Analytical review of the results of monitoring epidemiological studies and infectious disease in the Kirovohrad region

N. Operchuk
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Abstract

Objective: The aim of the work is to develop approaches to improving the information and analytical support for monitoring epidemiological studies and infectious diseases in the activities of public health institutions. Materials and methods: The studies were carried out on the basis of a retrospective review of long-term monitoring of epidemiological observations of infectious morbidity and indicators of microbiological and chemical pollution of environmental factors, performed by the state institution «Kirovohrad Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine». In this case, the following methods were used: dialectical - to determine the essence of information and analytical support for the activities of public health institutions; functional, comparative analysis - to analyze the activities of the state institution "Kirovohrad Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine"; model, integrated approaches - to develop a model of information and analytical support for the activities of public health institutions and measures for its implementation in practice; methods of statistical analysis - to determine the characteristics of the study of environmental objects and the dynamics of infectious diseases in the population. Results: According to monitoring observations of environmental objects in medical institutions, preschool and general educational institutions, social security institutions of the Kirovohrad region for 2020, which included data from 4196 studies, it was found that almost 15% of them do not meet the requirements of regulatory documents. At the same time, microbiological studies included 1207 samples and measurements, of which 117 samples (9.7%) were inappropriate, sanitary-chemical studies amounted to 2989 samples, of which 146 samples were inappropriate (4.9%) exceeding the permissible standards. The largest number of samples that do not comply with regulatory documents and pose a threat to human health were found in non-centralized water supply 77 samples. The analysis of the infectious morbidity of the population in the Kirovohrad region covered the period of 2018-2020, the dynamic review of which showed that, according to the criterion of general morbidity, the number of cases of infectious diseases is growing over time, while the incidence of infectious diseases in children tends to decrease. A number of shortcomings in accounting and data processing have been identified. Conclusions: The expediency of improving the methodological, software and technological support of the information and analytical direction of the functioning of the state institution "Kirovohrad Regional Center for Disease Control and Prevention of the Ministry of Health of Ukraine" is shown. This will improve the efficiency and quality of the implementation of monitoring studies, as well as the processing and analysis of the obtained data on the state of the environment and public health and the adoption of timely management decisions on its conservation.
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分析审查基罗沃拉德地区流行病学研究和传染病监测结果
目标:这项工作的目的是制定办法,改进公共卫生机构活动中监测流行病学研究和传染病的信息和分析支助。材料和方法:这些研究是在回顾性审查国家机构“乌克兰卫生部基罗沃拉德地区疾病控制和预防中心”对传染病发病率的流行病学观察和环境因素的微生物和化学污染指标的长期监测的基础上进行的。在这种情况下,使用了以下方法:辨证——确定公共卫生机构活动的信息和分析支持的本质;功能比较分析——分析国家机构"乌克兰卫生部基罗沃赫拉德区域疾病控制和预防中心"的活动;示范综合办法——为公共卫生机构的活动制定一种信息和分析支助模式,并制定实际执行的措施;统计分析方法-确定环境对象研究的特征和人群中传染病的动态。结果:根据基罗沃赫拉德地区2020年医疗机构、学前教育机构、普通教育机构、社会保障机构环境对象的监测观察,包括4196项研究数据,发现近15%的环境对象不符合监管文件的要求。同时,微生物学研究包括1207份样品和测量,其中117份(9.7%)不适当;卫生化学研究包括2989份,其中146份不适当(4.9%)超过允许标准。不符合监管文件规定并对人类健康构成威胁的样本数量最多的是非集中供水的77个样本。对基罗沃赫拉德地区人口传染病发病率的分析涵盖了2018-2020年期间,对其进行的动态审查表明,根据一般发病率标准,传染病病例数随着时间的推移而增加,而儿童传染病发病率呈下降趋势。在会计和数据处理方面的一些缺点已经被发现。结论:表明了改进国家机构"乌克兰卫生部基罗沃赫拉德区域疾病控制和预防中心"的信息和运作分析方向的方法、软件和技术支持的便利性。这将提高执行监测研究的效率和质量,以及处理和分析所获得的关于环境和公共卫生状况的数据,并及时就保护这些数据作出管理决定。
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