THE ANALYSIS OF MORBIDITY, HOSPITALIZATIONS, LETHALITY AND MORTALITY AMONG PEDIATRIC POPULATION OF THE MOSCOW REGION IN 2014 AND UPGRADING OF THE SYSTEM OF MEDICAL CARE FOR CHILDREN

Aim: To assess the rates and changes in morbidity, hospitalizations, lethality and mortality of pediatric population in the Moscow Region in 2014, compared to 2013, and similar data for the Russian Federation (RF). Materials and methods: We calculated and analyzed morbidity (based on referrals), hospitalizations, lethality and mortality of the pediatric population aged from 0 to 17 years in the Moscow Region. The information was taken from the Federal Statistical Surveillance report forms No 12 and No 14, as well as the Rosstat data for the Moscow Region. Results: In 2014, total pediatric morbidity (age 0–14) in the Moscow Region was 2290.2 per 1000 pediatric population, being 10% higher, than that in 2013, but lower than the Russian Federation average for 2014 (2332.9‰) and lower than that in the Central Federal District (2333.5‰). Total morbidity among adolescents of 15 to 17 years of age in 2014 increased non-significantly by 1.6% and achieved 2104.7‰. This is lower than Russian Federation and Central Federal District average values (2267.8 and 2188.5‰, respectively). In 2014, pediatric lethality (age 0–17) in in-patient department of the Moscow Region was 0.1% (in infants, 0.13%) and was mainly related to neoplasms (0.32%), blood and lymphatic disorders (0.33%), congenital abnormalities and birth defects (2.61%). In 2014, infant mortality in the Moscow Region was 6.8‰ (in 2013, 7.0‰) versus 7.4‰ in Russian Federation in general. In the first 6 months of the year 2015, this parameter in the Moscow Region continues to be lower than the average values in Russian Federation and Central Federal District (5.1, 6.6 and 6.2‰). With this infant mortality, the Moscow Region ranks 13th among Russian Federation administrative subjects and 5th in Central Federal District. Conclusion: Despite positive trends in many parameters in the Moscow Region, it is necessary to further improve the system of pediatric medical care at all its levels.