“Total mortality in Tatarstan increased by 11.5%” — RealnoeVremya.com

The meeting of the Board of the Ministry of Health of the Republic of Tatarstan discussed the state of readiness to reflect the new wave of Covid-19 and the disappointing results of the second pandemic year

Photo: Rinat Nazmetdinov

“We are very concerned about the accident rate. In the context of Russia, we seem positive, but I think routine care and prevention are insufficient, and we see the result,” the President of Tatarstan said at the meeting of the board of the Ministry of Health of the Republic of Tatarstan.Rustam Minnikhanov set himself the task of providing primary care with specialists not only in Kazan, but also in the regions of the republic.About vaccination against the coronavirus, the causes of the increase in mortality, unfulfilled and outdated plans, and new initiatives of Doctors of Tatarstan – read the details in the report of Realnoe Vremya.

Vaccine against death

Coronavirus and diseases associated with Covid took 2nd place in the structure of causes of death in Tatarstan — 18.1% (1st place — diseases of the circulatory system). This is the result of the second pandemic year, the head of the Republican Health Ministry, Marat Sadykov, said at the board meeting.

“The health system not only of the republic, but also of the whole country, has been working in a difficult epidemiological situation for two years,” the minister said. “If at the beginning of 2021 the epidemiological situation was still stable, then at the end of the summer holidays, with the start of the school year, we received a doubling of morbidity.

The minister reported on the department’s efforts in combating the spread of the coronavirus. Marat Sadykov said, addressing the President of Tatarstan:

“In 2021, 175 vaccination points were deployed in the republic, 79 of them operated in mobile format, including at home. Dear Mr. Minnikhanov, currently more than 2.3 million people or 77.8% of the adult population have been vaccinated with the first component, in the group of people over 60 — the percentage of vaccinated is over 71% . ”

The minister reported on the department’s efforts in combating the spread of the coronavirus

But then Marat Sadykov reported another sad fact:

“According to operational data, life expectancy in the republic is 71.25 years (compared to 70.03 years in Russia), and we did not reach the planned value of this target indicator of the national project (71, 46 years). The total death rate increased by 11.5% compared to 2020 and amounted, according to operational data, to 15.5 cases per thousand inhabitants. This year, the mortality growth rate has decreased slightly, in 2020 it was 26%.

According to the Ministry of Health, mortality among people of working age increased by 3% (18.2%) and mortality among citizens of Tatarstan aged 80 and over decreased by 3.5%.

At the same time, Tatarstan still has the lowest death rate in the Volga region, the minister noted, but the birth rate has fallen – 662 fewer children were born in 2021 than in 2020, and therefore, the population decline became more significant. perceptible.

The conditions are the same — the results are different

Mortality rates are an objective characteristic of the quality of medical work, the minister said. He said the highest death rates among the able-bodied population were recorded in Novosheshminsky (862.4 per 100,000 population), Verkhneuslonsky (821.1), Menzelinsky (794), Sarmanovsky (791.7) and Kaybitsky (736.5) quarters. It would seem that they are very different for some reason in localities and municipalities that are almost equally equipped from a medical point of view:

“So, of the two large cities of the republic, mortality in Kazan is 11% higher than mortality in Naberezhnye Chelny. In Leninogorsk, the death rate is 35% higher than in Nizhnekamsk. The difference in indicators in the Buinsky and Pestrechinsky districts is 42%! The highest death rates were recorded in areas with less than 30,000 inhabitants – these are Muslyumovsky (23), Kamsko-Ustinsky (22.3) and Drozhzhanovsky (22.1) districts. Thus, the total mortality in the Muslyumovsky district is 35% higher than in the Tyulyachinsky district. »

Mortality rates are an objective characteristic of the quality of medical work, the minister said

Marat Sadykov noted that the organizational conclusions about the heads of “distinguished” medical institutions in this regard were made and added somewhat threateningly:

“The chief doctors of the central district hospitals of Muslyumovsk, Kamskoye-Ustye, Drozhzhanoye, Buinsk, Sarmanovsk, Aznakaevo, Leninogorsk, Chistopol should concentrate their efforts on the work of outpatient care, improving the professional competence of doctors. It is necessary to do this personally and continuously.

