Peculiarities of epidemiological situation with tuberculosis in a small town of Russian middle part in the last 20 years
The work aims to assess the dynamics of the main epidemiological indicators for tuberculosis in Syzran (Privolzhsky FD), one of the oldest cities in Russia. The socio-economic, demographic characteristics of Syzran, the state of the city's anti-tuberculosis service, and the main epidemiological indicators (morbidity, mortality) for tuberculosis over 20 years from 1995 to 2015 were studied. Results. The city of Syzran reflects the situation on average in Russia: the population is aging, the number of jobs is decreasing. The tuberculosis incidence in Syzran in 2015 decreased by 24.7% compared with 2014 and does not exceed 60 cases per 100 thousand of the population. The preserved traditions in the work and structure of the TB service allow one to have tuberculosis incidence rates in Syzran that do not exceed similar indicators in the Samara Region and the Russian Federation. The article shows the problems not only of phthisiology, but also cities reflecting the all-Russian: organizational, personnel, demographic, increasing prevalence of drug-resistant tuberculosis and tuberculosis associated with HIV infection.