EPIDEMIOLOGY OF TUBERCULOSIS IN THE REPUBLIC OF CRIMEA: CURRENT INSIGHTS

The objective of the study was to explore the current epidemiology of tuberculosis in the Republic of Crimea following the analysis of the incidence, prevalence and mortality dynamics for the period 2004-2015. The official statistics was presented by the "Crimean Republican Clinical Center of Phthisiology and Pulmonology". During the study period, a persistent decrease in the incidence of all forms of tuberculosis was found on average by 13.1% was revealed, while the incidence of pulmonary tuberculosis decrease was affected to a lesser extent (6.2%). The process of the tuberculosis incidence reduction in the Crimea was slower compared with the all-Russian trend: in 2015 the tuberculosis incidence in the Republic of Crimea was 1.3 times higher than in Russia. There has been a positive tendency of tuberculosis prevalence decline by an average of 1.6 times in Crimea (216.9 cases per 100,000 population in 2004 and 135.1 cases per 100,000 population in 2015). The positive dynamics of the tuberculosis incidence and prevalence in the region is due, inter alia, to the anti-tuberculosis service funding increase in the Republic of Crimea, improvement of the material and technical base and provision with drugs and diagnostic tests. During the study period there was an increase in the proportion of patients who died before the first year of observation (200% growth rate) despite the trend of the mortality decline from all forms of tuberculosis in the Republic of Crimea. This fact can be related to the late detection of the pathology studied. The trend of the incidence, prevalence and mortality decrease by all tuberculosis forms among the population in Crimea for the period 2004-2015 reflects not only the outcome of the financing and drug supply improvement, but also demonstrates the effective organization of tuberculosis services in the region.

tuberculosis, epidemiology, incidence, prevalence, mortality, Republic of Crimea

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