ЧАСТОТА РАЗВИТИЯ ТУБЕРКУЛЁЗА СРЕДИ ГРАЖДАН РЕСПУБЛИКИ ТАДЖИКИСТАН, ВЫЕЗЖАЮШИХ В ТРУДОВУЮ МИГРАЦИЮ

Abstract

Objective: To study the incidence of tuberculosis among migrants using active mass screening methods. Methods: The analysis of the statistical data conducted the incidence of tuberculosis in the general population and the citizens, who are leaving for labor migration. Methods of active phased screening, complaints survey and anamnesis, skin testing, fluorography and laboratory examination were used. Results: Analysis of the WHO calculation parameters for morbidity and mortality from tuberculosis showed a persistent tendency to decrease of these indicators. The analysis of state statistics on both indicators has revealed a direct correlation orientation with the WHO calculation indicators. The analysis showed a persistent tendency to reduce the estimated incidence of tuberculosis, from 2000 to 2016, from 220 to 65 per 100 thousand of the population. Similar dynamics are noted in the analysis of the WHO calculated figure for tuberculosis mortality, which decreased from 20 per 100,000 in 2000 to 2.8 per 100,000 in 2016. Extrapolation of these data to indicators of the incidence of tuberculosis in migrants showed unstable dynamics, manifested in different years as a slump, and to grow. Conclusion: The problems of tuberculosis and migration are a consequence of socio-economic instability in Tajikistan. Implementation of a complex of active screening measures, ensure the availability of migrants to diagnostic and treatment and preventive services have an effective result, reflected in the reduction in the number of new cases of tuberculosis among labour migrants. Keywords: Tuberculosis, screening, migrants, accessibility, morbidity, mortality.