Social and hygienic monitoring today: state and prospects in conjunction with the risk-based supervision

View or download the full article: 
UDC: 
616-02: 614.78
Authors: 

N.V. Zaitseva1,2, I.V. May1, D.A. Kiryanov1, D.V. Goryaev3, S.V. Kleyn4

Organization: 

1 Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
2 Perm State Medical University named after E.A. Wagner, 26 Petropavlovskaya Str., Perm, 614000, Russian Federation
3 Administration of the Federal Supervision Service for Consumer's Rights Protection and Human Welfare in the Krasnoyarsk Region, 21 Karatanova Str., Krasnoyarsk, 660049, Russian Federation
4 Perm State National Research University, 15 Bukireva Str., Perm, 614990, Russian Federation

Abstract: 

It is shown in the article that since the establishment in 1992 and until now the social and health monitoring (SHM) operates as a complex open system of extended collection and processing of heterogeneous data about the parameters of the environment, socio-economic indicators of living of the population of the country’s regions, medical and demographic characteristics of society as a whole and of individual population groups. As part of the SHM system Rospotrebnadzor annually performs hundreds of thousands of instrumental measurements of objects in the environment of the Russian Federation. These federal and regional information assets have tremendous analytical capacity and allow a knowledge-based processing of information in the "health-environment" system for a variety of management tasks of sanitary and epidemiological situation.

Changing of the general paradigm of control and supervisory activities of Rospotrebnadzor and giving a fundamentally new status of control measures to researches and measurements of the system of social and hygienic monitoring without interaction with legal entities and individual entrepreneurs were important bases for further improvement of the SHM. The development of SHM in conjunction with the risk-based supervision model can significantly improve analytical capabilities, effectiveness and efficiency of each system. This development requires the adoption of a new edition of The statements of the SHM, the development of a scientific approach to the formation of "risk profiles" of objects of sanitary and epidemiological surveillance; the development of methodological approaches to the selection of points and formation of programs of instrumental studies of air, water and soil as the control activities in the areas of influence of economic entities. Of great current interest are the development and consolidation of regulatory requirements for the registration of the results of sampling and measurement in the course of monitoring activities in the framework of the SHM; the establishment of criteria for associating violations of hygienic standards of air quality, natural and drinking water and soil with the facts of causing threat to life and health of citizens; the development of scientific and organizational approaches to the establishment, registration and proof of cases of harm to human health in violation of the mandatory requirements of the objects of sanitary and epidemiological surveillance.

