The system of the environment and health monitoring system has been introduced into the work of the State Sanitary and Epidemiological Service of the Lipetsk region in 1995. During this period, there was created a database for the collection of regional information on the quality and safety of the environment and public health. Methodology of the analysis is based on an assessment of the habitat on the total rank sanitary and hygiene index of the risk assessment to public health. The established relationships between adverse impacts of environmental factors on health are supported by statistical methods and are visualized in the form of cartograms. The results of multivariate analysis of the environment and the state of public health are summarized in the annual reports and 4 atlases “Sanitary-epidemiological situation in the Lipetsk region” being a good tool for the coordination of managerial decision-making basis for the development of legislative, administrative and regulatory guidance documents on public health. In recent years, in the region there are noted stable trends in the improvement of the quality of the environment, the health of the population and the demographic situation.
The article reflects the principal objectives and activities of the journal «Population Health and Life Environment – PH&LE» at the present time. An analysis of main issues highlighted in it has been conducted. A characteristic has been given to the journal in light of basic requirements to peer-reviewed scientific publications.
Introduction. The state of the recreational system of the Black Sea coast of the Krasnodar Territory is of particular interest and great importance for the development of the medical and health complex in Russia. Currently, the Krasnodar Territory has a state task to develop beach tourism on the sea coast, one of the priority sectors of the Russian economy. Considering the territorial features of the Municipal Formation Tuapse region of the Krasnodar Territory, the priority direction in the work of the Tuapse branch of the Center for Hygiene and Epidemiology in the Krasnodar Territory is water protection measures aimed at ensuring the safety of public health. The study of the causal relationships of health and the environment based on the materials of social and hygienic monitoring and analysis of information data on indicators of human health and the environment determines the tactics of developing regional short-term and long-term preventive measures and programs to improve the environment and optimize the health of the population. Purpose of the study. studying the sanitary and epidemiological state of the recreation zones (beaches) of the Tuapse district of the Krasnodar region. Materials and methods. the work is based on the materials of annual reports on sanitary and epidemiological well being in the Tuapse region of the Krasnodar Territory, the analysis of expert opinions and laboratory studies carried out by employees of the Tuapse branch of the Center for Hygiene and Epidemiology in the Krasnodar Territory, the analysis of infectious morbidity, and the analysis of legislative and other regulatory requirements for the establishment and control of the state of recreation zones was also carried out Results and discussion. difficulties with the implementation of sanitary and epidemiological control (supervision) over recreation areas are associated with: the imperfection of modern legislation on recreation zones, lack of publicly available information on the state of recreation areas and programs (plans) of sanitary and recreational activities, need for significant material resources to bring the existing and replace outdated sewage water treatment systems that pollute the water area of recreational areas in compliance with the regulatory requirements. Conclusions. The paper presents the features of the recreational water use of the Tuapse region of the Krasnodar Territory, describes the problems of the improvement of the recreational zones of the region. An analysis of laboratory studies of the recreational waters of the Black Sea over the past ten years and an analysis of the incidence of intestinal and enteroviral infections in the population of the Tuapse region of the Krasnodar Territory were carried out, seasonal fluctuations in the incidence rate were identified (an increase during July-August). The increase in the morbidity rate in the summer is due to the influx of vacationers. The expediency of developing a draft system for assessing the sanitary and epidemiological reliability (disadvantage) of the recreation zone for ranking objects and creating an electronic database of objects is considered. This set of measures will effectively provide a risk-oriented model of sanitary and epidemiological control (supervision) over recreation areas.
Summary. Introduction: Identification of hygienic determinants of the epidemic process and their inducing factors is an urgent regional problem that ensures a decrease in infectious disease rates in modern conditions. One of the priority tasks of the Russian economy is the development of beach tourism in coastal areas. Medical tourism is gaining more and more popularity in Russia: this direction is one of the most promising and demanded. According to the Ministry of Economic Development, 45 % of Russian tourists prefer beach holidays. Development of a competitive, highly efficient tourist and recreational complex is impossible without a modern approach to assessing safety of recreational water facilities for the population and minimizing risks of adverse health effects of recreational water use in holidaymakers. The anthropogenic factor influences reliability of assessments of the local hygienic and epidemic situation. The establishment of cause-effect relationships between the environment and the disease is the basis for elaborating preventive actions. The objective of our study was to analyze the incidence of acute intestinal infections in the local population of the Black Sea coast of the Tuapsinsky district, Krasnodar Krai, and visitors from other regions of the Russian Federation. Materials and methods: We applied epidemiological and statistical methods of analyzing disease incidence taking into account terrain features, age of patients, and seasons of the year. Laboratory test results were used to confirm the etiology of diseases registered in the district. Results: We established season- and age-specific increase in the incidence of acute intestinal infections among groups of the local population having excluded cases among the visitors. The incidence was noted for a high rate of acute intestinal infections caused by potentially pathogenic bacteria and viruses in coastal areas with a developed resort and spa infrastructure as compared to the mountainous areas. We also observed a recent rising trend in the incidence of viral gastrointestinal infections with rotaviruses accounting for 89.8 % of all cases of acute intestinal infections in 2018. Discussion: Our findings were used to develop appropriate preventive measures and to make managerial decisions on surveillance of the recreational facilities in order to prevent the risk of gastrointestinal infections in the area and to create a safe environment for tourists. Conclusions: In the summer months, acute intestinal infections in the area were induced by potentially pathogenic bacteria and viruses. The majority of cases were registered among holidaymakers while children aged 1-6 years were most at risk for gastrointestinal infections.
In the article there is considered the quality control and safety system implemented in the one of the largest flight catering food production plant for airline passengers and flying squad. The system for the control was based on the Hazard Analysis And Critical Control Points (HACCP) principles and developed hygienic and antiepidemic measures. There is considered the identification of hazard factors at stages of the technical process. There are presented results of the analysis data of monitoring for 6 critical control points over the five-year period. The quality control and safety system permit to decline food contamination risk during acceptance, preparation and supplying of in-flight meal. There was proved the efficiency of the implemented system. There are determined further ways of harmonization and implementation for HACCP principles in the plant.
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