DOI: https://doi.org/10.22263/2312-4156.2022.2.55
Tsygankov A.M., Lyatos I.A.
The analysis of the disease incidence and labor losses in the Armed Forces of the Republic of Belarus from 2017 to 2020
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(2):55-62.
Abstract.
The issue of studying the level of morbidity and labor losses in the Armed Forces of the Republic of Belarus has always been thorny. It is connected with the implementation of measures aimed at early and proper diagnosis, limited choice of effective means of specific prophylaxis and treatment. This issue is particularly pressing now, during the COVID-19 pandemic. The layering of COVID-19 on the seasonal rise of respiratory diseases leads to an increase in the number of hospitalizations (conscripts are subject to inpatient treatment according to epidemic indications for any degree of the disease severity). For hospitalization, they have to use the capacities of state healthcare institutions, which face the same problem. Considering the interest of the Ministry of Defense and the Ministry of Health of the Republic of Belarus in studying this problem, we have analyzed the medical reports of the Ministry of Defense of the Republic of Belarus on Form 3/MED during 2017-2020 using statistical methods of SSPP 22 statistics package. The emphasis was placed on I, X, XXI classes according to the International Classification of Diseases, Injuries and Causes of Death of the 10th revision (ICD-10). As a result of the statistical data analysis, the growth of morbidity and labor losses of the servicemen in the Belarusian Armed Forces in 2020 was clearly demonstrated, which explained by the impact of COVID-19. COVID-19 could be established in the structure of morbidity of servicemen for 2020 in 10292 (15.41%) cases and 76502 days (22.60%) in the structure of labor losses. This calls for revising documents concerning the activities of military medical institutions and units under the conditions of pandemics.
Key words: COVID-19, morbidity, labor losses, servicemen.
References
1. On some issues of the procedure of examination of temporary disability, registration of disability certificates for persons with COVID-I9 infection and persons related to level 1 and 2 contacts of COVID-19 infection: pis'mo M-va zdravookhraneniia Resp Belarus', 6 apr 2020 g, № 3-2-8/6133. V: OOO «IurSpektr», Nats tsentr pravovoi inform Resp Belarus'. Konsul'tant Plius: Belarus' [Elektronnyi resurs]. Minsk, RB: 2022. (In Russ.)
2. Aminev RM, Smirnov AV, Kuzin AA, Zobov AE, Nikishov ON. Peculiarities of formation of morbidity of servicemen with acute respiratory infections of the upper respiratory tract. Izv Ros Voen-med Akad. 2021;40(S2):9-17. (In Russ.)
3. Gustine JN, Jones D. Immunopathology of Hyperinflammation in COVID-19. Am J Pathol. 2021 Jan;191(1):4-17. doi: http://dx.doi.org/10.1016/j.ajpath.2020.08.009
4. Thevarajan I, Nguyen THO, Koutsakos M, Druce J, Caly L, van de Sandt CE, et al. Breadth of concomitant immune responses prior to patient recovery: a case report of non-severe COVID-19. Nat Med. 2020 Apr;26(4):453-455. doi: http://dx.doi.org/10.1038/s41591-020-0819-2
5. Brodin P. Immune determinants of COVID-19 disease presentation and severity. Nat Med. 2021 Jan;27(1):28-33.
6. Tcygankov AM, Ianchenko VV, Liatos IA. Human defense mechanisms against viruses causing acute respiratory infections. Klin Infektologiia Parazitologiia. 2021;10(1):88-103.
7. Evdokimov VI, Chernov DA, Sivashchenko PP, Eskov AS. Medico-statistical indicators of morbidity among conscripts of the Armed Forces of the Republic of Belarus and the Russian Federation (2003-2016). Med-biol Sots-psikhol Problemy Bezopasnosti Chrezvychain Situatsiiakh. 2018;(2):26-50. (In Russ.)
Information about authors:
Tsygankov A.M. – senior lecturer of the Chair of Military Training & Emergency Medicine, Vitebsk State Order of Peoples’ Friendship Medical University;
Lyatos I.A. – Candidate of Medical Sciences, deputy head of the Chair – head of the educational department of the Chair of Military Training & Emergency Medicine, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210009, Vitebsk, 27 Frunze ave., Vitebsk State Order of Peoples’ Friendship Medical University, Chair of Military Training & Emergency Medicine. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Arseniy M. Tsygankov.