scholarly journals EXPERT RISK ASSESSMENT OF FMD INTRODUCTION TO THE RUSSIAN FEDERATION FROM INFECTED COUNTRIES

2018 ◽  
pp. 36-41
Author(s):  
V. M. Gulenkin ◽  
A. K. Karaulov ◽  
D. A. Lozovoy ◽  
V. M. Zakharov

Predictive assessment of possible risks of FMD introduction from neighboring countries to the territory of eight RF Federal Districts was presented. The risk quantitative parameters were determined by experts, specialists in the field of FMD epidemiology. To implement the expert survey method most significant routes of infection introduction to the RF were determined. The experts performed FMD introduction risk assessment for each federal district and determined its score. As a result of statistical analysis the greatest probability was determined for the Far-Eastern Federal District. The North Caucasus and Siberian Federal Okrugs demonstrate lower probability. Basing on the obtained data the major routes of FMD introduction to the territory of the country were determined. Preventive vaccination of susceptible animal population is carried out in order to prevent FMD occurrence and spread in the zones at risk of its introduction. It is aimed at FMD outbreak prevention in the specified RF Subjects by inducing protective immunity in at least 81% of immunized cattle and at least 95% of immunized pigs.

Author(s):  
Inna Manaeva

Foreign researchers are testing Gibrat’s law on the example of firms, regions and countries. The importance of empirical confirmation of this law lies in the fact that it allows us to determine whether the population of a city, region or country as a whole has a common growth path and whether there is single size dependence between them. The relevance of this study is determined by the need to expand the indicators to assess the growth of cities using Gibrat’s law in modern Russian conditions. The purpose of the article is to analyze the feasibility of Gibrat’s law in Russian cities by indicators: population of the city, population density in the city, average annual number of employees in enterprises in the city, average monthly wage in the city, number of enterprises and organizations in the city, as well as to determine the appropriateness of using this law for urban systems of Russia. In the Ural, Siberian and Far Eastern federal districts (2009–2016), in the North-Western, Volga, Siberian and Far Eastern federal districts (2016–2018), the growth rate of cities does not depend on their initial size. Gibrat’s law was confirmed for the following indicators: population density in a city in 2009–2016 in the Siberian Federal District, in 2016–2018 in all federal districts, except for the North Caucasian Federal District; average annual number of employees in a city in the Southern (2003–2009, 2009–2016), Ural (2009–2016), Siberian (2009–2016), Northwestern (2016–2018), North Caucasian (2016–2018) and Far Eastern (2016–2018) federal districts; average monthly salary in the cities of the Siberian Federal District (2009–2016), in the Central, Northwestern and Ural Federal Districts (2016–2018); number of enterprises and organizations in the city in the Southern Federal District (2009–2016), in the North Caucasian, Volga, Ural and Siberian federal districts (2016–2018).


Author(s):  
S. A. Rudakova ◽  
N. A. Pen’evskaya ◽  
A. I. Blokh ◽  
D. A. Savel’ev ◽  
O. E. Teslova ◽  
...  

Objective: to analyze the epidemiological situation on Ixodidae tick-borne borreliosis in the Russian Federation in 2019 in comparison with the period of 2002–2018.Materials and methods. The paper uses the data contained in Form No. 2 of the state statistical reporting for 2002–2019 and information obtained by the Reference Center for Monitoring Borreliosis of the Omsk Research Institute of Natural Focal Infections from 74 constituent entities of Russia in 2019. The main research method is epidemiological one with the use of modern information technologies.Results and discussion. In Russia, 8048 cases of tick-borne borreliosis (Lyme disease – LD) were recorded (5.48 0/0000) in 2019. The actual indicators of the LD incidence for the whole country and federal districts (FD) in 2019 were within the confidence limits predicted with linear regression based on the study of the dynamics of the epidemic process in 2002–2018 in the vast majority of cases. A steady upward trend in the LD incidence was observed during 2002–2019 in the Central Federal District due to 10 out of 18 entities (Moscow, Belgorod, Lipetsk, Moscow, Bryansk, Voronezh, Kursk, Ryazan, Tambov, Tula regions); in the Southern Federal District because of the Krasnodar Territory and the Volgograd Region; in the North Caucasus Federal District – because of the Stavropol Territory. Despite the fact that a downward trend in the incidence of LD has been established over the past 18 years in the North-West, Volga and Ural Federal Districts, in some subjects of these regions a trend towards an aggravation of the epidemiological situation is observed (the Komi Republic and Chuvashia, Penza Region). In the absence of a pronounced tendency to change in the incidence rate of LD in the Siberian and Far Eastern Federal Districts, Kemerovo Region-Kuzbass, the Republic of Tuva and the Trans-Baikal Territory where a growing trend has been identified require special attention. In the Ural and Siberian Federal Districts, the share of non-erythema forms among laboratory-confirmed cases of LD was higher than in other regions, which merits further study of the genome-specific features of borrelia populations and their carriers. Effective control of the LD epidemiological situation in Russia is possible provided that the control is improved and maintained, and the capacity of preventive measures and zoological-entomological monitoring of the activity and structure of the natural foci of LD is enhanced in the entities with the long-term tendency towards increase in the incidence of the disease. 


