Level Of Primary Morbidity Research Articles

The population morbidity with diseases of ear and mastoid and accessibility of otorhinolaryngological care

The article analyses level and dynamics of morbidity of diseases of ear and mastoid in the Sakha Republic (Yakutia) in 2020-2021 and availability of otorhinolaryngological care. The methods of comparative statistics and mathematical analysis were applied to analyze official data provided by the Yakut Republic Medical Information and Analytical Center, the specialized Department of Otorhinolaryngology, the Republic Hospital № 2 - Center for Emergency Medical Care and the Federal State Statistics Service of Russia. The study established increasing trend of increasing morbidity of these diseases in both the adult and child population. In 2021, the growth rate of overall morbidity of adult population reached 17.7% and 8.8% in children, as compared to 2020. The primary morbidity of adults made up to 22.3%, in children - 15.7%. The comparative analysis demonstrated higher rates of general morbidity in the Republic: by 0.5% as compared with the Russian Federation and by 14.1% as compared with the Far Eastern Federal Okrug. The level of primary morbidity was lower than similar indicators of the compared territories by 17.1% and 3.0%, respectively. It is worth noting that analyzed morbidity of diseases of ear and mastoid reflects prevalence of ENT diseases in the region only indirectly, as the statistical data do not allow to estimate separately rate of upper respiratory tract lesions. Meanwhile, respiratory diseases rank first in the structure of population diseases in Yakutia. The growth of disability in children due to diseases of ear and mastoid requires attention. Among children of 0-17 years old, the indicator of primary disability increased from 0.38 to 0.8 per 10,000 of children population (increase of 110.5%); in children 0-3 years old - from 0.9 to 2.3 per 10,000 of the child population (an increase of 155.6%). The analysis of the number of beds in otorhinolaryngology wards established that that the bed capacity per 10,000 population was 0.6 that is significantly lower than the established standards. The article emphasizes need to adjust the Federal standards for hospital bed capacity, taking into account climatic and geographical conditions of the region, which contribute to spread and chronization of ENT diseases.

Morbidity rates of the children population under conditions of aerogenic chemical exposure: risk factors and associations

Introduction. In the the industrialized regions of the Russian Federation one of the hygienic problems is the formation of additional morbidity among the population associated with intense air pollution.
 The purpose of the work is to study the health disorders in children under conditions of aerogenic chemical exposure in terms of primary morbidity.
 Materials and methods. Analysis of the primary morbidity of the children population (data from state statistical reporting and actual seeking medical care in 2017–2021); the content of the main chemical pollutants in the atmospheric air in residential buildings (data from social and hygienic monitoring and the regular observation network of Roshydromet for 2016–2020 according to the content of twenty two impurities); chronic non-carcinogenic risk; connection of diseases with aerogenic chemical exposure according to epidemiological indicators; economic assessment of predicted losses.
 Results. Comparing to the reference area, the level of primary morbidity in children with diseases of the respiratory system, digestion, kidneys, nervous system, osteoarticular apparatus, associated with aerogenic exposure to chemical pollutants, was established to be an increased by up to 3.4 times. In the atmospheric air of residential buildings, the content of a number of chemicals (metals, aromatic and fluorine-containing inorganic compounds) was found to be increased by 6.9 times and 4.0 times relative to the average daily and maximum one-time maximum permissible concentrations, respectively, and within the hygienic standards. The formed exposure causes an unacceptable risk of developing non-carcinogenic effects (HI up to 18.7 times) in relation to target organs. Additional morbidity in the children population (about 1.5 thousand cases per year) has been identified in the event of which the projected economic losses will amount to about 10 million rubles over year.
 Limitations. The study includes the children population under the age of 14 years.
 Conclusion. The primary morbidity of children in regions with developed industrial infrastructure is characterized by special random events associated with aerogenic exposure to risk factors. Projected additional losses require priority regulatory action.