Keywords: 
socio-hygienic monitoring, control and surveillance activities, sanitary-epidemiological well-being
Zaitseva N.V., May I.V., Kiryanov D.A., Goryaev D.V., Kleyn S.V. Social and hygienic monitoring today: state and prospects in conjunction with the risk-based supervision. Health Risk Analysis, 2016, no. 4, pp. 4–16. DOI: 10.21668/health.risk/2016.4.01.eng
References: 
  1. Avaliani S.L., Revich B.A., Zaharov V.M. Monitoring zdorov'ja cheloveka i zdorov'ja sredy (Regional'naja jekologicheskaja politika) [Monitoring of human and environmental health (Regional Environmental Policy)]. Moscow: Centr jekologicheskoj politiki Rossii, 2001, 76 p. (in Russian).
  2. Zaitseva N.V., Alekseev V.B., Lebedeva-Nesevrya N.A., Barg A.O., Gasnikov V.K. Analiz vlijanija social'no-demograficheskih faktorov na rasprostranennost' nekotoryh form deviantnogo povedenija [Analysis of the social-demographic factors impact on the popularity of deviant behaviour]. Social'nye aspekty zdorov'ja naselenija, 2011, vol. 19, no. 3, pp. 24 (in Russian).
  3. Bobkova T.E. Zonirovanie territorii perspektivnoj zastrojki s primeneniem metodologii ocenki riska zdo-rov'ju naselenija [Future built-up area zoning by applying the methodology for assessing the population health risk]. Gigiena i sanitarija, 2009, no. 6, pp. 38–41 (in Russian).
  4. Boev V.M. Metodologija kompleksnoj ocenki antropogennyh i social'no-jekonomicheskih faktorov v for-mirovanii riska dlja zdorov'ja naselenija [Methodology for integrated assessment of anthropogenic and socioeco-nomic factors in the formation of a human health risk]. Gigiena i sanitarija, 2009, no. 4, pp. 4–9 (in Russian).
  5. Vanyaeva E.P., Malyh O.L., Jarushin S.V. Biomonitoring kak vazhnejshij jetap gigienicheskoj diagnostiki v sisteme mediko-profilakticheskih tehnologij dlja zdorov'ja naselenija, podverzhennogo risku v svjazi s himi-cheskim zagrjazneniem sredy obitanija [Biomonitoring as the most important step in the hygienic diagnostics in the system of healthcare technologies for health of the population at risk due to chemical pollution of the envi-ronment]. Aktual'nye problemy bezopasnosti i ocenki riska zdorov'ju naselenija pri vozdejstvii faktorov sredy obitanija: materialy Vserossijskoj nauchno-prakticheskoj konferencii s mezhdunarodnym uchastiem [Current safety and health risk assessment problems of the population under the impact of environmental factors. Proceedings of the all-Russian scientific-practical conference with international participation]. In: professor A.Ju. Popova, akademik RAN N.V. Zajceva, eds. Perm, 2014, pp. 571–573 (in Russian).
  6. Grigor'ev Ju.I., Ljapina N.V. Ocenka riska zagrjaznenija pit'evoj vody dlja zdorov'ja detej Tul'skoj oblasti [Assessment of risk of contamination of drinking]. Gigiena i sanitarija, 2013, no. 3, pp. 36–38 (in Russian).
  7. Zhavoronok L.G. Social'no-gigienicheskij monitoring - instrument upravlenija kachestvom sredy obitanija i zdorov'ja naselenija [Socio-hygienic monitoring as the tool of environment quality and public health man-agement]. Uchenye zapiski Rossijskogo gosudarstvennogo social'nogo universiteta, 2009, no. 5, pp. 124–129 (in Russian).
  8. Zadiran A.V., Sinicyna O.O., Meshkov N.A. Risk vozniknovenija kozhnyh zabolevanij gribkovoj jetiologii pri poseshhenii plavatel'nyh bassejnov [Visit a swimming pool in moscow as a risk of skin diseases of fungal etiology]. Gigiena i sanitarija, 2012, no. 4, pp. 19–22 (in Russian).
  9. Zaitseva N.V., Kleyn S.V. Ocenka riska zdorov'ju naselenija pri vozdejstvii vodnogo peroral'nogo faktora sredy obitanija v uslovijah krupnogo promyshlennogo centra dlja zadach social'no-gigienicheskogo monitoringa (na primere goroda Permi) [Estimation of risk to health of the population at impact of water peroral factor of inhabitancy in conditions of large industrial centre for problems of socially-hygienic monitoring (on example of Perm) ]. Izvestija samarskogo nauchnogo centra Rossijskoj Akademii Nauk, 2009, vol. 11, no. 1–6, pp. 1139–1143 (in Russian).
  10. Zaprudnova O.G. Sistema social'no-gigienicheskogo monitoringa v praktike gradostroitel'stva v Ser-gievo-Posadskom rajone Moskovskoj oblasti [System of social-hygienic monitoring in practice of town construction in sergiev posad district of Moscow region]. Jekologija cheloveka, 2006, no. 10, pp. 42–45 (in Russian).
