Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»284710.69541/NRIPH.2024.03.019Научная статьяAnalysis of the medical and demographic situation in the Samara region during a pandemicKalininskayaAleftina A.akalininskya@yandex.ruhttps://orcid.org/0000-0002-6984-6536MerekinaMaria D.merimerekina@yandex.ruhttps://orcid.org/0000-0002-2527-2606ShakurovIldar G.guzsokvd@mail.ruhttps://orcid.org/0000-0002-0334-9633BalzamovaLidiya A.balzamova.lidiya@mail.ruhttps://orcid.org/0000-0002-9526-0416IrinevaSvetlana V.irineva@rambler.ruSmirnovAlexey A.alexsm-v@ya.ruhttps://orcid.org/0000-0002-0275-2893N. A. Semashko National Research Institute of Public HealthClinic «Idealist»State Budgetary Healthcare Institution “Samara Regional Dermatovenerological Dispensary”Institute of Professional Education Samara State Medical University01102024312713327052025Copyright © 2025,2025<p>Target. The results of the analysis of medical and demographic indicators and morbidity of the population of the Samara region should be taken into account to develop management decisions on protecting the health of the population.<br />Materials and methods: analytical, statistical. Statistical materials of the Federal State Statistics Service and the Central Scientific Research Institute of Infectious Diseases of the Ministry of Health of Russia (20132022), Rosstat, Samarstat (20132022) were used.<br />Results. Over the 10 years of analysis, the mortality rate in the Samara region decreased until 2020, followed by an increase during the pandemic to 16.7 (2020) and a decline in 2022 to 14.2. In the pre-Covid year (2019), the primary morbidity rate of the population in the region was 88098.200; in the next year of the pandemic (2020), the value of the indicator decreased to 81956.800 and in subsequent years of the pandemic increased, amounting to (91866.1) and in 2022 (97799.2). In 2022, the primary morbidity rate as a whole increased compared to (2019) by 11%, which was associated only with respiratory diseases by 24%. At the same time, the incidence of COVID-19 increased from 1713.500 in 2020 to 9894.3 (2022). In all classes of diseases, except for respiratory diseases, a decrease in primary morbidity was noted in 2022 compared to 2019. Analysis of the structure of morbidity (primary) in 2022 showed that more than half of the diseases were associated with respiratory diseases (51.2 %), in second place is the incidence of COVID-19 (10.1%), in third place are injuries, poisoning and some other consequences of external causes (6.6%), etc. The difference in primary incidence rates in the constituent entities of the Russian Federation is large in 3.6 times.<br />Conclusion. It is required to develop management decisions aimed at improving organizational forms of work, strengthening preventive work with the population and rehabilitation of patients in the post-Covid period.<br /><br /></p>medical and demographic indicatorspopulation sizemortalitymorbidity (primary)медико-демографические показателичисленность населениясмертностьзаболеваемость (первичная)[Khabriev R.U., Shchepin O.P., Mirgorodskaya O.V. Comprehensive assessment of target indicators of health of the population of the Central Federal District of the Russian Federation. [Problems of social hygiene, health care and history of medicine].2020;28(3):349—354 (in Russian). DOI: 10.32687/0869-866X-2020-28-3-349-354][Shlyafer S.I. Current demographic situation regarding the aging population of Russia. [Chief Physician]. 2013;(1):39—46 (in Russian).][Kalininskaya A.A., Lazarev A.V., Allenov A.M., Merekina M.D. Improving organizational forms of preventive work with the population in a metropolis. Complex problems of cardiovascular diseases]. 2022;11(3):115—124 (in Russian). DOI: 10.17802/2306-1278-2022-11-3-115-124][Khabriev R.U., Shchepin V.O., Kalininskaya A.A., Lazarev A.V., Kizeev M.V., Vasilyeva T.P. Results of the analysis of morbidity and mortality of the population during the COVID-19 pandemic. [Problems of social hygiene, healthcare and history of medicine]. 2023;31(3):315—318 (in Russian). DOI: 10.32687/0869-866X-2023-31-3-315-318][Kalininskaya A.A., Shchepin V.O., Lazarev A.V., Kizeev M.V., Shlyafer S.I. Medical and demographic situation in Moscow and the Russian Federation during the COVID-19 pandemic. [Complex problems of cardiovascular diseases]. 