ЭПИДЕМИОЛОГИЯ РАКА ЛЕГКИХ И ОРГАНИЗАЦИЯ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ В КУРГАНСКОЙ ОБЛАСТИ

Current. The level of primary morbidity, prevalence and mortality of the male and female population of the Russian Federation from lung cancer remains high, despite the measures taken to prevent population and improve the organization of cancer care. A significant impact on the level of these indicators is caused by a decrease in the number and aging of the population. The population of many territories has risk factors for the development of the disease, socio-economic problems leading to late diagnosis, restrictions on the availability of specialized medical care due to a shortage of personnel in the healthcare system. The aim of the study is to estimate the dynamics of primary morbidity and mortality of the population of the Kurgan region from lung cancer over the past decade with the definition of the features of providing specialized medical care to patients and prospects for further work and improvement. Materials and methods. The information materials of the Federal Statistical Observation, the Unified State Interdepartmental Information and Statistical System of the Federal State Statistics Service were used. The dynamics of morbidity and mortality from lung cancer over the past 10 years has been traced. The results of the study. The level of morbidity and mortality of the population of the Kurgan region with lung cancer over the past 10 years has remained high; in comparison with the average Russian values, it exceeded those by 20-25%; some positive trends have been identified, but they are still insufficient in comparison with the all-Russian indicators and have not reached a solution in the goals and strategic objectives of the development of the Russian Federation. Conclusion. The measures introduced aimed at combating oncological diseases have outlined positive trends in the early diagnosis of the disease and the reduction of mortality from it. High levels of morbidity and mortality in the studied region of the Russian Federation require the search for their individual causes, and the improvement of the health care system.

Анализ заболеваемости студентов медицинского вуза до и в период пандемии новой коронавирусной инфекции COVID‑19

The study of the health of modern students is an urgent problem that requires a comprehensive and comprehensive analysis. With the beginning of the COVID-19 coronarovirus pandemic, isolated works devoted to the study of the morbidity of students have been published. In this regard, the study of the morbidity of medical students during the pandemic of a new coronavirus infection is of great practical interest. Purpose. To analyze the morbidity and structure in medical university students before and during the pandemic of a new coronavirus infection COVID-19. Materials and methods. Students of the Smolensk State Medical University of the Ministry of Health of the Russian Federation (SSMU) took part in a comprehensive study. Research bases -polyclinic, health center, serving university students. Sources of information in the study: reporting and accounting forms of a medical institution, a statistical coupon for registering final diagnoses and reporting documentation of healthcare organizations providing medical care to students. The analysis of morbidity was carried out according to the nomenclature, according to the “International Classification of Diseases, Injuries and Causes of Death X revision”. Results. The analysis of the overall incidence showed its increase in the pre-pandemic period of the new coronavirus infection COVID-19, and in the first year of the pandemic - a significant decrease with a distinct increase in 2021. The level of primary morbidity in the first year of the pandemic decreased significantly, and in the second year it exceeded the values of primary morbidity, both before the pandemic and the first year of the pandemic. Analysis of the structure of morbidity by incidence, by classes of diseases showed that respiratory diseases were the most frequent among students both in the pre-pandemic and pandemic periods. Conclusions. Thus, in the pre-pandemic period, there was an increase in both general and primary morbidity, as well as in all classes of diseases. Respiratory diseases were in the leading ranking place. In the first year of the pandemic, there was a decrease in the level of general, primary morbidity and the level of morbidity in almost all classes of diseases. In the second year of the pandemic, there was a significant increase in these indicators.

