scholarly journals Dynamics of morbidity of the population with respiratory diseases in the pandemic COVID-19 period in the Far Eastern Federal District

Author(s):  
E. A. Bazykina ◽  
O. E. Trotsenko ◽  
L. A. Balakhontseva ◽  
V. O. Kotova ◽  
T. V. Korita

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.

Author(s):  
V. P. Kolosov ◽  
L. G. Manakov ◽  
E. V. Polyanskaya ◽  
J. M. Perelman

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.


Author(s):  
Леонид Манаков ◽  
Leonid Manakov ◽  
Виктор Колосов ◽  
Viktor Kolosov

There was done analysis of epidemiological monitoring of respiratory diseases (RD) on the territory of the Far Eastern Federal District (FEFD), which allows to assess the levels, structure and regional features of the spread of pathology among different populations and territorial formations, the dynamics of the disease and its relationship with the environmental factors of the region. To organize the study, the methods of cluster, structural and comparative analysis, predictive modeling, dynamic series analysis, statistical and information-analytical methods, databases of the Ministry of Health of the Russian Federation, the Federal State Statistics Service of the Russian Federation were used. The epidemiological analysis of the main indicators of RD level and dynamics in the FEFD territory indicates the presence of regional differences in the registered morbidity, the degree of which is due to the natural-climatic and socio-demographic characteristics of the habitat. 77.8% of the region's subjects are in the zone of low morbidity. At the same time, the values of maximum and minimum levels of general and primary RD morbidity in the region differ by 2.2 and 2.4 times, respectively, becoming the most pronounced among the adult population (by 3.6 times). In chronic bronchitis and COPD, the regional gradients of the registered morbidity are 10.9 and 9.8 times, respectively. It was found that the values of the primary RD morbidity in children's population in the FEFD are 14.4% higher than at the federal level, and among the adult population the gradient of values has the opposite indicators: 24.9% lower. At the same time, if the incidence of pneumonia in the region is 15.2% higher than the incidence of pneumonia in the Russian Federation as a whole, the incidence of chronic forms of RD in the region is 17.3-28.9% lower than at the federal level. The level of primary RD morbidity in 2005-2016 in the Far Eastern Federal District increased by 23.3%, including bronchial asthma (by 20.3%) and COPD (by 47.7%), and the incidence of pneumonia significantly decreased. At the same time, the average annual rate of increase in primary RD morbidity is higher than in the Russian Federation as a whole. This is shown by the predictive model of morbidity dynamics, the linear trends of which are more progressive in the FEFD compared to the dynamics at the federal level. The rate of positive dynamics of morbidity, significantly exceeding the same rate of morbidity growth at the federal level, indicates an increase in the level of availability and quality of medical care for patients with pulmonological profile, timely and early detection of chronic forms of respiratory diseases, positive motivation of the population for treatment in medical organizations. These trends in the dynamics of the registered morbidity are due to the active introduction of effective methods of diagnosis and treatment of chronic respiratory diseases, preventive and educational programs implemented both at the federal and regional level.


2021 ◽  
Vol 8 (1) ◽  
pp. 56-67
Author(s):  
Lyudmila Kovalchuk ◽  

The expansion of the borders of the Far Eastern Federal District due to the inclusion of the Trans-Baikal Territory and the Republic of Buryatia in its composition actualizes the problem of inequality of regions (primarily in the social sphere), which in the new boundaries of the macroregion has significantly increased and has acquired a «supernormal» character. It has been established that the lag of the «new» Far Eastern subjects in the level of social development is accompanied by an increase in negative phenomena in the social sphere. The necessity of implementing a set of measures to form a «corridor of opportunities» that regions can use, including within the framework of interregional interaction within the Far Eastern Federal District, has been substantiated


2019 ◽  
pp. 28-31
Author(s):  
P.I. Zakharov ◽  
M.E. Okhlopkov ◽  
N.V. Luginov ◽  
A.I. Vasilyev ◽  
P.P. Portnyagin ◽  
...  

2021 ◽  
Author(s):  
V.N. Shelomentsev

The article analyzes the regulatory and legal framework for the implementation of the program providing citizens with land plots from the state or municipal ownership and located in the territories of the subjects of the Russian Federation, as well as in the Far Eastern Federal District, or included in the program "Socio-economic development of the Arctic zone of the Russian Federation".


2021 ◽  
Vol 27 (1) ◽  
pp. 34-42
Author(s):  
E. Bulakh ◽  
◽  
T. Leonenko ◽  
V. Tsoy ◽  
◽  
...  

This article focuses on the study of territorial self-government as one of the most relevant forms of the local community functioning. A special scientific interest in it is due to its exceptional ability for self-organization, which makes it possible to realize the potential of citizens in solving local issues. The authors present an analysis of two main trends in the formation of the TSG system and structure - administrative and initiative - and their organizational potential. The study of the organizational structure of territorial self-government and the forms of its implementation reveals a number of specific features of TSG. Particular attention in the article is paid to the analysis of the TSG of the Far Eastern Federal District, the problems of the functioning of this form of self-organization and the prospects for development


2021 ◽  
Vol 31 (5) ◽  
pp. 551-561
Author(s):  
Elena V. Bystritskaya ◽  
Tatiana N. Bilichenko

Respiratory diseases (RD) represent one of the most urgent issues in Russian health care and have high socio-economic significance.The aim. To study the dynamics of total morbidity and mortality in the Russian Federation, as well as the mortality associated with RD in the working-age population in 2015 – 2019.Methods. The official statistical data of the Ministry of Health of the Russian Federation and the Federal State Statistics Service were analyzed.Results. In 2019, the total RD-associated morbidity increased by 5.4%, and the prevalence of pneumonia increased by 29.0% compared to 2015. In 5 federal districts (FD), the morbidity exceeded the average Russian morbidity in 2019 (40,694.7). The maximum level was observed in the North-Western FD (50,224.1). The prevalence of pneumonia (Russia – 524.4) in 4 FDs exceeded the average Russian prevalence. The maximum level was reported in the Far Eastern FD (749.2 cases per 100 thousand of the total population). The RD-associated mortality rate in Russia was 51.8 cases per 100 thousand in 2015 and 41.6 cases per 100 thousand in 2018 (–19.7%). In 2018, the highest RD-associated mortality was observed in the Siberian FD (68.0) and Far Eastern FD (57.8 per 100 thousand people). From January to December 2019, the highest mortality associated with pneumonia in the working-age population was observed in the Far Eastern FD (28.2 per 100 thousand people). The RD-associated mortality rate in the male population was 4.2 times higher than in the female population (26.7 and 6.3, respectively, per 100 thousand persons of matching age).Conclusion. The highest morbidity was found in 2018 and 2019 in the Northwestern FD and Far Eastern FD. The RD-associated mortality in the Siberian FD and Far Eastern FD exceeded the average Russian values. This last observation requires additional research to improve the quality of medical care.


2021 ◽  
Vol 34 (01) ◽  
pp. 186-192
Author(s):  
Yang Lifen ◽  
Yuriy Yu. Fedorov

This study reviews and compares the market potential of two macro-areas in the Republic of Sakha (Yakutia) in the AZRF (Arctic zone of the Russian Federation) and the FEFD (Far Eastern Federal District. Moreover, this work shows that a significant part of supply and demand in municipalities' domestic markets is concentrated in the FEFD. Until recently, the AZRF and the FEFD were not considered by the State as a single government body. Transferred powers to the Ministry of the Russian Federation for the development of the Far East and the Arctic has allowed the territory of the Arctic uluses of the Republic of Sakha (Yakutia) to be included in the social and economic development of the FEFD.


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