scholarly journals Comparison of indicators of injuries in military personnel serving on conscription in the Armed Forces of Russia and the Republic of Belarus (2003–2020)

2021 ◽  
pp. 36-51
Author(s):  
V. I. Evdokimov ◽  
D. A. Chernov ◽  
P. P. Sivashchenko ◽  
A. A. Vetoshkin
Keyword(s):  
Military Personnel ◽  
Occupational Safety ◽  
Medical Service ◽  
Armed Forces ◽  
Shoulder Girdle ◽  
The Body ◽  
Head Group ◽  
Icd 10 ◽  
The Republic ◽  
External Causes

Relevance. Injury indicators in military personnel reflect injuries and their consequences that occur in a certain period, as a rule, over a year. Injury indicators in the Armed Forces (AF) are important for assessing occupational safety.Intention: To compare injury indicators in military conscripts between the Russian Armed Forces and the Republic of Belarus for 18 years from 2003 to 2020.Methodology. We carried out a selective statistical analysis of medical reports on the health status of personnel and the activities of the medical service according to 3/MED form in military units where at least 80 % of the total number of conscripts of the Armed Forces of Russia and Belarus served. Groups (blocks) of injuries in Chapter XIX “Injuries, poisoning and certain other consequences of exposure to external causes” were agreed with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Injury data were calculated per 1000 military personnel or ‰, mortality rates – per 100 000 military personnel.Results and their Discussion. In the Russian Armed Forces compared to the Belarusian Armed Forces, the average annual injury rates (primary morbidity) of conscripts were (15.91 ± 1.65) ‰ vs (20.23 ± 1.96) ‰, hospitalizations with injuries (14.16 ± 1.29 ) vs (14.50 ± 0.96) ‰, work days lost (303.4 ± 27.0) vs (303.4 ± 27.0) ‰, dismissal due to injuries (0.552 ± 0.066) vs (0.551 ± 0.051) ‰, injury-related mortality (21.96 ± 4.26) vs (24.18 ± 4.29) per 100 000, respectively. As a rule, polynomial trends with high determination coefficients showed a decrease in the levels of injury, hospitalization, work days lost and mortality. Dismissal trends showed decrease in the Russian Armed Forces and increase in the Belarusian Armed Forces. The conscripts of the Armed Forces of Russia and Belarus have a positive statistically significant congruence in indicators of injuries, hospitalizations, work days lost and mortality, which may indicate the influence of the same (unidirectional) factors in the formation of annual indicators. Injuries of the head (Group 1, Chapter XIX by ICD-10), shoulder girdle and upper limbs (Groups 5–7), the area of the hip joint and lower extremities (Groups 8–10), injuries, affecting several areas of the body (Group 11), and the consequences of injuries, poisoning and other external causes (Group 22) are of high military-epidemiological significance for conscripts in the Russian Armed Forces and the Belarusian Armed Forces. These injuries accounted for 78.7 % and 82.8 % of the generalized estimate in the Russian Armed Forces and the Armed Forces of Belarus, respectively.Conclusion. Taking into account the indicators of injuries will allow the medical service to optimize the calculation of forces and assets for treatment and rehabilitation of servicemen with injuries. Injuries are not only a medical problem; it is necessary to involve more extensively military professionals from various services to analyze the cause-and-effect relationships of injuries and develop measures for their prevention.

scholarly journals Analysis of traumatism in officers of the Armed Forces of the Russian Federation and the Republic of Belarus (2003–2020)

2021 ◽  
pp. 43-58
Author(s):  
V. I. Evdokimov ◽  
D. A. Chernov ◽  
P. P. Sivashchenko ◽  
A. A. Vetoshkin ◽  
N. A. Mukhina
Keyword(s):  
Occupational Safety ◽  
Armed Forces ◽  
Shoulder Girdle ◽  
Lower Limbs ◽  
Mortality Trends ◽  
Body Regions ◽  
Icd 10 ◽  
The Republic ◽  
External Causes ◽  
Epidemiological Significance

