The article deals with the legal framework of an application of administrative enforcement. The authors analyzed the information about a quantity and structure of administrative violation in the sanitary and epidemiological welfare, revealed during 2009-2011 while carrying-out of federal sanitary and epidemiological surveillance by the Center for Sanitary and Epidemiological Supervision of the Ministry of Defense (TsGSEN MF RF) in military units and organizations of the Armed Forces of the Russian Federation, and applied administrative sanctions. The acquired data was compared with the same data acquired by The Federal Service for Supervision of Consumer Rights Protection and Human Well-Being (Rospotrebnadzor). The results of research give a reason to consider TsGSEN MF activity according to index of application of administrative enforcement as ineffective. It shows the significant underestimate of administrative sanctions for the failure to comply with requirements of the health legislation. The authors formulated practical recommendations for activation of legal mechanics application by the specialists of TsGSEN MF RF while carrying-out of federal sanitary and epidemiological surveillance in the Armed Forces of the Russian Federation.
An analysis of modern sanitary-epidemiological status of railway transport is presented. The mean index of occupational morbidity in railway transport workers in recent years is 1.2 cases per 10 thousand railway workers. Workers of locomotive brigades (locomotive drivers and their assistants), in whom occupational sensorineural hearing loss was predominantly revealed (78.3 +/- 3.4%) accounted for 30-40% of cases out of the total number of occupational morbidity in railway transport workers. Water samples from the sources of centralized and noncentralized water supply did not meet health standards for microbiological parameters in the 14-18%, and from the water pipes in 4-6% of cases. Suggestions for improving sanitary-hygiene monitoring in railway transport have been given.
Poor state of water supply systems, shortage of water purification facilities and disinfection systems, low quality of drinking water generally in Russia and particularly in the regions of the Russian Arctic, Siberia and Far East have been defined in the literature. However, no standard protocol of water security assessment has been used in the majority of studies.
Uniform water security indicators collected from Russian official statistical sources for the period 2000-2011 were used for comparison for 18 selected regions in the Russian Arctic, Siberia and Far East. The following indicators of water security were analyzed: water consumption, chemical and biological contamination of water reservoirs of Categories I and II of water sources (centralized--underground and surface, and non-centralized) and of drinking water.
Water consumption in selected regions fluctuated from 125 to 340 L/person/day. Centralized water sources (both underground and surface sources) are highly contaminated by chemicals (up to 40-80%) and biological agents (up to 55% in some regions), mainly due to surface water sources. Underground water sources show relatively low levels of biological contamination, while chemical contamination is high due to additional water contamination during water treatment and transportation in pipelines. Non-centralized water sources are highly contaminated (both chemically and biologically) in 32-90% of samples analyzed. Very high levels of chemical contamination of drinking water (up to 51%) were detected in many regions, mainly in the north-western part of the Russian Arctic. Biological contamination of drinking water was generally much lower (2.5-12%) everywhere except Evenki AO (27%), and general and thermotolerant coliform bacteria predominated in drinking water samples from all regions (up to 17.5 and 12.5%, correspondingly). The presence of other agents was much lower: Coliphages--0.2-2.7%, Clostridia spores, Giardia cysts, pathogenic bacteria, Rotavirus--up to 0.8%. Of a total of 56 chemical pollutants analyzed in water samples from centralized water supply systems, 32 pollutants were found to be in excess of hygienic limits, with the predominant pollutants being Fe (up to 55%), Cl (up to 57%), Al (up to 43%) and Mn (up to 45%).
In 18 selected regions of the Russian Arctic, Siberia and Far East Category I and II water reservoirs, water sources (centralized--underground, surface; non-centralized) and drinking water are highly contaminated by chemical and biological agents. Full-scale reform of the Russian water industry and water security system is urgently needed, especially in selected regions.
Cites: Gig Sanit. 2008 May-Jun;(3):16-818590142
Cites: Int J Circumpolar Health. 2013;72. doi: 10.3402/ijch.v72i0.2153023940840
Cites: Appl Environ Microbiol. 2000 Apr;66(4):1724-510742269
Cites: Gig Sanit. 2008 Sep-Oct;(5):32-419086221
Cites: Gig Sanit. 2000 May-Jun;(3):17-910900788
Cites: Gig Sanit. 2011 May-Jun;(3):91-521842746
Cites: Gig Sanit. 2011 May-Jun;(3):10-521842728
Cites: Water Res. 2012 Mar 15;46(4):921-3322209280
This paper reviews the most common health hazards occurring among personnel of peacekeeping and stabilization missions functioning within armed conflicts in the contemporary world. Military operations have been executed in diverse climatic and sanitary conditions, which are frequently unfamiliar for their participants. Some of them, e.g. the UN peacekeeping missions in the Middle East (Lebanon, the Golan Heights), have been carried out in a relatively stable geopolitical environment; whereas, stabilization missions in Iraq and Afghanistan, which are actually combat activities, undoubtedly fall into the group of the most perilous military operations in the world. Hot or cold climate, poor sanitary and hygienic conditions along with warfare facilitate the occurrence of numerous diseases and body injuries not only among the local people but also among peacekeepers, who represent the population of immigrants. Health hazards which pose major epidemiological threats in combat zones are arthropod-borne, food and water-borne, respiratory tract diseases, sexually transmitted diseases, enzootic diseases, battle injuries, and non- -battle injuries, e.g. traffic accidents. Another considerable health problem are psychiatric disorders, which can either appear directly after the occurrence of a traumatic event in a combat zone or indirectly, after some time had elapsed. In addition to the health hazards listed above, environmental factors such as changeable weather conditions and local fauna may also be life threatening.
