Анализ заболеваемости и кадровое обеспечение населения сельских территорий в Российской Федерации

According to the data of the State Forest Registry and the archive materials of the State Forest Fund Account carbon budget of the forests of federal districts (FDs) of Russia was calculated for the years 1988-2015. The total carbon pool of the forested lands of Russia amounted to 123.7718.93 Gt C as of 01.01.2015. The biggest contribution to the national forest carbon pool was made by Siberian (36.4%) and the Far Eastern (35.2%) FDs followed by the Northwestern (11.3%), Ural (9.3%), Volga (4.4%), the Central (2.8%), North Caucasian (0.3%) and the Southern (0.2%) FDs. Contribution to the national forest carbon sink (206.1066.86 Mt C yr -1 ) by districts: the Siberian district 39.3%, the Far Eastern 15.1%, the Northwestern 12.4%, Volga 12.1%, Ural 11.0%, and the Central 8.8%. Two groups of districts stand out in terms of the average value of forest carbon sink: 1) with 0.64-0.85 t ha -1 year -1 (the Central, the Southern, North Caucasian, Volga FDs), 2) with 0.11-0.33 t C ha -1 year -1 (the Northwestern, Ural, Siberian, the Far Eastern FDs). The magnitude of the carbon sink in the forests of the FDs was at its lowest in 1988-1993. The reduction of losses due to felling in 1993-2000 resulted in increased carbon sink in the majority of federal districts. According to the level of this increase the forests of FDs can be divided into 2 groups: 1) with a significant increase in carbon sink (by 86% and more)the Northwestern, Ural, Siberian, the Far Eastern FDs; 2) with a moderate increase in carbon sink (by 4-46%) in the Central, the Southern, North Caucasian and Volga FDs.

Objective: to analyze the intensity and dynamics of Ixodidae tick-borne borreliosis (ITBB) incidence in Federal Districts and constituent entities of the Russian Federation (RF) in 2002–2018 and give a forecast of epidemic process development for 2019. The maximum number of cases of ITBB in 2002–2018 was registered in the Central Federal District (CFD); further on in a decreasing order, the Volga (VFD), Siberian (SiFD), North-West (NWFD), Ural (UFD), Far Eastern (FEFD), Southern (SoFD), and North Caucasian (NCFD) Federal Districts. The territories are distributed according to the incidence of ITBB, as follows (descending): NWFD, UFD, SiFD, VFD, CFD, FEFD, SoFD, NCFD. When assessing the dynamics of ITBB incidence, a reliable tendency towards decrease in the intensity of the epidemic process was found for the North-West Federal District and the Volga Federal District, in contrast to the Central Federal District, the Southern Federal District and the North-West Federal District, where there is a significant upward trend. For the UFD, the Siberian Federal District, Far Eastern Federal District, and the Russian Federation on the whole the variation in the incidence rates within the confidence intervals of the long-term annual average values is the most likely to be observed in the near future. The constituent entities of the Russian Federation were ranked according to the levels of ITBB morbidity; the trends in epidemic process development, depending upon the degree of epidemic hazard of the territory, were determined. In half of the 26 entities of the Russian Federation, with the average annual incidence rate above 6.5 о /оооо, a reliable trend in epidemic process intensity reduction was revealed. The exception is the Kemerovo Region and the Republic of Tuva, where further increase in ITBB incidence is probable. In the group of 15 entities of the Russian Federation with the average annual incidence of ITBB ranging from 2.9 о /оооо to 6.5 о /оооо, both the tendency towards growth and decrease or absence of a reliable trend in the intensity of the epidemic process is observed with approximately equal frequency. In the group of entities with the average annual incidence rates of ITBB less than 2.9 о /оооо, the increment of the indicator values in the future is highly probable.

