Abstract

Introduction. Aim - improvement of methodological approaches to the assessment of potential damages to schoolchildren’s health. Materials and methods. There were surveyed 523 schoolchildren of educational institutions of the Tula region. Children are divided into three groups with pronounced, moderate and optimal intensity factors of the school environment. For assessing the damage to health, morbidity indices of negotiability, data of preventive medical examinations, characteristics of physical development were used. Results. Objects with an average and significant level of the potential risk of harm to health prevail among the children’s organizations in the country. The class of danger, the severity of the consequences for the health of the population exposed are the basis of the existing risk-oriented model of state control. An innovative approach to the hygienic assessment of sanitary and epidemiological well-being, taking into account the influence of a complex of factors of the intraschool environment, critical age periods of maturation of the child’s body, risks to children’s health, is proposed. In the examined children, violations of posture and vision, diseases of the nervous system, alimentary-dependent diseases, etc. were established to prevail. The greatest potential risk to health is caused by the influence of factors of the educational environment and the educational process, lifestyle. Conclusion. The use of the proposed methodological approach will allow solving complex tasks in the environment-health system: to identify the leading health problems and potential risk factors; the formation of risk-oriented programs for the health of children and adolescents.

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