Results of preventive medical examinations of children in Donetsk People’s Republic, Luhansk People’s Republic, and Zaporizhzhya and Kherson regions

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BACKGROUND: The preventive direction of medicine has become increasingly popular in recent years. The government has paid much attention to the health of the population and preventive examinations. Among the main priorities of the state, the health of the pediatric population remains a guarantee of a healthy nation.

AIM: To assess the health status of the pediatric population of the new territories of the Russian Federation and develop measures to further improve medical care at the regional level.

MATERIAL AND METHODS: The study enrolled children aged 0–17 years living in the new territories of the Russian Federation, namely, the Donetsk People’s Republic, Luhansk People’s Republic, Zaporozhye oblast, and Kherson oblast. A total of 32 teams of specialists from 30 territories of the Federation have been formed to conduct in-depth preventive medical examinations of the pediatric population of these new territories.

RESULTS: The study participants were predominantly children aged 0–14 years. The overall morbidity in all regions was dominated by diseases from the five classes according to ICD-10, namely, diseases of the musculoskeletal system and connective tissue; endocrine, nutritional, and metabolic diseases; of the eye and adnexa; and disorders of the nervous system, respiratory system, and psychological development. Half of the study participants were diagnosed with a disease for the first time in their lives.

In the Russian Federation, the high proportion of healthy children is due to the contingent of the child population, and the third group of health with better detection of diseases due to the in-depth nature of preventive medical examinations. The distribution into groups for physical education corresponded to health groups. According to the preventive medical examinations results, more than a third of the total number of examined children was transferred to dispensary supervision. Emergent and urgent cases and mental disorders require measures under stable conditions.

CONCLUSION: The results of the preventive medical examinations can be the basis for subsequent therapeutic, diagnostic, and rehabilitation work by medical organizations and preventive and health-improving activities by educational institutions.

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作者简介

Svetlana Aprosimova

National Medical Research Center of Children’s Health

编辑信件的主要联系方式.
Email: aprosimova.si@nczd.ru
ORCID iD: 0000-0002-3379-0411
SPIN 代码: 1460-7065

MD, Cand. Sci. (Med.)

俄罗斯联邦, 2 bldg. 1 Lomonosovsky avenue, 119991 Moscow

Elena Sheshko

Ministry of Health of the Russian Federation

Email: SheshkoEL@minzdrav.gov.ru
ORCID iD: 0000-0002-8105-3109
SPIN 代码: 8360-9447

MD, Cand. Sci. (Med.), associate professor

俄罗斯联邦, Moscow

Andrey Fisenko

Ministry of Health of the Russian Federation

Email: director@nczd.ru
ORCID iD: 0000-0001-8586-7946
SPIN 代码: 4397-6291

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, Moscow

Rimma Terletskaya

Ministry of Health of the Russian Federation

Email: rterletskaya@mail.ru
ORCID iD: 0000-0001-6313-3810
SPIN 代码: 1761-4180

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, Moscow

Andrey Korolkov

Ministry of Health of the Russian Federation

Email: korolkov.ai1@nczd.ru
ORCID iD: 0000-0001-5324-9721

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Vladislav Chernikov

Ministry of Health of the Russian Federation

Email: chernikov@nczd.ru
ORCID iD: 0000-0002-8750-9285
SPIN 代码: 3147-0699

MD, Cand. Sci. (Med.)

俄罗斯联邦, Moscow

Alexander Buksh

Ministry of Health of the Russian Federation

Email: abuksh@bk.ru
ORCID iD: 0000-0003-4251-7107
SPIN 代码: 9339-0815
俄罗斯联邦, Moscow

Olga Chumakova

Ministry of Health of the Russian Federation

Email: ChumakovaOV@minzdrav.gov.ru
ORCID iD: 0000-0002-9911-5347
SPIN 代码: 3917-1312

MD, Dr. Sci. (Med.), professor

俄罗斯联邦, Moscow

参考

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  3. Schepin OP. The role of dispensarization in decreasing of morbidity of population. Problems of Social Hygiene, Public Health and History of Medicinen Journal. 2015;23(1):3–7. (In Russ).
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  5. Mingazova EN, Shchepin VO, Gasajnieva MM, et al. Preventive examinations of minors in the framework of new government initiatives in the context of the COVID-19 pandemic. Manager zdravoohranenia. 2021;(10):51–59. (In Russ). doi: 10.21045/1811-0185-2021-10-51-59
  6. Deev IA, Bojkov VA, Baranovskaja SV, Babeshina MA. Sovershenstvovanie organizacii profilakticheskih osmotrov detskogo naselenija Tomskoj oblasti s ispol’zovaniem berezhlivyh tehnologij. In: Advanced Science: sbornik statej XIV Mezhdunarodnoj nauchno-prakticheskoj konferencii; 23 Nov 2020; Penza. P. 86–90. (In Russ).
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  8. Ganuzin VN, Storozheva IV, Sukhova NS, Kononova OI. Analysis of the health status of school-age children according to dispensary examinations. Voprosy shkol’noj i universitetskoj mediciny i zdorov’ja. 2022;(1):28–29. (In Russ).
  9. Ushakova SA, Petrushina AD, Halidullina OJu. i dr. Povyshenie kachestva kompleksnyh profilakticheskih medicinskih osmotrov s cel’ju vyjavlenija faktorov riska serdechno-sosudistyh zabolevanij u detej. Universitetskaja medicina Urala. 2022;8(4):7–10. (In Russ).

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2. Fig. 3.

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3. Fig. 1. Routing algorithm for children with somatic and surgical pathologies. СМП — emergency medical care, ЦРБ — central district hospital, РДКБ — Republican children's hospital, ОДКБ — Regional children's clinical hospital, ИДС — informed consent, НМИЦ — National Medical Research Center, ЛНР — Luhansk People’s Republic, ДНР — Donetsk People’s Republic.

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4. Fig. 2. Causes of the general morbidities detected during preventive medical examinations of the pediatric population of the new territories of the Russian Federation (%).

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5. Fig. 3. Causes of the general morbidities detected during preventive medical examinations of the pediatric population in certain new territories of the Russian Federation (%).

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6. Fig. 4. Distribution of children by health groups and medical groups for physical education.

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7. Fig. 5. Rank distribution of the morbidity causes when there is a need for telemedicine counseling (%).

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8. Fig. 6. Rank distribution of disease groups in new territories (a) and on average in Russia (b).

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