Continuity of services and the level of primary morbidity among young people in the Republic of Tajikistan

Aim. To study the continuity of the provision of services in PHC facilities and the level of primary morbidity among young people in the Republic of Tajikistan. Material and methods. Data from the Republican Center for Medical Statistics and Information of the Ministry of Health and Social Protection of the Republic of Tajikistan; reports from Republican, regional and district reproductive health centers; the Republican Center for AIDS Prevention and Control; reports from Youth Medical Consulting Departments; data from outpatient records (Form 025/k - individual card of a contraceptive patient; Form 112/u - individual patient card) and self-developed questionnaires were analyzed. Results. Average level of general primary morbidity in 2018-2019 amounted to 638 % among the youth of the Republic of Tajikistan aged 15 to 30 years, while this indicator among boys was 778.2 % and among girls - 4392.5 %. Conclusions. A well-functioning system of referrals ensures the continuity of the necessary preventive, treatment, and diagnostic services provision to young people, thereby increasing their availability, evidence-based prescriptions and a positive economic effect.

Chronic vein diseases in the population in the Ural Federal District. Statistics and trends

Introduction. There are practically no publications on the study of epidemiology of chronic venous diseases (CVD) in residents of the Urals, although the incidence of CVD is one of the significant components in assessing the health of the adult population. The aim of the work is to evaluate the indicators and determine the epidemiological trends of the primary incidence of chronic diseases of the veins of the lower extremities in the population of the Ural Federal District over the past 11 years. Materials and methods. A retrospective analysis of official statistical data on the morbidity of the adult population of the Ural Federal District (UFD) with varicose veins of the lower extremities (VVLE) was performed with a diagnosis established for the first time in his life for the period from 2010 to 2020. The ranking of all subjects of the Russian Federation as part of the UFD according to the level of primary morbidity was carried out. The statistics of the largest private regional phlebological center are summarized for a comparative assessment of the patients' appeal to the public and private sectors of the health care system of the Sverdlovsk region. For this article, it is postulated that VVLE in statistical reports and CVD are equivalent concepts. Results. Absolute and relative indicators of the primary incidence of VVLE (CVD) of the adult population in the subjects of the UFD have been investigated. A high variability of morbidity rates was revealed depending on the region of the UFD. A sharp decrease in morbidity was recorded in 2020 in relation to the median level of 2010–2019 in the whole of the Russian Federation and the UFD region, as well as in most regions of the district. With a decrease in the level of morbidity registered in public institutions over the years, the number of requests for phlebological care increases in the private healthcare sector. Discussion. The revealed significant regional differences in the figures of the primary incidence of VVLE (CVD) require the introduction of uniform methodological documents for the diagnosis, treatment and registration of patients with CVD. Similar epidemiological trends have been obtained by a number of other researchers, only in relation to other nosologies. Conclusions. The primary morbidity of the population of the Ural Federal District of VVLE (CVD) as a whole is statistically significantly higher than the average in Russia. Morbidity rates in individual subjects of the district have significant differences. The morbidity rates of the adult population should be taken into account when developing territorial programs of state guarantees of providing free medical care to citizens.

