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EPIDEMILOGY of ENT DISORDERS in ADULT POPULATION of AGRICULTURAL REGION DOI: 10.36740/Wlek202105134

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EPIDEMILOGY of ENT DISORDERS in ADULT POPULATION of AGRICULTURAL REGION DOI: 10.36740/Wlek202105134 © Aluna Publishing Wiadomości Lekarskie, VOLUME LXXIV, ISSUE 5, MAY 2021 REVIEW ARTICLE EPIDEMILOGY OF ENT DISORDERS IN ADULT POPULATION OF AGRICULTURAL REGION DOI: 10.36740/WLek202105134 Vladyslav A. Smiianov, Tetiana V. Yemets, Yevhen V. Smiianov, Polina O. Hornostaieva SUMY STATE UNIVERSITY, SUMY, UKRAINE ABSTRACT The aim: To study and analyze Sumy region population morbidity dynamics taking into account current stage of medical reform. Sumy region here is represented as one of the main agricultural regions of Ukraine. The prevalence of ENT disorders (otolaryngologic diseases) was studied. Materials and methods: During the study we used data of statistical report of Public Health Board, Sumy State Administration for the period from 2015 to 2019 years by administrative territories. Obtained results were processed, using general statistics methods and analyzed, using structural-logical analysis. Conclusions: The study found that the morbidity rates of ENT disorders in adult population during the study period increased and had levels of 2113.0 and 122.1 per 100 thousand adult population, respectively, and the prevalence rates and the prevalence rates of ENT disorders among the adult population decreased , respectively to 167.7; 2113,0; 665.1 and 389.9. All indicators have reliable differences in terms of administrative territories of the region. The results of the study should be taken into account in the process of reforming the otolaryngological service in the region. KEY WORDS: agricultural region, adult population, ENT disorders, morbidity, prevalence, index Wiad Lek. 2021;74(5):1229-1236 INTRODUCTION Administration for the period 2015-2019 in the context Ukraine now is in the middle of the process of reforming of administrative territories were used. the country’s health system [1] with the priority devel- The results obtained during the study were processed opment of primary health care based on the principles using conventional statistical methods and analyzed using of general medical practice – family medicine [2.3], the the structural logic analysis method. recognition of a general practitioner-family doctor as a This study was approved by the ethics committee of the doctor of first contact within the health system [4]. Sumy State University, which determined that the general The second important direction of the reform is the in- ethical rules of humane treatment of patients were observed troduction of a program of state guarantees of free medical when working with patients in accordance with the re- care [5], accompanied by changes in the organization of quirements of the Tokyo Declaration of the World Medical activities and financing of health institutions [6]. Association and the International Recommendations of the At the same time, the need of the population in certain types Helsinki Declaration of Human Rights. of medical care that are determined by the morbidity and diseases prevalence levels in the population, is important in planning of the network and resources of health institutions. REVIEW AND DISCUSSION In determining the relevance of the topic of the study, we At the first stage of the study, an analysis of themorbidity assumed that ENT diseases are ones of the most common rates in adult population of the Sumy region with ENT in the population [7, 8]. diseases was carried out. Table 1 demonstrates data on the morbidity rates in adult population of the region with ear diseases by the administrative THE AIM territories of the region in the dynamics of 2015-2019 (Table 1). Investigate and analyze the dynamics of the morbidity in adult An analysis of the data presented in Table 1 indicates that population of the Sumy region of Ukraine, as an agricultural in the whole area, the morbidity rate in adult population region, and the prevalence of ENT diseases in them, taking with ear disease increased by 47.1% and equals 2113.0 per into account the present stage of the health sector reform. 100 adults. At the same time, increasing of this index was recorded in the territory of 17 (94.4%) rural administra- tive territories and 4 (57.1%) cities (towns) of the region. MATERIALS AND METHODS The largest level ofindex increasing was recorded in the During the study, data from the sectoral statistical re- territory of the Seredyna-Buda distcrict (347.6%) which porting of the Health Department of the Sumy State equals 496.7 per 100 adults. 