A comparative analysis has been carried out of indices for health status in 137,072 persons who took part in the elimination of the aftermath of the Chernobyl accident, using records of the National Register of Ukraine. The above-mentioned indices were for time-related general morbidity, mortality, disability during the period of 1988-1996. There has been revealed yearly increase in morbidity rates in all classes of diseases, in particular those of the circulatory system, nervous system, and sense organs, digestive, and respiratory systems. High morbidity rates are recordable with respect to that class of diseases afflicting the endocrine system, blood, and hemopoietic organs, neoplasms including malignant tumours. The disability rates tended to increase above average statistical ones for Ukraine.
An analysis of state of health among people living in Kiev over 1985-2000 was carried out. It is determined that birth rate decreases and mortality increases constantly. Life expectancy decreased too. Substantial and steady tendency of rising most of diseases is observed in the city. Diseases of cardiovascular system, thyroid gland, digestive system, urogenital system and different neoplasm are diagnosed nowadays more frequently than earlier. Children population presents with more increasing respiratory diseases, illnesses of organs of sense, nervous system, digestive system and blood as well as social diseases. Atmosphere is polluted with aromatic and saturated hydrocarbons, carbon oxide, nitric oxide, 3-4-benzpyrene, sulphurous anhydrides. The article presents data concerning negative tendency in demographic situation and the population's state of health in Kiev and air pollution. All above mentioned necessitate to develop well-founded adequate prophylactic measures to improve the situation.
In 25.2% patients, suffering morbid obesity, dyslipidemia was revealed, manifesting by the triglycerids (TG) and cholesterol superlow--density lipoproteins (CHSLDLP) levels raising and atherogeneicity coefficient enhancement. In patients, suffering morbid obesity, after gastric shunting and banding performance, the lipids metabolism indices normalization was noted. In concomitant type II diabetes mellitus the accomplished gastric shunting secures trustworthy the TG and CHSLDLP levels, gastric shunting proved itself more effective procedure than gastric banding.
In the Southern medical-and-demographic region of Ukraine a comprehensive medical-and-social survey was carried out of infant case rate together with factors for it. Overall 1945 children under one year of age (with 1080 having been the main group, 865 the group of comparison) from 8 rural districts of the Odessa region were followed up. The key items of the survey program included analysis of the level and patterns of infant morbidity by data on the rate of applying for medical advice, by findings from medical examinations, case follow-ups, medical admissions, expert medical evaluation of the diagnostic summing-ups, ascertaining dominating tendencies in the nineties. The results secured enabled us to identify risk-factors, with reserves for the infant case rate reduction having been found together with ways for realization thereof within the system of a staged family prophylactic management.