METHODOLOGICAL ASPECTS AND RESULTS OF ESTIMATION OF DEMOGRAPHIC LOSS ASSOCIATED WITH HARMFUL INFLUENCE OF ENVIRONMENT FACTORS AND PREVENTIVE ACTIVITIES OF ROSPOTREBNADZOR IN REGIONS OF THE RUSSIAN FEDERATION

Abstract

On the basis of mathematical modeling of links in the system "environment – human health - control and supervisory actions of Rospotrebnadzor", were obtained data on reliable dependences of mortality and morbidity rates of the population in Russian regions on the frequency of violations of hygienic standards for the content of harmful chemical and biological substances in the air, drinking water and soils of urban and rural settlements. It is shown that in Russia in 2017 harmful influence of environment factors is probabilistically associated with almost 64.9 thousand deaths and more than 5.1 million cases of diseases of children and adults. Rospotrebnadzor prevented about 48.1 thousand deaths and more than 7 million cases of infectious diseases, respiratory diseases, digestion, tumors, skin and subcutaneous tissue diseases, etc., associated mainly with unsatisfactory quality of drinking water and atmospheric air. Over 43.27 million days of economically inactivity have been prevented. The transition to risk-based surveillance increases targeting of control measures and allows to minimize the risks of environmental pollution, to prevent the violation of hygienic requirements of standards by business entities and, accordingly, to substantially reduce the medical and demographic losses associated with the factors of the country's habitat.