Influence ofplaces of deprivation of liberty on epidemic situation of tuberculosis and HIV-infection in Russian Federation

In places of detention for the past 20 years, there has been a significant improvement in the epidemic situation of tuberculosis. In 2017, compared with 1999 in the institutions of the Federal Penitentiary Service (FPS) of Russia for the first time, patients were found to be 5.4 times less. Among the first registered patients, men predominate (93.6%), almost half (48.8 %) are under 35 years old (2017). The proportion of convicts and persons under investigation in the TB incidence rate in Russia as a whole is declining, but all major tuberculosis indicators calculated for the average number of special contingent of the Federal Penitentiary Service are decreasing every year. After the release from prison for dispensary registration, only two-thirds of the patients are admitted to anti-tuberculosis medical organizations. In the FPS of Russia in the past two years there have been signs of the beginning of stabilization of the incidence of HIV infection and mortality from it. Every second patient with tuberculosis and almost 90% of those infected with HIV, registered for the first time in the FPS of Russia, are identified in the first days of being in the remand prison. Despite the improvement in the organization of the detection of these diseases in medical organizations of the system of the Ministry of Health of Russia, a full-scale prophylactic medical examination of the population belonging to the groups of high social risk has not been organized. In places of deprivation of liberty, the proportion of patients with co-infection (HIV-TB) among newly diagnosed TB patients and among the contingents registered was 1.6 times higher than among the permanent population of Russia. Since 2011, the incidence of co-infection and the prevalence of HIV-TB at the end of the year increased 1.4 times. But in 2017, the indicators for the first time somewhat decreased. What is it, the beginning of stabilization or temporary improvements? Time will tell.

epidemic situation, monitoring, socially significant diseases, tuberculosis, HIV-infection, FPS of Russia

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