Gigiena i sanitariia
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Gigiena i sanitariia · Sep 2013
Comparative Study[Current aspects of the state and improvement of sanitary and epidemiological welfare of workers and passengers of Russian railways].
The data on the sanitary-epidemiological state of Railways objects of Russia are presented. Bacteriological examination of drinking water taken from the water systems of passenger cars showed that 3.9-5.0% of the samples did not meet the health standards (p < 0.01). Samples of workplace air in industrial enterprises did not meet hygienic standards: on vapors and gases--4.6%, dust and aerosols--13.6%. ⋯ Out of the total number of occupational diseases locomotive drivers account for about 40% of cases, including sensorineural hearing loss up to 80%. Morbidity with temporary disability among drivers of locomotives are 20-25% higher (p < 0.05), than in the whole railway transport. The suggestions on the improvement of sanitary-hygienic monitoring in rail transport are given.
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Gigiena i sanitariia · Sep 2013
Comparative Study[Experience of the implementation of the method of the integral assessment of drinking water on indicators of chemical harmlessness in St. Petersburg].
Providing population with quality drinking water--one of the priority tasks of the state policy aimed at maintaining the health of citizens. Hygienic rating of the drinking water quality envisages requirements to assurance its safety in the epidemiological and radiation relations, harmlessness of chemical composition and good organoleptic properties. ⋯ The results of the integral assessment of drinking water on the properties of harmlessness have shown its actuality in the development and implementation of management decisions. The use of the spatial characteristics of integrated indices permits to visualize changes in the quality of drinking water in all stages of production and transportation from the position of health risks, evaluate the effectiveness of technological solutions and set priorities for investing.
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Gigiena i sanitariia · Sep 2013
Comparative Study[Development of technologies of population health management in Kazakhstan based on an integrated assessment of the combined exposure to environmental factors].
At present there is overdue necessity of an integral approach to the assessment of health status and the impact of environmental factors on it, in the development of science-based management decisions and programs on improvement of the health status of the population of Kazakhstan and in the increase in life expectancy from the birth and healthy life expectancy. The purpose of the proposed program--improving health and increasing life expectancy from the birth and healthy life expectancy of the population of Kazakhstan. ⋯ Based on a meta-analysis to justify the target age group in which an implementation of complex of preventive measures will increase both the life expectancy from the birth and healthy life expectancy, to perform a comprehensive health screening for the basic classes of diseases and behavioral characteristics of the target group in the course of a multicentre studies to give a comprehensive hygienic characteristics of the ecological status of the studied regions and to develop the Health Passport of the region, to develop a model of the combined effects of environmental factors on health; to create a theoretical model for the calculation of life expectancy from the birth and healthy life expectancy, taking into account the limits of modifiability of factors that affect them, and justify a comprehensive program of management decisions on modification of factors, to carry out pilot studies on the development and validation technological (managemental) solutions to control modifiable factors that affect life expectancy from the birth and healthy life expectancy.
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Gigiena i sanitariia · Sep 2013
Comparative Study[Problems of improving the assessment of health risk for assurance of the sanitary and epidemiological well-being].
There are considered the current problems of improving population health risk assessment for assurance of the sanitary and epidemiological well-being. Their solution permit to improve the risk assessment methodology in Russia and overcome unnecessary barriers in the way of a practical application of the criteria of acceptable risk and damage to health to support management decisions.
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Gigiena i sanitariia · Sep 2013
Review[Harmonization of microbiologicaland parasitological indices of epidemic safety of drinking water with the international requirements].
For the purpose of harmonization of microbiological and parasitological indices and benchmarks there was performed the comparative analysis of the requirements for the quality of drinking water in respect of the epidemic safety on the basic regulations of Russia, the Directive Council of the European Union EU, WHO, the United States, Canada, Australia, Finland, Sweden, Brazil, France, Japan and China. As a result, there were revealed the priority bacteriological, virological and parasitological parameters: E. coli--indicator of recent fecal contamination, coliforms, heterotrophic bacteria colony count (Heterotrophic plate count), which is in the water legislation of the Russian Federation is characterized as total bacterial count (TBC), being an integral index of the quality of wastewater treatment technologies and hygienic condition of the water supply systems, coliphages as an indicator of viral contamination. In the Guidelines for drinking-water quality control, WHO and a set of countries there is recommended a more wide range of indicators: enterococci, Clostridium perfringens, Pseudomonas aeruginosa, enteroviruses, parasitological indices. With aim of harmonization of the requirements for the quality of drinking water in the Russian Federation with international approaches to the revision of the Sanitary Regulations and Norms (SanPin) 2.1.4.1074 into the project there are introduced priority indicator parameters of bacterial, viral and parasitic contamination of water, evidence-based guidelines.