Late hidden syphilis in Daghestan - causes of growth

Abstract

Intensive indicator in the Republic of Dagestan is more than 5 times lower than in the Russian Federation. At the same time, the proportion of late hidden syphilis in the Republic of Dagestan in 2017 is 38.2% (24.2% in the Russian Federation). In the Republic of Dagestan, the “vassermanization” of the decreed contingent determines the “major share” of the incidence rate of syphilis. At same time by specialists of Ambulance Institution of all profiles except dermatologists 13.2% were found in Dagestan, which is lower than the average Russian and regional indicators (17.6% and 16.8%, respectively). There is potential in this direction and it is necessary to intensify the work of all Ambulance Institution, patients whose risk group for the incidence of syphilis. The proportion of patients with syphilis identified during various types of medical examinations in the North Caucasus Federal District and Dagestan is approximately the same (18.7% and 21.3%, respectively) among the number of patients with newly diagnosed. But statistics vary significantly depending on the types of medical examinations. There are zero indicators of our region in comparison with the Russian Federation (12.7%) and the North Caucasian Federal District (6.9%) in the column "during preventive examinations.” This line of active identification of the population infected with syphilis in Dagestan needs to be “reanimated” and phased in. At the same time, it was established that work with sexual and household contacts was established in the dermatovenerological service of Dagestan not up to standard, which is reflected in the overall picture of the incidence of syphilis in Dagestan.