  11. Kireeva I.S., Chernichenko I.A., Litvichenko O.N. Gigienicheskaja ocenka riska zagrjaznenija atmosfernogo vozduha promyshlennyh gorodov Ukrainy dlja zdorov'ja naselenija [Hygienic assessment of the risk of ambient air pollution to human health in the Ukraine's industrial towns]. Gigiena i sanitarija, 2007, no. 1, pp. 17–21 (in Russian).
  12. Kiselev A.V., Kucenko G.I., Shherbo A.P. Nauchnoe obosnovanie sistemy ocenki riska zdorov'ju v gi-gienicheskom monitoringe promyshlennogo goroda [Scientific substantiation of health risk assessment system in hygiene monitoring of industrial city]. Hrizostom, 2001, 208 p. (in Russian).
  13. Lim T.E. Nekotorye aspekty organizacii sistemy social'no-gigienicheskogo monitoringa pri stroitel'stve i jekspluatacii obezdnyh avtomobil'nyh dorog [Some aspects of the organisation of system of socially-hygienic monitoring in building and operation of roundabout highways on an example of St.-Petersburg]. Sibirskij medicinskij zhurnal (Irkutsk), 2009, vol. 88, no 5, pp. 89–91 (in Russian).
  14. Zaitseva N.V., Trusov P.V., Shur P.Z., Kiryanov D.A., Chigvincev V.M., Tsinker M.Ju. Metodicheskie podhody k ocenke riska vozdejstvija raznorodnyh faktorov sredy obitanija na zdorov'e naselenija na osnove jevoljucionnyh modelej [Methodical approaches to health risk assessмеnt of heterogeneous environmental factors based on evolutionary models]. Analiz riska zdorov'ju, 2013, no. 1, pp. 15–23. DOI: 10.21668/health.risk/2013.1.02 (in Russian).
  15. Gileva O.V., Ulanova T.S., Vejhman G.A., Nedoshitova A.V., Stenno E.V. Metodicheskoe obespechenie opredelenija toksichnyh i jessencial'nyh jelementov v biologicheskih sredah cheloveka dlja zadach social'no-gigienicheskogo monitoringa i biomedicinskih issledovanij [Methodical assurance of the assessment of toxic and essential elements in human biological matrices]. Gigiena i sanitarija, 2016, vol. 95, no. 1, pp. 116–121 (in Russian).
  16. Nechuhaeva E.M., Maslov D.V., Afanas'eva S.I. Aktual'nye zadachi social'no-gigienicheskogo monito-ringa na regional'nom urovne [Current problems of social and hygienic monitoring at the regional level]. Zdorov'e. Medicinskaja jekologija. Nauka, 2010, vol. 41–42, no. 1–2, pp. 39–40 (in Russian).
  17. O sostojanii sanitarno-jepidemiologicheskogo blagopoluchija naselenija v Rossijskoj Federacii v 2015 godu: Gosudarstvennyj doklad [On the state sanitary and epidemiological welfare of the population in the Russian Federation in 2015: State Report]. Moscow: Federal'naja sluzhba po nadzoru v sfere zashhity prav potrebitelej i blagopoluchija cheloveka, 2016, 200 p. (in Russian).
  18. Onishсhenko G.G. Koncepcija riska i ee mesto v sisteme social'no-gigienicheskogo monitoringa (prob-lemy i puti reshenija) [Conception of health risks and its place in the system of sociohygienic monitoring (problems and approaches to their solution)]. Vestnik Rossijskoj akademii medicinskih nauk, 2005, no. 11, pp. 27–33 (in Russian).
  19. Buzinov R.V., Ungurjanu T.N., Lazareva N.K., Gudkov A.B. Organizacija social'no gigienicheskogo monitoringa na territorii Arhangel'skoj oblasti [Organization of social-hygienic monitorinin Arkhangelsk region]. Jekologija cheloveka, 2006, no. 7, pp. 3–8 (in Russian).
  20. Kuz'min S.V., Privalova L.I., Kacnel'son B.A., Nikonov B.I., Gurvich V.B., Voronin S.A., Malyh O.L., Kornilkov A.S., Chebotarkova S.A., Kochneva N.I. Ocenka riska i jekologo-jepidemiologicheskie issledovanija kak vzaimosvjazannye instrumenty social'no-gigienicheskogo monitoringa na mestnom i regional'nom urovnjah [Risk assessment and environmental and epidemiological studies as interrelated tools of sociohygienic monitoring at the local and regional levels]. Gigiena i sanitarija, 2004, no. 5, pp. 62 (in Russian).
  21. Boev V.M., Setko A.G., Boev M.V., Frolov A.B. Ocenka summarnogo riska zdorov'ju naselenija himi-cheskih faktorov gorodskoj sredy [Estimation of total public health risks caused by chemical factors of the urban environment]. Sovremennye problemy gigieny goroda, metodologija i puti reshenija: materialy plenuma nauchnogo soveta po jekologii cheloveka i gigiene okruzhajushhej sredy RAMN i Minzdravsocrazvitija Rossijskoj Federacii [Modern problems of city hygiene, methodology and solutions: Materials of Plenum of Scientific Council for Human Ecology and Environmental Health of Medical Sciences and Health and Social Development of the Russian Federation]. Moscow, 2006, pp. 41–43 (in Russian).