Relevance. Traumatism in military personnel is defined as injuries and their consequences occurring over a specified period of time, usually over a year. Trauma rates in the Armed Forces (AF) are important for occupational safety.Intention: To compare trauma rates in officers of the AF of Russia and Belarus over 18 years (2003–2020).Methodology. Medical reports on the state of health of personnel and activities of the medical service were selectively analysed according to Form 3 / MED from those military units where no less than 80% of the total number of officers of the AF of Russia and Belarus served. Blocks of injuries are consistent with Chapter XIX «Injuries, poisoning and certain other consequences of external causes» of the International Statistical Classification of Diseases and Problems Related to Health, 10th revision (ICD-10). Injuries were calculated per 1000 officers (‰), mortality - per 100 thousand officers.Results and Discussion. Among officers of the Russian AF and Belarusian AF in 2003–2020, there were observed average annual rates of injuries (17.25 ± 1.33) and (13.37 ± 1.43) ‰, respectively; hospitalizations with injuries (10.68 ± 0.64) and (7.13 ± 0.81) ‰ (p < 0.01); work days lost (344.4 ± 26.4) and (299.9 ± 25.6) ‰; dismissal rates (0.356 ± 0.068) and (0.118 ± 0.022) ‰; and injury-related mortality (47.24 ± 3.71) and (33.37 ± 5.40) (p < 0.05) per 100 thousand officers of the Russian AF and Belarusian AF, respectively. The congruence (consistency) of trends for injuries, hospitalizations and work days lost among officers of the AF of Russia and Belarus was considered positive and strong, while mortality trends were positively and moderately consistent, thus indicating effects of similar (unidirectional) military occupational factors. Polynomial trends in the dynamics of injuries, hospitalizations, work days lost and mortality among officers of the AF of Russia and Belarus with high determination coefficients showed a decrease. Injuries to the head (Block 1 according to ICD-10), injuries to the hip and lower limbs (Blocks 8-10), injuries involving multiple body regions (Block 11), and injuries to the shoulder girdle and upper limbs (Blocks 5-7) were of high military epidemiological significance for officers of the AF of Russia and Belarus. In addition, sequelae of injuries, of poisoning and of other consequences of external causes (Block 22) turned out to be significant for the Russian AF officers, and injuries to the thorax (Block 3) were significant for the Belarusian AF officers. The above blocks accounted for 88.6 and 85.5% of assessed military epidemiological significance among Russian and Belarusian AF officers, respectively.Conclusion. Traumatism can be managed and is not limited to medical issues. Various military professionals should be actively involved in the analysis of the causal relationships of injuries and their prevention. For example, among officers of the AF of Russia and Belarus injuries often occur during physical training and sports (9.8 and 6.1%, respectively) and during off-duty time (40.4 and 61.2%, respectively).

scholarly journals Medical and statistical indicators of injuries among contract military personnel (privates, sergeants and foreman) in the Armed Forces of the Russian Federation (2003—2019)

2020 ◽  
pp. 87-104
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko ◽  
V. V. Ivanov ◽  
V. V. Khominets
Keyword(s):  
Military Personnel ◽  
General Structure ◽  
Armed Forces ◽  
The Body ◽  
Icd 10 ◽  
External Causes ◽  
Foot Block ◽  
The Military ◽  
Statistical Indicators ◽  
Ankle And Foot