2023;12(3):181—191 (in Russian). DOI: 10.17802/2306-1278-2023-12-3-181-191][Kalininskaya A.A., Alekhnovich A.V., Lazarev A.V., Kizeev M.V. Medical and demographic situation and morbidity of the population of the Amur region. Hygiene, sanitation, epidemiology and medical ecology. [Yakut Medical Journal]. 2022;2(78):44—46 (in Russian). DOI: 10.25789/YMJ.2022.78.11][Afanasyeva L.N., Alekhnovich A.V., Kalininskaya A.A., Lazarev A.V., Kizeev M.V. Medical and demographic situation in the Republic of Sakha (Yakutia). [Yakut Medical Journal]. 2023;1(81):51—54 (in Russian). DOI: 10.25789/YMJ.2023.81.13][Kalininskaya A.A., Vasiliev M.D., Lazarev A.V., Kizeev M.V., Smirnov A.A. Analysis of morbidity among the population older than working age in the Russian Federation and its regional features. [Healthcare Manager]. 2023;(2):59—67 (in Russian). DOI: 10.21045/1811-0185-2023-2-59-67][Lazarev A.V., Kizeev M.V., Kalininskaya A.A., Smirnov A.A. Medical and demographic situation in rural areas. [Problems of standardization in healthcare]. 2022;(7—8): 18—24 (in Russian). DOI: 10.26347/1607-2502202207-08018-024][Kalininskaya A.A., Alekhnovich A.V., Kizeev M.V., Lazarev A.V., Balzamova L.A., Smirnov A.A. Medical and demographic situation in the Amur region as the basis for health conservation. [Complex problems of cardiovascular diseases]. 2022;11(4):167—176 (in Russian). DOI: 10.17802/2306-1278-2022-11-4-167-176][Kizeev M.V., Lazarev A.V., Valeev V.V., Kalininskaya A.A., Mingazov R.N., Stochik A.A., Mingazova E.N. Age-related characteristics of population morbidity during the COVID-19 pandemic. [Problems of social hygiene, healthcare and history of medicine]. 2022;30(s1) (in Russian). DOI: http://dx.doi.org/10.32687/0869-866X-2022-30-s1-1023-1026][Khabriev R.U., Kalininskaya A.A., Shchepin V.O., Lazarev A.V., Shlyafer S.I. Medical and demographic indicators and health preservation of the rural population of the Russian Federation. [Problems of social hygiene, health care and history of medicine]. 2023;31(6):1307—1312 (in Russian). DOI: 10.32687/0869-866X-2023-31-6-1307-1312][Kalininskaya A.A., Kovalev V.A. Organizational foundations of state regulation and quality management of medical products. [Healthcare of the Russian Federation]. 2012;(3):6—11 (in Russian).][Kalininskaya A.A., Zlobin A.N., Shlyafer S.I., Dementyev A.I. Hospital-substituting forms of medical care in the Tver region and their economic effect. [Healthcare]. 2020;(3):73—75 (in Russian).][Kalininskaya A.A., Lazarev A.V., Vasilyeva T.P., Kizeev M.V., Rassokha D.V. Medical and social characteristics and assessment of the quality of life of patients with diseases of the circulatory system. [Problems of social hygiene, health care and history of medicine]. 2021;29(3):456—461 (in Russian). DOI: 10.32687/0869-866X-2021-29-3-456-461][Kalininskaya A.A., Lazarev A.V., Balzamova L.A., Smirnov A.A. Prospective models for the development of primary health care. [Health, demography, ecology of the Finno-Ugric peoples]. 2022;(2):15—17 (in Russian).][Kalininskaya A.A., Bakirova E.A., Kizeev M.V., Lazarev A.V., Shlyafer S.I., Balzamova L.A. Scientific substantiation of proposals for improving medical care for rural residents. [Healthcare Manager]. 2023;(3):13—24 (in Russian). DOI: 10.21045/1811-0185-2023-3-13-24][Starodubov V.I., Kalininskaya A.A., Skvirskaya G.P., Shlyafe rS.I., Matveev E.N. Methodological recommendations for organizing day care in hospitals: Methodological recommendations. Approved by the Ministry of Health of the Russian Federation dated November 17, 2000 No. 2000/166. Moscow, 2000 (in Russian).][Kalininskaya A.A., Shlyafer S.I., Devishev R.I. Economic effect of organizing a day hospital in a hospital (on the example of the Nelidovskaya Central District Hospital of the Tver Region). [Healthcare Economics]. 2000;(4):10—11 (in Russian).][Kalininskaya A.A., Lazarev A.V., Allenov A.M., Merekina M.D., Kizeev M.V. Results and prospects for reforming primary health care in Moscow. [Problems of social hygiene, health care and history of medicine]. 2022;30(2):270—274 (in Russian). DOI 10.32687/0869-866X-2022-30-2-270-274]