International Medical Journal, Vol. 23., Iss. 1, 2017, P. 65−69.
COMPARATIVE ANALYSIS OF INCIDENCE AND PREVALENCE OF NERVOUS SYSTEM DISEASES AND EPILEPSY IN CHILDREN RESIDING IN UKRAINE AND KHARKIV REGION
Kharkiv Medical Academy of Postgraduate Education, Ukraine
This comparative investigation of the prevalence and morbidity in children from Kharkiv region and Ukraine as a whole, in particular, urban and rural residents, was conducted in order to improve the medical care for children with disorders of the nervous system and epilepsy. Statistical and analytical methods were used in the study. The prevalence of the nervous system diseases in children in Kharkiv region and Ukraine was 86.28 % and 53.53 %, respectively. The ratio of the prevalence of nervous system diseases in children from urban and rural areas of Kharkiv region was 7:10, in Ukraine −− 3:1. The prevalence of epilepsy in Ukraine was 3.21 %, in Kharkiv region −− 3.43 %. In Ukraine the prevalence of epilepsy in urban children was significantly higher vs. Kharkiv region. The incidence of diseases of the nervous system in Ukraine was 18.45 %, while in Kharkiv region it was 28.07 %. The nervous system diseases in children prevailed among the urban population of Ukraine (4:1), while in Kharkiv region no significant difference was detected. In Ukraine epilepsy incidence made 0.43 %, while in Kharkiv region −− 0.45 %. The incidence of epilepsy predominated among the urban population of Ukraine (3:1). These results allow to analyze a group of patients with nervous system diseases and epilepsy under 18 years of age, to determine a number of epidemiological indicators in Kharkiv region and Ukraine. The obtained findings confirm the prevalence of diseases of the nervous system and epilepsy among urban residents in Ukraine as well as more uniform distribution of the prevalence and incidence of epilepsy and nerve diseases among urban and rural residents of Kharkiv region. The necessity to improve organizational forms of neurological and antiepileptic services, especially in rural areas, which can promote improvement of the quality of life and prevention disability of patients, is emphasized.
Key words: children, incidence, prevalence, nervous system diseases, epilepsy.