СЕЛЕКТИВНОЕ ПРОФИЛАКТИЧЕСКОЕ ФЛЮОРОГРАФИЧЕСКОЕ ОБСЛЕДОВАНИЕ СОЦИАЛЬНО-ДЕЗАДАПТИРОВАННОЙ ГРУППЫ НАСЕЛЕНИЯ г. ЯКУТСКА

Abstract

The article analyzes the effectiveness of a selective preventive fluorographic examination of a socially maladjusted group of the population, conducted in Yakutsk in 2018-2021. The socially maladjusted groups of the population include persons without a fixed place of residence and work (homeless), suffering from alcohol addiction, persons released from places of the penitentiary system. The analysis of data from field fluorographic examinations of 667 persons from a socially maladjusted group who found themselves in difficult life situations was carried out. The examination revealed 114 fluoropositive individuals with various radiographic changes in the chest organs. As a result of additional examination of fluoropositive persons in the anti-tuberculosis dispensary, active tuberculosis of the chest organs was detected in 7 persons, metatuberculous changes in the lungs - in 28, oncological and non-specific inflammatory diseases, as well as post-inflammatory changes in the lungs - in 41. The group of the population amounted to 10.5 per 1,000 examinations, which is significantly higher than the similar indicator of mass continuous examination of the entire population of the republic for 2012-2019, which amounted to 0.57 per 1,000 examinations. Thus, persons from the socially maladjusted group of the population remain one of the main risk groups for tuberculosis. Tuberculosis remains largely a social disease and requires special attention not only from healthcare organizations, but also from social protection authorities, administrations of municipal institutions, public organizations, law enforcement and justice agencies.