Relevance. The extreme conditions of the service determine the probability of servicemen' erroneous actions, stress, and often a decrease in the functional reserves of the body. This results in diseases and injuries.Intention: To analyze the indicators of injuries in the contract military personnel (privates, sergeants and foremen) of the Russian Armed Forces in 2003-2019.Methodology. The selective statistical analysis of medical reports on the state of health of military personnel by the form 3/MED was carried out. The military units with the contract military personnel about 80 % of the total personnel were under consideration. The indicators of injuries were correlated with the blocks (S00-T98) of the ICD-10 Chapter XIX “Injuries, poisoning and certain other consequences of external causes”.Results and their discussion. In 2003-2019, the injuries incidence among the contact military personnel by ICD-10 Chapter XIX was (18.39 ± 1.74) ‰. Its percentage in the general structure of incidence rate for all ICD-10 Chapters was (3.7 ± 0.3) %. Corresponding hospitalization rates were (12.12 ± 0.88) ‰ with the percentage of (5.0 ± 0.4) %, working days loss - (311.5 ± 26.0) ‰ and (7.9 ± 0.6) %, dismissal - (0.24 ± 0.03) ‰ and (6.2 ± 0.7) %, mortality - (51.48 ± 4.53) per 100 thousand of personnel and (50.5 ± 2.2) %, respectively. There was a decrease in the rate and proportion of injuries in the general structure of analyzed indicators of morbidity. The most common injuries among the contract military personnel were injuries to the head (ICD-10 Chapter XIX block 1, S00-S09), wrist and hand (block 7, S60-S69), ankle and foot (block 10, S90-S99), knee and lower leg (block 9, S80-S89), elbow and forearm (block 6, S50-S59), shoulder and upper arm (block 5, S40-S49). The structure of the types of injuries to the areas of the body was presented. The military epidemiological assessment of the significance of the contract military personnel injuries was performed. The 1st rank of the negative health effects significance was assigned to head injuries (block 1), injuries involving multiple body regions (block 11, T00-T07) ranked 2nd, sequelae of injuries, of poisoning and of other consequences of external causes (block 22, T90-T98) ranked 3rd, injuries to the ankle and foot (block 10) ranked 4th and injuries to the wrist and hand (block 7) ranked 5th. In total, these injuries amounted to 70.9 % of the assessed structure. Concerning trauma circumstances, many injuries occurred during off-duty hours (38.3 %). Injuries on combat duty comprised 3.4 %, during combat training - 17.4 %, on duty - 4.8 %, when using weapons and military equipment - 4.1 %, during household work - 5.4 %, during construction work - 1.7 %. Other circumstances were associated with 24.9 % of injuries.Conclusion. The obtained medical and statistical indicators of the injuries can determine the strategy of safe conditions for military professional activity, injuries prevention, medical and health promotion and rehabilitation measures for contract military personnel. 

scholarly journals Comparative analysis of medical and statistical indicators of morbidity in the military serving under contract in the Navy and Land Forces of Russia (2003–2018)

2019 ◽  
pp. 35-62 ◽  
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko
Keyword(s):  
Military Personnel ◽  
Head Injuries ◽  
Armed Forces ◽  
The Body ◽  
Upper Respiratory Tract ◽  
State Of Health ◽  
Acute Infections ◽  
Icd 10 ◽  
Upper Respiratory ◽  
The Military

Relevance. When solving military-professional tasks during the period of reforming the Armed Forces of Russia, military servicemen under contract (sergeants, foremen, privates and sailors) are given a special role, and in a number of units they must replace conscripts.Intention To analize medical and statistical morbidity indicators of military personnel under contract in the Navy and the Land Forces of Russia.Methods. We studied medical reports on the state of health of personnel and medical service activity according to Form 3 / MED of military units, in which about 60% of the total number of servicemen of the Russian Armed Forces served from 2003 to 2018. Morbidity indicators were correlated with the International statistical classification of diseases and related health problems, 10th revision (ICD-10).Results and Discussion. As a rule, the military personnel under contract in the Russian Navy had lower morbidity rates with high dismissal rates. In particular, the indicators were as follows: the average annual overall morbidity rates were (855.0 ± 65.3) and (946.9 ± 49.7) ‰ in the military personnel under contract in the Russian Navy and in the Land Forces of Russia, respectively; primary incidence, (384.8 ± 19.3) and (472.0 ± 22.8) ‰, respectively (p < 0.01); need for follow-up, (92.8 ± 9.9) and (74.3 ± 4.7) ‰, respectively; hospital admission rates, (205.8 ± 39.2) and (235.2 ± 13.2) ‰, respectively; working days lost, (4,038 ± 203) and (3.944 ± 196) ‰, respectively; dismissal rates, (6.82 ± 0.57) and (4.40 ± 0.61) ‰, respectively (p < 0.01); mortality rates, (112.13 ± 9.91) and (111.76 ± 7.80) per 100,000 military personnel under contract. It is possible that this phenomenon was determined by the peculiarities of professional activity, the organization of medical support and the high demands placed on the state of health of the Russian Navy servicemen. A significant part of the leading disease blocks with a share of 0.5% or more in the structure of medical and statistical morbidity indicators, were similar between the military personnel under contract in the Navy of Russia and the Land Forces of Russia. In the structure of the assessed military-epidemiological significance of disease blocks among the military personnel under contract of the Russian Navy, acute infections of the upper respiratory tract (J00– 06 by ICD-10) ranked 1st, diseases of the esophagus, stomach and duodenum (K20–K31) ranked 2nd, followed by injuries involving several areas of the body (T08–T14), head injuries (S00–S09), ischemic heart disease (I20–I25). In the military personnel under contract in the Land Forces of Russia, these were the following diseases, from the most to least significant: acute infections of the upper respiratory tract (J00–J06), injuries involving several areas of the body (T08–T14), head injuries (S00–S09), diseases of the esophagus, stomach and duodenum (K20–K31), and infections of the skin and subcutaneous tissue (L00–L08).Conclusion. Prevention of the leading groups of disaeses will contribute to improving the health status of servicemen under contract, and taking data on morbidity into account will help organize diagnostic and treatment assistance and optimize the personnel and material resources of military medical organizations. 

