State-of-the-art of antituberculosis care of the rural population in the Ukrainian SSR can be defined by advances in phthisiology. However, social, living and demographic factors as well as remoteness of specialized care for the rural population make it less effective than that for urban population. It seems possible to improve the antituberculosis care of the rural population by taking a number of measures at the level of the USSR Ministry of Health (to modify specifications, to improve supply with materials and equipment at the district level (to set up inter-district dispensaries, to centrally manage mobile fluoroscopy units, etc.
View Article and Find Full Text PDFThe levels of tuberculosis morbidity in the areas of a strict radiation control imposed as a consequence of the accident at the Chernobyl atomic power station are determined by the following two factors: outflow of young people (including children) whose tuberculosis morbidity is rather low; and lesser coverage of the population by preventive fluorographic examinations. In the majority of the areas of a strict radiation control, lesser coverage of the population by preventive fluorographic examinations has a predominant influence on the tuberculosis morbidity rates which appear to be lower than in 1985. At the same time the percentage of the destructive forms in newly diagnosed patients with respiratory tuberculosis happens to increase, while the proportion of those developing focal pulmonary tuberculosis appears to decrease.
View Article and Find Full Text PDFCharacteristics of the tuberculosis incidence in the Ukrainian SSR since the beginning of the wide use of antibacterial therapy were studied. It was shown that the delayed decrease in the incidence of tuberculosis in young persons observed lately did not correlate with further improvement of the epidemiological situation with respect to tuberculosis. It was indicated that the phenomenon stemmed from insufficient control of heavy alcohol drinking and alcoholism in the population and tuberculous patients.
View Article and Find Full Text PDFThe problem of patients who returned from other territories and were previously observed in other tuberculosis institutions is analyzed. Their number is gradually increasing. With an example of some tuberculosis dispensaries of Kiev where registration of persons from other territories is limited it was shown that 88 per cent of the patients lived in Kiev: 47.
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