2019 № 1 The main trends in the incidence of injuries, poisoning and some other effects of external causes in the constituent entities of the Russian Federation
Injuries, poisonings and some other causes of external causes make an indisputable significant contribution to the morbidity structure of the population of the Russian Federation. Despite the decline in the share of morbidity from external causes for 2005–2016, this cause still consistently occupies the second ranking position, causing enormous economic, and knowing a high level of violent mortality, and medico-demographic damage. Despite the positive trend of reducing the incidence of external causes, a number of subjects of the Russian Federation with extremely high values, as well as negative growth dynamics, were identified. For 2005–2016, the most negative trend in the increase in incidence from external causes was found in the Moscow Region, the Kurgan Region, the Altai Territory, the Bryansk Region, the Republic of Sakha. Of particular interest to the organizers of health care should be those areas of the Russian Federation in which low incidence rates are registered, and a positive trend of decline. It is necessary to analyze the systems of organization of medical care and medical prophylaxis, and to use subjects with the lowest incidence rates from external causes as an example in order to improve measures aimed at reducing morbidity.
2018 № 6 The role of injury, poisoning and certain other consequences of external causes of mortality in the population of the Russian Federation
The most significant dynamics of mortality reduction among the main classes is noted from external causes, according to the Russian Federation, the indicator decreased in 2017, in comparison with 2006, twice. Injuries, poisonings and some other consequences of external causes are related to «manageable» causes of mortality and are not only an important indicator of health care, but also the state of the economy and society as a whole. Despite such a significant decline, the mortality from external causes is on indicators that are 2–5 times higher than those of economically developed and developing countries. The greatest contribution to the reduction of mortality from external causes was achieved, first of all, due to road traffic injuries, as well as through injuries, the provision of medical care in which was carried out in a three-level system of trauma centers. A significant proportion in the structure of mortality from external causes is due to acute poisoning. The example of the Chelyabinsk region shows an increase in mortality from drug poisoning, including synthetic origin. The received data testify to the need to take measures aimed at further optimization of the three-level system of trauma centers, as well as the formation of a system for providing medical care for poisoning, including the organization of acute poisoning centers