The present-day principles of tuberculosis control in Belgorod region (Russia)

Abstract

The programme of tuberculosis control, implemented in Belgorod region (Russia), is based on cooperation between local authorities, public health administration, TB- and primary medical care facilities, Regional State Center of sanitary and epidemiological supervision,
penitentiary medicine, Regional Department of Ministry of internal affairs, regional Department of Federal migration service, regional Red Cross department, mass media and community. The required legal base was worked up (regional low, regional government regulation, programmes, orders), the integrated regional TB monitoring system and personal data-base for screening by fluorography examination and so on. Primary care medical facilities are involved in TB diagnostic and treatment, especially in nidus of infection. The effectiveness of the programme confirmed by improving of the basic epidemiological indicators in 2001-2012 (all – per 100 thousands of population): the incidence decrease from 75,2 to 39,1, the prevalence – from 166,1 to 52,2, the death rate – from с 9,4 to 1,8.