Epidemiological situation of tuberculosis in Republic of Tyva in 2014-2023

Abstract

Relevance. Tuberculosis still remains one of the most serious public health problems worldwide. In Republic of Tyva, despite the ongoing anti-tuberculosis measures, the epidemiological situation remains unfavorable.
Objectives. To analyze epidemiological indicators for the period from 2014 to 2023 in Republic of Tyva and set goals to stabilize the epidemiological situation of tuberculosis in Republic of Tyva
Materials and methods. A retrospective analysis of the morbidity, mortality, and prevalence of tuberculosis among the population over the past 10 years was carried out based on statistical data and market reports of the tuberculosis dispensary (form 2-TB, Order of the Ministry of Health of the Russian Federation No. 50 dated 02/13/2004 for 2014-2023, "Main indicators of tuberculosis activity in the Siberian and Far Eastern Federal Districts" (statistical materials) for 2014-2023, market reports for 2014-2023. GBUZ RT "Tuberculosis dispensary" of the Ministry of Health of Republic of Tyva).
Results. The analysis showed that in Republic of Tuva there is a tendency to decrease the mortality rate (per 100,000 population) from 54.5 in 2014 to 25.8 in 2023 (a decrease of 52%). Despite this, the mortality rate from tuberculosis in Republic of Tyva exceeds that in the Russian Federation by 87%. During the period from 2014 to 2020, the indicators of general (from 170.0 to 86.1) and child morbidity (from 30.5 to 25.4) decreased. As you know, 2020 fell on the COVID-19 pandemic, when all preventive measures were minimized. In Republic of Tyva, since 2021, there has been an increase in general and child morbidity and in 2023 amounted to 153.8 and 126.3 per 100,000 population, respectively. The highest child morbidity in the Russian Federation and the Siberian Federal District is registered in Republic of Tyva – 126.3 per 100 thousand children in 2023.
Conclusions. Based on the results of the analysis, the effectiveness of the work of the phthisiological service of Republic of Tyva was studied and evaluated, positive dynamics in terms of tuberculosis mortality in the region was noted against the background of the implementation of the regional tuberculosis control program and further steps were outlined for its implementation.