Authors
Antonov N. S.
Doctor of Medicine, Leading Researcher1; Head Researcher, Department of Public Health and Demography2
Sakharova G. M.
Doctor of Medicine, Professor, Leading Researcher1; Head Researcher, Department of Public Health and Demography2
Rusakova L. I.
Doctor of Medicine, Head, Scientific and Organizational Department1
Salagay O. O.
MD, PhD, State Secretary – Deputy Minister3
1 - Central Research Institute of Tuberculosis, Moscow, Russian Federation;
2 - Central Research Institute of Health Organization and Informatization, Ministry of Health of the Russian Federation, Moscow, Russian Federation;
3 - Ministry of Health of the Russian Federation, Moscow, Russian Federation
Remarks
Corresponding Author: Sakharova Galina; e-mail: pulmomail@gmail.com. Conflict of interest. Authors have no conflict of interest. Funding. The study had no sponsorship.
Abstract
The article analyses the dynamics of the incidence of chronic bronchitis (CB), bronchial asthma (BA) and chronic obstructive pulmonary disease (COPD) among the population of the Russian Federation in 2010-2022, both adults aged 15 and over and children aged 0-14 years. Despite the fact that the increase in the incidence of respiratory diseases (RD) in 2000-2021 was not the highest, compared with other classes of diseases, respiratory diseases currently remain the most common in the Russian Federation. In recent decades, the country has carried effective tobacco control measures, taking into account that tobacco is the leading risk factor for many RD, and adopted clinical guidelines for asthma and COPD. On the other hand, the pandemic of a new coronovirus infection COVID-19 in 2010-2021 significantly influenced the registration of newly diagnosed cases of COPD and BA, marking a sharp decrease in the incidence of registered COPD and BA. In general, for the period 2010-2022 there was a decrease in the incidence of chronic bronchitis and an increase in the incidence of asthma in the adult population. The incidence of CB and BA in the children's population has been steadily declining every year. Dynamics of COPD incidence in 2010-2022 adult population showed no significant trend. However, due to significant fluctuations in the incidence of COPD caused by the change in the statistical accounting of the nosology "other chronic obstructive pulmonary disease" in 2014 and the COVID-19 pandemic in 2020-2021, it is impossible to analyze the dynamics of the true incidence of COPD and BA in the study period.
Key words
morbidity, respiratory diseases, COPD, bronchial asthma, chronic bronchitis, morbidity dynamics
DOI
References
1. Zabolevaemost' naseleniya Rossijskoj Federacii po osnovnym klassam boleznej. Federal'naya sluzhba gosudarstvennoj statistiki, Oficial'naya statistika, Zdravoohranenie. [Morbidity of the population of the Russian Federation by main classes of diseases. Federal State Statistics Service, Official statistics, Healthcare.] Available at: https://rosstat.gov.ru/folder/13721 (In Russ.)
2. Respiratornaya medicina: rukovodstvo v 3 t. Pod red. A.G. Chuchalina [Respiratory medicine: a guide. Edit. A.G. Chuchalin] Moscow: Litterra, 2017. (In Russ.)
3. Salagaj O.O., Antonov N.S., Saharova G.M., Peredel'skaya M.Yu., Starodubov V.I. Vliyanie tabakokureniya na razvitie i techenie hronicheskogo bronhita [The effect of smoking on the development and progress of chronic bronchitis.] Profilakticheskaya medicina [The Russian Journal of Preventive Medicine] 2020; 23(4): 7-13, doi: 10.17116/profmed2020230417 (In Russ.)
4. Avdeev S.N. Hronicheskaya obstruktivnaya bolezn' legkih. [Acute exacerbation of chronic obstructive pulmonary disease.] Pulmonologiya [Pulmonology] 2013; (3): 5-19, doi: 10.18093/0869-0189-2013-0-3-5-19 (In Russ.)
5. Chuchalin A.G., Avdeev S.N., Aisanov Z.R., Belevskiy A.S., Vasil’eva O.S., Geppe N.A., Ignatova G.L., Knyazheskaya N.P., Malakhov A.B., Meshcheryakova N.I., Nenasheva N.M., Fassakhov R.S., Khaitov R.M., Il’ina N.I., Kurbacheva O.M., Astafieva N.G., Demko I.V., Fomina D.S., Namazova-Baranova L.S., Baranov A.A., Vishneva E.A., Novik G.A. Bronhial'naya astma: federal'nye klinicheskie rekomendacii po diagnostike i lecheniyu. [Federal guidelines on diagnosis and treatment of bronchial asthma.] Pulmonologiya [Pulmonology] 2022; 32(3): 393-447, doi: 10.18093/0869-0189-2022-32-3-393-447 (In Russ.)
