Regional tuberculosis control service: formation and prospects for increasing its efficiency (on the example of preventing the spread of tuberculosis in the Kursk region)

V.M. Kolomiets, E.V. Gavrilyuk, N.P. Balobanova, R.Sh. Valiev, M.A. Alymenko, V.A. Lipatov, V.A. Sidnyaev, N.A. Gerbig, E.A. Kamyshnikova, A.V. Veryaskina

1) Kursk State Medical University, Kursk, Russia; 2) Moscow Financial and Industrial University “Synergy”, Faculty of Medicine, Moscow, Russia; 3) Kazan State Medical Academy – Branch Campus of RMACPE, Kazan, Russia

Background. The pathomorphosis of tuberculosis at the regional level should be studied in order to predict antiepidemic measures during the implementation of state programs.
Objective. Analysis of the functional state and effectiveness of the tuberculosis control service in the context of ongoing COVID-19 to predict the volume and main directions of measures to prevent the spread of tuberculosis among the population of the Kursk region.
Methods. Data on the spread of tuberculosis infection from state statistics reports, periodicals, and authors’ observations over 30 years were analyzed.
Results. The features of the spread of tuberculosis infection among the population of the region and the effectiveness of antiepidemic measures carried out during the twentieth and early twenty-first centuries in various socio-economic conditions were revealed. High efficiency of the developed domestic antiepidemic measures, including in the COVID-19 pandemic, was established.
Conclusions. The developed domestic regimes for preventing the spread of the disease have proven their effectiveness in various conditions and only need to be modified taking into account the achievements of medical science and practice. There is an urgent need to restructure the system of providing tuberculosis care to the population, including the structure of tuberculosis institutions. The most promising option for reorganizing the tuberculosis control service in the context of pandemics is the integration of its functions with the activities of other services for the prevention of socially significant infectious diseases.

Keywords

About the Authors

Vladislav M. Kolomiets, Dr. Sci. (Med.), Professor of the Department of Clinical Immunology, Allergology and Phthisiopulmonology, Kursk State Medical University, Kursk, Russia; vlacom@mail.ru, ORCID: https://orcid.org/0009-0002-2042-4460, Scopus Author ID: 594235
Evgeniya V. Gavrilyuk, Dr. Sci. (Med.), Associate Professor, Head of the Department of Internal Medicine, Institute of Continuous Education, Kursk State Medical University; Pulmonologist, Kursk Regional Multidisciplinary Clinical Hospital, Kursk, Russia; ganneta@list.ru, eLibrary SPIN-code: 7688-9948, AuthorID: 674799, Scopus Author ID: 57201613605, ORCID: https://orcid.org/ 0000-0001-5904-2828
Natalia P. Balobanova, Cand. Sci. (Biol.), Associate Professor, Head of the Department of General Biology and Pharmacy, Moscow Financial and Industrial University «Synergy», Faculty of Medicine, Moscow, Russia; Balobanova.np@yandex.ru, eLibrary SPIN-code: 2322-3924, Author ID: 57216767411, Scopus Author ID: 57208336716
Ravil Sh. Valiev, Dr. Sci. (Med.), Professor, Chief Phthisiologist of the Volga Federal District, Honored doctor of Russia and the Republic of Tatarstan, Head of the Department of Phthisiology and Pulmonology, Kazan State Medical Academy – branch of the Russian Medical Academy of Postgraduate Education, Kazan, Russia; ravil.valiev@tatar.ru, eLibrary SPIN-code: 4028-4329, AuthorID: 784016, Scopus Author ID: 7103235075, ORCID: https://orcid.org/0000-0001-8353-8655
Maxim A. Alymenko, Cand. Sci. (Med.), Assistant, Department of Phthisiology and Pulmonology, Kazan State Medical Academy – branch of the Russian Medical Academy of Postgraduate Education, Kazan; Associate Professor, Department of General Biology and Pharmacy, Moscow Financial and Industrial University «Synergy», Moscow, Russia; maxim.alymenko@gmail.com, eLibrary SPIN-code: 7833-4640, ORCID: https://orcid.org/0000-0001-7341-3648, Scopus Author ID: 57189520353, ResearcherID: HGC-7298-2022
Vyacheslav A. Lipatov, Dr. Sci. (Med.), Professor, Vice-Rector for Research and Innovative Development, Professor of the Department of Operative Surgery and Topographic Anatomy, Head of the Laboratory of Experimental Surgery and Oncology, Research Institute of Experimental Medicine, Kursk State Medical University, Kursk, Russia; drli@yandex.ru, ORCID: https://orcid.org/0000-0001-6121-7412, eLibrary SPIN code: 1170-1189, Scopus Auhor ID: 6603948707, WoS Researcher ID: D-8788-2013
Vitaly A. Sidnyaev, Clinical Psychologist, Student of the Medical Faculty, Moscow Financial and Industrial University «Synergy», Moscow, Russia; vitaliysidnyaev@mail.ru, ORCID: https://orcid.org/0009-0002-5327-7794 (corresponding author)
N.A. Gerbig, Kazan State Medical Academy – branch of the Russian Medical Academy of Postgraduate Education, Kazan, Russia; ORCID:
https://orcid.org/0009-0005-2748-2630
E.A. Kamyshnikova, Kazan State Medical Academy – branch of the Russian Medical Academy of Postgraduate Education, Kazan, Russia; ORCID:
https://orcid.org/0009-0000-7564-1855
A.V. Veryaskina, Kazan State Medical Academy – branch of the Russian Medical Academy of Postgraduate Education, Kazan, Russia; ORCID:
https://orcid.org/0009-0001-5544-2354

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