  22. Pichuzhkina N.M. Opyt ispol'zovanija metodologii ocenki riska dlja zdorov'ja naselenija pri vedenii so-cial'no-gigienicheskogo monitoringa v Voronezhskoj oblasti [Experience of use of methodology of estimation of risks for population's health under conducting of social-hygienic monitoring in Voronezh region]. Zdorov'e nasele-nija i sreda obitanija, 2006, no. 10, pp. 49–55 (in Russian)
  23. Ivanenko A.V., Volkova I.F., Kornienko A.P., Sudakova E.V. Pokazateli sostojanija zdorov'ja naselenija Moskvy, harakterizujushhie jeffektivnost' social'no-gigienicheskogo monitoringa [Health indices, which characterize the efficiency of the sociohygienic monitoring system, in-the Moscow population]. Gigiena i sanitarija, 2006, no. 5, pp. 92–94 (in Russian).
  24. Borshсhuk E.L., Boev V.M., Sermjagina E.G., Dunaev V.N., Vereshhagin N.N. Primenenie GIS-tehnologij pri vedenii social'no-gigienicheskogo monitoringa v g. Orenburge [Application of GIS technologies in the management of social and hygienic monitoring in Orenburg]. Social'no-gigienicheskij monitoring sredy obitanija i zdorov'ja naselenija: sbornik trudov nauchno-prakticheskoj konferencii [Socio-hygienic monitoring of the envi-ronment and human health: Proceedings of the scientific-practical conference]. Orenburg, Print-Servis, 2004, pp. 35–36 (in Russian).
  25. Gurvich V.B., Kuz'min S.V., Nikonov B.I., Plotko Je.G., Jarushin S.V., Malyh O.L., Soloboeva Ju.I., Kuz'mina E.A., Plotnikova I.A., Vanjaeva E.P. Sistema profilakticheskih meroprijatij po upravleniju riskom dlja zdorov'ja naselenija, podvergajushhegosja vlijaniju himicheski zagrjaznennoj sredy obitanija (na primere Sver-dlovskoj oblasti) [The system of preventive actions aimed at managing population health risks from chemical con-tamination of environmental media (the experience of the Sverdlovsk region)]. Zdorov'e naselenija i sreda obitanija, 2013, vol. 246, no. 9, pp. 6–10 (in Russian).
  26. Kuz'min S.V., Gurvich V.B., Dikonskaja O.V., Malyh O.L. Jarushin S.V., Romanov S.V., Kornilkov A.S. Social'no-gigienicheskij monitoring – integrirovannaja sistema ocenki i upravlenija riskom dlja zdorov'ja naselenija na regional'nom urovne [The socio-hygienic monitoring as an integral system for health risk assessment and risk management at the regional level]. Gigiena i sanitarija, 2013, no. 1, pp. 30–32 (in Russian).
  27. Gurvich V.B., Kuz'min S.V., Malyh O.L., Jarushin S.V. Social'no-gigienicheskij monitoring - integriro-vannaja sistema ocenki i upravlenija riskom dlja zdorov'ja naselenija na regional'nom urovne [Public health moni-toring - integrated assessment and management of risk for health at the regional level]. Sanitarnyj vrach, 2014, no. 1, pp. 29–31 (in Russian).
  28. Surzhikov D.V., Oleshhenko A.M., Bol'shakov V.V. Ocenka riska dlja zdorov'ja naselenija Krasnojarska v sisteme social'no-gigienicheskogo monitoringa [Health Risk Assessment of the population of Krasnoyarsk in the socio-hygienic monitoring system]. Vestnik mezhregional'noj associacii "Zdravoohranenie Sibiri", 2004, no. 1, pp. 33–34 (in Russian).
  29. Sukharev A.G., Ignatova L.F. Social'no-gigienicheskij monitoring detej kak metodologija celevyh profi-lakticheskih programm [Socio-hygienic monitoring of children as a methodology of target prevention programs]. Voprosy sovremennoj pediatrii, 2006, vol. 5, no. 1, pp. 557 (in Russian)
  30. Trukhina G.M. Ocenka mikrobiologicheskogo riska sredy obitanija dlja zdorov'ja naselenija v sisteme social'no-gigienicheskogo monitoringa [Assessment of an environmental microbiological risk to the population's health in the sociohygienic monitoring system]. Zdravoohranenie Rossijskoj Federacii, 2008, no. 1, pp. 43 (in Russian).
  31. Tsunina N.M., Ajupova L.V. Ocenka riska zdorov'ju naselenija ot zagrjaznenija produktov pitanija kontaminantami (g.o.* Samara, g.o. Tol'jatti) [Population health risk assessment from contamination of food products with contaminants (c.d. Samara, c.d. Togliatti)]. Analiz riska zdorov'ju, 2014, no. 1, pp. 57–64. DOI: 10.21668/health.risk/2014.1.07 (in Russian).
  32. Daland R. Juberg, J. Bus, Diane S. Katz. The Opportunities and Limitations of Biomonitoring. Policy brief. February 2008. Available at: https://www.mackinac.org/S2008-01 (18.11.2016).
  33. Sexton K., Needham L.L., Pirkle J.L. Mesuaring chemicals in human tissues is the «gold standard» for assessing peoples exposure to pollution. American Scientist, 2004, vol. 92, no. 1, pp. 38–45.

You are here