EPIDEMIOLOGY OF NEUROLOGICAL DISORDERS IN THE TRANSCARPATHIAN REGION IN 2017

The issue of neurological disorders is extremely important. These diseases belong to the most common ones of the 21st century, and most of them lead to long-term persistent neurological deficits. According to the official data of the Center of Medical Statistics of the Ministry of Health of Ukraine, 4,497,718 patients with neurological disorders were registered in the country in 2017, which is 9% more than in 2014 (4,130,479 pa-tients). The majority of them occur in a working age population and leads to prolonged temporary disability or even to permanent disability. Moreover, consequently, these diseases indirectly affect the socio-economic devel-opment of a country. Along with improvement in the quality and availability of diagnostics and treatment of neurological disorders, more important is to improve primary and secondary prophylaxis of these diseases and to create favorable environmental conditions for the life of an individual. Therefore, the study of regional epidemiology of neurological disorders may help to optimize manage-ment of health facilities regarding this issue and improve rational distribution of the available and potential re-sources. The purpose of this research was to study and analyze the epidemiology of neurological disorders among adult population of the Transcarpathian region in 2017 in the context of its districts (administrative territo-rial units). To obtain the information about the number of cases of the diseases and the demographic situation in the investigated region we analyzed the reports (form No. 12) of health facilities, that provided medical care to adults with neurological disorders in the Transcarpathian region in 2017, and the statistical bulletin of the Main Department of Statistics in the Transcarpathian region. In our study, neurological disorders were defined as ones, which included the cerebrovascular diseases (І60-І69) and the diseases of the nervous system (G00-G99). The prevalence and the cumulative incidence of neurological disorders were calculated with determination of share of the latter in the former. Then the subsequent analysis of the obtained indices was performed. The prevalence of neurological disorders was 4,902.4 per 100,000 (58.8% less than federal index). The cerebrovas-cular diseases part was 2,135.3 per 100,000 (70.5% less) and the part of diseases of the nervous system was 2,767.1 per 100,000 (40.6% less). In turn, the cumulative incidence of neurological disorders was 1,647.8 per 100,000 with the distribution of 523 per 100,000 for the cerebrovascular diseases and 1,124.8 per 100,000 for the diseases of the nervous system. Apropos of the subgroups of diseases of the nervous system, the prevalence of diseases of the peripheral nervous system was 834.7 per 100,000, of unspecified disorders of autonomous nervous system – 730.9 per 100,000; of inflammatory diseases of the central nervous system – 184.4 per 100,000, of epilepsy – 160.3 per 100,000, of transient cerebral ischemic attacks – 94.7 per 100,000, of Parkinson's disease – 56.8 per 100,000, of multiple sclerosis – 37.6 per 100,000. It was defined that the tendencies of share distri-bution of the particular disease groups in the structure of the prevalence of neurological disorders in the Transcar-pathian region in 2017 were similar to Ukraine, but the regional index values were lower than the federal ones. In addition, considerable fluctuations of the index values were observed among the administrative territorial units that may be due to their geographical and professional features.