Modern state and prospects of the organization of psychiatric and narcological care for patients with pulmonary tuberculosis in the Altai Territory

After 20 years of decline in epidemiological indicators reflecting the spread of tuberculosis, in the 90s of the 20th century, the epidemic situation in Russia worsens. An important problem is the treatment of patients with a combina-tion of pulmonary tuberculosis and mental illness. Such patients, as a rule, evade treatment for tuberculosis, violate the regime of anti-tuberculosis institutions. The issues of complex therapy of concomitant pathology have not yet been fully developed, they are the subject of research. The study is carried out on the basis of the narcological tuberculosis department, which has been functioning in the Altai Territory since 2015. An increase in the proportion of persons with alcohol dependence syndrome in the sample of patients suffering from pulmonary tuberculosis has been shown. The study identifies the main clinical and dynamic patterns of the combination of mental illness and pulmonary tuberculosis.