THE ROLE OF MAJOR DISEASES IN FORMING THE MORBIDITY INDICATORS IN OFFICERS OF THE RUSSIAN ARMED FORCES IN 2003–2016

Relevance. Extreme conditions of military labor contribute to the risks of morbidity and even death in officers of the Russian Armed Forces.

Intention. To study the role of major diseases in the formation of health abnormalities in officers of the Russian Armed Forces in 2003–2016.

Methodology. The morbidity was studied in officers who served in 2003–2016. 60 % of annual reports on the health of personnel and the activities of the medical service (Form 3/MED) were analyzed in military units. The standard indicators were calculated for the classes of diseases by International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10).

Results  and Discussion. The average annual level of the overall morbidity in officers of the Russian Armed Forces in 2003– 2016 was (1152.0 ± 63.9) ‰, primary morbidity (448.2 ± 29.7) ‰, the need for follow-up (124.0 ± 6.1) ‰, hospitalization (181.3 ± 9.5) ‰, labor loss in days (4334 ± 167) ‰, dismissal for health reasons (8.81 ± 1.10) ‰, death rate (128.6 ± 5.4) deaths per 100 thousand officers per year. Polynomial trends with low coefficients of determination showed tendencies to increased overall and primary morbidity, hospitalization, days of labor losses and reduced follow-up, dismissal and mortality. Leading diseases (groups of classes according to ICD-10) were determined as those accounted for more than 60 % of the share of listed morbidity parameters and resulted in their growth. The greatest military-epidemiological significance for the officers was attributed to acute upper respiratory tract respiratory infections (J00–J06 by ICD10); diseases associated with high blood pressure (I10–I15); ischemic heart disease (I20–I25); diseases of the esophagus, stomach and duodenum (K20– K31); trauma of different locations (S00–T98) and deforming dorsopathies (M4–M43).

Conclusion. Prevention of these diseases will improve the health of officers.

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