[Characterization of epidemic foci of tuberculosis and improvement of the follow-up of children and adolescents from the environment of patients with tuberculosis]. / Kharakteristika épidemicheskikh ochagov tuberkuleza i sovershenstvovanie dispansernogo nabliudeniia za det'mi i podrostkami iz okruzheniia bol'nykh tuberkulezom.

Despite unfavorable socioepidemiological conditions, there are potentials of reducing tuberculosis morbidity in the epidemic foci of children and adolescents (by more than 3.5 times). For this, all the children and adolescents from the foci of infection should be thoroughly examined and followed up and educational and preventive measures including intensified antituberculosis propaganda should be made in these foci.

[Detection of pulmonary tuberculosis among the homeless at Moscow reception-distribution facilities]. / Vyiavlenie tuberkuleza organov dykhaniia sredi lits bez opredelennogo mesta zhitel'stva, nakhodiashchikhsia v priemnikakh-raspredeliteliakh Moskvy.

A total of 5532 homeless persons were examined. The affection with pulmonary tuberculosis was 10.9%. The disease was first detected in 2.53% of the examinees. Relatively curable types of pulmonary tuberculosis were encountered in 70.2% of patients. A system of social and antituberculous measures should be set up for this population group.

[Detection of tuberculosis in homeless persons and their sociopsychological characteristics]. / Vyiavlenie tuberkuleza u bezdomnykh i ikh sotsial'no-psikhologicheskaia kharakteristika.

Homeless patients with tuberculosis form a special group. Being out of therapeutical-and-prophylactic institutions sight and violating elementary sanitary regulations, they are, from an epidemic standpoint, the most dangerous part of a tuberculosis reservoir. Tuberculosis morbidity rates in the homeless are extremely high and tens times as great as those among other populations. The existing system for detecting tuberculosis among the homeless is not very effective. Much better results are achieved by nongovernmental philanthropic institutions where homeless persons apply to for medical and social aids. About half the homeless patients with tuberculosis were referred to Tuberculosis Hospital 11 of the International Organization "Physicians Without Boundaries". The patient's personality is, in general, the most vivid terms, characterized as asthenic; with low intelligence and constitution; asocial, aggressive, and being a carrier of the motive of acquired helplessness. This group of patients needs not only medical efforts, but sociolegal and sociopsychological rehabilitation. The activities of Tuberculosis Hospital 11 wherein a room of social aid and rehabilitation has been functioning since 1995 may be an example of a comprehensive approach to tackling the problem of homeless patients with tuberculosis.

[Effectiveness of team-expedition examination of adult population epidemiologically at risk for tuberculosis in rural districts]. / Effektivnost' brigadno-ékspeditsionnogo obsledovaniia vzroslogo naseleniia épidemiologicheski neblagopoluchnogo po tuberkulezu sel'skogo raiona.

A team of skilled physicians for 4 years went on field expeditions to examine rural population of a territory epidemiologically unsatisfactory by tuberculosis. The activity of the team contributed to improvement of the epidemiological situation in the region and advancement of the local medical staff qualification.

[Experience in joint activities of the Central Research Institute of Tuberculosis, USSR Ministry of Health, with therapeutic-preventive institutions of a Kazakhstan rural area]. / Opyt sovmestnoi raboty Tsentral'nogo NII tuberkuleza Minzdrava SSSR s lechebno-profilakticheskimi uchrezhdeniiami sel'skogo raiona Kazakhstana.

The joint activity of the Institute staff together with local health institutions has favoured qualified tuberculosis care to become more accessible to the rural population. Favourable changes in the epidemiological situation have been registered in a high tuberculosis incidence area.

[Characteristics of tuberculosis of the respiratory organs in patients living in the areas of tropical climate]. / Kharakteristika tuberkuleza organov dykhaniia u bol'nykh, prozhivaiushchikh na territoriiakh s zharkim klimatom.

Factors that underlie the generally acknowledged high-risk groups are supplemented by specific aggravating factors typical of hot-climate regions: recent (less than 5 years) staying in hot regions, frequent childbirth in the indigenous women and overheating under industrial and living conditions. Subjects having a combination of several aggravating factors have the most serious tuberculosis structure. The preventive measures should aim at recording of such subjects and making obligatory X-ray and fluorographic examination accomplished every year and controlled by the antituberculosis dispensaries. A combination of several unfavourable factors requires employment of general health measures; in immunity lowering threat chemoprophylaxis should be prescribed.

[The role of groups with high risk of tuberculosis in developing patients' contingents in the anti-tuberculosis clinics]. / Rol' grupp s riskom zabolevaniia tuberkulezom v formirovanii kontingentov protivotuberkuleznykh dispanserov.

The role of the highest tuberculosis risk groups in the enlargement of dispensary contingents increases under conditions of endemic tuberculosis decline while it is less manifest in the epidemiologically unfavourable regions. Risk contingents of polyclinics should be supplemented by a socially unfavourable group of subjects who together with patients having several risk factors and those with severe diabetes mellitus are the most vulnerable with respect to tuberculosis.