Medical and demographic situation and morbidity of the population of the Amur region

Abstract

The situation with the COVID-19 pandemic has to some extent changed the structure of morbidity and mortality in the Russian Federation and its regions. Aim of the study. Based on an analysis of the medical and demographic situation in the Amur Region, the Far Eastern Federal District and the Russian Federation in the context of the COVID-19 pandemic, recommendations are given for making managerial decisions at the municipal, regional and federal levels. Materials and methods of research: statistical, analytical. The materials of official state statistics of the Ministry of Health of the Russian Federation and Rosstat were used. Results and discussion. The mortality rates of the population of the Amur Region, the Far Eastern Federal District and the Russian Federation for the years of analysis (2016-2020) have been studied. It was revealed that in the Amur region. the indicators are higher for all the years of analysis, in 2020 they amounted to 16.2 parts per thousand, in the Far Eastern Federal District - 13.9 parts per thousand, in the Russian Federation - 14.6 parts per thousand. The difference in mortality rates in the administrative entities of the Amur Region (2020) is 2.3 times. The mortality rate of the population of the Amur Region from COVID-19 (in 2020) was 0.84 parts per thousand 00, for the urban population it is higher - 0.93 parts per thousand 00, than for the rural population - 0.67 parts per thousand 00. The first detected incidence of the population in the Amur Region, the Far Eastern Federal District and in the Russian Federation (2020) was studied. It has been established that in the Amur Region the figures are higher - 80294.8 per 100 thousand of the population than in the Far Eastern Federal District (74596.5), in the Russian Federation (75840.1). In the Amur Region, there are higher rates of primary morbidity with diseases of the digestive system. Very high rates were noted in Tynda and Zeya, which determines the need for an in-depth study of the causes of this incidence in the region. The frequency of detected COVID-19 in the Amur Region was 3141.3 per 100 thousand of the population (3.9% of the total number of primary incidence), in the Far Eastern Federal District - 3394.9 parts per thousand 00 (4.55%), in the Russian Federation - 3384.5 parts per thousand 00 (4.46%). The primary incidence of the entire population of the Amur Region has decreased over the years of analysis (2016-2020). Higher rates of newly diagnosed morbidity were noted in children (0-14 years old) and adolescents (15-17 years old) than in the general population, which requires strengthening preventive work with this age group of the population. Conclusion. The identified features of the medical and demographic situation in the Amur Region should be taken into account by the heads of governments at the municipal regional and federal levels in order to develop management decisions. Taking into account the COVID-19 pandemic and with a focus on the health of the future.