Tuberculosis in North Siberian and Far East inhabitants

Novosibirsk TB Research Institute is a center of the pursuance and coordination of scientific investigations and the providing of an antituberculosis cure in Siberian and Far East federal regions. Northern territories are included in the zone of Institute supervision. We have chosen two territories (Taimyr and Koryakia) to study peculiarities of the TB problem on the North. We have estimated social, demography, ethnic, ecological, political, economical, epidemic, technology factors, and quality of TB control work in considering the situation on TB. We have marked out problem areas in the sphere of TB control in Northern territories. Novosibirsk TB Research Institute, in cooperation with other Scientific Centers, provides actions on improving the system of support to TB control facilities of the Northern territories, taking into account peculiarities in the situation with TB in the following directions: organizational activities on interaction with authorities and general health care; prediction of clinical course and treatment outcome based on study of the clinical, immunogenetic, and morphological peculiarities of TB; study of bacteriological and immunogenetic peculiarities of Mycobacterium tuberculosis to improve TB diagnostics, to use TB drugs in accordance to the data on drug-resistance and to provide timely correction of treatment course.