IMPACT OF THE COVID-19 PANDEMIC ON TRENDS IN DETECTION OF PATIENTS WITH ACTIVE TUBERCULOSIS

Authors

  • N. O. Terenda I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • M. M. Ruzhytsky I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • I. Yu. Bevzyuk I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • O. N. Lytvynova I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2023.4.14420

Keywords:

tuberculosis, COVID-19 pandemic, war, adults, children, quarantine, restrictions on access to health care

Abstract

Purpose: to analyze the trends in the number of tuberculosis patients among the population of Ukraine for the five-year period from 2018 to 2022.

Materials and Methods. The study used the information database of the Center for Public Health of the Ministry of Health of Ukraine on the number of patients with a newly diagnosed active tuberculosis for the period 2018–2022 (Form 33 “Report on patients with tuberculosis”). The statistical method of research and the method of systematic analysis were used.

Results. It was found that the number of patients with a first-time diagnosis of active tuberculosis decreased by 29.4 % in the period 2018–2022, the largest decrease occurred in 2020 (by 32.9 %). The decrease occurred both among adults and children. The significant decline in 2020 was due to quarantine restrictions caused by the COVID-19 pandemic, which limited access to health care.

In 2022, the situation with the detection of patients with active tuberculosis slightly improved. However, in Kirovohrad region, there was a 5.6-fold increase in the number of children diagnosed with active tuberculosis for the first time in their lives, indicating an unfavorable epidemiological situation with active tuberculosis in this region.

In the context of a full-scale war, unfavorable conditions in access to health care remain, which are associated with migration processes, destruction of health care facilities, and disruption of communication with family doctors.

Conclusions. A significant decrease in the number of patients with newly diagnosed active tuberculosis in 2020 was found, which is associated with the COVID-19 pandemic. Prolonged quarantine measures caused by the COVID-19 pandemic have led to restrictions in access to primary and specialized medical care. This situation can potentially lead to the accumulation of undiagnosed and latent cases of tuberculosis, which can be detected at later stages and in more severe forms.

Author Biographies

N. O. Terenda, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DM (Medicine), Professor of the Department of Public Health and Health Care Management, I. Horbachevsky Ternopil National Medical University

M. M. Ruzhytsky, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

is a 4th-year student specialty «Medicine» of the I. Horbachevsky Ternopil National Medical University

I. Yu. Bevzyuk, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

is a 4th-year student specialty «Medicine» of the I. Horbachevsky Ternopil National Medical University

O. N. Lytvynova, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

PhD (Medicine), Associate Professor Public Health and Health care Management Department, I. Horbachevsky Ternopil National Medical University

References

Kornaha, S.I. (2023). Nekhtuvannya istoriyeyu tuberkulozu – shlyakh do povtornykh pomylok u borotbi z tsiyeyu pidstupnoyu neduhoyu [Neglecting the history of tuberculosis – the path to repeated mistakes in the fight against this insidious disease]. Visnyk sotsialnoyi hihiyeny ta orhanizatsiyi okhorony zdorovya Ukrayiny – Bulletin of social hygiene and health care organizations of Ukraine, 4(94), 95-101 [in Ukrainian].

Tsentr hromadskoho zdorovya MOZ Ukrayiny. Statystychni dani systemy MOZ. [Public Health Center of the Ministry of Health of Ukraine. Statistical data of the system of the Ministry of Health]. medstat.gov.ua. Retrieved from: http://medstat.gov.ua/ukr/statdanMMXIX.html [in Ukrainian].

Gao, Y., Liu, M., Chen, Y., Shi, S., Geng, J., & Tian, J. (2020). Association between tuberculosis and COVID-19 severity and mortality: A rapid systematic review and meta-analysis. J. Med. Virol., 93(1), 194-196. DOI: https://doi.org/10.1002/jmv.26311

Méchaï, F., Cordel, H., Guglielmetti, L., Aubry, A., Jankovic, M., Viveiros, M., … Cambau, E. (2020). Management of Tuberculosis: Are the Practices Homogeneous in High-Income Countries? Front. Public Health, 8, 443. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509453/. DOI: https://doi.org/10.3389/fpubh.2020.00443

Seung, K.J., Keshavjee, S., & Rich, M.L. (2015). Multidrug-Resistant Tuberculosis and Extensively Drug-Resistant Tuberculosis. Cold Spring Harb. Perspect. Med., 5(9), a017863. DOI: https://doi.org/10.1101/cshperspect.a017863

Hargreaves, J.R., Boccia, D., Evans, C.A., Adato, M., Petticrew, M., & Porter, J.D. (2011). The Social Determinants of Tuberculosis: From Evidence to Action. Am. J. Public Health, 101(4), 654-662. DOI: https://doi.org/10.2105/AJPH.2010.199505

WHO. Emergency in Ukraine: external situation report #13, published 26 May 2022: reporting period: 19–25 May 2022.

WHO. Emergency in Ukraine: external situation report #14, published 2 June 2022: reporting period: 26 May – 1 June 2022.

WHO. Ukraine crisis. apps.who.int. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/352494/WHO-EURO-2022-5169-44932-63918-eng.pdf?sequence=3&isAllowed=y.

Published

2024-02-13

How to Cite

Terenda, N. O., Ruzhytsky, M. M., Bevzyuk, I. Y., & Lytvynova, O. N. (2024). IMPACT OF THE COVID-19 PANDEMIC ON TRENDS IN DETECTION OF PATIENTS WITH ACTIVE TUBERCULOSIS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (4), 11–17. https://doi.org/10.11603/1681-2786.2023.4.14420

Issue

Section

Health and society