ANALYSIS OF THE LONG-TERM DYNAMICS OF THE GENERAL MORBIDITY AMONG RURAL RESIDENTS LIVING IN REGION SPECIALIZING IN HORTICULTURAL AND COTTON GROWING

Abstract

Introduction. The trends study of morbidity allows to develop the strategies to eliminate inequalities in health between residents of rural areas, specialized on different sectors of agriculture. Aim. Comparative assessment and analysis of long-term dynamics of general morbidity among rural residents of horticultural and cotton-growing regions. Material and methods. We conducted analysis the data of statistical reporting of two five-year periods (2007-2011 and 2014-2018). Systematically evaluated database of Sanitation, Epidemiology and Health care Departments of Tashkent Province included the morbidity of adult residents living in Bostanlyk (horticultural) and Chinaz (cotton growing) regions. The analysis of the general morbidity was carried out according to ICD-10. Results and discussion. Dynamic obser- vations shown an increase of 6 leading classes of diseases (III, IV, IX, X, XI and XIV) in the cotton-growing region in 2014-2018 compared to 2007-2011 (78,3 ± 0,15 against 86,4 ± 0,12%; р < 0,001). The morbidity rates of the 14 classes of diseases out of 17 registered were almost 2 times higher in the cotton growing region than in the horticultural region (р < 0,05-0,001). Comparative analysis of the results in long-term dynamics show to a decrease in the general morbidity which is more pronounced in the horticultural region. The revealed correlation between the general morbidity in 15 classes of diseases with the volume of mineral fertilizers and pesticides used had a high level in the cotton-growing region. Conclusion. The results of this kind of research make it possible to timely identify trends in the spread of dis- eases, the reasons for the prevalence of certain classes of diseases and develop preventive measures. In our opinion the decrease of morbidity rate in the studied regions - is the result of the ongoing large-scale reforms in the health care system in the rural areas including a program to reduce the use of pesticides and fertilizers.