Present Epidemical Situation of Viral Hepatitides and Tuberculosis Morbidity Rates in Moscow

Abstract

Analysis of dynamics and trends in parenteral viral hepatitides and tuberculosis morbidity rates in Moscow for 1999 - 2013. Analysis of dynamics and trends in parenteral viral hepatitides and tuberculosis morbidity rates in Moscow in 1999 - 2013 based on the statistical data of Moscow regional information collection of federal state-financed healthcare institution Moscow city centre of hygiene and epidemiology. In aggregate, 1389 cards and the data of 24 forms were processed. The tuberculosis morbidity rate of the population of the city of Moscow in 1999 - 2009 exhibited tendency towards increasing and in 2009 - 2013 there was a tendency towards decreasing of the morbidity rate. As distinguished from the aggregate population situation, the tuberculosis morbidity rate among children was increasing steadily between 2003 and 2013. There was a massive children’s morbidity rate peak in 2011 - 2012 which may be caused by both increase of the number of patients and by improvement of diagnostics techniques. While the morbidity rate of virulent forms of hepatitis has decreased, the increase of the morbidity rate of chronic forms of hepatitis B and hepatitis C among the aggregate population of Moscow has been registered. The change in the age distribution of patients getting down with all forms of viral hepatitis B and C towards older patients has been observed. Men get virulent and chronic forms of hepatitis B and C 1.3 - 3.9 times more than women. The analysis of the transmission routes structure of hepatitis B and C has enabled us to establish the main risk factors contributing to transmission of these infectious diseases, namely casual sexual intercourse, drug addiction and insufficient supervision of the safety of procedures involving skin penetration in medical institutions. The main transmission route is sexual (heterosexual) transmission. Conclusion. The special aspects of the present epidemiological situation of hepatitis B and C and tuberculosis in the city of Moscow have been ascertained in the article.