THEME 7 Indicators incidence used for:
• integrated estimates states health population;
INCIDENCE RATES AND
DISABILITIES
Target study Topics
Student must know:
• the importance of studying the incidence of the population
and methods of studying it;
• types of morbidity by negotiability and their content;
• morbidity with temporary disability and its indicators;
• disability, content and indicators.
Student must be able to:
• calculate and analyze incidence rates;
• calculate and analyze morbidity rates with temporary
disability;
• calculate and analyze disability rates.
Plan study Topics
1. Parsing Topics By educational issues
1. Morbidity rates, sources of study.
2. Morbidity according to attendance, types of attendance.
3. Indicators of morbidity with temporary disability.
4. Disability, groups, causes, indicators.
5. The values of the basis for calculating indicators.
2.Solution tasks
3. Anchoring material By control issues and tests
The incidence rate is the level and structure of diseases in the
population.
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• • substantiation of the need for various types of medical care
and resources;
• estimates activities medical organizations.
concept incidence:
Own (primary) incidence - is the first time in a given year the
identified diseases among a certain number of the population.
Soreness (prevalence) diseases - This All diseases, by about
which sick turned this year to medical organizations for a certain
number population.
Pathological susceptibility - is the number of pathologies
detected during medical examinations for a certain number of
examined.
True morbidity is all diseases for which patients applied to
medical organizations and additionally identified during medical
examinations.
Methods (sources) study incidence
1. According to the population's accessibility to medical
organizations:
• basic source information about acute and chronic
diseases;
• incompleteness of requests for medical care (not severity
of symptoms, unavailability of medical medical care, low
level of qualification of doctors, short level V respect his
health).
2. By data medical inspections (preliminary upon admission
to work and periodic certain contingents population):
• allows reveal initial stages or hidden forms diseases;
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 • application of the method is limited due to insufficient
logistical base, insufficient fi- funding.
3. According to the data on the causes of death, the frequency of
cases of diseases detected among the dead and caused death (the
unit of observation is each death case, the record document is
“Medical certificate of death”):
• main source of information about fatal diseases and health
problems;
• makes it possible to compare information about certain diseases.
4. By data survey population:
• makes it possible to identify diseases with which the
population did not apply to medical organizations, but their
detection depends on the level of sanitary culture of the
population and the timeliness of contacting a doctor.
Kinds incidence by negotiability
1. General morbidity.
2. Special incidence:
 заболеваемость острыми инфекционными
заболеваниями, острыми пищевыми отравлениями;
 заболеваемость важнейшими неэпидемическими
заболеваниями (туберкулез, венерические болезни,
рак и др.);
• incidence With temporal loss ability to work;
• hospitalized morbidity;
• professional morbidity;
• traumatism.
Referral is the first visit of a patient to a doctor. By about any
diseases.
Attendance - This All visits sick to doctor by about any
diseases (first and repeated).
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Main indicators incidence
1. Indicators frequencies diseases:
Primary morbidity proper = number of newly diagnosed diseases per
year * 1000/population/
Morbidity (prevalens of diseases in the population per
year*1000/hjhulation.
Phatological prevalence = number of diseases detected during medical
examinations *100/number of examined population
Spesial indicators by groups (age) = number of diseases in person
aged 20-29 * 1000/ population aged 20-29
Mobidity structure (share of each diseases) = number of angina diseases
*100/number of all diseases during the year.
Example
In the city of A. in 2012, the population was 46,068, the
number of existing diseases was 13,173, incl. newly diagnosed
diseases - 6434. Medical examination covered - 30,313, while
diseases were detected - 62,233. Number persons neither once
Not turning- shisha V honey. institutions V flow of the year - 34
895.
Calculate indicators prevalence, primary incidence,
pathological defeat.
Methods calculations
1. Diseases prevalence =13173*1000/46068=286 ‰
2. Primary incidence – 6434*1000/46068=139.7 ‰
3. Indicator of those who never applied to a medical
organization during the year = 34895*1000/46068= 758
‰
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Conclusions: the prevalence of diseases in the city of A. is
286 per 1000 population, the primary incidence, respectively,
is 139.7 per 1000 population. The number of pathologies
revealed during medical examinations is 205.3 per 100. For
every 1000 people living in the city of A., 758 people do not
apply to medical organizations.
General incidence
• Incidence of acute infectious diseases, acute food poisoning
(epidemic morbidity) - the frequency of all cases of infectious
diseases registered in the population during a certain period of
time.
• Unit of observation - each case of a registered infectious
disease.
• Registration document - "Emergency notification of an
infectious disease, food poisoning" (filled in by a doctor within 12
hours and submitted to the State Sanitary and Epidemiological
Supervision).
Indicators infectious incidence - structure and frequency
morbidity.
Structure of infection morbidity (in%) = number of cases diseases of
one nosology*100/number of cases of all infectious diseases
Incidence of infectious diseases = number of cases * 1000/average
annual population
The incidence of the most important non-epidemic diseases
(tuberculosis, venereal, skin diseases, psychiatric, oncological
diseases) is the frequency of cases of non-epidemic diseases
among the population.
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The unit of observation is each person diagnosed with a non-epidemic
disease for the first time in his life and registered in a given year.
