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

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Abstract

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.

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About the authors

Vladislav M. Kolomiets

Kursk State Medical University

Email: vlacom@mail.ru
ORCID iD: 0009-0002-2042-4460
Scopus Author ID: 594235

Dr. Sci. (Med.), Professor of the Department of Clinical Immunology, Allergology and Phthisiopulmonology

Russian Federation, Kursk

Evgeniya V. Gavrilyuk

Kursk State Medical University

Email: ganneta@list.ru
ORCID iD: 0000-0001-5904-2828
SPIN-code: 7688-9948
Scopus Author ID: 57201613605

Dr. Sci. (Med.), Associate Professor, Head of the Department of Internal Medicine, Institute of Continuous Education, Pulmonologist

Russian Federation, Kursk

Natalia P. Balobanova

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine

Email: Balobanova.np@yandex.ru
SPIN-code: 2322-3924
Scopus Author ID: 57208336716

Cand. Sci. (Biol.), Associate Professor, Head of the Department of General Biology and Pharmacy

Russian Federation, Moscow

Ravil Sh. Valiev

Kazan State Medical Academy – Branch Campus of RMACPE

Email: ravil.valiev@tatar.ru
ORCID iD: 0000-0001-8353-8655
SPIN-code: 4028-4329
Scopus Author ID: 7103235075

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

Russian Federation, Kazan

Maxim A. Alymenko

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine; Kazan State Medical Academy – Branch Campus of RMACPE

Email: maxim.alymenko@gmail.com
ORCID iD: 0000-0001-7341-3648
SPIN-code: 7833-4640
Scopus Author ID: 57189520353
ResearcherId: HGC-7298-2022

Cand. Sci. (Med.), Assistant, Department of Phthisiology and Pulmonology, Associate Professor, Department of General Biology and Pharmacy

Russian Federation, Moscow; Kazan

Vyacheslav A. Lipatov

Kursk State Medical University

Email: drli@yandex.ru
ORCID iD: 0000-0001-6121-7412
SPIN-code: 1170-1189
Scopus Author ID: 6603948707
ResearcherId: D-8788-2013

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

Russian Federation, Kursk

Vitaly A. Sidnyaev

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine

Author for correspondence.
Email: vitaliysidnyaev@mail.ru
ORCID iD: 0009-0002-5327-7794

Clinical Psychologist, Student of the Medical Faculty

Russian Federation, Moscow

N. A. Gerbig

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine

Email: vitaliysidnyaev@mail.ru
ORCID iD: 0009-0005-2748-2630
Russian Federation, Moscow

E. A. Kamyshnikova

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine

Email: vitaliysidnyaev@mail.ru
ORCID iD: 0009-0000-7564-1855
Russian Federation, Moscow

A. V. Veryaskina

Moscow Financial and Industrial University “Synergy”, Faculty of Medicine

Email: vitaliysidnyaev@mail.ru
ORCID iD: 0009-0001-5544-2354
Russian Federation, Moscow

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2. Fig. TB incidence for the period 2017-2023 in the Kursk region

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