Epidemiological situation of tuberculosis in prisons of the Russian Federation in 2023

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Abstract

Relevance. Despite significant improvement, the epidemiological situation regarding tuberculosis in Russian prisons remains not entirely favorable. It is advisable to assess the epidemiological situation regarding penitentiary tuberculosis in Russia in the post-pandemic period and against the backdrop of a special military operation. Aim: to assess the dynamics of the development of the tuberculosis epidemic situation and the state of provision of TB care in prisons of the Russian Federation in 2023. Scientific novelty: for the first time, a study of the epidemic situation of penitentiary tuberculosis was carried out in the context of a special military operation and in the period following the COVID-19 pandemic. Materials and Methods. Data from official (federal and departmental) statistical observation for 2000-2023 was studied. Results and Discussion. In 2023, there is an acceleration in the rate of decline in the incidence of tuberculosis in pre-trial detention centers to 15.8% (p<0.001), while maintaining a stable rate of decline in correctional institutions. In general, in penitentiary institutions, the incidence of tuberculosis decreased from 580,4 in 2022 to 540,0 per 100,000 in 2023. The share of new cases of tuberculosis detected in penitentiary institutions among all new cases of tuberculosis decreased from 6.49% in 2022 to 5.63% in 2023. Mortality from tuberculosis changed statistically insignificantly (from 5.8 in 2022 to 4.5 per 100,000 in 2023; p=0.5). The prevalence of tuberculosis fell to 1982.3 per 100,000. The proportion of patients with tuberculosis combined with HIV in 2023 was 36.4%. Conclusion. The special military operation and the COVID-19 pandemic did not have a negative impact on the epidemiological situation of tuberculosis in Russian prisons. There may be some positive impact of the special military operation on the epidemic situation regarding tuberculosis, associated with the involvement of socially vulnerable sections of the population in economic and defense activities, which resulted in an increase in their standard of living and a decrease in the incidence of tuberculosis, which manifested itself in a decrease in the incidence of tuberculosis in pre-trial detention centers to a historical minimum.

About the authors

Yulia V. Mikhaylova

Russian Research Institute of Health

Email: sterlikov@list.ru
ORCID iD: 0000-0001-6779-726X
SPIN-code: 2207-0492
Moscow, Russian Federation

Sergey A. Sterlikov

Russian Research Institute of Health

Email: sterlikov@list.ru
ORCID iD: 0000-0001-8173-8055
SPIN-code: 8672-4853
Moscow, Russian Federation

Sergey B. Ponomarev

Research Institute of the Federal Penitentiary Service

Email: sterlikov@list.ru
ORCID iD: 0000-0002-9936-0107
SPIN-code: 4646-6870
Moscow, Russian Federation

Yelena L. Averyanova

Pskov State University

Author for correspondence.
Email: sterlikov@list.ru
ORCID iD: 0000-0001-7925-6639
SPIN-code: 7224-2171
Pskov, Russia

References

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Supplementary files

Supplementary Files
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1. Fig. 1. Dynamics of tuberculosis incidence rate in prisons of the Russian Federation, 2000–2023

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2. Fig. 2. Dynamics of the mortality rate from tuberculosis in prisons of the Russian Federation in 2000–2023.

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3. Fig. 3. Dynamics of the prevalence of tuberculosis in prisons of the Russian Federation in 2006–2023

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4. Fig. 4. Dynamics of the number of patients suffering from tuberculosis, HIV and the proportion of patients with tuberculosis in combination with HIV in Russian prisons in 2002–2023

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Copyright (c) 2024 Mikhaylova Y.V., Sterlikov S.A., Ponomarev S.B., Averyanova Y.L.

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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