Tuberculosis in North-West of Russia: Problems and paths of solution

In North-West the level of tuberculosis morbidity is lower than in whole Russia. In 2001 this index has constituted 67,0 per 100 thousand of population, among stationary values of the inhabitants it is much lower of all-territory level and makes 48,9 per 100 thousand of population (26 %). Children’s morbidity is the indicator of bacillary strength: in 2001 it has reached 22,8 per 100 thousand of children’s population, that is greater by 27 % than in whole Russia. One of major index, objectively described tuberculosis situation - mortality, increased in region steadily (1999 - 8,5 per 100 thousand of population, 2000 - 9,0, 2001 - 12,8). Medical care efficiency in North-West of Russian Federation remains unsatisfactory: the bacilli elimination stopping in 2001 has arranged 72,6 % (whole Russian Federation - 73,4 %), closing of destructions - 67 %. Personnel problems solution, tuberculosis early detection perfection, tuberculosis monitoring system creation, medical measures quality improvement by an active introduction of developed technologies of drug resistant pulmonary tuberculosis treatment and different localization tuberculosis surgical treatment adequate application are necessary for successful struggle with tuberculosis in North-West region.