Health

  What is the general situation with the health care?

 
 Data source: Center for Medical Statistics and Information, 1998.

According to the data of 1998 there were 69 hospitals in Tbilisi , 118 out-patient clinics (29 stomatological), 18 dispensaries, 17 treatment centers and 9 maternity consultation clinics; 18 medical research institutes are functioning today.

 Data Source: Center for Medical Statistics and Information, 1998.
In avarage city's 1000 inhabitants are served by 7,6 doctors (48% of the country's whole number) and 7,2 medium medical personnel (33%). 24,8% of the doctors are therapeutists, 16,2% are surgeons. 70,5% of the
physicians are women. In hospitals there are 6,8 beds per 1000 people, the load on the beds is 117,2; delay - 14,8; rotation - 9,9.

Total prevalence rate  constitutes 175.9 per 1000 inhabitants (190.7 totally in Georgia). Incidence constitutes 124.8 (84.1 for Georgia). 30% of the sick are children (including 14 years old youth), 71% of the sick are with the first diagnosis in their lives. According to the morbidity in Tbilisi first stands the disease of respiratory system (52.7 sick per 1000 inhabitants, 30% of the total number of the sick), then come the diseases of the circulatory system (26.7; 15,2%), diseases of the digestive system (23.8; 13,5%), mental(14.8; 8,4%), nervous system and diseases of sense organs (14; 8%) and infectious and parasitic diseases (10.5; 6%).

Main diseases.Most characteristic type of sickness for Tbilisi according to the indices per 1000 inhabitants is the disease ofrespiratory system (32,4% higher), which is caused by high air pollution and big number of smokers. it is characterized by higher quantity of the diseases of the digestive system (19% higher than in the country), and the indices are lower according to the diseases such as the disorder of endocrine system and sense organs (lower by 67.7%), injuries and poisonings (lower by 53.3%), the diseases of genitourinary system (lower by 49.4%), oncological diseases (lower by 39%) and diseases of the circulatory system (lower by 24.4%).

Lethality constitutes 3.08 (2.42in the whole country). 19% of those that died in hospitals were children. According to lethality the first stand certain conditions originating in the perinatal period (16.73 in Tbilisi, 10.75 in Georgia), symptoms, signs and deviations (11.14 in Tbilisi, 8.13 in Georgia), diseases of the circulatory system (7.91 in Tbilisi, 5.5 in Georgia), congenital anomalies (5 in Tbilisi, 4.9 in Georgia), injuries and poisonings (4.7 in Tbilisi, 4.01 in Georgia), endocrine system, nutrition, metabolism and immune system disorders (3.6 in Tbilisi, 2.79 in Georgia).

Urgent medical aid was rendered to 33,691 people (25.4 - per 1000 inhabitants).

543 infants died in Tbilisi durring 1998. Infant mortality rate that year was 39.2 per 1000 livebirths (21.25 - totally for Georgia). Main causes of death are certain conditions originating in the perinatal period (67%), infectious and parasitic diseases (13.3%) and the diseases of respiratory system (7.7%).

In 1998 there have been registered  4975 abortions (35% of the whole country index) in the city , 98.5% out of them were micro-abortions, 4,9% were abortions while first pregnancy

Index of oncological diseases per 1000 inhabitants constitutes 4.52 (4.83 for Georgia); There have been accounted in Tbilisi 24.1% out of country's all oncological diseases. At the same time it is more frequent among women than among men, which is caused by the high index of breast gland and women genitals' tumors. On the other hand, neoplathms of respiratory organs (due to the smoking), stomach and lymphatic and blood-forming tissue oncological diseases are more frequent among men .

Until 1996 there was not accounted even one case of AIDS in Tbilisi . For May, 2000 there is registered 52 cases of AIDS (121 totally in Georgia).

Prevalence by alcoholism per 1000 inhabitants is 1.88 (1.62 in Georgia), incidence - 1.07 per 1000 (2.0 in Georgia).  Prevalence by drug-addicts is 1.53 (0.58 in Georgia), incidence is 0.09 ( 0.07 in Georgia).

Smoking rate is very high in Tbilisi, particularly among men, which mostly is represented in the intensive respiratory system and cardiovascular pathologies. The habit of smoking is also very high among the youngsters, among 14-16 years old youth 84% of the boys and 78% of girls have the habit of smoking. According to the 1998 data among 17-25 years old women 28.0% of pregnant and 34.4% of nurse (breast-feeding) were smokers. In 1995 this rate was 14.3% for pregnant and 21.8% for nurse.

In 1997 13.6 people were ill with tuberculosis out of 1000 inhabitants, 0.6 out of them - with new cases.

The index of blood and blood-forming organ diseases is higher among the urban population. At the same time among men it is twice as much as among women. This index is particularly high in Tbilisi. The overall examination of 3-6 year-old children showed that in Tbilisi , among practically healthy children, the rate of iron-deficit caused anemia amounts to 6.4%, latent deficit - 7.4%.

Infectious diseases . In 1998 there were accounted 1,337 cases of amebiasis intenstinal in Tbilisi (100% from the total in Georgia), 42 cases of  leishmaniasis (51.2 %), 25 cases of botulism (47.2 %), 21 cases of diphteria (18.4 %), 16 cases of trichinosis (20.8 %), 7 cases of acute flaccid paralysis (41.2 %), 3 cases of malaria (18.8 %) and 2 cases of typhoid (25 %).

Mental disturbance constitute 7.78 per 1000 inhabitants (18.51 in Georgia), 45.8 % out of them  are psychosis. Wth the first diagnosis 2.98% of mentally ill have been registered (0.23 per 1000 inhabitants).

From 8,778 pacients examined on Thyroid gland 57.45% have been registered with enlarged glands. From newly ill patients treatment has prescribed to 43.5 %, iodine prophylactic received 40.6 %.

Compared with the country data  number of skin, fungi and itch diseases transformed by sexual ways is very high in Tbilisi. In 1998 there were detected 0.59 cases of syphilis and 0.6 cases of gonococcus infection per 1000 inhabitants.