EPIDEMIOLOGICAL SITUATION OF TUBERCULOSIS AMONG CHILDREN OF ODESSA REGION

Background. We analyzed the incidence of tuberculosis morbidity, mortality among children and adolescents of the Odessa region during a 3 year period.

Methods. The main indexes were analyzed due to the official “Indicators of TB services in Odessa region”.

Results. In 2011, the incidence of tuberculosis in children at the Odessa region was 8.2 per 100 thousand populations, which exceeds the average incidence in Ukraine. In our region we have one mortal case from general 5 ones in Ukraine. At the same time, the incidence in our region among adolescents has slightly increased, and in the country as a whole decreased by 3.5%. But we can observe cases of drug-resistant tuberculosis in this age group. And generally 25% cases of tuberculosis in adolescents in our region were caused by drug-resistance strain of Mycobacterium tuberculosis.

Conclusions. The high level of tuberculosis among children and adolescents depends on the following: increase in tuberculosis morbidity with HIV, increase in drug-resistant tuberculosis, low motivation of parents for timely visiting doctor and insufficient access to hospital. We can resolve these problems only by realization of state policy, which bases on principles of general and equal access of population of different age to tuberculosis prophylaxis, diagnostic and treatment