THE RESULTS OF THE IMPLEMENTATION OF THE EPIDEMIOLOGICAL MONITORING OF PNEUMONIA AT THE REGIONAL LEVEL (BASED ON MATERIALS FROM THE IRKUTSK REGION)

Abstract

Objective. More than 600 thousand cases of pneumonia are registered in the Russian Federation each year with an incidence of more than 400 per 100 thousand of the population. Since 2009, the country has registered pneumonia in statistical reports on infectious and parasitic diseases. The study objective is to assess the possibilities of epidemiological analysis of the incidence of pneumonia after a change in the registration system. Methods. A retrospective descriptive epidemiological study was conducted in one of the regions of the Asian part of Russia with a population of about 2.4 million people. The data on morbidity and mortality for 2012-2016 were compared from different forms of statistical observation. Results. The incidence varied from 588.3 to 690 per 100 thousand of the total population. In 2016 the discrepancy in morbidity rates in different statistical forms was 8-12 %. Using the data of the new accounting system, incidence was calculated in 2016 by population groups, cities and rural areas. The differences in the seasonal dynamics of incidence among children and adults in the summer are revealed. Mortality rate averaged 5.2 % with a spread in different age groups from 0.1 to 11.5 %. Conclusions. The introduction of the new accounting system has significantly improved the possibilities for analyzing the structure of morbidity, and mortality by age groups, by the weeks of the year and in the territorial aspect. However, in more than 75 % of cases, the etiology of pneumonia remains unresolved.