The head of the Ministry of Health also noted that in Cheremshansky, Buinsky, Muslyumovsky and seven other districts of the republic, mortality from diseases of the circulatory system significantly exceeds national indicators:

“The chief cardiologist of the Ministry of Health, together with the curators of these districts, must carry out an external audit of the work of the central district hospitals. First Deputy Minister Almir Abashev must coordinate this work, there must be strict control.

Offers that cannot be refused

Marat Sadykov’s message that an increase in maternal mortality was recorded in 2021 and that the cause of death of seven out of eight women was Covid-19, was in fact the prelude to the appeal to the president of the republic with the ‘commercial offer :

“Dear Mr. Minnikhanov, today Kazan needs its own perinatal center. The number of pregnant women in a high-risk group is increasing every year, and the number of premature babies requiring high-tech care is also increasing. The issue of assisted reproductive technologies (IVF) is also acute. The available bed capacity of the perinatal center of the Republican Clinical Hospital is not sufficient. We have prepared calculations and a financial justification. Please support our proposal.

Today, as part of the implementation of federal and regional programs, the stock of medical equipment has increased several times, the minister noted.

Noting that the creation of an oncological cluster in Tatarstan with the formation of three zones has made assistance to cancer patients accessible to all residents and ensured a 6% reduction in cancer mortality in 2021, the minister said reminded:

“According to the chief oncologist of the Ministry of Health of Russia, Andrey Dmitrievich Kaprin, due to the suspension of planned preventive work, medical examinations, an increase in morbidity and mortality from malignant neoplasms is expected. Therefore, it is necessary to take proper action now.

Sadykov said that the chief physician of the Republican Clinical Oncology Dispensary should take special control over the work of primary oncology offices, ensure that specialists go to areas with high mortality rates and submit to the Ministry of Health “a detailed analysis based on the results of six months to make the appropriate decisions”. He proposed to make outpatient oncology care centers structural units of oncology dispensaries in order to maintain continuity and a systematic approach in the diagnosis and the treatment of oncological diseases.

Recalling that the year 2022 has been declared the Year of Digitalization in Tatarstan, he again addressed the President:

“Today, as part of the implementation of federal and regional programs, the stock of medical equipment has been multiplied several times. This requires a new management system. We studied the experience of colleagues from Moscow Oblast and, together with interested organizations, prepared a project for a radiological data center. Thanks to artificial intelligence, we will be able to significantly save time and resources, control the efficiency of the use of expensive equipment. We are ready to submit a project for decision making.

Rustam Minnikhanov thanked doctors for their efforts in the fight against Covid-19

The decision is made, thank you all!

“We summarize the results,” began his speech at Rustam Minnikhanov’s board meeting. “Of course, we are very, very concerned about mortality. In principle, we look positive in the context of Russia. But I think planned care and prevention are insufficient. And we the result.

Then the president casually announced the news, anticipating it with words that the second serious cause for concern is the declining birth rate:

“There are objective reasons, but we are not yet doing everything [to increase it]. We have to see where we have reserves. Today we visited the hospital in the 7th city and the decision to build a perinatal center there has already been taken.

At this moment, the doctors clapped in unison.

“I would like to draw attention to a detail,” the president referred to the problem of staff shortages. “In recent years, we have acquired quite a few “heavy” high-tech equipment that requires highly qualified specialists… We can build and buy a lot, but finding people ready to work not only in Kazan is the main task of the authorities republican and municipal. Until we provide the main link with specialists, the problem will not be solved. We must work in a more targeted manner on the interest and consolidation of specialists.

In conclusion, Rustam Minnikhanov thanked the doctors for their efforts in the fight against Covid-19:

“Two years of working in this mode is very difficult, we understand that. Financial incentives are not bad. But it is very difficult to work in such conditions. Therefore, send words of sincere gratitude to all those who work in your teams. And take care of yourselves! We can be replaced, but it is very difficult to replace you!

Inna Serova

Tatarstan

Rose D. Jones