Specialized and High-Tech Medical Assistance to the Victims of the Accident at the Chernobyl NPP in the Framework of the Union State

Relevance. About 800 thousand citizens of the Russian Federation were affected as a result of the Chernobyl disaster, almost a quarter of them were liquidators of the consequences of the disaster at the Chernobyl nuclear power plant (LCDs). LCDs are among the most affected categories of Russian citizens. They usually have up to 12-15 somatic diseases and receive specialized inpatient treatment. Data on their morbidity structure and characteristics need to be generalized and are the basis for improving the organization of specialized medical care.Intention. To identify the characteristics of morbidity and the main classes of diseases in those suffered from the Chernobyl disaster in the remote period when providing specialized medical care in a round-the-clock hospital, from 2016 to 2018. Methodology. There were analyzed 4195 medical records of the LCDs who underwent inpatient treatment in multidisciplinary clinics of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, in the framework of the activities of the Union State in 2016–2018.Results and Discussion. The features of the morbidity of those affected by the Chernobyl disaster (LCDs and residents of radiation-contaminated territories) are shown. The main classes of diseases are presented in the distant period when providing specialized medical care in the round-the-clock hospital. The features of the organization of specialized medical care have been identified, in particular, the need has been substantiated for the provision of not only specialized therapeutic, but also specialized, including high-tech, surgical care, as well as medical rehabilitation in the preoperative and postoperative periods, after severe injuries and somatic diseases. The need for the creation and use of unified standards for the provision of special- ized therapeutic treatment to those affected by the Chernobyl disaster was confirmed. The necessity of providing specialized medical assistance to those affected by the Chernobyl disaster as part of the Union State target programs (Russia - Belarus) in addition to the State Guarantees Program for providing Russian citizens with free medical care using targeted methods of prevention, diagnosis, treatment and rehabilitation is substantiated. The implementation of the proposals presented in this article will undoubtedly improve the availability and quality of specialized medical care for this cohort.Conclusion. The features of the morbidity rates and the main classes of diseases revealed and presented in the article for those affected by the Chernobyl disaster in the long-term period when providing specialized medical care in a round-the- clock hospital are the basis for planning the types of specialized medical care for this cohort within the framework of targeted programs and activities of the Union State.

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Specialized Medical Care in a Round-the-Clock Hospital for Citizens Exposed to Radiation as a Result of the Chernobyl Disaster

Aleksanin

Rybnikov

Рогалев

et al. 2019

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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High-tech medical care for Chernobyl accident survivors: features, profiles, types, amount

Aleksanin

Rybnikov

Gudz

et al. 2020

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. About 5 million people suffered from the large-scale Chernobyl nuclear power plant (CNPP) accident in 1986, mainly citizens of Russia and Republic of Belarus. Governments of these states and the Union State of Russia-Belarus created on December 8, 1999 have been consistently implementing for many years a set of targeted programs and measures to provide special, including high-tech, medical assistance to the Chernobyl accident survivors. Features, profiles, types and amount of high-tech medical care for the Chernobyl accident survivors need to be summarized and are the basis for improving its budgeting within the Union State. Intention. To identify, on the basis of long-term data, the features, main profiles, types and amount of high-tech medical care for survivors of the Chernobyl accident in 2014-2020.Methodology. There were analyzed 843 medical records of Chernobyl accident survivors who received high-tech medical care in the multidisciplinary clinic N 2 of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia (St. Petersburg).Results and Discussion. High-tech medical care for Chernobyl accident survivors implies waiting lists and forecast parameters, preliminary treatment of comorbidities and medical rehabilitation afterwards. Profiles, types, amount of hightech medical care over 2014-2020 are described. Most popular high-tech care included cardiovascular, traumatology and orthopedics and ophthalmology interventions.Conclusion. Data provide an important basis for planning the types of high-tech medical care for the Chernobyl accident survivors within the framework of the targeted activities of the Union State.

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Specialized and High-Tech Medical Assistance to the Victims of the Accident at the Chernobyl NPP in the Framework of the Union State

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Specialized Medical Care in a Round-the-Clock Hospital for Citizens Exposed to Radiation as a Result of the Chernobyl Disaster

Specialized Medical Care in a Round-the-Clock Hospital for Citizens Exposed to Radiation as a Result of the Chernobyl Disaster

High-tech medical care for Chernobyl accident survivors: features, profiles, types, amount

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