THE COMPARISON OF THE TB EPIDEMIOLOGY AND SYSTEM OF TB CONTROL ACTIVITIES IN LONDON AND MOSCOW
Abstract
The article discusses the features of the epidemiology of tuberculosis and the organization of TB control activities in the capital-metropolis on the example of London and Moscow. In these cities there is about the same incidence of tuberculosis (about 40 per 100 thousand population) and similar problems with a significant number of migrants and persons at risk of tuberculosis. At the same time, the organization of TB control in London and Moscow differs significantly: a decentralized system based on the registration of cases
for treatment which is provided preferably on an outpatient basis, in the first capital, and centralized system with dispensary follow-up of patients and mainly hospital treatment – in the second capital. Such approaches are related primarily to different epidemiological environment of the considered cities: low incidence in the whole of Great Britain, which is 3 times lower than in London, and a high incidence in other regions of the Russian Federation, which is 1.7 times higher than in Moscow.
About the Authors
P. P. Sel’tzovsky
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»; ГБОУ ДПО «Российская медицинская академия последипломного образования Минздрава России»
Russian Federation
Russian Federation
L. N. Rybka
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
E. M. Belilovsky
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
References
1. Итоги Всероссийской переписи населения 2010 года. Том 4. Национальный состав и владение языками, гражданство: [Электронный ресурс]. URL: http://www.gks.ru/free_doc/ new_site/perepis2010/croc/perepis_itogi1612.htm (Дата обращения 10.06.2014).
2. Литвинов В.И., Сельцовский П.П., Рыбка Л.Н. и др. Туберкулез в городе Москве (2011 г.) Аналитический обзор. – М.: МНПЦБТ, 2012. – 252 с.
3. Московский статистический ежегодник, 2012: Стат. сборник.– М.: Мосгорстат, 2012. – 228 с.
4. Противотуберкулезная работа в городе Москве. Аналитический обзор статистических показателей по туберкулезу, 2012 г. / Под ред. д.м.н. Е.М. Богородской и акад. РАМН В.И. Литвинова. – М.: МНПЦБТ. – 2013. – 164 с.
5. Сельцовский П.П., Рыбка Л.Н., Кочеткова Е.Я., Горбунов А.В. Анализ особенностей эпидемиологической ситуации по туберкулезу и системы защиты населения от туберкулеза в г. Москве // Туберкулез и болезни легких. – 2011. – № 6. – С.10-16.
6. Belilovsky E., Jakubowiak W., Borisov S. et al. Diversity of the spread of TB and TB control activities in Russian regions and populations // Int. J. Tub. Lung Dis. – 2007. – Vol. 11. – N. 11. – Suppl. 1. – S181.
7. Belling R., McLaren S., Boudioni M., Woods L. Pan-London tuberculosis services: a service evaluation // BMC Health Services Research. – 2012. – Vol. 12. – 203.
8. Case for change. TB services in London. – London: London Health Programmes, 2011. – 53 p.
9. Cayla J., Orcau A., Control of tuberculosis in large cities in developed countries: an organizational problem // BMC Medicine. – 2011. – Vol. 9. – P. 127.
10. Census first results: London boroughs’ populations by age and sex. – London: Office for National Statistics, Greater London Authority, 2012. – 24 p. – URL: http://data.london.gov.uk/datastorefiles/documents/2011-census-first-results.pdf (Дата обращения 2.07.2014).
11. Citron K. M. Tuberculosis // Brit. Med. J. – 1973. – Vol. 2. – N. 5861. – P. 296-298.
12. Global tuberculosis control: WHO report 2011. – WHO (WHO/HTM/TB/ 2011.1). – 246 p.
13. Story A., Murad S., Roberts W. Tuberculosis in London: the importance of homelessness, problem drug use and prison // Thorax. – 2007. – Vol. 62. – N. 8. – P. 667- 671.
14. Seltsovsky P.P., Kochetkova E.Ya., Gorbunov A.V. Peculiarities of the epidemiologic situation for TB in Moscow // The 5th Congress of the Int. Union against Tuberculosis and Lung Dis.: Abstract Book. – Dubrovnik, 2009. – P. 66.
15. Tuberculosis in London: Annual review (2011 data). – London: Health Protection Agency, Regional Epidemiology Unit, 2012. – 71 p. – URL: http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317136048986 (Дата обращения 2.07.2014).
16. Tuberculosis in the UK: 2013 report. – London: Public Health England, 2013. – 46 p. – URL: http://tb.lshtm.ac.uk/sites/tbcentre.lshtm.ac.uk/files/attachments/pages/20140120_TB_report2013.pdf (Дата обращения 2.07.2014).
Review
For citations:
Sel’tzovsky P.P., Rybka L.N., Belilovsky E.M. THE COMPARISON OF THE TB EPIDEMIOLOGY AND SYSTEM OF TB CONTROL ACTIVITIES IN LONDON AND MOSCOW. Tuberculosis and socially significant diseases. 2015;(1):6-14. (In Russ.)
Views:
16
Email this article 