ANALYSIS OF MORBIDITY AND MORTALITY FROM MALIGNANT NEOPLASMS OF THE LARYNX IN UKRAINE AND LVIV REGION IN 2010-2019 YEARS

Aim. Analysis of the epidemiological block of the model of early detection and prevention of laryngeal malignancies.
 Material and Methods. A retrospective analysis of morbidity and mortality from malignant neoplasms of the larynx among the population of Ukraine and Lviv region for ten years (from 2010 to 2019). Statistical data of the National Cancer Registry of Ukraine were used. The following methods are used in the work: medical-statistical analysis, system approach, and structural-logical analysis.
 Results and Discussion. The primary incidence of laryngeal cancer among the population of Ukraine decreased by 6% (from 5 cases per 100,000 population in 2010 to 4.7 cases per 100,000 population in 2019). In Lviv region, there was an increase in the level of primary morbidity by 12.3% (from 5.7 cases per 100,000 population in 2010 to 6.4 cases per 100,000 population in 2019). In 2010-2019, the mortality rates from laryngeal cancer in Ukraine and Lviv region were in the range of 2.7-3.1 and 2.8-4.6 cases per 100,000 population, respectively. The proportion of men with newly diagnosed laryngeal cancer was 94.4-95.8%, and women - only 4.2-5.6%. Analysis of sex and age incidence of laryngeal cancer in Ukraine in 2019 showed that the highest rates among both men and women were in the age group of 60-74 years. The proportion of patients with stage IV laryngeal cancer in Ukraine in 2010 and 2019 was 10.2% and 15%, respectively. A similar indicator in the Lviv region in 2010 was 12.6%, and in 2019 - 20.8%. Mortality up to one year from among newly diagnosed patients in 2019 in Ukraine was 25.1%, and in Lviv region - 23%. In Ukraine in 2019, the proportion of patients detected at professional examinations was 11.2%, in Lviv region - only 0.7%.
 Conclusion. The incidence of malignant neoplasms of the larynx among the population of Lviv region during the study period was higher than the national. There was a tendency to reduce the death rate from laryngeal cancer in both Ukraine and Lviv region. In men, laryngeal cancer is more common than in women in Ukraine and the Lviv region. The incidence of malignant neoplasms of the larynx is highest among people 60 years and older. There was a low proportion of patients identified during preventive examinations, as well as high mortality rates up to one year from diagnosis and neglect of the malignant process.

Dynamics of morbidity of the population with respiratory diseases in the pandemic COVID-19 period in the Far Eastern Federal District

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.

Dynamics of morbidity of the population with respiratory diseases in the pandemic COVID-19 period in the Far Eastern Federal District

Introduction. Currently, COVID-19, which is rapidly spreading around the world in the form of a pandemic, is a serious public health problem that poses a significant epidemiological and medico-social threat to the population and its quality of life, and affects all spheres of public life and economy. Aim. To assess the degree of influence of the pandemic of the new respiratory viral infection COVID-19 on the level of registered primary morbidity by classes of diseases, including the class "Diseases of the respiratory system" in the territory of the Far Eastern Federal District.Materials and methods. To implement the tasks of the study, a complex of analytical, epidemiological and statistical studies was carried out. Methods used: epidemiological analysis and monitoring, statistical, comparative and correlation analysis and methods for analyzing time series. Epidemiological and statistical assessment of the incidence of the population was carried out on the basis of ICD-10 according to the data of the state statistical monitoring of the incidence of the population of the Russian Federation for 2019-2020 using the database of the Ministry of Health of the Russian Federation, the Central Research Institute of Organization and Informatization of Healthcare of the Ministry of Health of the Russian Federation.Results. The pandemic of the new respiratory viral infection COVID-19 significantly changed the dynamics of the registered morbidity in the adult population, which dropped sharply in all ICD-10 classes, most intensively in the classes "Diseases of the endocrine system" (by 27.8%), "Diseases of the blood and hematopoietic organs" (by 22.6%), "Neoplasms" (by 21.1%), "Diseases of the circulatory system" (by 18.5%), with the exception of the class "Diseases of the respiratory system", the level of primary morbidity for which in the territory of the Far Eastern Federal District in 2020 increased by 23.9%. The most common and severe clinical manifestation of COVID-19 is bilateral pneumonia, the incidence of which among the adult population in the Far Eastern Federal District increased 2.7 times, and in the territory of the Russian Federation – 3.8 times. At the same time, the incidence of pneumonia in the child population decreased by 36.4%. Along with the growth of acute forms of respiratory pathology during the COVID-19 pandemic in the Far Eastern Federal District, the level of registered primary morbidity of chronic respiratory diseases decreased: chronic bronchitis (by 22.3%), bronchialasthma (by 20.8%), COPD (by 3, 6%).Conclusion. The negative dynamics of the growth of the registered morbidity of the population can have negative consequences due to the late detection and untimely diagnosis of chronic forms of pathology, including respiratory diseases, their progression and the development of life-threatening complications of the disease and, as a consequence, an increase in mortality from these causes of the population, who did not receive timely and adequate medical assistance.

