Abstract
Comparative analysis of the data for the years 2002-2015. revealed that the levels of both total and newly diagnosed disease by uptake of the adult population of COPD St. Petersburg can be assessed as low by global criteria, their dynamics is characterized by a general increase in morbidity in the 2002-2015 years, but the uneven data monitoring, and has significant differences with COPD morbidity with nearby regions of the Northwest federal District. As shown by the data of 2015, the relevance of the problem of COPD in the city is not reduced, despite the fact that in recent years, the city carried out an active struggle with smoking - the main cause of COPD. Celebrated in the growth of primary morbidity of COPD is associated with improvements in its detection and due to the substantial increase in the level of knowledge of the pathology of COPD by doctors of primary health care and quality of care, respectively its diagnosis in hospitals of the city and improvement of the organization pulmonology care in the city, especially after the establishment of pulmonary City center. To continue to improve the treatment of patients with COPD need to further improve the quality of its diagnosis and treatment management, including improving the quality of medical and statistical work at the formation of medical statistics COPD morbidity and mortality in patients with COPD in the medical institutions of the city. It requires strengthening tobacco control in the city - the main etiological factor for COPD. increasing awareness of the population of St. Petersburg on the pathogenesis and prevention of COPD, the possibilities of its treatment in the medical institutions of the city.