Prospects for the modernization of the anti-tuberculosis service in the Republic of Dagestan
In parallel with the steady trend of improving epidemiological indicators for tuberculosis in the Republic of Dagestan over the past 11 years, the concentration of this disease in the risk groups has been observed. Such groups include, first of all, HIV-infected persons, persons in contact with tuberculosis patients and with residual tuberculosis changes, alcoholics, drug addicts, patients with chronic obstructive pulmonary disease, gastric ulcer and duodenal ulcer and diabetes mellitus. In general, the incidence of tuberculosis in these decreed groups during preventive examinations is 108.5 per 100,000 and is 3.8 times higher than that of the entire population. Due to the fact that mass fluorographic examinations are becoming less effective, there is a need to modernize the TB service and it is advisable to start it from regions where the incidence is lower than 40 per 100 thousand population, including the Republic of Dagestan.