scholarly journals COMPARATIVE ANALYSIS OF DISMISSAL FOR HEALTH REASONS IN MILITARY PERSONNEL OF THE NAVY AND OTHER BRANCHES OF THE ARMED FORCES OF THE RUSSIAN FEDERATION (2003-2018)

2019 ◽  
Vol 5 (4) ◽  
pp. 44-65
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko
Keyword(s):  
Health Status ◽  
Military Personnel ◽  
Healthy Lifestyle ◽  
Circulatory System ◽  
Armed Forces ◽  
The Body ◽  
Functional Reserves ◽  
Service Activity ◽  
Icd 10 ◽  
The Military

Introduction. Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia. Aim. Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel. Material and methods. We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018. The results and their discussion. Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (p<0,001); contract servicemen — 6,82±0,57 and 3,92±0,32, respectively (p<0,001); conscripts — 33,38±1,79 and 17,57±1,19, respectively (p<0,001); women soldiers — 23,01±3,34 and 9,14±1,37‰ (p<0,01). There were no significant differences in the nomenclature of disease blocks that caused dismissals in the categories of military personnel of the Russian Navy and the Russian Armed Forces. Higher dismissal levels within disease blocks indicated higher intensity of professional work and increased demands to the health status of the Navy servicemen compared to those from other branches of the Armed Forces. As a rule, dismissals of military personnel of the Russian Navy and the Russian Armed Forces were due to diseases of the circulatory system (ICD-10 Chapter IX), diseases of the digestive system (Chapter XI) and neoplasms (Chapter II). At the same time, some features of the structure of dismissals for health reasons were identified in the military personnel by categories. Conclusion. Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.

scholarly journals Primary morbidity of female military personnel serving in enterprises for disposing chemical weapons with organophosphate toxic substances (2007—2016)

2020 ◽  
pp. 48-59
Author(s):  
S. G. Grigoriev ◽  
V. I. Evdokimov ◽  
V. A. Sanzharevsky ◽  
G. G. Zagorodnikov
Keyword(s):  
Connective Tissue ◽  
Musculoskeletal System ◽  
Military Personnel ◽  
Armed Forces ◽  
Military Women ◽  
Chemical Weapons ◽  
Toxic Substances ◽  
Icd 10 ◽  
Group 2 ◽  
Group 1

