ABSTRACT
The paper presents the results of a three-year (2000-2002) follow-up of the movement of dispensary contingents registered in tuberculosis facilities in order to develop new dispensary groups. The dispensary groups of patients with active forms of tuberculosis have been ascertained to accumulate a great number of patients with its inactive forms due to the untimely of their transfer to the inactive groups in terms of effective treatment and the clinical forms of tuberculosis. New dispensary grouping will more definitely regulate the transfer of patients from active to inactive groups and strike from the list of dispensary patients. The proposed new grouping excludes registration Groups 0, II, and VII. If required, the persons struck from Groups III and VB and those followed up as Groups 0 and VII patients will be transferred to adult and pediatric polyclinics and followed up in recurrent tuberculosis risk groups.
Subject(s)
Registries , Tuberculosis/therapy , Adolescent , Adult , Age Factors , Child , Female , Follow-Up Studies , Humans , Inpatients , Male , Outpatients , Recurrence , Risk Factors , Sex Factors , Time Factors , Tuberculosis/classification , Tuberculosis/diagnosis , Tuberculosis, Lymph Node/therapy , Tuberculosis, Ocular/therapy , Tuberculosis, Osteoarticular/therapy , Tuberculosis, Pleural/therapy , Tuberculosis, Pulmonary/therapy , Tuberculosis, Urogenital/therapyABSTRACT
A retrospective study of epidemiological indices of tuberculosis in children in the Republic of Uzbekistan for the past 20 years has shown that tuberculosis morbidity rates have increased by 65.4% and by 114% in children living in the foci of tuberculosis infection. The greatest increase in its morbidity rates is observed in the Aral Sea region, which is accompanied by worse social, environmental, and economic situations. Varying tuberculosis courses are revealed in inland children, which makes it necessary to implement tuberculosis controlling measures, especially in the foci of tuberculosis infection.
Subject(s)
Tuberculosis, Pulmonary/epidemiology , Catchment Area, Health , Child , Female , Humans , Male , Uzbekistan/epidemiologyABSTRACT
After a declining period by the mid-1980s and its stabilization in 1985-1995, the morbidity rates of tuberculosis in Uzbekistan increased in 1996 by 20.7% as compared to 1995, by 24% among children in the past decade, and 2 times among adolescents and young individuals aged under 30 years within 5 years. The rise of mortality rates is accompanied by aggravation of the clinical forms of the tuberculosis cases detected. The goal-oriented examinations of populations at risk of the disease in 14 districts of the Republic indicated a 1.5-fold increase in total mortality rates, followed by an upward tendency.
Subject(s)
Tuberculosis/epidemiology , Adolescent , Adult , Child , Humans , Middle Aged , Morbidity/trends , Retrospective Studies , Uzbekistan/epidemiologyABSTRACT
The epidemiological situation over 26 years (1970-1996) is characterized. There is a rise in tuberculosis morbidity, mortality, and detection and a deterioration of the pattern of clinical forms of tuberculosis detected with the reduced coverage of the population to be screened for tuberculosis. Measures at stabilizing the further spread of tuberculosis infection among the population and reducing morbidity rates are outlined.
Subject(s)
Communicable Disease Control/methods , Tuberculosis/epidemiology , Tuberculosis/prevention & control , Humans , Morbidity/trends , Retrospective Studies , Uzbekistan/epidemiologyABSTRACT
The results of tuberculosis prevention in adolescents performed by a team of physicians including the authors of the paper are described. Recommendations on improvement of prevention and early detection of tuberculosis in adolescents as well as their better provision with hospital care are presented.
Subject(s)
Tuberculosis, Pulmonary/prevention & control , Adolescent , Humans , Mass Chest X-Ray , Tuberculin Test , Tuberculosis, Pulmonary/diagnosis , UzbekistanABSTRACT
An epidemiological situation in the foci of tuberculous infection was studied in some rural areas of Uzbekistan. 74.1 per cent of the children lived in the foci of tuberculous infection estimated as belonging to group I epidemiological risk. The incidence of primary infection in the children from the foci was 10 times higher than the average republic rates. 96 per cent of the cases were from the foci of group I epidemiological risk.