In this paper there was performed an analysis of the application of sanitary norms and rules concerning sanitary protective zones and sanitary classification of enterprises, buildings and other facilities, including requirements for the sufficiency and accuracy of information in the performance of projects in sanitary protection zone (SPZ). There is presented an analysis of regulations that set requirements for implementation of mapping works in drafting the SPZ. The design of the SPZ was shown to be, on the one hand, the element of territorial planning subjects of the Russian Federation, on the other hand, the object of capital construction. The substantiations of requirements for graphic and text content, structure, and composition of data, sources of their obtaining, methods of data convergence are reported. There are revealed inconsistencies in Sanitary Regulations and Norms (SanPins) and in their relationship with the Town Planning and Land Code and other laws, and regulations adopted in their development.
People living in poverty throughout the developing world are heavily burdened with neglected communicable diseases and often marginalized by the health sector. These diseases are currently referred to as Neglected Diseases of Neglected Populations. The neglected diseases create social and financial burdens to the individual, the family, the community, and the nation.
Numerous studies of successful individual interventions to manage communicable disease determinants in various types of communities have been published, but few have applied multiple interventions in an integrated, coordinated manner. We have identified a series of successful interventions and developed three hypothetical scenarios where such interventions could be applied in an integrated, multi-disease, inter-programmatic, and/or inter-sectoral approach for prevention and control of neglected diseases in three different populations: a slum, an indigenous community, and a city with a mix of populations.
The objective of this paper is to identify new opportunities to address neglected diseases, improve community health and promote sustainable development in neglected populations by highlighting examples of key risk and protective factors for neglected diseases which can be managed and implemented through multi-disease-based, integrated, inter-programmatic, and/or inter-sectoral approaches. Based on a literature review, analysis and development of scenarios we visualize how multiple interventions could manage multiple disease problems and propose these as possible strategies to be tested. We seek to stimulate intra- and inter-sectoral dialogue which will help in the construction of new strategies for neglected diseases (particularly for the parasitic diseases) which could benefit the poor and marginalized based on the principle of sustainability and understanding of key determinants of health, and lead to the establishment of pilot projects and activities which can contribute to the achievement of the Millennium Development Goals.
Cites: Bull World Health Organ. 2003;81(2):7912751414
Cites: Am J Epidemiol. 2003 Jun 1;157(11):1032-812777367
Cites: Trop Med Int Health. 2003 Jun;8(6):512-712791056
Cites: Soc Sci Med. 2003 Aug;57(4):657-7212821014
Cites: Int J Occup Environ Health. 2003 Apr-Jun;9(2):118-2712848239
Cites: Malar J. 2002 Nov 15;1:1512473181
Cites: Ann Trop Med Parasitol. 2003 Oct;97(7):743-914613633
Cites: Water Sci Technol. 2003;48(7):181-9014653649
Cites: Lancet. 2003 Dec 6;362(9399):1932-414667754
Cites: Water Sci Technol. 2003;48(11-12):23-3214753515
Cites: Trans R Soc Trop Med Hyg. 2004 Apr;98(4):197-20415049458
Developed parasitological passports for sewage treatment works have been issued in the subjects of the Southern Federal District. Its some regions have areas inadequately covered by centralized water drainage. New waste treatment technologies and disinvasion agents have not been virtually introduced. No proper significance is attached to the parasitological studies of epidemiologically significant substrates, such as waste waters and their sludge. The positive results of dehelmintization and disinvasion are stated from the absence of helminth eggs rather than from the comparative results of sewer clearing from the invasion principle and their viability loss. Standard guides corresponding to the profile of objects are inadequately used in day-to-day work.
The current globalization tendencies give rise to serious human health risks associated with the problems in providing the safety of water resources, with their intense microbiological contamination due to sewage disposal, with the loss of capacity of water ecosystems for self-repair. To guarantee access to safe drinking water and basic sanitary services is considered to be one of the most priority tasks of the international community, which are embodied in the Plan of Implementation of the World Summit on Sustainable Development approved by the United Nations Organization.
Nosocomial pyoseptic infections are one of the topical problems of the practical activity of surgical hospitals. Their occurrence is due to the influence of risk factors associated with patients' condition, a therapeutic and diagnostic process, and the hospital environment. A package of measures for the prevention of infectious complications comprises the sanitary-and-antiepidemic measures, its one component being sanitary-and-hygienic ones. The diagnosis of the epidemiological features of nosocomial infections allows the basic and additional sanitary-and- hygienic measures to be identified, differentiated, and rationalized depending on the categories of patients and the types of units with varying morbidity rates.
The scientific rationale for preventive measures based on sanitary-and-epidemiological surveillance on environmental objects is considered. The sizes of functional zones and space for various types of communal services and amenities and leisure are regulated to ensure good urban vital activities. Multistorey housing causes an increase in the number of negative factors per area units and in their impact on health. A proposal has been made for the standardization of the ranges of urban population upsurge and size, by using the sanitary-and-hygienic rules and norms rather than climatic parameters. A criterion system for assessing the data of statistical observations has been substantiated and 5 levels of analysis and managerial decision-making have been proposed. Cause-and-effect relations may be determined for the parameters of the second level; models of program-oriented studies for the third level, only sanitary-and-epidemiological surveillance is possible for the fourth and fifth levels. The space planning scheme must provide for water supply reserves, generation areas for pure air coming into the town, and waste disposal areas. The general layout may use statistical observation parameters characterizing the second level of occurrence of negative phenomena. The statistical observation parameters characterizing the third and fourth levels of occurrence of negative phenomena may be used for municipal improvements and sanitary maintenance. These characterizing the fourth and fifth level may be used for prevention in therapeutic-and-prophylactic institutions.