidity in newly arrived labor migrants considering their age and gender]. Tuberkulez i bolezni legkikh 2018;96 (1):24-30. (In Russian).
  10. Ivanova L.Yu. Informirovannost' trudovykh migrantov iz raznykh regionov ob opasnykh infektsionnykh zabolevaniyakh: VICh, IPPP, tuberkulez, gepatit (na materialakh oprosa inostrannykh rabotnikov v Sankt-Peterburge) [Awareness of labor migrants from various regions about dangerous infection diseases: HIV, STD, tuberculosis, hepatitis (using the data of interviews with foreign workers in St-Petersburg)]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2018 Jul 05]; 44(4). Available from: http://vestnik.mednet.ru/content/view/702/30/lang,ru/. (In Russian).
  11. Isaeva N.Yu. Migranty kak vneshniy faktor vliyaniya pri tuberkuleznoy infektsii [Migrants as an external factor of influence with tuberculosis infection]. Infektsiya i immunitet. Spetsial'nyy vypusk 2014:18-23. (In Russian).
  12. Korablev V.N. Aktual'nye problemy tuberkuleza v mire [Actual problems of the tuberculosis in the world]. Vestnik obshchestvennogo zdorov'ya i zdravookhraneniya Dal'nego Vostoka [serial online] 2011 [cited 2018 Jul 05]; 1. Available from: http://www.fesmu.ru/voz/20111/2011123.aspx. (In Russian).
  13. Krikun V.P. Problemy trudovykh migrantov v Rossii [Problems of labor migrants in Russia]. Vestnik sovremennykh issledovaniy 2017; 2(1):211-220. (In Russian).
  14. Meditsinskaya pomoshch' migrantam ezhegodno obkhoditsya Moskve v 5 milliardov rubley [An annual cost of health care to migrants in Moscow is 5 billion rubles]. [Online] [cited 2018 Jul 05]. Available from: http://www.ntv.ru/novosti/345116/. (In Russian).
  15. Migratsionnaya situatsiya v Rossiyskoy Federatsii za 2017 god [Migration situation in the Russian Federation in 2017]. [Online] [cited 2018 Jul 05]. Available from: https:// http://www.e-cis.info/page.php?id=26158. (In Russian).
  16. Mikhaylova Yu.V., Soshnikov S.S., Shikina I.B., Biragova O.K. Analiz vliyaniya meropriyatiy protivotuberkuleznoy sluzhby na epidemiologicheskie pokazateli tuberkuleza [Analysis of the impact of TB control measures on epidemiological indicators of tuberculosis]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2014 [cited 2018 Jul 05]; 6(40). Available from: http://vestnik.mednet.ru/content/view/639/30/lang,ru/. (In Russian).
  17. Model' protivotuberkuleznoy pomoshchi, orientirovannaya na nuzhdy lyudey [Patient-oriented model of TB care]. WHO Regional Office for Europe. Copenhagen. 2017; 62 p. (In Russian).
  18. Nechaeva O.B. Migratsiya naseleniya i ee vliyanie na epidemicheskuyu situatsiyu po infektsionnym sotsial'no-znachimym zabolevaniyam [Population migration and its influence on epidemic situation in infectious socially-significant diseases]. Meditsinskiy alfavit. Bol'nitsa – vse dlya LPU 2016;18(281): 13-21. (In Russian).
  19. O vnesenii izmeneniy v otdel'nye zakonodatel'nye akty Rossiyskoy Federatsii v chasti prava inostrannykh grazhdan i lits bez grazhdanstva, stradayushchikh zabolevaniem, vyzyvaemym virusom immunodefitsita cheloveka (VICh-infektsiey), na prebyvanie i prozhivanie v Rossiyskoy Federatsii [On amending certain regulation acts of the Russian Federation concerning the rights of foreign citizens and stateless persons with HIV-infection diseases to stay and live in the Russian Federation]. Federal'nyy zakon ot 30 dekabrya 2015 g. ¹ 438-FZ. [Online]. 2015 [cited 2018 Jul 05]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=191475;fld=134;dst=1000000001,0;rnd=0.4543907572515309. (In Russian).
  20. O minimal'nykh (standartnykh) trebovaniyakh k usloviyam i poryadku osushchestvleniya meditsinskogo strakhovaniya v chasti dobrovol'nogo meditsinskogo strakhovaniya inostrannykh grazhdan i lits bez grazhdanstva, nakhodyashchikhsya na territorii Rossiyskoy Federatsii [On the minimum (standard) requirements to conditions and the procedure of voluntary health insurance for the foreign citizens and stateless persons living on the territory of the Russian Federation]. Ukazanie Tsentral'nogo Banka Rossiyskoy Federatsii ot 13.09.2015 g. ¹ 3793-U. [Online]. 2015 [cited 2018 Jul 05]. Available from: http://www.consultant.ru/document/cons_doc_LAW_192401/ /. (In Russian).
