Morbidity statistics among the military of the Armed Forces of the Russian Federation (2003–2021)

The objective is to analyze morbidity dynamics among the military of the Russian Armed Forces within a 19 years’ timespan from 2003 to 2021 (at peacetime).

Methods. We studied the morbidity rates of among the military based on the database of medical reports (3/MED form) and open-access publications. Medical and statistical indicators for the main chapters of diseases were correlated with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Morbidity was calculated in ppm (%) and mortality – per 100,000 people (10–5). The paper reports long-term averages calculated based on absolute data, arithmetic mean values and standard errors (M ± m). The dynamics was assessed by analyzing the dynamic time series and the 2nd order polynomial trend Pearson’s correlation coefficient was used to calculate the congruence between trends.

Results and discussion. From 2003 through 2021, the average long-term general morbidity (turnover) among all the military of the Armed Forces of Russia amounted to 1270.9%; primary morbidity – 687.7%; screening demand – 113.2%, hospital admissions – 513%; days off work – 6727%; dismissals – 11.8%; mortality – 80.4 ± 10–5. Trends in general morbidity, demand for screening, and mortality rates show a decreasing pattern; primary morbidity, hospital admissions, and days off work show inverted U-curves with the highest values from 2009 through 2013. The epidemiological assessment demonstrated that the 71.4% morbidity among the military of the Armed Forces of Russia included diseases of the respiratory system (Chapter X) – 24.2%; injury, poisoning and certain other consequences of external causes (Chapter XIX) – 20,3%; diseases of the circulatory system (Chapter IX) – 11.4%; diseases of the digestive system (Chapter XI) – 7.8%; mental and behavioural disorders (Chapter V) – 7.7%, respectively.

Conclusion. Prompt diagnosis, treatment, rehabilitation, and prevention of the above groups of diseases can significantly improve the health among the military of the Russian Armed Forces.

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