At the modern stage of globalization pressures, imbalance in the distribution of cities in territorial space poses a threat to Russia’s economic development and social stability, which actualizes economic research on this issue. The purpose of the article is to analyze the distribution of cities within the boundaries of federal districts with the application of the Zipf law. I have chosen this law as it allows connecting the population of the city with its place in the hierarchy of the urban systems in regions, federal districts and the country, in general. The Zipf law holds if the distribution of the population is uniform. The information base is the data of the Federal State Statistics Service. For the study, I have formed a sample of cities for each Federal District. This sample included 10 most populous cities by 2015. The hypothesis about the lognormal distribution of cities within the borders of the Russian federal districts is tested using the method of least squares. The calculations determined the estimated parameter K in the range from 0.6 to 1.4, which demonstrates the uneven distribution of cities within the borders of the federal districts of Russia (the exception is Volga Federal District K = 1). In the Central Federal District, Northwestern Federal District and Ural Federal District, the population is concentrated in large cities: Moscow, St. Petersburg and Ekaterinburg. In the North Caucasian Federal District, Privolzhsky Federal District, Siberian Federal District and Far Eastern Federal District, the population is disproportionately dispersed. In the territory of Russia, there is no intermediate group of cities with the population from 2000 to 5000 thousand people. The identification of the peculiarities of the distribution of cities within the borders of the federal districts of Russia is necessary for the development of scientifically substantiated recommendations of social and economic policies. The conducted research is a stage in the development of methodological tools for choosing the location of industrial production in the territories and for determining the optimal size of a city.

Objective To compare the prevalence and correlation factors of chronic kidney disease (CKD) in urban and rural areas in Minhang district of Shanghai through the social economic and clinical data of the elderly population. Methods Jiangchuan Street and Pujiang town were randomly selected to represent the urban and rural population in Minhang district of Shanghai, respectively. Based on the over-60-year old people health examination program, 6151 objectives with complete clinical-epidemiological data and bio-chemical index were investigated. The prevalence of CKD in urban and rural areas was compared, and the correlation factors for the urban and rural CKD were evaluated by multiple logistic regression analysis. Results (1) The survey objectives with an average age of (69.57±7.04) years, including 4345 cases of the city residents and 1806 cases of rural residents, were enrolled. The age structures of urban and rural showed differences, population over 80 years old account for 13.1% of the rural total, significantly higher than 7.4% in the urban population (P<0.001). (2) The prevalence rates of diabetes, hyperuricemia, hyperlipidemia and hyperlipidemia in urban residents were higher than those in rural residents, which were 26.4% vs 13.7%, 9.9% vs 2.3%, 53.7% vs 37.4%, 51.4% vs 15.6% (all P<0.01). The awareness rates of kidney disease and hyperlipidemia showed significant differences in urban and rural areas, which were 32.9% vs 44.2%, 84.6% vs 62.8% (all P<0.01). Compared with those in rural areas, the treatment rates of hypertension and high blood lipids in urban residents were increased (all P<0.01). (3) The prevalence of CKD was 23.4%. Female CKD prevalence was higher than male, respectively 26.3% and 18.5% (P<0.01). In urban CKD prevalence was 22.2%, lower than 25.2% in rural. The prevalence rate of hematuria in urban areas was lower than in rural areas, but the prevalence rate of decline in renal function was higher (all P<0.05). With the increase of age, the prevalence rate of CKD was increased (P<0.01). (4) Age (OR=1.072), smoking history (OR=1.543), previous history of kidney disease (OR=1.351), diabetes (OR=1.373), hyperuricemia (OR=2.498), obesity (OR=1.364), history of interventional therapy (OR=1.896) had positive correlation with CKD in city elderly population, while the higher education (OR=0.676, OR=0.604) and drinking (OR=0.585) had negative correlation (all P<0.05). Age (OR=1.032), female (OR=1.860) had positive correlation with CKD in rural elderly population (all P<0.05). Conclusions CKD has been a common chronic progressive disease of the aged in Minhang district. The prevalence of CKD is higher in urban areas than in rural. Age is a common factor for CKD in urban and rural. Previous smoking, history of kidney disease, diabetes, hyperuricemia, obesity, history of interventional therapy, education and drinking have correlation with urban CKD patients. Female has correlation with rural CKD population. Key words: Renal insufficiency, chronic; Aged; Prevalence; Risk factors; Urban and rural