  21. O poryadke podgotovki, predstavleniya i rassmotreniya v sisteme Rospotrebnadzora materialov po prinyatiyu resheniya o nezhelatel'nosti prebyvaniya (prozhivaniya) inostrannogo grazhdanina ili litsa bez grazhdanstva v Rossiyskoy Federatsii [On the procedure for preparation, presentation, and consideration in Rospotrebnadzor the materials to make a decision about undesirability of staying (residence) foreign citizens and stateless persons in the Russian Federation]. Prikaz Rospotrebnadzora ot 14 sentyabrya 2010 g. ¹ 336. [Online]. 2010 [cited 2018 Jul 05]. Available from: http://lawsforall.ru/index.php?ds=50157. (In Russian).
  22. O provodimoy sub"ektami Rossiyskoy Federatsii rabote po profilaktike infektsionnykh bolezney sredi trudovykh migrantov i povyshenii ee effektivnosti [On measures for infectious disease prevention among labor migrants and increasing its efficiency in the subjects of the Russian Federation]. Pis'mo Rospotrebnadzora ot 27 fevralya 2014 g. ¹01/2159-14-32. [Online]. 2014 [cited 2018 Jul 05]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n=580687. (In Russian).
  23. Ob utverzhdenii perechnya infektsionnykh zabolevaniy, predstavlyayushchikh opasnost' dlya okruzhayushchikh i yavlyayushchikhsya osnovaniem dlya otkaza v vydache libo annulirovaniya razresheniya na vremennoe prozhivanie inostrannykh grazhdan i lits bez grazhdanstva, ili vida na zhitel'stvo, ili patenta, ili razresheniya na rabotu v Rossiyskoy Federatsii, a takzhe poryadka podtverzhdeniya ikh nalichiya ili otsutstviya, a takzhe formy meditsinskogo zaklyucheniya o nalichii (ob otsutstvii) ukazannykh zabolevaniy [On approving the list of infectious diseases dangerous for the others that are the basis for refuse or annulations of permission for temporary residence for foreign citizen or stateless persons, permission for work in the Russian Federation, as well as medical record on presence (absence) the diseases indicated]. Prikaz Ministerstva zdravookhraneniya RF ot 29 iyunya 2015 g. ¹ 384n. [Online] [cited 2018 Jul 09]. Available from: http://www.garant.ru/products/ipo/prime/doc/71059322/. (In Russian).
  24. Onishchenko: migranty zabolevayut tuberkulezom v chetyre raza chashche, chem rossiyane [Onishenko: migrants fall ill with tuberculosis four times more often than Russians]. [Online] [cited 2018 Jul 05]. Available from: URL: http://ria.ru/society/20120321/601632184.html . (In Russian).
  25. Poletaev D.V., Florinskaya Yu.F. Osvedomlennost' migrantov o tuberkuleze i VICh-infektsii [Migrants’ awareness about tuberculosis and HIV-infection]. Moscow. 2015; 40 p. (In Russian).
  26. Skachkova E.I., Voronenko V.V., Sterlikov S.A., Shestakov M.G., Akshikin V.G., Ponomareva E.G., et al. Sistema upravleniya kachestvom protivotuberkuleznoy pomoshchi naseleniyu Rossii [The quality management system for TB care to the population in Russia]. Problemy standartizatsii v zdravookhranenii 2010; (1-2): 53-57. (In Russian).
  27. Terlikbaeva A., El' Bassel N., Shluger N., Terloeva D., Devis E. Odnomomentnoe issledovanie faktorov riska zabolevaniya tuberkulezom sredi migrantov v stranakh Tsentral'noy Azii [One-time study of risk factors for tuberculosis among migrants in the countries of Central Asia]. Kolumbiyskiy universitet. Tsentr izuchenie global'nogo zdorov'ya v Tsentral'noy Azii. 211 p. (In Russian).
  28. Chislennost' i migratsiya naseleniya Rossiyskoy Federatsii v 2017 godu. Statisticheskiy byulleten' [The number and migration of the population of the Russian Federation in 2017. Statistical bulletin]. Moscow: Federal'naya sluzhba gosudarstvennoy statistiki; 2018. 172 p. (In Russian).
  29. Shubin E.Yu. Vliyanie migratsii na pokazatel' zabolevaemosti tuberkulezom v Respublike Karelii [The impact of migration on the indicator of tuberculosis morbidity in Republic of Karelia]. Ekologiya cheloveka 2005; (6):36-38. (In Russian).
  30. Epidemiolog: Bol'shaya chast' infektsionnykh zabolevaniy prikhoditsya na migrantov [Epidemiologist: the great part of inflectional diseases fall on migrants]. [Online] [cited 2018 Jul 05]. Available from: http://www.gazeta.spb.ru/1047242-1/ . (In Russian).
  31. Cohen T., Murray M. Incident Tuberculosis among Recent US Immigrants and Exogenous Reinfection. Emerg. Infect Dis. 2005; 11 (5):725-728.

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