2021 ◽  
Vol 19 (6) ◽  
pp. 8-17
Author(s):  
L. S. Karpova ◽  
T. P. Stolyarova ◽  
N. M. Popovtseva

Relevance. The National influenza center uses additional criteria: baselines and thresholds for epidemic intensity for early recognition of the onset and assessment of epidemic intensity. Aim. To characterize the parameters of the flu epidemic in the Russian Federation in the 2019-2020 season and assess the intensity of the last 2 epidemics and the effectiveness of baselines and intensity thresholds. Materials and methods. The database of the research Institute of influenza on weekly morbidity, hospitalization, deaths from influenza and ARVI in the cities-reference bases of the National center for influenza was used. The analysis of the flu situation is based on comparing the current incidence of influenza and ARVI with weekly epic thresholds and baselines. A comparative assessment of the intensity of the last 2 influenza epidemics was carried out using intensity thresholds calculated by the moving epidemic method (MEM). Results. The main parameters of the 2019-20 influenza epidemic compared to the previous one are described. There was an increase in the incidence of clinically diagnosed «fluenza» in the pre-epidemic period and the early onset of both epidemics and reaching a peak in the 6th calendar week. This season, the epidemic started among school children, then among adults, and in the past-among the adult population, the incidence of children 0-2 years old was below the thresholds in both epidemics. This season, the average duration of the epidemic and the incidence in cities were higher among school children and adults, and over the entire period of the epidemic, the incidence was higher in all age groups across the country. This season, the epidemic started in the North Caucasus Federal district, its intensity was medium and low, in the past - it started simultaneously in the Siberian, Ural and North Caucasus districts, and its intensity was very high (in the North Caucasus) and high (in the Siberian Federal district) and the average level of 6 districts. The intensity and duration of epidemics were higher in districts with an early onset (in the North Caucasus and Siberian Federal districts). Both epidemics in the country were of moderate intensity, but there were fewer deaths from influenza in the last epidemic. Conclusion. Comparative characteristics of epidemics using baselines and intensity thresholds allowed us to identify the features of the epidemic process in the seasons 2018-19 and 2019-20: the earlier onset of both epidemics; a noticeable increase in the incidence of fluenza before the beginning of epidemics; a decrease in the intensity of epidemics and mortality from influenza; features of the epidemic process in Federal districts. The effectiveness of using additional criteria in the analysis of the influenza epidemic in Russia and this season has been confirmed. In both epidemics, the weekly epidemic thresholds for influenza and ARVI were more sensitive when determining the start of the epidemic, and the end of it, on the contrary, were baselines, and the baselines of morbidity and hospitalization with a diagnosis «influenza» determined the beginning and end of the epidemic even more precisely.


2020 ◽  
Vol 16 (6) ◽  
pp. 948-957
Author(s):  
A. V. Kontsevaya ◽  
Yu. V. Doludin ◽  
M. B. Khudyakov ◽  
O. M. Drapkina

Aim. To analyze hospital admission and ambulatory care of the patients with arterial hypertension (AH) in federal districts and regions from the perspective of the WHO concept of diseases, which can be treated in ambulatory settings (ambulatory care sensitive conditions, ACSC).Material and methods. For analysis we used data from annual forms of federal statistical monitoring (12 and 14), which includes data on hospital admissions with hypertension in federal districts and separate regions in 2017. Hypertension included diseases characterized by raised blood pressure, ICD10: I10-I13.Results. We performed the analysis of 12 and 14 forms per districts and regions of the Russian Federation. Regions with increased hospitalization rates and an increased ratio of the hospitalizations to number to outpatients visits were identified. High variability of these indicators was observed both among both between regions and federal districts. The values of the ratio indicator vary from 0.0131 in the Nizhny Novgorod Region to 0.0234 in the Chechen Republic. The average value of the ratio in the federal district varies from 0.032 in the Volga Federal District to 0.119 in the North Caucasus Federal District. In the North Caucasus and Far East Federal District the value of the indicator is significantly higher than in other districts.Conclusion. Assessing diseases which can be treated in ambulatory setting scan be one of the tools for evaluating the quality of medical care in primary care facilities. However, before including ACSC as an indicator of the quality of health care delivery, a deeper understanding of the reasons that can impact its rates is required.


