Paul
Goble
Staunton, October 5 – Mortality
rates have gone up in more than a third of all subjects of the Russian
Federation over the last two years, driving life expectancy figures down
significantly. In Pskov oblast, the worst case, residents can expect to live
only to about 50, with men far below that, according to the independent Health
Monitoring Foundation.
As a result, according to TASS
reporter Adelaida Sigida, the number of deaths in Russia as a whole exceeded
the number of births by 1.3 percent in August of this year, with the prospects
that the situation will continue to deteriorate in predominantly ethnic regions
for some time to come (mirnov.ru/obshchestvo/regiony-gde-dolgo-ne-zhivut.html).
In the predominantly Muslim North
Caucasus republics of Daghestan, Ingushetia and Chechnya, the journalist
reports, mortality rates are 2.5 times lower than in the Russian Federation as
a whole where the figure is approximately 12.5 deaths for every 1,000 residents
per year.
Residents in the wealthier oil and
gas areas, the Yamalo-Nenets District and the Republic of Sakha, death rates
are also lower than they are for the country as a whole. In Moscow, the
situation is better but mortality rates there are still higher than in the
North. And the situation in Moscow oblast is marginally worse than in the city
proper.
The all-Russian figure of 12.5
deaths per 1,000 population is 4.8 percent above what the government says it
should be, according to Eduard Gavrilov, head of the Health Development
Foundation. In fact, he says, mortality rates are above what Moscow says should
be the norm in 61 of the 83 subjects of the federation.
The health care expert says that the
Russian health ministry is doing all it can to play down or even ignore these
figures because they call into question the assertions of Vladimir Putin and
other senior leaders. In the future, the situation is likely to be worse:
doctors are no longer being taught statistical techniques – and they are
responsible for gathering the numbers.
Although Pskov oblast has the lowest
life expectancy in Russia now, other regions have seen their situation
deteriorate faster in the last several years.
Mortality rates in Karelia have jumped by 5.3 percent, with significant
increases also found in Moscow, Transbaikal kray, and Novgorod oblast.
“The first jump in mortality after a
decade of ‘stability’ was registered in the summer of 2015,” Sigida writes, and
involved a rise of 3.7 percent over the year before.” That prompted Putin and
the health ministry to insist that this was a victory: Russians were living
longer and there the older population had more deaths. But statistics don’t
show that.
The TASS journalist adds that
according to Rosstat, the population of Russia has increased by 0.1 percent so
far this year. But this is the result of
immigration, not domestic change. Marriages are declining in number, but the
number of migrants coming into Russia has gone up, covering the domestic
population’s decline.
For the first seven months of this
year, 329,700 people from abroad took up permanent residence while 169,700
left, for a positive figure of 160,000.
Russia received “the greatest help” in solving its demographic problems
from Ukraine, with 109,000 Ukrainians coming to Russia while only 30,000
Ukrainians left it during that period.
Given the long-term consequences of
these demographic trends, Russian officials are struggling to find solutions.
Many are pushing for a ban on abortions, confident that Russian women, unlike
their sisters in Poland and elsewhere, will not protest if Moscow imposes one (profile.ru/obsch/item/111253-abort).
Others are urging officials to back
second marriages, officially registered or not, as a way to boost the birthrate
(iq.hse.ru/news/191896580.html). And the Moscow Patriarchate of the Russian
Orthodox Church has called for reducing the age at which women can marry
legally to 14 (mk.ru/social/2016/10/03/chaplin-predlozhil-snizit-brachnyy-vozrast-v-rossii-do-14-let.html).
But what no one near the Kremlin is
talking about is taking steps to improve health care, something that might actually
address the country’s demographic disaster. Instead, Putin is shifting ever
more money away from that to the military (themoscowtimes.com/news/russia-to-increase-military-spending-whilst-slashing-budget-55583).
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