Aim - to analyze the dynamics of morbidity and mortality from pneumonia in children under 1 year of age in the Republic of Kazakhstan for 10 years since the introduction of vaccination against pneumococcal infection in the National Immunization Schedule of the Republic of Kazakhstan in 2010. A retrospective cross-sectional study was carried out using the statistical collection of the National Scientific Center for Health Development named after S. Kairbekova from 2010 to 2020. The criterion for the study of epidemiology was the incidence of pneumonia in children under 1 year of age per 1000 children. The indicator compared with 2010 in the year, the incidence decreased by 34.0 cases, and amounted to 20.1 cases. In 2010, it was 54.1 cases. Analyzing the lethality of children from pneumonia by region, we also decided to show the top 5 regions with a high rate. This list in 2010 included Akmola (n=149.7), Turkestan (n=79.7), West Kazakhstan (n=76.9), Kostanay regions (n=66.1) and the city of Nur-Sultan (until 2019, the city of Astana) (n=69.5). The indicator for the republic in 2010 was 54.1 cases per 1,000 children. The incidence per 1000 children in 6 regions and 1 city is higher than the republican indicator. In 2020, in Kazakhstan, the incidence of pneumonia in children under 1-year-old per 1000 children was 20.1 cases. In such regions as Akmola, Turkestan, North Kazakhstan, Kostanay and Zhambyl regions, the indicators are the highest in the country. From 2010 to 2020, the incidence of pneumonia in children under 1 year of age tends to decrease in Kazakhstan, however, the city of Almaty shows a relatively high proportion of the total mortality for all diseases under 1 year of age. This work is analytical, and further work with a study of immunization of children against pneumococcal infection is required for a full study. A curve should be plotted on parental refusals to vaccinate over a given period of time.
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