From Big Medical Encyclopedia

The CENTRAL AFRICAN REPUBLIC (CAR) — the state in the Central Africa. The area is 623 thousand sq.km. Population of 2,52 million people (1982). The capital — Bangui (apprx. 370 thousand inhabitants, 1983). In the administrative relation

the country is divided into 15 prefectures.

Ofits. language — French.

In 1894 fr. colonialists took an interfluve of Ubangi and Shari (nowadays the territory of the CAR). The indigenous people opposed colonialists more than once. Independence of the country is declared on August 13, 1960, and the Central African Republic is formed. In December, 1976 after the committed earlier military coup it was declared the CAR transformation to the parliamentary monarchy. In September, 1979 there was a new coup and the country returned to the republican form of government.

The CAR — economically underdeveloped agrarian country. In economy the hl dominates foreign. obr. French, capital. Communal land use and subsistence economy on the basis of primitive motyzhny agriculture prevails. Export cultures — coffee, tobacco, cotton are grown up. Wood, and also page is prepared - x. products for internal consumption — a cassava, an ambercane, miles, a maize, rice. Extraction of diamonds is conducted, buying up and export to-rykh are carried out by the American and Israeli companies. The mixed company, the most part of the capital a cut belongs to France, extraction of uranium is conducted. In the industry — the small enterprises, hl. obr. on processing of page - x. raw materials. Living standards of the population low. In the cities there is an unemployment.

The most part of the population ethnic groups gang, baya make, a mandzh, Sar. The natural movement of the population in 1980 — 1985 (assessment) is characterized by the following indicators: birth rate — 44,7,

the general mortality — 21,8, a natural increase — 22,9 for 1000 us., child mortality — 143 on 1000 live-born.

The leading place in structure of incidence is taken by infectious and parasitic diseases. The most widespread disease is malaria. In 1980 in the country the St. 162 thousand cases of this disease is registered. Incidence is high went. - kish. infections; in 1980 33 cases of a typhoid and paratyphus are registered, 9801 cases of an amebiasis, 123 558 cases went. - kish. infectious diseases of the obscure etiology. Diseases of a respiratory organs are widespread, it is registered apprx. 190 thousand cases; 328 cases of a pulmonary tuberculosis are revealed. The number of such parasitic diseases as a schistosomatosis (33 326 cases), a dochmiasis (81 056 cases), a filariosis (25 099 cases) is considerable. Problem of health care are diseases, sexually transmitted. In 1980 it is registered apprx. 8 thousand cases of syphilis and more than 16 thousand cases of a gonococcal infection. In 1979 there was a St. 11,4 thousand patients with a leprosy. From children's infections measles, scarlet fever, whooping cough are widespread. Fresh cases of poliomyelitis are noted.

Management of health service in the country is performed by Min-in of health care. The country is divided into 5 sectors, in to-rykh mobile groups on fight against endemic diseases and performing vaccination of the population are created.

In 1980 in the country there were 3605 hospital beds (16,2 on

10 000 population). From total number» medical institutions there are


of 11 hospitals of the general profile on 1578 beds, 10 rural or local BCs on 545 beds, 72 centers of health care on 1136 beds. From specialized medical institutions there are 5 leper colonies on 172 beds. Extra hospital help to the population is given in polyclinic departments of BC, the centers of health care, 67 subcenters of health care, 14 points of health care, and also in the centers of health protection of mother and child. The name and content of work of healthcare institutions of the CAR not always correspond to the concepts accepted in the USSR (see Treatment and prevention facilities, abroad).

In 1980 in the country 99 doctors (0,4 for 10 000 population), 80 assistants to doctors, 18 druggists, 3 stomatologists, 301 diplomaed nurse, 599 assistants to nurses, 149 midwifes and 148 assistants to midwifes worked.

The F-t of medical sciences un-that and 4 branches f-that is in Bimbo, Dhamar, Bambari and Bouar — carry out training of doctors, assistants to doctors, the diplomaed nurses, nurses and assistants to nurses, assistants to midwifes and nek-ry other categories.

Bibliography: The sixth review of a condition of health care in the world of 1973 — 1977, the p. 2, e. 82, Geneva, 1981; World health statistics annual 1984, Geneva, 1984; World health statistics annual 1980 — 1981, Infectious diseases, p. 2, Geneva, 1981.

A. A. Rozov.