Relevance. On September 27, 2017, Russia announced the completion of disposal of chemical weapons with organophosphorus toxic substances. ahead of its international obligations. Besides men, military women also served in enterprises for disposal of these weapons.Intention. To assess the impact of occupational factors on the primary morbidity of female military personnel (n = 267) served in enterprises for disposal of chemical weapons with organophosphates in 2007-2016.Methodology. The object of the study was data on the primary morbidity of female military personnel employed in disposal of chemical weapons with organophosphates (group 1) and serving in support and service units (group 2). The results were compared with the indicators of primary morbidity of all female military personnel Armed Forces of Russia. Nosologies were correlated with the chapters of diseases by the International Statistical Classification of Diseases and Related Health Problems (ICD-10).Results and Discussion. In Group 1 of female military personnel, the primary morbidity for a number of disease categories was better than in Group 2 and all the female military personnel of the Russian Armed Forces, which can be explained by careful preliminary selection before recruting, good work organization, and timely prevention of initial health disorders and rehabilitation of the functional reserves of the body. In military women of Groups 1 and 2, compared to all the female military personnel of the Russian Armed Forces, a statistically significantly higher level of primary morbidity was revealed for mental disorders and behavioral disorders (Chapter V by ICD-10). This can be explained by the cumulative effect of mental tension during disposal of chemical weapons. Of note, the above disorders were not the leading category of primary morbidity in both female military personnel working in enterprises and in all the female military personnel of the Russian Armed Forces. In female women of Group 1 compared to all the female military personnel of the Russian Armed Forces, there was a statistically significantly higher level of diseases of the musculoskeletal system and connective tissue (Chapter XIII by ICD-10). It can be assumed that negative memories of the likelihood of emergencies when moving weapons that require disposal create additional physical efforts and overstrain of individual muscles. It is appropriate to point out that diseases of the musculoskeletal system and connective tissue increased in female military personnel in all groups and overall in 2007-2016. In Group 1 of female military personnel, there was an increase in proportion of diseases from Chapter XIII vs certain stability of their percentage in all the female military personnel f the Russian Armed Forces.Conclusion. The results obtained showed a sufficient effectiveness of preventive and protective measures during the disposal of organophosphate weapons by female military personnel.

Military-Civilian Collaboration for Disaster Medicine in the Federal Republic of Germany (FRG)

1985 ◽  
Vol 1 (1) ◽  
pp. 33-34
Author(s):  
Karl-Wilhelm Wedel
Keyword(s):  
Natural Disasters ◽  
Military Personnel ◽  
Forest Fires ◽  
Medical Service ◽  
Armed Forces ◽  
Disaster Medicine ◽  
Federal Republic Of Germany ◽  
Surgeon General ◽  
Severe Accidents ◽  
The Subject

The subject of disaster medicine may seem suspect to those who say that it means to prepare for war. Others maintain that in the FRG we need not concern ourselves with disaster medicine because “disasters in this country seem unlikely.” I consider those claims absurd. I will try to point out possibilities for medical support by the West German Bundeswehr (Federal Armed Forces) in the event of natural disasters (e.g., earthquakes, floods, forest fires) or in severe accidents (e.g., traffic, aircraft, railway) where suitable civilian helpers or equipment are unavailable or are available only in insufficient numbers or too late. The Federal Armed Forces' Medical Service, according to legislation, is part of the Armed Forces, organized for defense. The medical service has to provide free medical care for military personnel, and protect, maintain or restore as far as possible the health of military personnel. Moreover, it is a matter of course in our country to employ the medical service of the Bundeswehr for aid in natural disasters or major accidents. For this purpose, the Surgeon General, Federal Armed Forces, in March 1982, issued guidelines on which I will primarily base my remarks.

scholarly journals Mortality rate of adolescents in the Republic of Serbia

2008 ◽  
Vol 61 (9-10) ◽  
pp. 503-506
Author(s):  
Nevenka Roncevic ◽  
Aleksandra Stojadinovic
Keyword(s):  
Mortality Rate ◽  
Regional Differences ◽  
Causes Of Death ◽  
Health Indicators ◽  
Vital Statistics ◽  
Male Adolescents ◽  
Icd 10 ◽  
Causes Of Mortality ◽  
The Republic ◽  
External Causes