Эмаль зубов человека как тест для оценки последствий радиационного загрязнения среды обитания

Technogenic radioactive contamination of the external environment has a radiation effect on flora and fauna, including humans. Radionuclides entering the biosphere become a source of external, contact and internal radiation in a variety of combinations. The electron paramagnetic resonance dosimetry is a technique that allows a retrospective assessment of an individual dose to be made. Purpose of the study. Assessment of the long-term consequences of the impact of radiation contamination of the territories adjacent to the landfill on the health of the population using biotesting methods. Material and methods. A reconnaissance and radioecological survey of environmental objects was carried out using analytical methods, which made it possible to determine the quantitative content of toxic components, priority pollutants and radioactive isotopes. The objects of study are the Bokeyordinsky and Zhanibeksky districts of the West Kazakhstan region (WKR), adjacent to the Kapustin Yar test site. The values of the volumetric activity of natural and technogenic radionuclides in soil samples, drinking water and biosubstrates (teeth, samples of human peripheral blood) from settlements of the surveyed areas were studied. Results and discussion. Measurements of gamma radiation showed that along the perimeter of the polygon and in nearby settlements, the radiation level is in the range of 0.06–0.14 µSv/h. An insignificant excess of the level of radioactivity persists near the fall of missiles in the Bokeyordin region. The indicators of the general morbidity of the adult population of maternal and child mortality in the indicated regions were also studied. It was found in the inhabitants of the Bokeyordinsky district with a reliability of p = 95% in the studied teeth, betta and gamma activity is less than the natural level and indicates that the content of radionuclides in the studied teeth is not higher than their natural level. A noticeable excess of the activity of radionuclides K40 and Ra226 is noted among residents of Zhanibeksky district. Conclusions. In the surveyed districts of the region, there is an unsatisfactory state of health of children and women, especially of fertile age, a high level of primary morbidity, maternal mortality; there is a tendency for the growth of eco-dependent human diseases (previously unrecorded forms of oncological diseases, congenital malformations, diseases of the hematopoietic and nervous systems). The conclusions can be used to implement measures to improve the ecological state of the region and the health of the population. Keywords: radionuclides, radioactivity, biosubstrate, polygon, ecology, eco-dependent diseases.

ВЛИЯНИЕ СЕЗОННЫХ ФАКТОРОВ НА ЗАБОЛЕВАЕМОСТЬ ПЕДАГОГОВ ОБЩЕОБРАЗОВАТЕЛЬНЫХ УЧРЕЖДЕНИЙ НА ТЕРРИТОРИИ ОМСКОЙ ОБЛАСТИ

The unfavorable trend of loss of health of teachers is determined by the growth of neglected forms of diseases and the influence of seasonal factors. Purpose. To study the influence of seasonal factors on the dynamics of primary morbidity of teachers of general educational institutions. Methods. The study of the incidence was carried out on the data of the appeal of teachers for medical care and data of medical examinations. The seasonal oscillation index was used to determine seasonal factors. Results. The incidence of teachers living in Omsk had a clear tendency to worsen in the following nosological forms: anemia, diabetes, obesity, peripheral nervous system diseases (neuritis, neuralgia, etc.), eye disease (myopia), diseases characterized by high blood pressure, coronary heart disease from 1.3 to 3.6 times (p<0.05), most of these forms are detected during medical examinations. In the structure of primary morbidity, the first three rank places were occupied by diseases of the respiratory, circulatory, endocrine system and metabolism. The total share of the first three groups of the above nosologies in the formation of pathologies was about 65%, and there was an increase in the average duration of temporary incapacity from 3 to 15 days. In addition, the effect of seasonal factors on the level of primary morbidity in diseases characterized by high blood pressure, diabetes, anaemia, which is associated with the cyclicality of the educational process and the date of medical examinations. Conclusions. 1. The deterioration of the health of teachers is due to an increase in primary morbidity, aggravated forms of diseases, including coronary heart disease, diabetes, anaemia, obesity, as well as an increase in the duration of days of temporary incapacity in these nosological forms. 2. Seasonal risk factors associated with the cyclicality of the learning process have been identified. Scope of application. The data can be used in the development and implementation of regional targeted prevention programs. Keywords: morbidity;nosological forms; teachers; seasonality; disability.

