Tuberculosis features in federal districts of the Russian Federation

Abstract

Background. The retrospective assessment of key indicator levels and their trends at the start point of new strategy realization for tuberculosis control in Russia is an important predictor of the global program implementation to reduce the burden of this infection. Materials and methods. We analyzed incidence, prevalence and mortality among general and children population in Russian federal districts, in European and Asian regions, and in countries having a common border with Russia. Results. Presented material confirms the wide spread of tuberculosis in Russia, where the average annual incidence rate for 2005-2015 was 71.9 ± 2.5 0/0000, which attributes Russia to average-burden country. The most important characteristic of the studied period was a stable decreasing tendency of the key TB indicatorsformed by 2015. However, enormously uneven distribution of TB incidence, prevalence and mortality in some federal districts reveals different starting points of the regions. Relatively favorable territories include Central and Crimean Federal Districts, and the most unfavorable are Siberian and Far Eastern Federal Districts. The TB incidence significantly increases from West to East. Revealed unfavorable increasing tendency of children TB in combination with the trend described above indicates active transmission of TB infection in the Asian part of Russia. We also revealed the likelihood of mutual influence of migratory exchanges of Russian border regions and neighboring countries, which most strongly manifests on territories with low and medium TB incidence rates.

Keywords

• tuberculosis
• incidence
• prevalence
• mortality
• federal districts of russia
• european and asian regions of russia