Introduction. Adolescents are the healthiest age group of the population but many studies show that period of adolescence is marked by significant morbidity and mortality. Health indicators of adolescent population have been getting worse during past decades. The aim of this study was to determine mortality rate of adolescents in the Republic of Serbia to determine most common causes of death in adolescence and to explore regional differences in adolescent mortality. Materials and methods: Documentation tables of vital statistics in the Republic of Serbia in 2004, and Documentation Tables of Census 2002 were used. The causes of mortality were classified according to ICD 10. Results and discussion. Specific morality rate in the Republic of Serbia is 32.08 on 100.000 adolescents. The leading causes of death in adolescence are injuries, malignancies and non specified causes, and there are significant regional differences, as well as gender and age differences. The mortality rate of male adolescents is about 2.4 times higher than the mortality rates in female adolescents. The mortality rate of older adolescents is significantly higher than mortality rate of younger adolescents. The mortality of adolescents is higher in Vojvodina than in Central Serbia. Precise data of external causes of death do not exist in vital statistics in our country. Conclusion. The mortality of adolescents is high, especially for older male adolescents (15 to 19 years of age) and majority of deaths among adolescents could be prevented. It is necessary to improve data of vital statistics to get better insight into causes of adolescent death.

Justification of the tasks of the register of military personnel, affected by SARS-CoV-2

2020 ◽  
Vol 22 (3) ◽  
pp. 153-158
Author(s):  
G. G. Zagorodnikov ◽  
I. M. Uliukin ◽  
E. S. Orlova ◽  
A. A. Sechin ◽  
V. M. Reznik ◽  
...  
Keyword(s):  
Military Personnel ◽  
Secure Communication ◽  
High Speed ◽  
Service Management ◽  
Medical Service ◽  
Medical Information ◽  
Armed Forces ◽  
Document Management ◽  
Information Support ◽  
Medical Support

Аbstract. The current regulatory framework of the Ministry of Health and the Ministry of Defense of the Russian Federation on the regulation of the provision of medical assistance to military personnel affected by the infection caused by the SARS-CoV-2 coronavirus is considered. The state of the problem of information support for the provision of medical care to military personnel of this category is assessed. The developed methodology and the draft regulatory document for organizing the collection of medical information in the register of military personnel affected by the infection caused by the SARS-CoV-2 coronavirus are presented, and a regulation on this register is developed. The content, scope and algorithm of creating an information-analytical system for registering this pathology among military personnel, as well as the need to introduce new medical document management technologies into the medical service of the Armed Forces of Russia based on personified records of military personnel and the medical and psychological assistance provided to them, are substantiated. It is shown that for the smooth functioning of the register within the framework of a justified list of tasks, the presence of high-speed secure communication channels between the participating military units, institutions and medical service management bodies will be required. Consequently, the improvement of the information support system for managing the medical support of troops in peacetime and wartime is an important component of increasing the effectiveness of managing medical support for military.

scholarly journals INJURY RATE INDICATORS AMONG CONSCRIPTS IN THE ARMED FORCES OF REPUBLIC OF BELARUS (2003-2019)

2021 ◽  
pp. 2-9
Author(s):  
V.I. Evdokimov ◽  
◽  
D.A. Chernov ◽  
Keyword(s):  
Military Service ◽  
Head Injuries ◽  
Injury Rate ◽  
Armed Forces ◽  
Shoulder Girdle ◽  
The Body ◽  
Lower Limbs ◽  
Medical Support ◽  
Group 5 ◽  
Integral Assessment

Research objective. Calculate the injury rates among conscripts during 2003-2019 years using an integral assessment to improve medical support and ensure the security of military service. Materials and methods. We studied annual medical reports about health status and morbidity of conscripts in the Armed Forces of the Republic of Belarus (form №3/med) for 2003-2019. Results. Average annual injury rate among conscripts in 2003-2019 was 20.64±2.03%, proportion in the structure of primary morbidity for all chapters of ICD-10 was 1.3±0.1%, hospitalizations - 14.74±0.98% and 1.6±0.2%, days away from work - 325.2±17.3% and 3.9±0.3%, dismission rates - 0.56±0.05% and 3.5±0.3%, mortality - 25.20±4,42per 100 000 conscripts and 75.1±5.7%, respectively. With different in significance coefficients of determination polynomial trends of the listed medical and statistical indicators demonstrate a data decrease. In the structure of the constructed integral assessment 83.8% accounted for the sum of the proportions of injuries of the shoulder girdle and upper limbs (group 8-10), pelvis and lower limbs (group 5-7), head injuries (group 1), injuries affecting several areas of the body (group 11), consequences of trauma, poisoning and other influences of external causes (group 22). Conclusion. Analysis of the data on injuries of conscripts using an integral assessment will improve medical support, in order to maintain health, conduct targeted and high-quality prevention of injuries while ensuring the safety of military service.

