Organizing medical care for coronavirus infection in the Yakut Arctic

The article presents a retrospective analysis of COVID-19 morbidity and mortality in the Arctic zone of the Republic of Sakha (Yakutia), and also considers key aspects of organizing medical care during a pandemic in this territory, which differs significantly in all conditions from most of the region. In 2020, the incidence of COVID-19 in the Yakut Arctic exceeded the Russian average by 2 times, the republican average by 1.8 times, by 2023 the share in the Arctic zone of the Republic of Sakha (Yakutia) in the overall morbidity structure decreased. For 2019-2023. In the Arctic zone of the Republic of Sakha (Yakutia), 211 deaths were recorded (6.2% of the total number in the republic), the peak of mortality occurred in 2021 (124 cases) due to the spread of the Delta strain. The COVID-19 pandemic has clearly demonstrated that in the modern world, the inaccessibility of populated areas does not guarantee their epidemiological safety. The experience gained emphasizes the need for investment in equipping remote medical institutions, digitalization of healthcare and adaptation of anti-epidemic measures taking into account the geographical and social characteristics of the Arctic.