EPIDEMIOLOGY OF DISEASES OF THE DIGESTIVE SYSTEM IN CHILDREN AND ADOLESCENTS OF THE KRASNODAR TERRITORY

• Main Author: V. A. Shashel
• Format: Article
• Language: Russian
• Published: Ltd. “The National Academy of Pediatric Science and Innovation” 2018-06-01
• Series: Rossijskij Vestnik Perinatologii i Pediatrii
• Subjects: children; adolescents; ecology; epidemiology of diseases of the digestive system
• Online Access: https://www.ped-perinatology.ru/jour/article/view/676
• ISSN: 1027-4065; 2500-2228

Objective of the study: study of the influence of unfavourable environmental factors on the prevalence and structure of diseases of the  digestive system in children and adolescents of the Krasnodar Territory. We examined 9,020 children aged 1–18 in 47 districts and towns of the Krasnodar Territory during the specialized medical examinations. Diseases of the digestive system were diagnosed in 2,454 individuals. Medical history of children was studied, blood, urine, faeces,  laboratory and functional tests were analyzed. The environmental state of all territories of the region was studied using the method proposed by the author. The influence of man-caused atmospheric emissions, pesticides introduced into the soil and untreated wastewater  discharged into water bodies on the prevalence of diseases of the digestive system and structure, depending on age and sex was assessed.Results. Epidemiological indicators of diseases of the digestive system in children and adolescents were studied in 47 administrative  territories of the region, divided into three zones with different levels of environmental pollution. It is established that the degree  of environmental pollution, determined using the integral index of environmental pollution, significantly influences the prevalence  of gastroenterological pathology and its structure. Age and sexual dependence of the prevalence of diseases of the digestive tract  in the environmentally favourable, conditionally favourable and unfavourable territories of residence was determined.