Relevance. Currently, much attention is paid worldwide to diseases transmitted by vectors (bites of ticks, mosquitoes and horseflies). In our country, at least nine pathogens of zoonotic infections transmitted by this route are registered: tularemia, borreliosis, tickborne encephalitis, anaplasmosis, rickettsiosis, Q fever, babesiosis, bartonellosis and ehrlichiosis. In Russia, outbreaks of tularemia associated with the transmission of infection through bites of blood-sucking arthropods have increased, and waterborne and trench epidemic outbreaks have also been registered. Waterborne outbreaks are associated with the use of water contaminated with corpses or excrements from sick rodents. Trench outbreaks are associated with the mass settlement of military structures by rodents, in whose populations epizootics occur.Goal Target. Determination of the epidemiological type of outbreak morbidity and the possibility of its elimination. Materials and methods. The materials were statistical data of Rospotrebnadzor on the incidence of tularemia, the volume of vaccination against this infection. Retrospective data on morbidity and epizootological studies from the archives of the Gamaleya National Research Center for Epidemiology and Microbiology of the Ministry of Health of the Russian Federation for 1997–2023, 375 cards of epidemiological investigations of tularemia cases were used. Reports of epizootological surveys of focal areas of the regions of the Russian Federation were analyzed.Results and discussion. In the territory of the Federal Districts of Russia from 1997 to 2023 inclusive, 61 epidemic outbreaks of tularemia from 10 to 955 cases were registered, including 52 transmissible in the Central Federal District (13), Northwestern Federal District (18), Ural Federal District (5), Siberian Federal District (9), Volga Federal District (6) and Far Eastern Federal District (1). The total number of cases during the outbreaks was 3261 patients with tularemia, of which: 2754 cases of diseases from bites of blood-sucking arthropods (transmissive type of disease), 254 people fell ill after drinking raw water (water type of disease), 253 people fell ill while in trenches (trenches), where there was a large accumulation of rodents (trench type of disease). Bubonic and ulcerative-bubonic clinical forms of tularemia are typical for transmission through horseflies and mosquitoes, and when an insect gets into the eye, the ocular-bubonic form. Waterborne outbreaks of tularemia occur when drinking or washing with water. The main clinical forms of this type of disease are angina-bubonic, abdominal and ocular-bubonic, sometimes mixed - abdominal + angina. In the trench type of infection, pulmonary with bronchitis and pneumonic variants (thoracic), angina-bubonic (anginal-glandular) and abdominal (gastrointestinal) clinical forms of tularemia prevailed. The cause of the outbreak was a combination of natural factors, lack of immunity in the population and insufficient awareness of the etiological diagnosis of the infection. With the cessation of human morbidity, the natural focus of tularemia does not cease to exist, and with a decrease in the number of vaccinated, and therefore susceptible to the pathogen, a threat of a new outbreak arises.Conclusions. In order to ensure epidemiological well-being in terms of tularemia, it is necessary to maintain the level of vaccination and revaccination within 2.5–3 million per year of contingents subject to vaccination, taking into account the degree of epizootic activity of natural foci. Epidemic outbreaks of tularemia may occur against the background of a significant decrease in the volume of vaccination of the population living in areas enzootic for this infection. Tularemia is characterized by polymorphism of clinical manifestations, therefore, a carefully collected epidemiological history is of great importance for the diagnosis of this infection. It is necessary to conduct explanatory work on preventive measures among the population living in areas endemic for tularemia in connection with multiple refusals of vaccination against tularemia. It is necessary to carry out measures to improve the sanitary and epidemiological literacy of doctors regarding tularemia infection.

To assess prevalence of allergic diseases among schoolchildren in the Russian Federation (RF) in the age groups of 11 and 15 years.The data obtained during the screening of schoolchildren (which...

Significance. Availability of medical personnel is an indicator of accessibility of medical care to the population and a priority problem of public health. Purpose of the study: to investigate the availability of doctors - infectious disease specialists, doctors - anesthesiologists-resuscitators and doctors - pulmonologists in the conditions of Covid-19. Material and methods. Federal statistical observation data presented in statistical collections of the Ministry of Health of Russia for the period from 2020 to 2024 were analyzed. Analytical, statistical methods of research were applied in the work. Statistical processing of primary material was carried out using Microsoft Office Excel program. Results. There were regional differences in physician supply from 2019 to 2023. The highest availability of physicians during the Covid-19 pandemic (2020) was registered in the Northwestern (44.4 per 10,000 population), Far Eastern (40.3 per 10,000 population) and Central (38.9 per 10,000 population in 2020) federal districts. ) federal districts, infectious disease doctors in the North-Western (0.57 per 10,000 population) and FarEastern (0.54 per 10,000 population) federal districts, anesthesiologists and resuscitators in the North-Western (2.62 per 10,000 population) and Central (2.38 per 10,000 population) federal districts, and pulmonologists - in the North-Western Federal District (0.18 per 10,000 population). In general, for the study period (2019 - 2023), the average Russian indicator of provision with medical personnel decreased by 0.3%, doctors-infectionists increased by 4.8%, doctors-anesthesiologists-animatologists increased by 3.7%, while the number of pulmonologists was 0.13 per 10,000 population during the entire study period. At the same time, there was a widespread increase in the number of infectious disease doctors over the entire study period, especially high in the Volga Federal District (by 11.9%). Conclusion. The high availability of medical personnel during the Covid-19 pandemic indicates the level of organization of medical care and the readiness of the health care system in emergency situations to respond to modern challenges. Scope. The results of the research can be used in making managerial decisions on personnel support. Keywords: provision, medical personnel, federal districts, Covid-19 pandemic, period.

