Analysis of the incidence rate for the newly registered active extrapulmonary tuberculosis in Ukraine and Sumy region

Abstract

Objective — to study of the condition and analysis of the incidence rate for the newly registered with active extrapulmonary tuberculosis among the residents of Sumy region in the period 2004—2020.
 Materials and methods. A statistical analysis of the incidence of tuberculosis of Sumy region residents registered in 2004—2020 was retrospectively studied and conducted.
 Results and discussion. According to the results of a retrospective statistical analysis of the incidence of tuberculosis during 2004—2020 in Sumy region 9664 patients with tuberculosis were registered. In terms of TB incidence rates, Sumy region was at an average level among other regions of Ukraine.The incidence of tuberculosis in Sumy region from 2004 to 2019 remained at the same level (46.4 and 47.4 per 100 thousand population, respectively). The decrease in morbidity in these years in Ukraine from 72.0 to 47.6 per 100 thousand population, compared to Sumy region is not evidence of positive dynamics. It is rather negative, as it is related to the exclusion from the statistical exchange of the occupied territories of Donetsk and Luhansk regions and Crimea.The share of children in the overall structure of tuberculosis in Sumy region increased from 2.2 % in 2004 to 2.7 % in 2020.The number of patients with extrapulmonary tuberculosis in Sumy region is 14.6 %, and in Ukraine 10.7 %.At the same time, 68 % of children under 14 years of age in Sumy region who fell ill with tuberculosis during the studied (2004—2020) years had extrapulmonary localization of tuberculosis, which is 11.3 % more than in Ukraine as a whole. Unfortunately, the tendency to reduce the incidence of tuberculosis, including extrapulmonary in this age group is not observed. The same applies to adolescents aged 15—17. The predominance of extrapulmonary tuberculosis (68.0 %) in children and adolescents aged 15—17 years (27.9 %) in Sumy region and in 56.7 % and 15.9 % respectively in Ukraine is evidence of significant organizational miscalculations in the tuberculosis industry and in the provision of medical care in Ukraine in general.
 Conclusions. The incidence of tuberculosis in Sumy region from 2004 to 2019 remained at the same level (46.4 and 47.4 per 100 thousand population, respectively).The number of patients with extrapulmonary tuberculosis in Sumy region is 14.6 %, and in Ukraine 10.7 %. The share of extrapulmonary tuberculosis (68 %) in children and adolescents aged 15—17 (27.9 %) in Sumy region and 56.7 % and 15.9 % in Ukraine, respectively, is a very unfavorable indicator, which indicates the lack of specialists in Ukraine from extrapulmonary tuberculosis.