Comparative evaluation of various strategies medical care for chronic hepatitis С in the Republic of Sakha (Yakutia)

Hepatitis C is a major public health problem and measures against it require the development of national strategy concept prognostic model. This relevant for Yakutia, as tremendous region with extremely specific severe climatic social conditions that cause high incidence hepatitis C. Objective: to evaluate effectiveness various scenarios epidemiological situation in RS (Y) depending on providing medical care people chronic Material Methods. The work uses materials official statistics Federal State Institution Rospotrebnadzor information from register «Chronic viral (Y). To assess burden disease, main were analyzed using dynamic Excel Results discussion. disadvantaged territory Russian Federation parenteral hepatitis, including According (Y)», 14643 are registered, which — 7395, amounted 50,5%. proportion HCV infection group cirrhosis 44.1%, hepatocellular carcinoma 59,3%, 76% total structure dead. Implementation WHO scenario will reduce mortality by 65%, number 66%, decompensated 66% overall 34% 2030. Conclusion. Achieving goals 2030 seems realistic when creating regional eliminate (Y), includes increasing access therapy modern drugs direct antiviral effects, an interdisciplinary approach diagnosis management patients C, specialties about possibility curing it.