Since 1988, the Russian Federation has required that laws, plans, programs and all kind of projects undergo an environmental assessment. A mandatory component of the EIA in Russia is public participation. In this paper different case studies are used to find out to what extent public could influence environmental decision making processes from the early eighties until 2002. The cases selected include several where the public was passive or where it had limited activities, but also some where the participation was strong and projects were improved or stopped. As far as these case studies highlighted, the civil society in Russia can be described as an organized and sometimes strong factor in the approval process. The behaviour displayed by decision-makers, however, revealed at times a remarkable democratic deficit.
Purpose. To assess epidemiological situation of three co-infections: HIV, CVH and tuberculosis in Vologda region in comparison with neighboring territories of Northwest region.Materials and methods. The data of epidemiological study of the area of HIV infection, reports on «Causes of mortality of HIVinfected », data of statistic surveys: form No. 61 «Data on HIV-infected», form No. 33 «Data on infected with tuberculosis», form No. 8 «Data on infected with active tuberculosis», form No. 1 «Personal record of patient suffered from tuberculosis coinfected with HIV-infection» in Vologda region and some of its districts as well as materials of Northwestern Federal District within the Regional HIV were studied.Results and discussion. Within the territory of Vologda region, earlier marked out tendency to increasing and spread of HIVinfection as well as tendency to reducing the disease burden of tuberculosis and hepatitis C virus still persist. This tendency is typical for northwest Russia and some of its territories. Co-morbidity is common for pair combination of infections and is less common for three infections in one person. Severe forms of HIV-infection in the course of clinical manifestations in combination with tuberculosis and hepatitis define a high rate of morbidity and mortality. Revealed epidemic regularities of the last years are concurrent with cross-border regions in the East and South from the Northwest.
The Environmental Impact Assessment (EIA) system in the Russian Federation has an extensive set of rules, the main ones are the Assessment of the Environmental Impact (OVOS) of a project and the State Environmental Review (SER). The SER is designed as an investigation of both a project and of its OVOS by an independent expert commission, which is appointed by the federal and regional environmental bodies. The decision of the commission is binding. In addition, a Public Environmental Review (PER) can be conducted by NGOs and recognised by the state. A mandatory component of the EIA in Russia is public participation. The process of public participation is regulated by Russian legislation (for example the Land Code, the OVOS guidelines and autonomous regional laws) and can take various forms. All these opportunities are established on paper; in reality, they are not always taken into account. There are a number of case studies used to observe the extent to which the public has an impact on environmental decision-making. Selected cases include examples in which the public was passive, in which it undertook limited activities, and in which participation was strong and projects were improved or stopped.
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