EPIDEMIOLOGIC SITUATION FOR TUBERCULOSIS IN THE FAR EASTERN FEDERAL DISTRICT AND THE REPUBLIC OF SAKHA (YAKUTIA)

Aim. Complex evaluation of epidemiologic situation for tuberculosis on the territory of the Far Eastern Federal District (FEFD) and the Republic of Sakha (Yakutia). Materials and methods. Data (morbidity, prevalence, mortality, genotypes of Mycobacterium tuberculosis), characterizing, epidemiologic situation for tuberculosis from 2002 - 2014 were used. Results. The highest parameters of tuberculosis morbidity from all the regions of Russian Federation were registered in FEFD, and from all the territories of the region the highest levels were registered in Primorsky Region and Jewish Autonomous Region (166.3±6.2 %ooo and 166.1±4,8 °/oooo, respectively), and lowest - in Magadan Region and Yakutia (76.0±2.1 °/oooo and 78.6±1,9 70000, respectively). In the regions, located in the arctic zone of the Republic of Yakutia, epidemiologic situation is characterized as non-welfare. Moreover, the highest parameters of moibidity for tuberculosis were registered among low-number peoples of the north. Conclusion. Integral evaluation of the main epidemiologic parameters allows to conduct a more in-depth comparative evaluation of the epidemiologic situation. Taking into account such an approach, in the FEFD the most non-welfare situation was established to be registered in Primorsky Region, and in Yakutia the most welfare occurs. Monitoring of the circulation of genotypes of Mycobacterium tuberculosis allows to assume a possibility of displacement of genotype S by more aggressive (transmissive) subtypes of Beijing genotype