Juvenile arthritis (JA) is a group of clinically heterogeneous arthritis developing in children under 16 years of age, with a duration of at least 6 weeks, if other joint pathology is excluded. Worldwide, ~2 million children and young people suffer from JA, which allows us to consider it the most common rheumatic disease (RD) in children and choose it as a model for studying the peculiarities of the organisation of medical care for children with RD in order to develop a set of measures to improve its quality and accessibility. The study of the peculiarities of the organisation of medical care for children should include an analysis of clinical manifestations at the onset of the disease, the so-called ‘portrait’ of the patient. The description of the patient's ‘portrait’ for each variant of JA can optimise diagnostic processes, in particular, reduce the patient's ‘pathway’ from disease onset to diagnosis verification and prescription of pathogenetic therapy, which determines the relevance of the present study. Objective. To identify the peculiarities of clinical manifestations (‘portrait’) of juvenile arthritis variants in the Russian Federation. Materials and methods. We conducted a cohort retrospective observational study – analysis of discharge epicrises of 2530 patients with SA living in 8 federal districts, in 84/89 (94%) subjects of the Russian Federation, diagnosed at the age of 0 to 18 years: 1349/2530 (53%) patients were observed in the rheumatology department of the Federal State Institution ‘Children's Health Center’ of the Ministry of Health of Russia, 1181/2530 (47%) – in medical organisations of the subjects of the Russian Federation. Statistical processing of the obtained data was performed using the R-Studio software package version 2022.12.0 (Posit Software, PBC). Results. A total of 702/2530 (28%) and 681/2530 (27%) patients were observed with diagnoses of ‘pauciarticular juvenile arthritis’, ‘juvenile polyarthritis (seronegative)’, respectively. A smaller proportion of the total cohort is represented by patients with JA with systemic onset, juvenile ankylosing spondylitis, juvenile rheumatoid arthritis and JA with psoriasis – 420/2530 (17%), 351/2530 (14%), 200/2530 (8%) and 176/2530 (7%) patients, respectively. Majority of the patients were female – 1585/2530 (63%). 1127/2530 (45%) of the 2530 patients in our sample live in Central Russia – in the Central and Volga Federal Districts – 618/2530 (25%), 509/2530 (20%) patients, respectively. 1403/2530 (55%) patients reside in the Northwestern, Siberian, Ural, Far Eastern, Southern, and North Caucasian federal districts. JA debuted predominantly between 5 and 10 years of age (in 942/2530 (37%) patients), the age of debut of the different variants of JA differing (p = 0.000). The most frequent trigger factor associated with the debut of JA is an infectious disease (p = 0.000). A common symptom for all variants is joint involvement – arthritis at disease debut in the overall cohort was reported in 2349/2530 (92,8%) patients (p = 0.06). Other clinical manifestations in the disease debut are characterised by a different degree of prevalence depending on the variant of JA. ‘Portrait’ of a patient with JA at the onset of the disease, observed in a medical organisation of federal subordination, is characterised by more vivid clinical symptoms, pronounced inflammatory activity. Conclusion. Objective analysis of medical records is a key source of information about the peculiarities of the ‘portrait’ of a patient with JA in the Russian Federation. The identified features of the course of the disease must be taken into account in the development of a set of measures to optimise the processes of medical care for children with JA. The presented data on the ‘portrait’ of the patient should be taken into account in the development of additional education programmes in paediatric rheumatology in order to increase the alertness of – specialists of the first contact, including rheumatologists, with regard to the possible debut of JA in patients with joints, eyes, fever, spotty-papular or linear rash, psoriasis, back pain, which will reduce the time of diagnosis and the start of treatment and, consequently, prevent irreversible damage to organs and systems, and reduce the risk of disability. Key words: juvenile arthritis, juvenile arthritis, “portrait” of a patient, clinical manifestations of juvenile (juvenile) arthritis, medical care for children with rheumatic diseases