scholarly journals Rates of dismissal due to health reasons among conscripts in the Republic of Belarus depending on service periods (2003–2018)

2020 ◽  
pp. 52-67
Author(s):  
D. A. Chernov ◽  
V. I. Evdokimov ◽  
I. A. Cheshyk
Keyword(s):  
Cardiovascular System ◽  
Behavioral Disorders ◽  
Military Service ◽  
Somatoform Disorders ◽  
Heart Diseases ◽  
Subcutaneous Tissue ◽  
Armed Forces ◽  
Icd 10 ◽  
The Republic ◽  
Epidemiological Significance

Relevance. One of the most reliable and robust indicators of the health of military personnel is dismissal due to health reasons, it is practically not affected by external distortions, and dismissal-related nosologies are determined in hospital and subsequently approved by military medical experts.Intention. Analysis of the dismissal rate due to health reasons among conscripts in the Republic of Belarus for 16 years (2003-2018).Methodology. We conducted a statistical analysis of annual medical reports about the state of health and morbidity of conscripts (form N 3/MED) and annual reports about medical examination (form N 5/CVVK). Dismissal rates for the entire service time and for the periods I (0–6 months), II (7–12 months) and III (13–18 months) were identified and analyzed. Dismissal-related nosologies were correlated with the codes of the International Statistical Classification of Diseases, Behavioral Disorders and Injuries, 10th revision (ICD-10).Results and Discussion. The average annual dismissal rate for conscripts from the Armed Forces of the Republic of Belarus for 16 years from 2003 to 2018 amounted to (15.62 ± 0.58) ‰, including (8.11 ± 0.36) ‰ in the first period of service, (5.24 ± 0.28) ‰ in the II period and (2.27 ± 0.09) ‰ in the III period, i.e. 51.9, 33.5 and 14.6 %, respectively in the structure of dismissal for the entire period of service. The main reasons for the dismissal of conscripts from the Armed Forces of the Republic of Belarus were mental and behavioral disorders (ICD-10 chapter V), digestive diseases (chapter XI), diseases of the musculoskeletal system and connective tissue (chapter XIII), cardiovascular system diseases (chapter IX) and skin and subcutaneous tissue diseases (chapter XII) with levels of (4.74 ± 0.35), (2.74 ± 0.31), (2.13 ± 0.18), (1.80 ± 0.30) and (0.73 ± 0.09) ‰, respectively. In the structure of dismissal, the rates of these diseases amounted to 77.7 %. When analyzing the leading classes, during the periods of service the military-epidemiological significance of dismissals due to mental disorders and behavioral disorders (chapter V), cardiovascular system diseases (chapter IX), skin and subcutaneous tissue diseases (chapter XII) turned out to decrease, and military-epidemiological significance of dismissals due to diseases of the digestive system (chapter XI) increased. In addition, during periods of service the number of dismissals of conscripts with certain infectious and parasitic diseases (chapter I), with injuries, poisoning and some other consequences of external causes (chapter XIX) increased. Most commonly, conscripts were dismissed from the Armed Forces of the Republic of Belarus due to diseases of the esophagus, stomach and duodenum (K20–K31 according to ICD-10), personality and behavioral disorders in adulthood (F60– F69), neurotic, associated with stress, and somatoform disorders (F40–F48), other heart diseases (pericarditis, endocarditis, etc., I30–I52) and mood disorders (affective disorders, F30–F39). In the structure of dismissal, percentages amounted to 13.7, 9.1, 6.3, 4.1 and 4.1 %, respectively; in total – 37.3 %.Conclusion. The medical and statistical indicators of dismissal can help calculate the likelihood of health disorders associated with daily life and military service, and determine the strategy of the medical service in taking measures for recreation and rehabilitation of potential and actual conscripts.

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