FEATURES OF INDICATORS OF PRIMARY DISABILITY DUE TO TUBERCULOSIS OF THE RESPIRATORY ORGANS AMONG THE ADULT POPULATION OF THE REPUBLIC OF BELARUS

Tuberculosis remains one of the most pressing medical, social and economic problems of modern society due to its prevalence, duration and severity of the course, as well as the severity of primary disability in young and middle-aged people. 

Objective of the study. To analyze the indicators of primary disability in persons aged 18 years and older due to respiratory tuberculosis in the Republic of Belarus for the period 2013–2022.

Materials and Methods. The study included 2050 patients with respiratory tuberculosis aged 18 years and older initially examined by a medical rehabilitation expert commission for the period 2013–2022.

Results. In the Republic of Belarus for the period 2013–2022. the level of primary disability due to respiratory tuberculosis was 0.27 ± 0,07 per 10 thousand population. The severity of primary disability (disability groups 1 and 2) due to respiratory tuberculosis during the analyzed period as a whole amounted to 82,9 %. Among disabled people of group 2, the following clinical forms of pulmonary tuberculosis predominated: infiltrative pulmonary tuberculosis – 65,7 %, fibrous-cavernous pulmonary tuberculosis – 15,0 %, disseminated pulmonary tuberculosis – 13,5 %, caseous pneumonia – 3,2 %, pulmonary tuberculoma – 1,2 %. Among disabled people of group 1: infiltrative pulmonary TB – 16,7 %, disseminated pulmonary TB – 50,0 %, caseous pneumonia – 33,3 %. Middle age groups (50–54 years old – 0,35 ± 0,03 per 10 thousand population, 40–44 years old – 0,33 ± 0,02 per 10 thousand population) are predominant in the contingent of those initially recognized as disabled due to respiratory tuberculosis.

Conclusion. Studying the dynamics, medical and social aspects of disability due to respiratory tuberculosis is necessary to determine the types and volumes of medical care, as well as medical, social and professional rehabilitation when developing an individual rehabilitation program for a disabled person and their social integration.

1. Ob utverzhdenii Gosudarstvennoj programmy “Zdorov'e naroda i demograficheskaya bezopasnost' Respubliki Belarus'” na 2016–2020 gody [Elektronnyj resurs]: postanovlenie Soveta Ministrov Respubliki Belarus', 14 marta 2016 g., № 200 // ETALON. Zakonodatel'stvo Respubliki Belarus' / Nac. centr pravovoj inform. Respubliki Belarus'. – Minsk, 2024. 2

2. . O Gosudarstvennoj programme «Zdorov’e naroda i demograficheskaya bezopasnost’» na 2021–2025 gody [Electronic resource]: postanovlenie Soveta Ministrov Respubliki Belarus’, 19 yanvarya 2021 g., № 28 // ETALON. Zakonodatel’stvo Respubliki Belarus’ / Nac. centr pravovoj inform. Respubliki Belarus’. – Minsk, 2024.

3. Borodulina, E. A. Invalidnost’ u bol’nyh tuberkulezom v sovremennyh usloviyah / E. A. Borodulina, O. A. Domnickij, E. V. Borodulina // Vestnik sovremennoj klinicheskoj mediciny. – 2017. – Vol. 10, № 6. – S. 11–15.

4. Global tuberculosis report 2023 [Electronic resource] / World Health Organization, 2023. – Mode of access: https://www.who.int/bitstream/handle. – Date of access: 08.04.2024.