The children morbidity of bronchial asthma in municipal and rural districts of the Belgorod oblast

The bronchial asthma is a common pathology among children of different countries, Russia included. However, comparative studies of the incidence of bronchial asthma in children in urban and rural areas are factually absent. The purpose of study is to analyze children morbidity of bronchial asthma in urban and rural areas of the Belgorod Oblast. The official statistics data was used to analyze primary and total morbidity of children with bronchial asthma in cities and rural areas of the Belgorod Oblast in 2012-2017. The continuous retrospective technique was applied. The level of primary morbidity of bronchial asthma in children is factually the same in urban and rural areas (P>0.05). However, total morbidity of bronchial asthma in children population is significantly higher in cities of the Oblast.

The main trends in primary morbidity of population in the subjects of the Russian Federation in 2008-2017

The analysis of primary morbidity is the most important indicator of detection of population health in every single subject of the Russian Federation in whole Russia. This approach also permits to monitor impact of economic and social processes on the national level. The article presents analysis of primary morbidity in the subjects of the Russian Federation in 2008-2017. The trends are established, the rates of increase and decrease of primary morbidity in every particular subject of the Russian Federation are calculated. The subjects with significant increase of particular classes of diseases according ICD-10 were identified. During last decade, the indices of primary morbidity increased on the whole up to 0.9%. The decrease was registered only in the Central and Privolzhskiy Federal Okrugs (4.3% and -1.6% correspondingly. In the rest of Federal Okrugs increase was registered. The highest level of primary morbidity was registered in the Nenets Autonomous Okrug and the lowest level in the Kabarda-Balkar Republic. Ib 2017, the Altai Kray became a leader in registration of primary morbidity of neoplasms and diseases of endocrine system and the Pensa oblast took the lead in registration of primary morbidity of diseases of cardiovascular system. In 2017, the highest level of morbidity of diseases of respiratory system was registered in the Chukchi Autonomous Okrug and of diseases of ear and mastoid bone in the Republic of North Ossetia - Alania. The increase of morbidity in the mentioned classes of diseases in the particular subjects of the Russian Federation requires consideration of leading specialists and corresponding development of measures concerning morbidity stabilizing.

MAIN HEALTH INDICATORS IN MILITARY WHO SERVED ON A CONTRACT BASIS IN THE RUSSIAN NAVY IN 2003-2016

We selectively analyzed medical reports by Form 3/MED in military units with about 60% of the total number of sailors and foremen who served on a contract basis in the Russian Navy from 2003 to 2016. Over 14 years in sailors and sergeants who served on a contract basis, average annual overall morbidity was 870,8±73,5‰, primary morbidity 378,4±20,3‰, the need for dynamic follow-up 88,2±11,4‰, hospital admission 197,2±10,2‰, days out of work 3866±213‰, dismissal for health reasons 6,29±0,32‰. The death rate was 111,8±11,8 deaths per 100 thousand military per year. Polynomial trends of the listed indicators with determination coefficients of varying significance revealed reduction trends. Compared with all the contract servicemen of the Russian Armed Forces, sailors and foremen have a statistically significantly lower level of primary morbidity, hospitalizations and a higher level of dismissal due to health reasons. Diseases and injuries from categories IX, X, XI, XII XIII and XIX (International Statistical Classification of Diseases and Health Problems of the 10th revision) accounted for 76.8% of the general structure of health disorders. These health disorders are of high military-epidemiological significance for contract military personnel of the Russian Navy, including injuries and other consequencies of external causes (XIX) — 25%, respiratory diseases (X) — 18,3% and cardiovascular diseases (IX) — 14,3%. Measures to prevent such diseases and injuries will contribute to improving the health of contract servicemen.

