Medvedovska Nataliia V, Bugro Valeriy I, Kasianenko Ivan I
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.
Public Institution "Ukrainian Institute of Strategic Researches of Ministry of Health In Ukraine", Kyiv, Ukraine.
Wiad Lek. 2019;72(1):95-98.
Introduction: the problem of increase of viral hepatitis incidence which are transmitted in the haemocontact (parenteral) way remains unresolved in the majority countries of the world. The special relevance is acquired lately by a problem of increase of risk of transfer of an infection among children of teenage age, youth, in the main ways of transmission of infection among which there is a risky behavior, addictions (the injection use of narcotic substances) and the unprotected sexual relations due to the lack of informing and awareness of risk of a disease and irreversible losses of health in the future. The aim: Studying of regional features of incidence of parenteral viral hepatitis among children and teenagers with justification of the priority directions of prevention of its increase in the context of implementation of regional comprehensive programs became a research objective.
Materials and methods: Data from official forms of the statistical reporting on cases of diseases of viral hepatitis (sharp and chronic) in forms No. 1, No. 2 "The report about separate infections and parasitic diseases" (annual) MZ of Ukraine became primary material for a research. For achievement of a goal methods have been used: system approach, medico-statistical, graphic and conceptual modeling, and organizational experiment.
Review: During a research of 2007-2016 it has been established that the majority of viral hepatitis's in Ukraine (58,79 ± 0,44%) is diagnosed in a chronic stage of a disease, and especially in the Kirovohrad region (80,35 ± 2,14%). Increase of incidence of parenteral viral hepatitis's B and C in the Kirovohrad region has happened in age group of children of 15-17 years to prevalence in structure of incidence of children of chronic viral hepatitis's of hepatitis C (52,7 ± 5,8%) that demands search of the medico-organizational reasons of formation of the established incidence tendencies for a solution of the problem of their distribution due to early preventive intervention within complex program social influence.
Conclusions: Accounting of regional features of incidence of parenteral hepatitises became scientific justification for acceptance to execution of the comprehensive regional social program of prevention of their distribution among teenagers and youth of the Kirovohrad region.
引言：通过血液接触（非肠道）传播的病毒性肝炎发病率上升问题在世界大多数国家仍未得到解决。近年来，青少年和青年中感染传播风险增加的问题变得尤为突出，主要传播途径包括危险行为、成瘾（注射使用麻醉药品）以及由于缺乏疾病风险信息和对未来健康不可逆转损失的认识而导致的无保护性行为。目的：研究儿童和青少年非肠道病毒性肝炎发病率的区域特征，并在实施区域综合计划的背景下，为预防其发病率上升的优先方向提供依据，这成为了一项研究目标。
材料与方法：乌克兰卫生部第1、2号表格“关于个别感染和寄生虫病的报告”（年度）中病毒性肝炎（急性和慢性）疾病病例的官方统计报告表格数据成为研究的主要材料。为实现目标，采用了以下方法：系统方法、医学统计学、图形和概念建模以及组织实验。
综述：在2007 - 2016年的研究期间发现，乌克兰大多数病毒性肝炎（58.79 ± 0.44%）在疾病的慢性阶段被诊断出来，尤其是在基洛沃格勒地区（80.35 ± 2.14%）。基洛沃格勒地区非肠道病毒性肝炎B和C的发病率在15 - 17岁儿童年龄组有所上升，在慢性丙型病毒性肝炎儿童发病率结构中占比（52.7 ± 5.8%），这需要寻找既定发病率趋势形成的医学组织原因，以便在复杂的社会影响计划内通过早期预防干预解决其传播问题。
结论：考虑非肠道肝炎发病率区域特征成为在基洛沃格勒地区青少年和青年中实施预防其传播的区域综合社会计划的科学依据。
