ANALYSIS OF STRUCTURE AND DYNAMICS OF SOCIO-MEDICAL INDICATORS OF CHRONIC VIRUS HEPATITIS C IN UKRAINE
DOI:
https://doi.org/10.11603/2312-0967.2019.2.10185Keywords:
chronic hepatitis C, disease prevalence, structure of the diseaseAbstract
The aim of the work. To analyze the structure and dynamics of social and medical indicators of chronic viral hepatitis C (HC) in Ukraine.
Materials and Methods. The research uses the methods of marketing analysis, analytical, comparative methods and generalization of information.
Results and Discussion. The analysis have revealed that about 75 % of chronic global HC cases occur in low and middle income countries. About 47157 cases per year are registered in Ukraine, the share of HC among all diseases in Ukraine was in 2013 – 0.063 %, in 2017 – 0.087 % and tends to increase. The results of the analysis of the prevalence of HC in Ukraine are presented. The highest rates are observed in Zaporizhia and Mykolaiv regions. The average rate of increase in prevalence rates was calculated, which was 7.4 % annually. The structure of the age distribution of the disease is analyzed, so in the period 2013–2017, the adult population accounted for 98.78 % of all cases, 0.31 % for teenagers 15–17 and 0.92 % for children from 0 to 14 years, respectively. Among children aged 0–14 years, an increase in cases of chronic HC was detected in 13.25 %.
Conclusions. There is a tendency to increase the number of cases of chronic HC in the period of 2013–2017, a pronounced increase in the proportion of chronic HC is detected among all cases of the disease in Ukraine. In all regions there is an increase in the number of cases of this disease. Particular attention should be paid to regions with high prevalence rates and high rates of prevalence of this disease. Vaccines against HC do not exist, so the main efforts should be directed towards the prevention, diagnosis and treatment of the disease. In this regard, the development of ways to improve the integrated provision of high-quality medical and effective pharmaceutical care for HC patients is becoming increasingly important.
References
World Health Organization, statistics [Electronic resource, Geneva]. Available from: // https://www.who.int/gho/publications/world_health_statistics/2018/en/
Murtzazoguly A, Holubovska OA, Buggish P [Expanding the potential of hepatitis C treatment]. Zdorovya Ukrainy. 2017;3: 14-5. Russian.
Global Hepatitis Report, 2017. [Electronic resource, Geneva]. Available from: (http://www.who.int/hepatitis/ publications/global-hepatitis-report2017/en)
Holubovska OA. [Unresolved problems and new horizons in the treatment of chronic hepatitis C]. Hepatolohiia. 2015;4: 7-15. Ukrainian.
Gromova NI. [The role of chronic viral hepatitis in the formation of cirrhosis and hepatocellular carcinoma] Immunopatologiya. 2012;1: 27-44. Russian.
Dynnyk NV. [Topical issues of etiology, pathogenesis and clinics of chronic viral hepatitis C]. Klinichna med. 2012;2: 73-8. Ukrainian.
Kotvitska AA, Pastuhova OA, Liushenko MV. [Pharmacoeconomic analysis of therapy for patients with hepatitis] Formation of the National Drug Policy in the context of the implementation of health insurance: issues of education, theory and practice, 2017 Mar 15; Kharkiv. Kharkiv: National University of Pharmacy; 2017. p. 198. Ukrainian
Fediak IO [Pharmacoeconomic approaches to improving the medical provision of chronic viral hepatitis patients in Ukraine]. Candidate’s Extended Abstract. Кyiv; 2011. Ukrainian.
Kotvitska AA, Volkova AV, Horetska IV. [The study of socio-economic components of providing the pharmaceutical care to liver transplantation patients]. Sotsialna farmatsiia v okhoroni zdorovia. 2017;3: 41-8. Ukrainian. DOI: 10.24959/sphhcj.17.80 DOI: https://doi.org/10.24959/sphhcj.17.80
Romanko TA, Korzh IuV, Kalaycheva SH. [Analysis of territorial localization of subjects of the economic activity of the pharmaceutical sector of the healthcare branch in Ukraine]. Sotsialna farmatsiia v okhoroni zdorovia. 2018;4: 50-7. Ukrainian. DOI: https://doi.org/10.24959/sphhcj.18.137 DOI: https://doi.org/10.24959/sphhcj.18.137
Fitkalo OS, Pokrovska TV. [Chronic hepatitis C as a consequence of addiction]. Hepatolohiia. 2016;3: 51-7. Ukrainian.
World Health Organization. [Electronic resource, Geneva]. Available from: http://www.euro.who.int/en/health-topics/communicable-diseases/hepatitis/publications/2017/action-plan-for-the-health-sector-response-to-viral-hepatitis-in-the-who-european-region-2017
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