Epidemic situation of tuberculosis in the Far Eastern Federal District of Russia in 2021

Aim. To analyze the epidemic situation of tuberculosis (TB) in the Far Eastern Federal District of Russia in the context of implementation of a targeted governmental program “Prevention and control of socially significant infectious diseases.”

Materials and methods. Performance indicators were calculated based on the information derived from official statistical forms. Conventional calculation methods were used.

Results. The incidence of TB in the Far Eastern Federal District amounted to 51.0 per 100 thousand population under the target value of 41.0. The coverage of population with preventive TB screening comprised 72.9% under the target value of 72.5% (achieved). The mortality rate in tuberculosis patients was 9.1 per 100 thousand population under the target value of 6.0. The maximum mortality rates were recorded in the Amur Oblast (15.8) and Primorsky Krai (15.3) with 55.6% of fatal cases. The share of newly-diagnosed TB cases in prisons comprised 7.7% under the target value of 7.6%. The share of newly-diagnosed pulmonary TB cases with a culture-positive result was 56.5%, which exceeded the target value of 55.5%. However, this indicator was extremely low in the Chukotka Autonomous Okrug (26.9%), Zabaykalsky Krai (29.7%), and Jewish Autonomous Oblast (31.9%). The indicator “Effectiveness of the treatment of patients with multidrug-resistant tuberculosis” was 55.9% under the target value of 57.5%. The main problem of achieving this indicator was associated with insufficient adherence of patients to treatment.

Conclusions. Tuberculosis remains to be a serious problem in the Far Eastern Federal District of Russia. Only two out of six indicators of the targeted governmental program were achieved. The epidemic situation in the Primorsky Krai and Amur Oblast requires increased attention due to their significant role in the Far Eastern Federal District as a whole. Efforts should be aimed at improving laboratory diagnostics of TB and developing programs of psychosocial support for TB patients.

1. On approval of the list of socially significant diseases and the list of diseases that pose a danger to others: Decree of the Government of the Russian Federation No. 715 of December 1, 2004. (In Russ.)]. URL: https://base.garant.ru/12137881/ (accessed 13.07.2022).

2. On approval of the departmental target program «Prevention and control of socially significant infectious diseases»: Order of the Ministry of Health of Russia dated April 5, 2019 No. 199. (In Russ.)].

3. On Territories of Advanced SocioEconomic Development in the Russian Federation: Federal Law No. 473-FZ of December 24, 2014 (In Russ.)].

4. On the approval of the state program of the Russian Federation “Socio-economic development of the Far Eastern Federal District”. Resolution of the Government of the Russian Federation No. 308 dated 15.04.2014 (In Russ.)].

5. Nechaeva OB. The epidemiological situation of tuberculosis in Russia. Tuberculosis and lung diseases. 2018;96(8):15–24 (In Russ.)]. doi: 10.21292/2075-1230-2018-96-8-15-24

6. Nechaeva OB. Tuberculosis in children in Russia. Tuberculosis and lung diseases. 2020;98(11):12–20 (In Russ.)]. doi: 10.21292/2075-1230-202098-11-12-20

7. Esipov AV, Alekhnovich AV, Abushinov VV. COVID-19: First experience in providing medical care and possible solutions to problematic issues (review). Hospital medicine: science and practice. 2020;1(1):5–8 (In Russ.)].

8. Nechayeva OB, Son IM, Gordina AV, Sterlikov SA, Kucheryavaya DA, Dergachëv AV, Ponomarëv SB. Resources and activities of anti-tuberculosis organizations of the Russian Federation in 2019–2020 (statistical materials). Moscow: RIO «TSNIIOIZ», 2021 (In Russ.)].

9. Sterlikov SA, Nechayeva OB, Son IM, Ponomarëv SB, Kucheryavaya DA, Obukhova OV, Sayenko SS. Sectoral and economic indicators of anti-tuberculosis work in 2019–2020 Analytical review of the main indicators and statistical materials. Moscow: RIO TSNIIOIZ, 2021 (In Russ.)].