ECOLOGICAL AND EPIDEMIOLOGICAL ASSESSMENT OF MORBIDITY DISEASES OF THE CIRCULATORY AND RESPIRATORY SYSTEMS IN THE ZONE OF INFLUENCE OF ATMOSPHERIC EMISSIONS OF MULTIFUEL THERMAL STATION

The aim of the study was to assess the primary morbidity and prevalence of diseases of the circulatory and respiratory systems in the adult population living in the zone of influence of atmospheric emissions of multi-fuel thermal station. Metods: The study was carried out on the territory of Kirov, in the zone of influence of atmospheric emissions of urban heat and power plant. By means of cluster analysis in the fuel balance of thermal power plants 2 time periods differing on the ratio of fuel types in the fuel balance were allocated: the period from 2001 to 2008 (the share of solid fuel was 17-22 %) and the period from 2009 to 2015 - characterized by increase in the share of solid fuel in the fuel balance to 27-32 %. On the data basis of simulation of thermal station emission dispersion zonation of atmospheric emission influence from thermal station was carried out. Two districts (clusters) were pointed. They differ significantly on a level of a calculated ground level concentration of particulates, sulfur dioxide and carbonic oxide. In each pointed area and for each timeframe the analysis of primary disease incidence of circulatory and respiratory systems was carried out. Results: the increase in the share of solid fuel in the fuel balance is accompanied by an increase in the mass of dust emissions of fly ash, soot, sulfur dioxide and an increase in the level of primary morbidity and prevalence of diseases of the circulatory and respiratory systems in the population of residential areas directly adjacent to the sanitary protection zone of the multifuel thermal station and located in the direction of prevailing winds. Conclusion: management decisions on expansion of multi-fuel thermal power complexes and changes in the fuel balance must necessarily be accompanied by an assessment of the health risk of the population and measures to reduce risks to an acceptable level.

ANALYSIS OF MORBIDITY AND SPREAD OF DISEASES AMONG UKRAINIAN POPULATION

The analysis of morbidity among the whole population of Ukraine has found the increase of its indices in the period from 2010 tom 2011, whereupon in 2012-2014 their gradual decrease was detected as compared to 2010 (-8,92% in 2014 tо 2010 and -8,36% tо 2013 р.). During 2010–2014 the level of primary morbidity has become 13,3% lower– from 72 255,4 per 100 000 of population in 2010 tо 62 654,2 in 2014. Decrease of the indices of morbidity and spread of diseases by separate classes of diseases is explained by a complicated demographic processes occurring in the country, worsening of social-economical conditions of the population, and as a result, careless attitude to own health as well as not always effective work of public health establishments and inappropriate implementation of the planned preventive measures. Decrease of morbidity rate is explained by reduced visits of the population for medical aid.

Methodic Approaches to Evaluation of Requirements in Traumatologic and Orthopaedic Care to Child Population in Novosibirsk Region

High social significance of traumatism in child population (2 nd place by the level of primary morbidity and 8 th one by the causes of disability) determines the priority of traumatologic and orthopaedic service development. Great importance is given to the prognosis of justified requirement in this type of medical care for the short term prospective. Study was performed basing on the analysis of official statistic data on Novosibirsk region for 2005-2012 as well as on the results of expert evaluation of traumatologic and orthopaedic service condition, problems and prospective of development. It is stated that provision of traumatologic and orthopaedic care availability to child population in Novosibirsk region requires 19 additional beds (5 traumatologic and 14 orthopaedic). Requirement in outpatient trauma and orthopaedic surgeons makes up 32 specialists. Complex analysis of traumatologic and orthopaedic service personnel showed the presence of internal potentials for its perfection. Realization of measures on raising the qualification of trauma and orthopaedic surgeons, general surgeons and child surgeons working in the field of pediatric traumatology and orthopaedics will not require additional personnel.