6. Avdeev S.N., Dekhnich A.V., Zaytsev A.A., Kozlov R.S., Rachina S.A., Rudnov V.A., Sinopal’nikov A.I., Tyurin I.E., Fesenko O.V., Chuchalin A.G. Vnebol'nichnaya pnevmoniya: federal'nye klinicheskie rekomendacii po diagnostike i lecheniyu. [Federal guidelines on diagnosis and treatment of community-acquired pneumonia.] Pulmonologiya [Pulmonology] 2022; 32(3): 295-355. doi: 10.18093/0869-0189-2022-32-3-295-355
7. Federal'nyj zakon ot 23.02.2013 ¹ 15-FZ "Ob ohrane zdorov'ya grazhdan ot vozdejstviya okruzhayushchego tabachnogo dyma, posledstvij potrebleniya tabaka ili posledstvij potrebleniya nikotinsoderzhashchej produkcii". Federal Law No. 15-FZ dated February 23, 2013 "On protecting the health of citizens from the effects of secondhand tobacco smoke, the consequences of tobacco consumption or the consequences of the consumption of nicotine-containing products." Available at: https://www.consultant.ru/document/cons_doc_LAW_142515/ (In Russ.)
8. Klinicheskie rekomendacii, Bronhial'naya astma. Rubrikator klinicheskih rekomendacij Minzdrava RF, ID 359. [Clinical guidelines, Bronchial asthma. Rubricator of clinical recommendations of the Ministry of Health of the Russian Federation, ID 359.] 2021. Available at: https://cr.minzdrav.gov.ru/schema/359_2/ (In Russ.)
9. Klinicheskie rekomendacii. Hronicheskaya obstruktivnaya bolezn' legkih. Rubrikator klinicheskih rekomendacij Minzdrava RF, ID 603. [Clinical guidelines. Chronic obstructive pulmonary disease. Rubricator of clinical recommendations of the Ministry of Health of the Russian Federation, ID 603.] Available at: https://cr.minzdrav.gov.ru/recomend/603_2/ (In Russ.)
10. Nacional'naya programma "Bronhial'naya astma u detej. Strategiya lecheniya i profilaktika". 5-e izd. [National program "Bronchial asthma in children. Treatment strategy and prevention". 5th edition.] Moscow: Original maket, 2017. (In Russ.)
11. Trukhan D.I. Novaya koronavirusnaya infekciya (COVID-19) i zabolevaniya/patologicheskie sostoyaniya organov dyhaniya. [New coronavirus infection (COVID-19) and respiratory diseases/pathological conditions.] Meditsinskiy sovet [Medical Council] 2022; 16(18): 154-161. doi: 10.21518/2079-701X-2022-16-18-154-161 (In Russ.)
12. Salagay O.O., Antonov N.S., Sakharova G.M., Peredelskaya M.Yu., Demidov I.V., Starodubov V.I. Dinamika zabolevaemosti hronicheskim bronhitom v Rossijskoj Federacii pod vliyaniem gosudarstvennoj politiki, napravlennoj na snizhenie potrebleniya tabaka. [Trends in the incidence of chronic bronchitis in the Russian Federation, which are influenced by government policy aimed at reducing tobacco use.] Profilakticheskaya medicina [The Russian Journal of Preventive Medicine] 2019; 22(6), Iss. 2: 7-13, doi: 10.17116/profmed2019220627 (In Russ.)
13. Profilaktika, diagnostika i lechenie novoj koronovirusnoj infekcii COVID-19. Vremennye metodicheskie rekomendacii, Ministerstvo zdravoohraneniya RF, Versiya 5 (08.04.2020). [Temporary guidelines "Prevention, diagnosis and treatment of a new coronovirus infection COVID-19", Ministry of Health of the Russian Federation, Version 5 (04/08/2020).] Available at: https://edu.rosminzdrav.ru/fileadmin/user_upload/specialists/COVID-19/09042020_MR_COVID-19_v5.pdf. (In Russ.)
