MEDICAL AND STATISTICAL INDICATORS OF MORBIDITY AMONG CONSCRIPTS IN ARMED FORCES OF THE REPUBLIC OF BELARUS AND RUSSIAN FEDERATION (2003–2016)

Relevance. The conditions of military service, which significantly differ from civilian life, can cause health disorders in army conscripts that reduce the combat readiness and fighting efficiency of troops.

Intention. Identify the medical and statistical indicators of the morbidity of army conscripts in the Armed Forces (AF) of the Republic of Belarus and the Russian Federation.

Methodology. We conducted a random statistical analysis of medical reports on the health status of military personnel and on activities of the medical services (form 3/MED) from military units located in different military districts, branches and types of troops in which more than 60% of the total number of conscripts served in the AF of Belarus and Russia from 2003 to 2016. Counting and analysis unification of morbidity of conscripts was achieved using the International Classification of Diseases, Trauma and Causes of Death, the 10th review (ICD-10).

Results and their analysis. The average annual level of the general morbidity of conscripts in the AF of Belarus was (2860.7 ± 98.6) ‰, primary disease incidence (1638.2 ± 79.1) ‰, the need for dispensary observation - (93.5 ± 9.5) ‰, hospitalization – (931.6 ± 44.2) ‰, days of disability – (8406 ± 327) ‰, dismissing for health reasons – (15.80 ± 0.64) ‰. The duration of 1 case of disability was (9.3 ± 0.2) days, death rate per 100,000 people per year – (35.06 ± 5.01). The average annual level of these indicators among conscripts in the AF of Russia was (1849.3 ± 55.7) ‰, (1026.5 ± 56.3), (125.9 ± 7.8), (916.2 ± 54.3), (10 173 ± 376), (18.32 ± 1.23) ‰, (11.3 ± 0.3) days and (45.41 ± 6.37) deaths, respectively. Data relatively independent from the human factor (hospitalization, dismissing, mortality) were practically similar. It should be noted that the curves of these indicators had statistically significant congruencies, which indicated the influence of similar factors on their formation. A quite similar structure of the military and epidemiological significance of health disorders is established for conscripts in the AF of Belarus and Russia. Traumas, poisoning and some other consequences of external causes (ICD-10 Chapter XIX) ranked first, diseases of respiratory system (Chapter X) ranked second, and diseases of digestive system (XI), diseases of the circulatory system (IX), diseases of the musculoskeletal system and connective tissue, mental and behavioral disorders (V) occupied places from 3 to 7. Some outstanding features were also revealed during generalized evaluation: skin and subcutaneous tissue diseases (Chapter XII) prevailed in Belorussian conscripts and some infectious and parasitic diseases (ICD-10 Chapter I) – in Russian conscripts.

Conclusion. Preventive measures against leading diseases will contribute to improving the health status of conscripts. Based on the established medical and statistical indicators, probabilities of specific health disorders in military can be calculated.

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41. Rebko A.A. O nekotorykh aspektakh cherepno-mozgovogo travmatizma u lits molodogo vozrasta i ikh prizyva v vooruzhennye sily [About some aspects of traumatic brain injury in young persons and their draft to the army ]. Voennaya meditsina [Military medicine]. 2014. N 1. Pp. 64–67. (In Russ.)

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50. Kulikov V.V., Rusanov S.N., Tokarev V.D., Stolyarov G.B. Psikhicheskoe zdorov’e lits prizyvnogo vozrasta [Psychical health of the 8 call-up age persons]. Voenno-meditsinskii zhurnal [Military medical journal]. 2007. Vol. 328, N 2. Pp. 8–12. (In Russ.)

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53. Ukazaniya po vedeniyu meditsinskogo ucheta i otchetnosti v Vooruzhennykh silakh Rossiiskoi Federatsii na mirnoe vremya [Guidelines for medical record keeping and reporting in the Armed Forces of the Russian Federation during peacetime]. Moskva. 2001. 40 p. (In Russ.)

54. Lisitsyn Yu.P. Obshchestvennoe zdorov’e i zdravookhranenie [Public health and healthcare]. Moskva. 2002. 520 p. (In Russ.)

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58. Fedorov S.E., Lapitskii D.V., Bova A.A. Sostoyanie zdorov’ya lits, prokhodyashchikh sluzhbu po prizyvu v Vooruzhennykh silakh Respubliki Belarus [The state of conscript health in Armed Forces of the Republic of Belarus]. Voennaya meditsina [Military medicine]. 2007. N 3. Pp. 26–28. (In Russ.)

59. Yunkerov V.I., Grigor’ev S.G., Rezvantsev M.V. Matematiko-statisticheskaya obrabotka dannykh meditsinskikh issledovanii [Mathematical and statistical processing of medical research data]. Sankt-Peterburg. 2011. 317 p. (In Russ.)

60. Myznikov I.L., Askerko N.V., Khankevich Yu.R [et al.]. Sostoyanie zdorov’ya voennosluzhashchikh, prokhodyashchikh sluzhbu po prizyvu na Severnom flote [Health status of military men serving on the North Fleet]. Voenno-meditsinskii zhurnal [Military medical journal]. 2014. Vol. 335, N 6. Pp. 44–52. (In Russ.)

61. Myznikov I.L., Askerko N.V., Khankevich Yu.R [et al.]. Sostoyanie zdorov’ya voennosluzhashchikh, prokhodyashchikh sluzhbu po prizyvu na Severnom flote [Health status of military men serving on the North Fleet]. Voenno-meditsinskii zhurnal [Military medical journal]. 2014. Vol. 335, N 6. Pp. 44–52. (In Russ.)

62. Rebko A.A. O nekotorykh aspektakh cherepno-mozgovogo travmatizma u lits molodogo vozrasta i ikh prizyva v vooruzhennye sily [About some aspects of traumatic brain injury in young persons and their draft to the army ]. Voennaya meditsina [Military medicine]. 2014. N 1. Pp. 64–67. (In Russ.)

63. Rebko A.A. O nekotorykh aspektakh cherepno-mozgovogo travmatizma u lits molodogo vozrasta i ikh prizyva v vooruzhennye sily [About some aspects of traumatic brain injury in young persons and their draft to the army ]. Voennaya meditsina [Military medicine]. 2014. N 1. Pp. 64–67. (In Russ.)

64. Yanul’ A.N., Silivonchik N.N., Rudoy A.S. [et al.] Dinamika klinicheskikh, endoskopicheskikh i mikromorfologicheskikh proyavlenii pri dispepsicheskikh zhalobakh v gruppe voennosluzhashchikh odnogo iz garnizonov za period srochnoi sluzhby [Dynamics of clinical, endoscopic and micromorphological manifestations of dyspeptic complaints in the group military one for the period from garrison conscripts]. Voennaya meditsina [Military medicine]. 2016. N 4. Pp. 46–54. (In Russ.)

65. Tarasov A.Yu. Otsenka vliyaniya osnovnykh faktorov voinskoi sluzhby na zdorov’e voennosluzhashchikh po prizyvu [Examination of the influence of the main factors of the military service on the health of conscripts] : Abstract dissertation PhD Med. Sci. Irkutsk, 2012. 21 p. (In Russ.)

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