Accounting documentation - Patient notification.
Indicators of non-epidemic morbidity - structure and
frequency morbidity.
Structure no communicable morbidity (in%) = number of cases diseases
of one nosology*100/number of cases of all infectious diseases
Incidence no communicable diseases = number of cases * 1000/average
annual population
Indicators of morbidity with temporary disability - the frequency of all
cases and days of disability due to illness, injury among the working
contingent
1.Number of disability cases per 100 employees = number of
disability cases *100/population
2. Number of days of incapacity for work per 100 employees =
number of cases incapacity for work *100/ number of
employees
3. The average disability of the disability cases = number of
disability /number of cases of disability
4. Number of cases (days) disability for a given disease =
number of cases of disability for a given disease*100/
number of employees
5. The average duration disability on this disease = number of
days of disability for a given disease/ number of cases of
disability for a given disease
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6. Indicators of the structure of morbidity = specific weight
of cases (days) of disability on this disease *100/all cases
(days) of disability
The unit of observation is a case of temporary disability
during the year for an employee due to illness or injury.
Accounting documents - a certificate of incapacity for work.
Example
At the plant A. in 2012, the number of employees was 310,
the number of cases of disability was 186, incl. from diseases
of the circulatory system - 48. Total days of disability - 1753,
incl. from diseases of the circulatory system - 720.
Calculate the number of cases of disability per 100
employees, incl. in diseases of the circulatory system, the
average duration of 1 case of disability, incl. in diseases of the
circulatory system.
Sample calculations:
1. Number cases disability on 100 working
on 100 working
2. Number days disability on 100 working
on 100 working
3. 3. Average duration of one case of disability
4. Number cases disability at diseases
circulatory organs per 100 employees on 100
employees
5. Number of days of disability due to diseases circulatory
system per 100 employees
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6. 6. Average duration of 1 case of disability due to diseases
of the circulatory system
Conclusions: for every 100 employees there are 15 cases of
diseases of the circulatory system and 226 days that resulted in
absence from work. The average duration of one case of disability
was 15 days.
Hospitalized incidence - the frequency of all cases of
diseases registered in patients who left the hospital for a given
year (per 1000 population).
The unit of observation is a case of the underlying disease of
a patient who left the hospital (discharged or deceased).
Accounting documentation - "Statistical map retired from
hospital", "History of the disease".
Structure of hospitalized morbidity – number of cases of diseases of one
nosology*100/ number of cases of hospitalized morbidity
Hospitalized morbidity rate = number of hospitalized morbidity cases
*100/average annual population
Professional incidence - frequency cases all professional diseases,
registered V flow of the year among working, past medical
inspection.
Unit observations - happening acute and chronic professional
diseases.
Accounting documentation - emergency notice (sends-
Xia doctor V bodies state dignity. epid. supervision), Story illness.
Disability is a permanent (or long-term) loss or significant
limitation ability to work
Groups disability:
• I group - p e r s o n s with complete loss ability to work
• II group - p e r s o n s w i t h s i g n i f i c a n t d i s a b i l i t y
• III group - p e r s o n s with limitation labor functions.
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 Causes of disability: general illness, occupational disease, Methods calculations
labor injury, disability since childhood, disability before 1. Primary disability per 10,000
starting work, injury and illness in military service. bots
Indicators disability: 2. Primary disability 1 groups on
Primary disability (contingent) = number of newly recognized
10 000 working
disabled *1000/number of employees.
3. General disability (contingent) on
Structure of primary disability (by disease, age, affiliation, etc.) = 10 000 working
number of people recognized as disabled from disease of the 3. The contingent of disability due to diseases of the
caldiovascular system *100/number of people recognized as disabled.
circulatory system on 10 000 employees
Frequency of primary disability by disability groups = number of Conclusions: in the district of A. for the first time were recognized as
persons disabled of the 1st group*1000/number of employees. disabled - 43.7 per 10,000 workers, of which the disabled of group 1
were - 9.9 with general disability - 199.8 and for diseases of the
Structure of primary disability by disability groups = number of persons circulatory system - 64.8.
recognized as disabled of the 1st group*1000/number of persons
recognized as disabled for the fist time. TASKS
Task 1
Total disability (contingent) = number of disabled people *10000/
number of employees. inhabited paragraph A. B. C. D.
population 93 115 139 508 185 272 93 143
Structure of disability (calculated by disease, age, sex, etc.) = number of Covered medical examination 60 527 89 193 123 152 6150
persons having disability due to blood circulation organs *100/ total Again identified disease 13 256 21 303 26 851 33 180
number of disabled. All available diseases 27 015 38 519 53 705 66860
Revealed diseases at 123 475 185 314 247 517 30 171
medical examinations
The number of people who have 64 116 105 111 130 517 18 150
Example never contacted a medical
In 2012, in the A. district, the number of employees was organization
during a year
15,115 people, 66 were recognized as disabled for the first
time, incl. Group 1 - 15. The number of registered disabled
Calculate and analyze the indicators of primary morbidity, prevalence,
people - 302, incl. for diseases of the circulatory system - 98.
pathological susceptibility, indicators of people who have never applied to a
Calculate indicators of primary disability, incl. 1 group, medical organization during the year.
general disability (contingent), incl. on diseases of the
circulatory system.

