MEDICO-SOCIAL ASPECTS OF THE GENERAL AND PRIMARY DISABILITY IN CHILDREN POPULATION LIVING IN THE URBANIZED AREA

Abstract

The aim of the investigation was to make an analysis of the primary and general disability in children population living in the industrial Levoberezhniy district of the city of Voronezh under the exposure to the constant anthropogenic load. The analysis was made according to the statistical form №19 «Information about children with disabilities». The duration of the period of the investigation amounted of 9 years (2009-2017). The general disability level in the industrial Levoberezhniy district was determined to be 11.24±0.33 / 1000 of the children population, and primary disability level accounted for - 1.36±0.18 / 1000 of children population. The most number of children with disabilities is in the group of 5-9 years. The majority of disabled children were shown to be boys (60.48±0.86%). Diseases of the nervous system held the 1st position in rank-abundance distribution in the general invalidity structure of children - 24.7%, (cerebral palsy and other paralytic disorders were the most frequently occurred), 2nd was occupied by congenital anomalies - 23.59% (out of them, anomalies of the nervous system), 3rd - diseases of the ear and mammillary tubercle - 17.68%, 4th - endocrine - 11.32% (of them diabetes), 5th - diseases of the bone-muscular system and connective tissue - 5.26% (of them juvenile arthritis). Structure of reasons for the primary disability in different age groups and general age structure have the important practical value for planning of the medico-social inspection and rehabilitation of children with disabilities.