Résumé
The study analyzed available literatures covering the organization of measures to combat the COVID-19 pandemic in the healthcare systems of the Russian Federation and several foreign countries. For the comprehensive assessment of the specifics of organizing measures to combat the COVID-19 pandemic, countries were chosen based on geographical distances from China (the closest is Korea, and the most remote are the Great Britain and Haiti), maximum population on their continent (the United States is in North America, and Brazil in South America), and significant differences in the functioning of the healthcare systems. The peculiarities of organizing measures to combat the COVID-19 pandemic in the considered countries were associated with a complex of political, financial, economic, demographic, and organizational factors, the individual combination of which determined the peculiarities of the development of the epidemic process in each specific case. Moreover, as a priority manifestation of the severity of these factors, the capabilities of the healthcare system, including the availability of services of medical workers, sufficient number of testing equipment, medical protection equipment, hospital beds, and other parameters, should be considered. The main role was played by global state strategies implemented in the healthcare systems of the analyzed countries at the pre-epidemic stage and, in most cases, aimed at optimizing the financial and economic provisions of state guarantees of medical care. The general criteria for the differential diagnosis of COVID-19 in the national recommendations of all the states considered were respiratory symptoms and general infectious intoxication. In addition, fever and respiratory symptoms were accepted as priority criteria for COVID-19 screening. © 2023 Vestnik Rossijskoj Voenno-Medicinskoj Akademii. All rights reserved.
Résumé
Based on the assessment of factors that contribute to a new coronavirus infection, the risk of complications, mortality, and lethality from it in the Armed Forces of the Russian Federation were analyzed. A detailed timeline of the development of the coronavirus pandemic in the Russian Federation has been demonstrated, showing indicators of peak and overall morbidity and mortality and prevailing strains of a new coronavirus infection, depending on the waves of the pandemic. The study evaluated the features of the course of a new coronavirus infection in the Eurasian region using data from the international register "Analysis of the dynamics of comorbid diseases in patients infected with severe acute respiratory syndrome-2 coronavirus”. Modern ideas about the main pathogenetic mechanisms of involvement of the circulatory system, which underlie the development of a severe course, mortality, and lethal outcomes, are outlined. The study also presented the concept of metabolic and hemodynamic insufficiency, which justifies the inability of the desynchronized circulatory system and systems of vascular homeostasis and hemostasis to restore the previous level of functioning after a new coronavirus infection. The possibilities of carrying out differentiated anti-epidemiological measures, including the use of information technologies, aimed at reducing the spread of a new coronavirus infection, were evaluated. The mortality and mortality from a new coronavirus infection in the Armed Forces of the Russian Federation, including the effect of a new coronavirus infection on an increase in the incidence of non-communicable diseases in military personnel of different age groups, were presented. The study also considered issues of the need to introduce a rehabilitation strategy to correct conditions that occur after a new coronavirus infection, reduce the risk of subsequent mortality and lethality, and reduce it in the long term. All rights reserved © Eco-Vector, 2022.