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 Task 2
Factor
2012 y. y
A. B. C. D.
Number of employees 473 615 151 78
Number cases disability
275 373 98 41
Number days disability
2910 4010 105 79
The number of cases of
disability from
72 101 28 9
inflammatory diseases of the
genitourinary systems
Number days disability from
inflammatory diseases
1150 1713 451 125
urogenital systems

Calculate number cases and days disability, the average

duration of disability for all pain and inflammatory diseases of the
genitourinary systems.

Task 3
Сity А. B. C. D.
Number of employees 65 117 48 321 32 223 23 715
Recognized as
410 270 163 109
disabled for the fist
time
Including disabled people of the 92 58 35 23
1st group
Number of people with
1318 1102 617 453
disabilities registered
Including people with disabilities
371 315 225 148
due to disease circulatory system
Calculate the indicators of primary disability, general disability,
disability for diseases of the circulatory system.

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 Tests
1. The concept of morbidity includes: a) prevalence, b)
level, c) frequency, d) structure.
2. TO method study incidence applies to: A) according to
the report, b) according to accounting data, c) according to
medical inspections, d) according to examinations.
3. TO mind incidence applies to: A) partial, b) private, c)
compacted d) selective.
4. Private morbidity includes: a) disability, b) pathological
defeat, V) hospitalized morbidity, G) incidence, identified at
medical examinations.
5. To indicator incidence with temporary disability includes:
a) the incidence rate, b) the average duration case loss working
capacity, V) level incidence, G) Exodus morbidity.
6. TO indicator disability applies A) primary disability, b)
simple disability, c) repeated disability, d) secondary disability.

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 7. Private morbidity includes: a) disability, b) pathological defeat, V) hospitalized care- left-
handedness, G) incidence, identified at medical examinations.
8. TO indicator incidence With temporal loss labor- capacity includes: a) the incidence rate,
b) the average nya duration case loss working capacity, V) level incidence, G) Exodus
morbidity.
9. TO indicator disability applies A) primary in- validity, b) simple disability, c) repeated
disability ness, d) secondary disability.

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