Results of the analytical development of data of the official statistical reporting on morbidity on negotiability of children and teenagers of the city of Moscow during 2005-2013 have shown the preservation of steady negative trends in the rise of the general morbidity, incidences of respiratory and school-related diseases, including diseases of musculoskeletal system, myopia etc. According to the longitudinal study of the state of health and physical development of the Moscow school pupils from 1 to 11 classes (2005-2015) the gain of the prevalence rate of functional disorders and chronic diseases in the course of school ontogenesis has been shown. The leading violations of students’ health with a tendency to increase in the prevalence rate are: functional violations of the musculoskeletal system, blood circulatory system, organ of vision, neuro-psychiatric disorders, as well as chronic diseases of musculoskeletal system, digestive and vision organs. In all age and sex groups of schoolchildren there is a reliable increase in body length and weight, chest circumference, acceleration of biological maturation in comparison with peers of the last decades. Indices of the muscular force of the right hand in modern schoolchildren have decreased in comparison with the supervision of 1960s and 1980s. The necessary condition of health preservation of children and teenagers is the providing safe and optimum conditions of education, training and life activity. The assessment of the efficiency of sanitary and epidemiological surveillance of training conditions of children and teenagers has shown an insufficient informational content of the assessment of a sanitary state of educational organizations on groups of sanitary and epidemiologic wellbeing (SEW). Institutions with the reduced SEW level (2 groups) were proved to have a significantly higher risk of formation of diseases, including school caused diseases. It has been developed a modern classification of the assessment of conditions and modes of training of children at the school characterizing the risk degree to health of students of training conditions (optimum, admissible, potentially dangerous and dangerous). In addition new standard and methodical documents on carrying out sanitary-epidemiological expertise for the provision of sanitary and epidemiological welfare of students in secondary schools have been developed and proved.
PurposeThe purpose of this paper is to introduce the official statement of the Fifth European Conference on Health-Promoting Schools.Design/methodology/approachThe Fifth European Conference on Health-Promoting Schools was held on 20–22 November 2019 in Moscow, Russian Federation, with over 450 participants from 40 countries. A writing group was established to prepare a draft version of the statement before the conference. On the basis of an online and offline feedback process, the opinions of the participants were collected during the conference and included in the finalisation of the statement.FindingsThe final conference statement comprises six thematic categories (values and principles; environment, climate and health; schools as part of the wider community; non-communicable diseases (NCDs); evidence base; and digital media), with a total of 23 recommendations and calls for action.Originality/valueThe recommendations and calls for action reflect current challenges for Health Promoting Schools in Europe. They are addressed to all actors in governmental, non-governmental and other organisations at international, national and regional levels involved in health promotion in schools and are to be applied for the further development of the concept.
In modern social economic and ecologo-hygienic conditions of big cities all age groups of children and adolescents aged 8–15 years present a significant decrease of functional indicators (muscle force of the right hand) in comparison with their peers of 60s and 80s of the XX century. The similar findings occur in other regions and age groups. The analysis of the reasons of this phenomenon is one of key problems for researches.
Hygiene of children and adolescents makes a significant contribution in solving the problems of health protection and promotion of the younger generation. However, its achievement is not fully used by such sectors as health, sanitary and epidemiological supervision and education. Objective to justify the place for hygiene of children and adolescents in the school health system. The work is expert-analytical. In accordance with the number of students in the country the number of doctors on hygiene of children and adolescents in the health care organization must exceed 8500 persons. The provision of sanitary and epidemiological welfare of the students as medical activity includes: hygienic control of the educational conditions; hygienic control of educational tools; control over the compliance with the sanitary-hygienic requirements to conditions and management of nutrition in school; control over the compliance with the sanitary-hygienic requirements to the conditions and organization of physical training in the educational organization; preventive measures; hygienic training; the formation of stereotypes of a healthy lifestyle. Technologies of the sanitary-epidemiological well-being of students in educational institutions include: the algorithm of visual and laboratory control over the compliance with sanitary-hygienic requirements to conditions of the organization of education and training in educational institutions; the algorithm for the determination of the level of sanitary and epidemiological welfare of the educational organization, hygienic assessment of the load training activities in students; control over the compliance with the sanitary-hygienic requirements to conditions and organization of lessons with the use of e-learning in educational institutions; algorithm of the interaction between physician on hygiene of children and adolescents in medical organization and Federal Service for the Oversight of Consumer Protection and Welfare and other agencies for the protection of health of minors. The practical activity of the doctor on hygiene of children and adolescents is an important component of the medical support in educational institutions and sanitary-epidemiological well-being of children population in the country. Training students should be carried out with taking into account the specifics of the activity of the doctor on hygiene of children and adolescents in medical institutions for children and modern technologies for their practical activities in educational institutions.
The state of health in children and adolescents during the time of education in secondary schools is getting worse: the prevalence rate of functional disorders and chronic diseases is increasing. There was executed the assessment of the overwroughtness of the training-education process in secondary school institutions. The prior characteristics of the educational activity are: intellectual, sensory, emotional loads; their monotony and mode of educational activity, school work intensity. The system of indices of the overwroughtness of the education labour was formed with account ofpsycho-physiological characteristics of children's organism. There was performed the research of the overwroughtness of educational activity in 820 schoolchildren. The overwroughtness of the educational process was evaluated on the basis of chronometry research, questionnaire survey of teachers and parents, and with taking into account the organization of educational process. In questionnaire survey there were involved 52 teachers and 389 parents. The assessment of overwroughtness factors of the educational activity was carried out in 5-10th classes for academic disciplines: Russian Language, Literature, Mathematics, History, Geography, Foreign Languages. It was found that the characteristics of "mental load" in schoolchildren are established to be the one of the main limiting factors that allow to refer training activities to "overwroughted of first degree" (3.1 class). Sensory loads on the studied academic subjects are rated as the second class of overwroughtness and are "permissible." The monotony of loads was revealed to correspond to 1st and 2nd class of overwroughtness and is therefore an optimal or acceptable. Training activities in the traditional educational institution corresponds to the 2nd class of overwroughtness - "permissible." The arduousness of the educational process in an innovative school is rated as the third class of the first degree ofthe overwroughtness (3.1). According to results of the study of the arduousness of the educational labor the study of mathematics in grades 5-9 on indices of the mental load was noted to correspond to the 1st degree of arduous activity (3.1 class). The acceptable level of the arduousness of the training and educational labour in nearly all classes was established in the Russian language, Literature, History and Geography, Foreign language. High school students are established to be exposed to effects of emotional load more than mid-level students. There are developed proposals on the optimization of the learning process, allowing to reduce the level of intellectual, sensory, emotional load.
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