Tuberculosis morbidity and mortality in the Aktobe province of Kazakhstan for the period 2008-2017

摘要

Tuberculosis constitutes an extraordinary significant social problem for the population in all over the world given 10.4 million new cases registered globally in 2016. This article describes a state and dynamics of the key indexes on Tuberculosis in the Aktobe province of Kazakhstan for the decade. Aim of the research is the general evaluation of the tuberculosis key indexes across the Aktobe province during the decade 2008-2017 comparing with the country’s ones. Methods — The study has been performed retrospectively based on official records in the Tuberculosis Register. Dynamics of the tuberculosis incidence during the last 10 years across the country and the province has been analysed, along with the trends of morbidity determined by the least squares method. Average annual rates of growth (Тgr) have been determined. Results — The number of the tuberculosis cases in the Aktobe province over the decade decreased by 44.4%, reaching 57.8 per every 100,000 population in 2017 (compared to 103.0 in 2008). Nevertheless, the trend of morbidity growth across the province is relatively high compared to the republican index (-3.34 vs. -4.87). Comparative data on the different strata of population indicate that the morbidity amongst the urban inhabitants is higher than in the countryside population across the region (61.6 vs. 51.4). The death rate across the province decreased in 6.3 times: 17.1 vs. 2.7 by 2017 per 100,000. Conclusion — Current situation is featured by significant decreasing of morbidity and mortality rates. Proper filling in the Register close to international standards is needed.