The medical and demographic situation in Kazan in the late XX and XXI centuries

Aim. To assess the demographic situation in the city of Kazan in 1995-2010. Methods. An assessment has been conducted based on the analysis of the dynamics of population size and composition, indices of fertility and mortality. Calculations of intensive and extensive indicators and their dynamic comparison were used as the research methods. Results. The maximum value of natural decrease in the population of Kazan, resulting from excess mortality above the level of fertility, fall on the period 2000-2001. However, beginning from 2002 this parameter began to decrease, and in 2010, when the rates of mortality and fertility equaled, registered was a zero natural growth. Reduction in the total fertility rate of the population of the city in the last decade of the twentieth century gave way to the growth of this indicator in 2001-2010. In the structure of mortality of the population in the city of Kazan the leaders are diseases of the cardiovascular system (61.1%), then - malignant tumors (16.3%), followed by - traums, poisoning and accidents (10.3%). The mortality remains high in the working-age population and almost a four-fold prevalence of middle age male mortality over female mortality has been established. The slight increase in the population of Kazan is due to the influx of migrants to the city and to the annexation of the village communities to the city. In the population structure the proportion of middle-aged and elderly citizen increases, while the proportion of children decreases. Conclusion. The demographic situation, which determines the strategy of organization of medical care for the population, should be under the survailance of the society.

medical demographic situation, fertility, mortality