Development of a complex of preventive measures and their assessment to prevent the propagation of gonococcal infection in the arkhangelsk region

Abstract

Goal of the study. To assess the efficacy of a complex of preventive measures developed in 2011-2012 for preventing the propagation of gonococcal infection in the Arkhangelsk region based on a study of the gonococcal infection morbidity dynamics in the territory of the region in 2011-2013. Study materials and methods: the authors analyzed statistics on the gonococcal infection morbidity in the territory of the Arkhangelsk region. To assess the efficacy of the complex of measures developed to prevent the propagation of gonococcal infection and other STDs in the Arkhangelsk region, the morbidity dynamics rate was calculated. Results. A complex of preventive measures for preventing the propagation of gonococcal infection in the Arkhangelsk region was developed in 2011 and was put to practical use in 2012. In 2012, the gonococcal infection morbidity rate grew in the Arkhangelsk region by 49.1% vs. 2011. Such a growth can be explained by the improved procedures for recording cases of gonococcal infection used in departmental and private medical organizations as well as optimization of the infection diagnostics methods including cultural tests and PCR, in particular, in women. In 2013, the incidence of gonococcal infection fell down as compared to 2012 (85.3 cases per 100,000 people in 2012 and 68.6 cases in 2013) including among teenagers (76.9 cases per 100,000 people in 2012 and 52.9 cases in 2013) in most municipal districts of the Arkhangelsk region (in 20 districts and towns, or 76.9% of the territory). Conclusions. Practical implementation of the complex of preventive measures developed to prevent the propagation of gonococcal infection and other STDs in the Arkhangelsk region substantially reduced the morbidity of gonococcal infection in the territory of the region. The collected data are sufficient to give a positive assessment of the developed measures and emphasize their contribution to the reduction of the morbidity of gonococcal infection.