[Organization of antituberculous work with homeless in Saint Petersburg]. / Organizatsiia protivotuberkuleznoi raboty s litsami bez opredelennogo mesta zhitel'stva v Sankt-Peterburge.

The paper deals with organizational measures for detection and treatment of homeless persons with tuberculosis in Saint Petersburg. A total of 1653 homeless tuberculosis patients were followed up in 1991-1997. There was high incidence of tuberculosis in homeless persons (30 detected per 1000 examinees. All agencies, facilities, and services should participate in detecting and treating tuberculosis among homeless subjects. Large-scale solution of this problems requires a package of measures by providing additional funds stipulated by a regional goal-oriented tuberculosis control programme.

[Epidemiological and clinical aspects of extrapulmonary tuberculosis in North-Western Russia]. / Epidemiologicheskie i klinicheskie aspekty vnelegochnogo tuberkuleza na Severo-Zapade Rossii.

North-western Russia is characterized by poor extrapulmonary tuberculosis (EPT) epidemiological trends. There is an increase in the incidence of EPT mainly in childhood and youth. Due to incomplete and untimely detection of extrapulmonary tuberculosis, the decreased level of recorded parameters and its severe clinical pattern are observed in most areas.

[Dynamics of tuberculosis prevalence in children]. / Dinamika rasprostranennosti tuberkuleza sredi detskogo naseleniia.

Age- and nationality-specific analysis of the trends observed in tuberculosis epidemiology in the Extreme North of Russia objectively shows the role of growing reserve of tuberculous infection among native population in small towns for epidemiological situation in large cities with formation of common epidemiological space in these regions.

[Prevalence of tuberculosis and chronic non-specific lung diseases in the towns of the Far North]. / Rasprostranennost tuberkulëza i khronicheskikh nespetsificheskikh boleznei lëgkikh v poselkakh Krainego Severa.

In the settlements of the Far North there is a significant reservoir of tuberculosis infection that makes up 40% and 16% in the aborigines and migrants, respectively. The alarming epidemiological prognosis, as well as the developmental association and the coincidence of clinical and social groups at risk for specific and non-specific abnormalities make it expedient to maintain annual mass fluorographic examinations by using screenings to detect the groups to be studied with auxiliary techniques and to actively detect chronic non-specific respiratory diseases.

[Medico-social aspects of epidemiology of tuberculosis in the Extreme North]. / Mediko-sotsial'nye aspekty épidemiologii tuberkuleza na Krainem Severe.

Tuberculosis is still of top priority in health care of the not numerous peoples of the Extreme North and will preserve its importance as a prevalent infection for the nearest ten years. All aborigines must be included in high-risk groups of tuberculosis and the system of its control should be based on a state status, which supposes the immediate solution of socio-economic and medico-biological problems. It is advisable to organize the interdepartmental committee for tuberculosis at the Association of northern peoples and envisage additional assignments, including foreign currency, to be spent on research work, fluorographic++ technology, diagnostic means and equipment and medicaments. Under conditions of a new economic mechanism and market economy assignments aimed at anti-tuberculosis aid should include donations brought by the leading industrial branches; separate enterprises and state structures.

[Detection of respiratory tract diseases among rural population during the team-work mass screening]. / Vyiavlenie boleznei organov dykhaniia u zhitelei sel'skoi mestnosti pri brigadnom metode provedeniia massovykh proverochnykh obsledovanii.

A screening complex for the examination of the rural population has been worked out to detect bronchopulmonary pathology and form groups of risk for respiratory diseases. The complex of methods included compulsory questionnaires and ++fluoro-functional examination, spirometry if indicated and bacterial tests. Out of 1, 131 persons examined, 328 were found to have respiratory diseases. Chronic non-specific respiratory diseases were detected in 103 subjects, including 62 of them having obstructive bronchitis. A risk group developing chronic non-specific respiratory diseases, including 202 persons with disturbed ventilation activity of the lungs, post-tuberculous inadequate changes and other pathology. Pulmonary tuberculosis was registered in 7 subjects. The given data indicate the necessity of a complex examination of the population.