Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot148610.32687/0869-866X-2024-32-3-415-419НеопределенThe population morbidity with diseases of ear and mastoid and accessibility of otorhinolaryngological careLebedevaNatalia Afanasievnalebedeva-lor@mail.ruIvanovaAlbina Ammosovnaiaa_60@mail.ruAleksandrovInnokenty Nikolaevichinalor@mail.ruThe Federal State Autonomous Educational Institution of Higher Education “The M. K. Ammosov North-Eastern Federal University”, 677000, Yakutsk, Russia290620243232204202522042025Copyright © 2025,2025<p>The article analyses level and dynamics of morbidity of diseases of ear and mastoid in the Sakha Republic (Yakutia) in 20202021 and availability of otorhinolaryngological care. The methods of comparative statistics and mathematical analysis were applied to analyze official data provided by the Yakut Republic Medical Information and Analytical Center, the specialized Department of Otorhinolaryngology, the Republic Hospital № 2 Center for Emergency Medical Care and the Federal State Statistics Service of Russia. The study established increasing trend of increasing morbidity of these diseases in both the adult and child population. In 2021, the growth rate of overall morbidity of adult population reached 17.7% and 8.8% in children, as compared to 2020. The primary morbidity of adults made up to 22.3%, in children 15.7%. The comparative analysis demonstrated higher rates of general morbidity in the Republic: by 0.5% as compared with the Russian Federation and by 14.1% as compared with the Far Eastern Federal Okrug. The level of primary morbidity was lower than similar indicators of the compared territories by 17.1% and 3.0%, respectively. It is worth noting that analyzed morbidity of diseases of ear and mastoid reflects prevalence of ENT diseases in the region only indirectly, as the statistical data do not allow to estimate separately rate of upper respiratory tract lesions. Meanwhile, respiratory diseases rank first in the structure of population diseases in Yakutia. The growth of disability in children due to diseases of ear and mastoid requires attention. Among children of 017 years old, the indicator of primary disability increased from 0.38 to 0.8 per 10,000 of children population (increase of 110.5%); in children 03 years old from 0.9 to 2.3 per 10,000 of the child population (an increase of 155.6%). The analysis of the number of beds in otorhinolaryngology wards established that that the bed capacity per 10,000 population was 0.6 that is significantly lower than the established standards. The article emphasizes need to adjust the Federal standards for hospital bed capacity, taking into account climatic and geographical conditions of the region, which contribute to spread and chronization of ENT diseases.</p>diseaseearmastoidmorbidityotorhinolaryngologybed capacityболезни уха и сосцевидного отростказаболеваемостьоториноларингологиякоечный фонд1.Voznesenskiy N. A., Knyazheskaya N. P. Polypous rhinosinusitis and bronchial asthma: a pulmonologist's view. Atmosfera. Pul'monologiya i allergologiya. 2005;(2):32–6 (in Russian).2.Artyushkin S. A., Svyatov D. I. Chronic polypous rhinosinusitis as a cause of pathological changes in the heart pumping function. Rossiyskaya otorinolaringologiya. 2009;(5):3–8 (in Russian).3.Samsonova A. N. Territorial variations in the state of health of the population of Yakutia. International Agricultural Journal. 2020;(6):323–34. doi: 10.24411/2588-0209-2020-10257 (in Russian).4.Samoylova I. Yu., Semenov S. I., Ignat'eva M. E., Shadrina S. S. The incidence of influenza and acute respiratory viral infections in Yakutia during epidemic seasons. Zhurnal infektologii. 2018;10(1):103–12. doi: 10.22625/2072-6732-2018-10-1-103-112 (in Russian).5.Sivtseva E. N., Borisova K. Z. Ethnic and territorial features of the distribution of congenital ear atresia in children of Yakutia. Yakutskiy meditsinskiy zhurnal. 2009;2(26):26–8 (in Russian).6.Daykhes N. A., Karneeva O. V., Kim I. A., et al. The state of the Otorhinolaryngological Service of the Russian Federation. Rossiyskaya otorinolaringologiya. 2019;18(3):9–16. doi: 10.18692/1810-4800-2019-3-9-16 (in Russian).7.Tregubov V. N., Bovina A. A. Availability and demand of the population of the federal districts in the number of beds. Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny. 2020;28(S):810–6. doi: 10.32687/0869-866Kh-2020-28-sl-810-816 (in Russian).