ABSTRACT
Childhood and adolescence tuberculosis morbidity rates are higher in girls than in boys. Adult males fall ill 5.3 times more frequently than adult females. Males fall ill with destructive (6.1 times), bacillary (4.1 times), pulmonary tuberculosis (5.3 times) more frequent than females. Females experience extrapulmonary tuberculosis 1.6 times as high as males. Convicts and those under investigation are ascertained to have earlier forms of respiratory tuberculosis than in the general population. At the same time, the facilities of the RF Ministry of Justice do not record extrapulmonary tuberculosis. Goal-oriented work with these facilities has caused a reduction in tuberculosis morbidity in the whole Sverdlovsk region.
Subject(s)
Tuberculosis/epidemiology , Age Factors , Humans , Morbidity/trends , Sex Factors , Siberia/epidemiologyABSTRACT
Tuberculosis mortality is 9.3 times higher in men than in women. Women more commonly recover and less frequently die from progressive tuberculosis. The main causes of death are fibrocavernous or infiltrative tuberculosis, and caseous pneumonia. In young people, the most common cause of death is tuberculosis of the meninga or central nervous system, women more frequently die from caseous pneumonia. Prisoners more commonly die from infiltrative tuberculosis and more rarely from fibrocavernous tuberculosis than the general population of Sverdlovsk. The most common causes of death of patients with tuberculosis who die in the first year of its diagnosis are caseous pneumonia and fibrocavernous tuberculosis. The factors predisposing to poor prognosis were late detection of the disease, treatment refusal, severe concomitant diseases, and intolerance of antituberculous agents.
Subject(s)
Tuberculosis, Pulmonary/mortality , Adolescent , Adult , Age Distribution , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Middle Aged , Retrospective Studies , Sex Distribution , Siberia/epidemiology , Survival Rate/trendsSubject(s)
Communicable Disease Control/organization & administration , Tuberculosis/epidemiology , Tuberculosis/prevention & control , Adolescent , Adult , Child , Communicable Disease Control/economics , Communicable Disease Control/trends , Female , Humans , Male , Middle Aged , Morbidity/trends , Retrospective Studies , Siberia/epidemiologyABSTRACT
The patients with the tuberculosis first established are increasing from different risk groups. New social populations which are at risk for tuberculosis have appeared. The duration of follow-ups of the persons contacting with tuberculosis patients should be revised through its increase. The division of foci into bacillary and abacillary is arbitrary.
Subject(s)
Communicable Disease Control , Mass Screening , Tuberculosis, Pulmonary/prevention & control , Adolescent , Adult , Child , Child, Preschool , Humans , Morbidity/trends , Risk Assessment , Russia/epidemiology , Socioeconomic Factors , Tuberculosis, Pulmonary/epidemiology , Tuberculosis, Pulmonary/transmissionABSTRACT
Analysis of certain parameters has demonstrated that situation for tuberculosis in the Ural and Volgo-Vyatsky region for the period of 1986-1990 remains unsteady. The epidemiologic and economic conditions of today dictate the necessity to improve the effectiveness of tuberculosis control by strictly differentiating the available antituberculosis measures, their volume and frequency of use, depending on the risk of disease contraction in each particular territory in the whole population and in separate groups taking technical, material and personnel potentialities into consideration.