Population Structure in Cartographic Representation

Introduction. In large cities an assessment of the impact of environmental risk factors in addition to the levels of air pollution on the morbidity of the population and the medical and demographic situation should take into account the influence of the socio-economic living conditions of the population, both availability and quality of medical care. The purpose of the work is to conduct a comparative analysis, assess the informativeness of indicators of air quality, socio-economic living conditions of the population, the availability of medical care, and identify the priority of these factors in large industrial cities of different regions of Russia. Materials and methods. A comparative analysis of indicators of the ecological situation, socio-economic conditions of living and the availability of medical care to the population in large industrial cities for the period 2008-2018 was carried out according to official statistics. Results. The criterion for choosing cities for the analysis was the population size. Large industrial cities of four Federal districts were selected as objects of research: Central (Central Federal District), Volga (Volga Federal District), Ural (Ural Federal District) and Siberian (Siberian Federal District). The main source of anthropogenic load in the Central Federal District in 50.0% of cities included in the analysis is motor transport, in 25.0% - stationary, in 25.0% the contributions of sources are comparable; in the Volga Federal District in 100.0% of cities - mobile sources; in the Ural Federal District, 50% of cities have stationary sources and 50% have mobile sources. In the Siberian Federal District, in 62.5% of the cities included in the analysis, stationary sources make the main contribution to the anthropogenic load. In cities with a population of 0.5-1 million people, the ratio of monetary income to the subsistence level and the number of doctors per 10,000 population is higher than in cities with population of 250-500 thousand. Limitations. Limited access to quantitative data and time periods. Conclusions. The indicator of anthropogenic load per inhabitant is an informative indicator of the direct impact of atmospheric air pollution on the health of the population in large cities. The ratio of the average per capita income to the subsistence minimum most objectively characterizes the level of material well-being of the population in regions with different levels of economic development. The number of doctors per 10,000 people is an indicator of the inequality of the constituent entities of the Russian Federation in terms of the level of medical provision and the availability of medical care.

The generalized and analyzed experience of reclamation in various federal areas of our country has been presented, as well as this in the Urals Federal District with the lowest percentage of disturbed land regeneration. There has been identified a gradual increase of reclaimed lands, the interconnection of the biggest percentage of reclaimed and disturbed lands in the Urals, Siberian, Far Eastern and Volga Federal Districts, the ratio of disturbed and reclaimed lands by categories with details of reclamations. The information has been analyzed for a long period of time – 1995–2018 to possibly consider the identified trends as reliable. Taking them into account while making management decisions to increase the efficiency of reclamation.

Given the climatic and geographical location and differences in the change of seasons in the Russian Federation, there is a marked heterogeneity in the representation of respiratory allergens. Obviously, in the case of double or triple sensitization, the diagnosis of its true picture is a difficult task. In such cases, allergy-component analysis is an extremely necessary stage of allergological examination. Purpose of the study: to assess the sensitization spectrum of AR patients in the age group from 3 to 17 years inclusive, living in different regions of the Russian Federation. Comparative analysis of differences in the sensitization spectrum of AR patients in the Republic of Ingushetia in different age groups. The study involved 47 patients, 36 of them were children under 18 years of age: Moscow n = 9 (Central Federal District), Samara n = 8 (Volga Federal District), Magas n = 19 (North Caucasus Federal District, Republic of Ingushetia). Also, 11 patients aged 18 years and older from Magas city took part in the study. The results obtained by ImmunoCAP ISAC and ALEX2 immune solid-phase allergy test were analyzed. The numerical values of the main respiratory allergens were evaluated, in patients with clinical signs of AR in the period from 01.01.2023 to 27.01.2024. The diagnosis of AR was made according to generally accepted criteria for diagnosis. The main causative factor of AR formation is the major allergen of birch pollen (Bet v1). However, for the Central Federal District, heterogeneity of representation in the group of buciferous trees was noted, which should be taken into account when planning allergen-specific immunotherapy. The spectrum of sensitization of children with AR in the North Caucasian Federal District (Magas) differs significantly from the Central and Volga Federal Districts, where the main major allergen of Amb a 1 ragweed pollen forms the etiological basis of AR formation. When comparing patients with AR of different age groups from Magas city, no differences in the sensitization spectrum were found. The results indicate a high degree of importance of allergy-component diagnostics to improve the effectiveness of allergen-specific immunotherapy.

