Туберкулез и ВИЧ-инфекция: пространственное распределение на территории Алтайского края

Abstract

The aim of the study is to analyze the spatial distribution of the prevalence of tuberculosis, HIV infection and combined pathology in the Altai Territory. Materials and methods. The statistical data provided by the Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in the Altai Territory, the Ministry of Health of the Altai Territory, Center for the Prevention and Control of AIDS and Other Infectious Diseases, Altai Tuberculosis Dispensary on the incidence of tuberculosis and HIV infection were used. The ranking was carried out by the method of sigma deviations for all administrative territories of the Altai Territory for 2019, and the cartogram was plotted. Statistical processing and graphical representation of the data obtained was carried out using the programs Statistica 13.0, Microsoft Excel 2014, and ArcGIS. The preparation of the text of the work was carried out using the Microsoft Word 2014 program. Results. A territorial analysis of TB prevalence, HIV infection and the incidence of combined pathology indicated the spread of the zone characterized by an average incidence rate. The zones of high TB prevalence are defined as 5 territories (from 270.5 to 479.4.0 per 100 thousand population). Also, Barnaul, Biysk, Belokurikhinskaya and Rubtsovskaya were defined as zones of high prevalence of HIV infection (from 843.2 to 1158.3 per 100 thousand population). The territorial distribution of the incidence of combined pathology (Tuberculosis + HIV) mirrors the zoning of HIV prevalence in 4 main zones, and the fifth zone (Slavgorod) is set. Conclusion. The zones of high prevalence of HIV infection and tuberculosis were determined by the negative socio-economic conditions of the region's development. The involvement of young people in drug addiction at a low socio-economic level of the region ensured the rapid development of the epidemic process of this infection. Modern conditions characterized by the development of resort business and tourism have determined the formation of new zones with a high incidence rate.