Background. Children living in the Far North and areas equated to it are exposed to the climate with insufficient insolation and unstable weather. The lifestyle in the North also contributes to the health, which leads to a high incidence and disablement.Objective. To analyze the incidence of the children aged 0–14 years in the Komi Republic from 2013 to 2021.Design and methods. The research material was the database of the “Republican Medical Information and Analytical Center” and the Federal State Statistics Service from 2013 to 2021. A trend line is used to illustrate trends. The value of the approximation reliability R2 is calculated, the values of which indicate the degree of coincidence of the calculated line with the data.Results. The leading place in the structure of childhood morbidity in the Komi Republic is occupied by respiratory diseases, injuries, poisoning, diseases of the skin, infectious and parasitic diseases. In all cases the rate of primary disease incidence, infant mortality and disability in the Komi Republic exceeded that in Russia.Conclusion. Severe climatic conditions in Komi Republic are one of the risk factors for the deterioration of children’s health in almost all nosologies.