SPECIAL REGIONAL CONSIDERATIONS - UKRAINE
GENERAL HEALTH ISSUES IN THE POPULATION - continued
Tuberculosis is another important problem facing the Ukraine. Although coverage with BCG (bacilli Calmette-Guerin" vaccine, given to try to prevent TB disease) has been increasing since 1993 to around 97% by the end of the 1990s, reported case notification rates have more than doubled since independence, from 32.2 per 100,000 in 1991 to 66.5/100,000 in 2000, with an estimated case notification rate of 91.3 per 100,000 in 2002. The situation is especially critical in the prison population, which accounts for about 30% of all tuberculosis patients in Ukraine. It has been estimated that of a prison population of now 200,000 about 14,000 have active TB, which equates to a prevalence rate of 7000 per 100,000. Moreover, 40% of deaths in prisoners are reported to be due to TB. At the same time, drug-resistant tuberculosis is also increasing rapidly, which poses a substantial additional burden to the health care system as it is vastly more difficult and costly to treat. A study from Chernihov suggests that about 50% of new tuberculosis patients have resistance to at least one drug; multi-drug resistant tuberculosis appears to be present in 10-15% of new cases.4
4 Lekhan V, Rudiy V, Nolte E. Health care systems in transition: Ukraine. Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, 2004, www.euro.who.int/Document/E84927.pdf
5 Central Intelligence Agency, The World Factbook, Ukraine, www.cia.gov/library/publications/the-world-factbook/geos/up.html
Unless noted above, content for Ukraine is from THE HANDBOOK OF INTERNATIONAL ADOPTION MEDICINE by Laurie C. Miller. Copyright 2004 by Oxford University Press, Inc. Used by Permission.