Author(s):  
D. G. Ponomarenko ◽  
E. B. Ezhlova ◽  
D. V. Rusanova ◽  
A. A. Khachaturova ◽  
N. D. Pakskina ◽  
...  

Presented is the analysis of brucellosis incidence among humans and animals in the Russian Federation in 2018. Epizootiological situation in the regions of developed animal husbandry remains reasonably tense. In 2018, as in previous years, the foci of bovine cattle and small ruminant brucellosis were registered in the North Caucasian, Southern Federal Districts, Volga and Siberian Federal Districts, the share of which made up to more than 90% of all registered in Russia potentially hazardous as regards brucellosis areas and cases of the disease in animals. Against the background of long-term unfavorable epizootic condition, the incidence of brucellosis over the past three years was, on average, 14 % lower than the average long-term indicators. The greatest number of cases (94.1 % of the overall Russian incidence) is registered in the administrative subjects of the North Caucasus Federal District, Southern Federal District and Siberian Federal District, which have the maximum levels of brucellosis incidence in cattle (88.9 %) and small ruminants (95 %). In 2019, persistence of epidemiological problems in regard to brucellosis in the subjects of the North Caucasus Federal District (primarily the Republic of Dagestan, Stavropol Territory), the Southern Federal District (the Republic of Kalmykia, Volgograd and Astrakhan Regions), and the Siberian Federal District (the Tuva Republic, the Omsk and Tyumen Regions) is predicted. The number of human cases of brucellosis may be within the range of 290–310 cases (intensive incidence rate per 100 thousand population – 0.21).


Author(s):  
Abas Shapievich Akhmeduyev ◽  
Zaira Zapirovna Abdulaeva

The article analyzes the state of the health sector in the Russian Federation in the regions of the North Caucasus Federal District, reveals the level and reasons of inequality in the capacity of medicine in federal districts and regions, identifies the main directions for the development and reforming the healthcare system in the country and the subjects of the North Caucasus Federal District. The complex comparative analysis of the state and dynamics of the development of the healthcare in Russia and the regions of the North Caucasus Federal District made it possible to reveal the current challenges, causes and areas of backwardness, and to justify the need to overcome health inequalities in the subjects of the North Caucasus. It has been stated that in recent years there has been observed a positive trend in the development of healthcare in Russia and in the regions of the North Caucasus Federal District. However, the District with its constituent entities are far behind the average indicators of Russia and other federal districts and entities in terms of the level and rates of development of health care. The slowdown is observed at the level of development of the material and technical base, personnel and resource support, per capita financing and salaries of medical personnel. The overall gap in health care is reflected in the health indicators of the population. In the regions of the North Caucasus, the growth rate of the life expectancy is much lower, and the morbidity and mortality rates of the population, including infant mortality, are higher than the national average. There has been suggested measures of gradual reforming health care system to overcome the gap, which corresponds to the general provisions of the RF Presidential Order No. 598 of May 7, 2012 “On improving state policy in health care”


Author(s):  
А. Kh. Dikinov ◽  
А. А. Eshugaova ◽  
М. М. Abdurakhmanova ◽  
М. А. Sadueva

The most progressive and promising model of spatial organization of food markets of the North Caucasus Russian Theatre is a cluster model. In the proposed methodology of the process approach to develop a structural model of agro-food cluster in the NORTH is cluster analysis. The regional food market as a single system, which combines production, marketing and consumption of foods with a specific hierarchy, is characterized by different relationships and proportions between its components and is an important an indicator of a country's economic development, achieving food security. Disclosure of potential in a market system, its effective use, taking into account regional particularities and specificities of the economy, improvement of the spatial organization and improving the efficiency of such a complex system as the regional food market is impossible without knowledge of its essence, principles of formation and operation. In this connection there was a need to develop modern methods of research, evaluation, analysis, improvement of structure and functional organisation of the regional food markets as an important factor for the socio-economic development the country. The novelty of the research lies in the fact that the clustering of agribusiness implemented taking into account the peculiarities of regional AIC on the basis of strategic management zones: industrial, conventional and organic. To determine the effectiveness of the cluster algorithm of its evaluation, which is based on the criteria of usefulness and survival in the conditions of the cluster in the region, which are defined using evaluation scales and weights the main factors utility and survival in the cluster.


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