COVID-2019 in the Republic of Dagestan

Abstract

Information is provided on the COVID-2019 infection caused by the SARS-CoV-2 coronavirus until June 26, 2020 in the Republic of Dagestan.

The aim - systematization of information on coronavirus infection COVID-2019 from the end of March to the end of June 2020.

Material and methods. An expert group was created under the Government of the Republic of Dagestan, which prepared statistical models for the formation of requests from specialists of city and district administrations on the following issues: incidence of coronavirus infection in sections: identification, classification by age, severity, the need for hospitalization and consent to hospitalization , prognosis of the course of the disease. In addition to the analysis of morbidity and mortality, inquiry forms were developed, which made it possible to take into account the issues of the provision of personal protective equipment at the level of districts and cities. All cities and regions of the Republic of Dagestan were identified as observation bases.

Results. The dynamics of the number of cases, recovered and deaths, the chronicle of the COVID-2019 epidemic in the republic caused by the SARS-CoV-2 coronavirus, and an assessment of the epidemic situation are presented. The characteristics of the regional health service during the epidemic are given. The spread of coronavirus in Dagestan at the end of the first half of 2020 was 8132 cases, recovered - 6124 cases, recorded deaths - 391, of which: doctors - 70 people. By the end of the first half of 2020, Dagestan was in 5th place in terms of the number of COVID-19 infected among Russian regions. 173 500 test controls were carried out. 43 municipalities of the republic were involved in the epidemic process, including: urban residents accounted for 59.0%; rural residents - 41.0%. Among the surveyed, 44.0% were identified actively during examination of contact persons and 56.0% were identified when seeking medical help with ARVI and community-acquired pneumonia. Of the 1231 cases identified with the diagnosis of COVID-19, 944 (76.7%) people were hospitalized, including: asymptomatic - 414 (33.6%) people, with mild (ARVI) - 205 (16.7%) people, with community-acquired pneumonia of moderate severity - 518 (42.1%) people, with community-acquired pneumonia of severe form - 94 (7.6%) people.

Conclusion. The rapidly increasing dynamics of morbidity and mortality prompted the creation, at the initiative of the Government of the Republic of Dagestan, of an expert analytical group, which proposed conducting a randomized study when comparing statistical data received from heads of city and district municipalities with data from medical organizations of the Ministry of Health of the Republic of Dagestan. The analysis revealed significant differences in the absolute and relative values of the prevalence of coronavirus infection.

On May 17, the press center of the Ministry of Health of the Republic of Dagestan published that 13 697 people are sick with coronavirus and "community-acquired pneumonia" in Dagestan (at that time there were officially only 3280 patients with coronavirus in the region). Died from pneumonia (excluding coronavirus) -657, including more than 70 people - doctors who were not timely provided with the necessary personal protective equipment.

The problem of a total shortage of bed capacity of an infectious profile, the provision of medicines and personal protective equipment has also been exposed. As a result, 2572 beds in 20 hospitals were additionally redesigned in the republic (of which: 278 beds with mechanical ventilation, 700 beds - with supplied oxygen).

Keywords:coronavirus, coronavirus infection, COVID-2019, SARS-CoV-2, 2019-nCoV, pneumonia, safety

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

Contribution. Research concept and design - Askhabova L.M., Sabirov L.F.; collection and processing of material - Gadzhieva L.A., Untilov G.V.

For citation: Askhabova L.M., Sabirov L.F., Untilov G.V., Gadzhieva L.A. Statistics of the coronavirus COVID-2019 in the Republic of Dagestan. Infektsionnye bolezni: novosti, mneniya, obuchenie [Infectious Diseases: News, Opinions, Training]. 2020; 9 (4): 46-53. DOI: https://doi.org/10.33029/2305-3496-2020-9-4-46-53 (in Russian)

References

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CHIEF EDITOR
Aleksandr V. Gorelov
Academician of the Russian Academy of Sciences, MD, Head of Infection Diseases and Epidemiology Department of the Scientific and Educational Institute of Clinical Medicine named after N.A. Semashko ofRussian University of Medicine, Ministry of Health of the Russian Federation, Professor of the Department of Childhood Diseases, Clinical Institute of Children's Health named after N.F. Filatov, Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation, Deputy Director for Research, Central Research Institute of Epidemiology, Rospotrebnadzor (Moscow, Russian Federation)

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