MEDICAL AND SOCIAL CONSEQUENCES OF THE MERGING EPIDEMICS OF TUBERCULOSIS AND HIV INFECTION IN THE SIBERIAN REGION
The article presents the results of a retrospective epidemiological study of the manifestations of tuberculosis and HIV infection on the territory of the Siberian Federal district. Morbidity of HIV infection in the Siberian Federal district was characterized by a pronounced trend to an increase (131,5 per 100,000 of population.). The detection rate of HIV infection by 80 % exceeded the average Russian level. Regions with the high prevalence of HIV were revealed - Kemerovo (1059,6 per 100 thousand population), Irkutsk (941,5), Novosibirsk (591,5). The incidence of tuberculosis in the Siberian Federal district by 70.0% exceeded the average Russian level (97,6 per 100 thousand of population.). The incidence of tuberculosis associated with HIV infection amounted to 45.4 per 100 thousand of population (the average for Russia is 19,7 per 100 thousand of population). The large incidence of tuberculosis in the population of HIV-infected persons, as well as indicators of disability and mortality, evidenced on a merger of the two epidemics and the adverse medical and social consequences. Negative indicators of disability due to tuberculosis (49,8) and mortality from HIV infection (21,3) indicate the need for optimization of the system of epidemiological surveillance and control of infections.