The paper presents the results of a three-year (2000-2002) follow-up of the movement of dispensary contingents registered in tuberculosis facilities in order to develop new dispensary groups. The dispensary groups of patients with active forms of tuberculosis have been ascertained to accumulate a great number of patients with its inactive forms due to the untimely of their transfer to the inactive groups in terms of effective treatment and the clinical forms of tuberculosis. New dispensary grouping will more definitely regulate the transfer of patients from active to inactive groups and strike from the list of dispensary patients.
View Article and Find Full Text PDFThe tuberculosis situation is complicated in Uzbekistan and in other countries of the world. In the past 5 years, due to the transition from mass prophylactic examinations to the differential surveys of population groups, the annual coverage of the population to be examined by fluorographic studies has reduced from 6 to 3.5 million along with a simultaneous rise in tuberculosis detection rates from 0.
View Article and Find Full Text PDFAfter a declining period by the mid-1980s and its stabilization in 1985-1995, the morbidity rates of tuberculosis in Uzbekistan increased in 1996 by 20.7% as compared to 1995, by 24% among children in the past decade, and 2 times among adolescents and young individuals aged under 30 years within 5 years. The rise of mortality rates is accompanied by aggravation of the clinical forms of the tuberculosis cases detected.
View Article and Find Full Text PDFThe epidemiological situation over 26 years (1970-1996) is characterized. There is a rise in tuberculosis morbidity, mortality, and detection and a deterioration of the pattern of clinical forms of tuberculosis detected with the reduced coverage of the population to be screened for tuberculosis. Measures at stabilizing the further spread of tuberculosis infection among the population and reducing morbidity rates are outlined.
View Article and Find Full Text PDFThe epidemic situation associated with tuberculosis has tended recently to aggravate in Uzbekistan, in the Aral region, arid and rural areas in particular. The pattern of detected tuberculosis has become worse. The reasons for epidemiological troubles and deteriorated organized antituberculosis work in the republic are clarified in the paper.
View Article and Find Full Text PDFThe results of mass prophylactic screening of the population for tuberculosis in the south of the Aral sea costal region have been generalized with consideration of its geographic and sanitary--epidemiologic conditions. A mixed model of comprehensive prophylactic screenings was used for the first time with integration, for the first time, of the traditional (team) and field-work methods. The obtained results proved the efficiency of this approach: during one year a total of 1,217,400 subjects or 80% of the relevant population were involved in the prophylactic screening for the first time in one region.
View Article and Find Full Text PDFThe paper presents data on inspection of sanitary and hygienic conditions in rural areas of Uzbekistan, fluorographic examination of the inhabitants, investigation of tuberculin skin sensitivity in them, the effect of pesticides on the process of tuberculosis in man, efficacy of its treatment and frequency of various mycobacterial species in tuberculous patients. It was shown that unfavourable epidemiological situation with respect to tuberculosis in the rural areas, particularly in cotton raising and cattle breeding areas were due to the unfavourable labour and living conditions, sanitary culture, situation with respect to tuberculosis in some animal farms and intensive use of pesticides in agriculture.
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