Aim.To work out the unified model for description of coloproctological service at the level of federal district.Material and methods.The study is the summary analysis of data from the annual statistical observation “The Report of the Chief Coloproctologist of the Russian Federal District” in 2016–2018. The analysis included the following stages: the estimation of staff situation; the assessment of the main parameters of out- and inpatient coloproctological care in 2018 in the Far Eastern Federal District (FEFD) and in its federal subjects.Results.Staff number of doctors in federal subjects of the FEFD did not change significantly in 2016-2018, it was 0.7 per 100 thousand population. An extremely low availability of outpatient consultation of coloproctologist in all federal subjects of FEFD was found (550.2 per 100 thousand population vs 3000 per 100 thousand population in Russian Federation). The incidence of colonoscopy is the lowest among all Federal Districts of Russia as well – 5.5%. A mean number of endoscopists is above 7.0 per 100 thousand population, which can be considered as the minimal threshold parameter. The total average staffing of endoscopists in the far Eastern Federal district was 86.0% in 2016, 87.3% – in 2017, 85.8% – in 2018. The staffing situation improved in Khabarovsk Territory and in Sakhalin Region while other federal subjects showed negative trend.Conclusion.The analyzed parameters can be considered as an objective tool for the assessment of coloproctological care efficacy. In the FEFD it needs further development.

For a long time, one of the main problems in modern Russia has been the decline in population of the Far Eastern Federal District (FEFD). Despite the fact that the Far Eastern Federal District is the largest federal district of the Russian Federation (its area is 6,169,329 square kilometers, accounting for 36.08% of the area of the whole country), it’s also the most poorly populated federal district of the country (a population of 1,946,969 people, that is only 1.2 people per square kilometer). What makes it the most sparsely populated federal district. However, the socio-economic changes of the 1990s have significantly changed the dynamics, directions and scope of migration flows in the far East, and most importantly – the motivation of migratory behavior. Natural losses of demographic potential was amplified by the significant outflow of the population, which not only reduced the level of the population, but have significantly reduced the share of the region in the total population of Russia (1989 to 5.4% in 1997 to 5% in 2007 to 4.6%).

Aim – to study the prevalence and structure of glaucoma pathology using the example of the Orenburg region in 2013-2024. Material and methods. Statistical data on glaucoma pathology in the population of the Orenburg region, the Volga Federal District (VFD) and Russia for 2013-2024 were analyzed. Statistical data on morbidity in the Orenburg region, the Volga Federal District and Russia were obtained with the assistance of the State budget-funded healthcare institution “Medical Information and Analytical Center”. Data on the structure and dispensary supervision are calculated according to the federal statistical observation form No. 12 “Information on the number of diseases registered in patients living in the service area of the medical organization” (“Form No. 12”) and based on data from the Territorial Fund of Compulsory Medical Insurance for the Orenburg Region (hereinafter referred to as TF Compulsory Medical Insurance). The data is presented in the form of absolute and relative indicators (%). The statistical analysis was carried out using Microsoft Excel 2016 software. Results. Glaucoma ranks 4th (6.9%) in the structure of general ophthalmological pathology in the Orenburg region in 2013-2024, following refractive disorders (46.4%), cataracts (20%) and conjunctivitis (11.1%). The overall incidence of glaucoma does not have a clear pattern; however, an increase of 3.41% was noted during the study period. Primary morbidity decreased dramatically during the study period (by 54.1%). The Covid-19 pandemic had a significant impact on the indicators for 2020-2021. By 2024, there was a positive trend in primary morbidity, but the indicators are significantly lower than the national ones. In the post-Covid period, the primary incidence among the working-age population continues to decrease, which indicates the problems of early detection of glaucoma. The work of ophthalmologists in the dispensary registration of patients with glaucoma is characterized by positive dynamics. By 2024, patient follow-up coverage has reached a decent level, equal to the national indicators - 80.8%. The detection of glaucoma patients during preventive examinations over the years under study remains at an extremely low level.