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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1768</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2024-28-3-235-240</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Features of incidence and health of the population during a pandemic in the Samara region</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Калининская</surname><given-names>Алефтина Александровна</given-names></name><bio></bio><email>akalininskya@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Шакуров</surname><given-names>Ильдар Гомерович</given-names></name><bio></bio><email>guzsokvd@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Мерекина</surname><given-names>Мария Дмитриевна</given-names></name><bio></bio><email>merimerekina@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Бальзамова</surname><given-names>Лидия Алексеевна</given-names></name><bio></bio><email>balzamova.lidiya@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Иринёва</surname><given-names>Светлана Викторовна</given-names></name><bio></bio><email>alexsm-v@ya.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Смирнов</surname><given-names>Алексей Александрович</given-names></name><bio></bio><email>006</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health, Moscow, Russian Federation</aff><aff id="aff-2">Samara Regional Skin and Venereological Dispensary, Samara, Russia</aff><aff id="aff-3">Clinic «Idealist», Moscow, Russia</aff><aff id="aff-4">Institute of Vocational Education of the Samara State Medical University, Samara, Russia</aff><pub-date date-type="epub" iso-8601-date="2024-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2024</year></pub-date><issue>3</issue><fpage>235</fpage><lpage>240</lpage><history><pub-date date-type="received" iso-8601-date="2025-10-16"><day>16</day><month>10</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2024,</copyright-statement><copyright-year>2024</copyright-year></permissions><abstract>The COVID-19 pandemic has led to changes in morbidity and an increase in mortality rates, which should be taken into account when developing management decisions at the regional level. Aim — to analyze the characteristics of morbidity in the Samara region and in the Russian Federation in the context of the coronavirus situation in order to develop management decisions on protecting the health of the population. Materials and methods: analytical, statistical. Materials from official statistics of the Ministry of Health of the Russian Federation, Rosstat and Samarstat were used. Results. During the years of the pandemic, the mortality rate of the population of the Samara region increased from 13.2‰ (2019) to 16.7‰ (2020) and to 18.4‰ (2021) with a subsequent drop to 14.2‰ (2022). The total morbidity rate of the population in the region in 2019 was 214,764.90/0000. After a sharp decline (2020), the figures increased slightly, but in 2022 they did not reach the values of the pre-Covid period (2019). The highest incidence rates (2022) were for diseases of the respiratory system (26.7%), circulatory system (15.4%), followed by diseases of the musculoskeletal system and connective tissue (9.2%), and the genitourinary system (7.6%), digestive organs (6.3%), etc. The incidence of COVID-19 over 3 years of analysis increased and amounted to 1713.50/0000 in 2020, in 2021 (7083.50/0000) and in 2022 (9894.30/0000), which indicates the importance of preventive work and medical examination of the population due to the growth of the pandemic and morbidity complicated or caused by coronavirus infection. There was a sharp decrease in overall morbidity rates during COVID-19 (2020) in all age groups of the population, with a subsequent increase in their values. The difference in overall morbidity rates in the constituent entities of the Russian Federation is 3.5 times. Conclusions. The results of the analysis indicate the need to monitor morbidity and mortality rates at the federal, regional and municipal levels in order to develop management decisions aimed at preserving the health of the population.</abstract><kwd-group xml:lang="en"><kwd>medical and demographic indicators</kwd><kwd>population</kwd><kwd>mortality</kwd><kwd>morbidity (general, primary)</kwd><kwd>health preservation</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>медико-демографические показатели</kwd><kwd>численность населения</kwd><kwd>смертность</kwd><kwd>заболеваемость (общая, первичная)</kwd><kwd>здоровьесбережение</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Khabriev R. U., Shchepin V. O., Kalininskaya A. A. et al. Results of the analysis of morbidity and mortality of the population during the COVID-19 pandemic. Problems of social hygiene, health care and history of medicine. 2023;31(3):315–318. 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