1229 Vladyslav A. Smiianov et al. Table 1. Sumy region ear diseases morbidity rate in adult population, 2015-2019 yrs. (per 100 thousand of adult population) years/rates (indexes) 2019 to 2015 yrs. Administrative territory 2015 2016 2017 2018 2019 % Sumy region 1436,4 1489,2 1509,2 1363,8 2113,0 147,1 Districts of the region Bilopillia 1645,4 1681,1 1682,0 1621,8 2488,1 151,2 Buryn 1617,1 1665,8 1555,8 1541,8 3331,7 206,0 Velyka Pysarivka 775,9 654,8 988,0 1524,2 2103,0 271,0 Hlukhiv 1233,7 1002,3 862,7 862,1 1365,8 110,7 Konotop 1248,3 1270,3 1405,7 1274,4 1736,5 139,1 Krasnopillia 593,3 1075,0 795,7 783,4 1540,9 259,7 Krolevets 2279,7 2359,5 2253,9 1984,1 3407,2 149,5 Lebedyn 1264,5 1812,1 1218,7 1485,8 2320,6 183,5 Lypova Dolyna 1219,4 1429,9 1256,8 1121,8 2257,8 185,2 Nedryhailiv 706,0 - 28,8 203,7 635,6 90,0 Okhtyrka 1312,8 1503,2 1509,2 1488,2 1961,4 149,4 Putyvl' 1007,0 823,9 1127,8 1360,9 1968,1 195,4 Romny 1657,5 1899,2 2251,4 2633,8 3577,0 215,8 Seredyna-Buda 142,9 333,6 1063,8 1680,6 496,7 347,6 Sumy 1399,5 1421,4 1420,6 1421,7 2492,2 178,1 Trostianets 1132,6 1644,7 1546,4 1894,1 2814,5 248,5 Shostka 1371,6 1268,3 1520,9 1463,8 2230,4 162,6 Yampil 572,5 743,9 - - 1541,2 269,2 Towns of the region Sumy (city) 1889,5 1879,7 1804,9 997,4 1807,5 95,7 Hlukhiv (town) 1585,0 1303,7 1129,4 1244,5 1390,1 101,0 Konotop (town) 1376,8 1422,4 1629,2 1449,1 1375,9 99,9 Lebedyn (town) 1773,2 2178,0 1585,5 1823,1 1430,1 80,6 Okhtyrka (town) 1684,8 1794,3 1787,7 1841,9 1849,4 109,8 Romny (town) 2252,1 2220,7 2649,1 3275,5 3761,3 167,0 Shostka (town) 1540,0 1438,9 1748,3 2492,6 2178,5 141,5 The margin difference of the index by administrative Analysis of the data given in Table 2 indicates that during districts of the region equals 7.2 times: from 496.7 in Sere- the study period, the current morbidity rate in adult pop- dyna-Buda dt. to 3577.0 in Romny dt. At the same time, in ulation of the region decreased by 17.9% and equaled to 2016 in Nedryhailiv dt. and in 2017- 2018 in the Yampil 167.7 per 100 thousand adult population. dt, according to official statistical reports, ear diseases in By the rural administrative territories of the region, this adult population were not recorded at all. index differs 42.1 times: from 13.5 in Lebedyn to 568.5 in The margin index differenceby cities of the region is 2.7 Romny dt. At the same time, in the territory of 10 (55.6%) times: from 1375.9 in Konotop to 3761.3 in Romny. districts during the study, the increasing of morbidity with In the structure of level indexes of ear diseases, the main throat diseases in adults was recorded, and in the territory diseases in 2019 were middle ear and papilliform process of 7 (38.9%) districts, on the contrary, the decreasing was diseases (32.7% with an indicator of 691.5), hearing loop recorded. The highest rate of increasing in the morbidity (2.5% with an indicator of 52.0), chronic otitis of the middle rate was recorded in Krasnopillia dt (335.5%), and the high- ear (0.6% with an indicator of 11.9). est rate of decreasing was recorded in Lebedyn (77.3%) dt. Further, the analysis of the morbidity rates of the adult Among cities (towns) of the region, the margin differ- population of the Sumy region by administrative territories ence the index varies in 15.6 times: from 18.0 in Lebedyn for the period 2015-2019 throat disease was conducted. to 281.2 in Romny. At the same time, in the territory of 3 The obtained data are given in Table 2. (42.9%) towns during the study period, an increasing of 1230 EPIDEMILOGY OF ENT DISORDERS IN ADULT POPULATION OF AGRICULTURAL REGION Table 2. Sumy region throat diseases morbidity rate in adult population, 2015-2019 yrs. (per 100 thousand of adult population) years/rates (indexes) 2019 to 2015 yrs. Administrative territory % 2015 2016 2017 2018 2019 Sumy region 204,3 215,8 212,2 189,5 167,7 82,1 Region districts Bilopillia 313,9 318,6 321,0 283,5 238,6 76,0 Buryn 79,4 93,5 208,4 197,6 154,3 194,3 Velyka Pysarivka 17,9 - 16,0 40,3 50,2 280,4 Hlukhiv 270,7 246,1 192,9 196,4 209,1 77,4 Konotop 217,1 206,3 221,4 196,2 195,9 90,2 Krasnopillia 39,2 81,3 86,5 61,5 131,5 335,5 Krolevets 202,0 193,7 174,6 203,1 213,3 105,6 Lebedyn 59,5 182,0 7,9 32,4 13,5 22,7 Lypova Dolyna 81,3 53,7 116,2 104,5 96,7 118,9 Nedryhailiv 69,3 - 14,4 - 46,3 66,8 Okhtyrka 118,0 147,9 157,0 155,5 126,1 106,9 Putyvl' 288,3 176,7 208,4 171,3 484,7 168,1 Romny 306,4 418,9 549,9 607,8 568,5 185,5 Seredyna-Buda - 31,9 168,7 117,5 51,2 - Sumy 233,6 185,9 195,7 199,1 179,5 76,8 Trostianets 74,2 101,3 94,9 100,8 90,9 122,5 Shostka 223,5 177,6 240,9 133,9 99,9 44,7 Yampil 255,2 241,4 238,9 304,6 279,8 109,6 Towns of the region Sumy (city) 264,4 289,7 216,8 161,7 88,8 33,6 Hlukhiv (town) 341,9 312,3 211,4 224,1 287,1 118,7 Konotop (town) 230,2 239,1 250,9 116,5 237,0 103,0 Lebedyn (town) 106,9 195,7 9,4 31,2 19,2 18,0 Okhtyrka (town) 157,1 174,2 209,1 232,2 128,3 81,7 Romny (town) 370,7 562,2 714,8 811,5 1042,4 281,2 Shostka (town) 247,2 207,7 261,8 199,4 120,1 48,6 the index was recorded, and in the territory of 4 (57.1%) difference of the index by administrative rural areas varies by towns decreasing was registered.
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