Peculiarities of territorial distribution and dynamics in rates of population noncommunicable diseases in the Krasnoyarsk Region associated with the influence of environmental risk factors

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UDC: 
614.1
Authors: 

D.V. Goryaev, I.V. Tikhonova

Organization: 

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

Abstract: 

The analysis of the primary morbidity dynamics in the population of the Krasnoyarsk region is performed for the period 2005–2015. The incidence forecast by classes of ICD diseases, X revision is calculated. It was found that the figures of the first time revealed incidence in the Krasnoyarsk region exceeded the average for the Russian Federation during the years 2011–2014 on neoplasms, nervous system diseases, diseases of the circulatory and the digestive systems, diseases of the musculoskeletal system and connective tissue, endocrine diseases and a number of other systems. The values of the integral health risk indicators are calculated by the methodology of State Sanitary and Epidemiological Surveillance Agency of the year 1995. For risk characteristics the following criteria are used: integral index of health less than <0.312 – minimal risk; 0.313–0.500 – moderate risk; 0.501–0.688 – increased risk of more than 0.689 – the highest risk. It was found that the increased health risk is typical of 21 municipal territories of the region, which is home to 66.1 % of the population. Among the areas with “high” public health risk in different years were Sharypovo, Birilyussy and Evenk districts. In most areas the priorities relate to a group of non-communicable diseases associated with the negative impact of various factors of habitat population (disease of the respiratory system, circulatory system, neoplasms, including malignant, etc.). According to the forecasts in 2016 we expect the decrease in the proportion of inhabitants in the region from the group with the “moderate” and “elevated” risk, and an increase in the number of people with “high” and “minimal” risk to public health. It is shown that a number of regional municipalities have a necessity in the planning and implementation of measures to improve the population health.

Keywords: 
Krasnoyarsk Region, primary morbidity, integrated health assessment, risk areas
Goryaev D.V., Tikhonova I.V. Peculiarities of territorial distribution and dynamics in rates of population noncommunicable diseases in the Krasnoyarsk region associated with the influence of environmental risk factors. Health Risk Analysis, 2016, no. 4, pp. 54–63. DOI: 10.21668/health.risk/2016.4.07.eng
References: 
  1. Akatova A.A., Sharova L.V., Aminova A.A. Vlijanie tehnogennyh faktorov okruzhajushhej sredy na sostojanie zdorov'e detej [The impact of man-made environmental factors on children's health]. In: Adaptivnaja fizicheskaja kul'tura, sport i zdorov'e: integracija nauki i praktiki: sb. tr. II Vseros. nauch.-prakt. konf. Ufa, 2010, part 1, pp. 19–21 (in Russian).
  2. Dautov F.F., Hakimova R.F., Jusupova N.Z. Vlijanie zagrjaznenij atmosfernogo vozduha na allergicheskuju zabolevaemost' detej v krupnom promyshlennom gorode [Impact of ambient air pollution on allergic morbidity in children in a large industrial town]. Gigiena i sanitarija, 2007, no. 2, pp. 10–12 (in Russian).
  3. Doklad o sostojanii zdravoohranenija v mire 2010 goda [Report on world health for the year 2010]. Vsemirnaja organizacija zdravoohranenija, 2010, 126 p. Available at: www.un.org/ru/development/surveys/docs/
    whr2010.pdf (12.10.2016) (in Russian).
  4. Zaitseva N.V., May I.V., Balashov S.Ju. Mediko-biologicheskie pokazateli sostojanija zdorov'ja naselenija v uslovijah kompleksnogo prirodno-tehnogennogo zagrjaznenija sredy obitanija [Medical and biologic parameters of the population health state in conditions of inhabitancy complex natural-technogenic pollution]. Izvestija Samarskogo nauchnogo centra Rossijskoj Akademii nauk, 2009, vol. 11, no. 1–6, pp. 1144–1148 (in Russian).
  5. Integral'naja ocenka sostojanija zdorov'ja naselenija na territorijah: metodicheskie ukazanija (utv. Goskomsanjepidnadzorom RF 25.09.1995) [Integral assessment of health status in the territories: guidelines (ap-proved by the State Committee of the Russian Federation on 25.09.1995)]. Moscow, Federal'nyj centr Gossanjepidnadzora Publ., 1995, 42 p. (in Russian).
  6. Marchenko B.I. Zdorov'e na populjacionnom urovne: statisticheskie metody issledovanija: rukovodstvo dlja vrachej [Health at the population level: statistical methods: a guide for physicians]. Taganrog, Sfinks Publ., 1997, 432 p. (in Russian).
  7. Merkulova N.A. Prognozirovanie zabolevaemosti detskogo naselenija pri izmenenii zagrjaznenija atmos-fernogo vozduha promyshlennogo goroda (na primere g. Vladikavkaza): diss. kand. med. nauk [Forecasting of child morbidity in changing atmospheric pollution of an industrial city (on an example of Vladikavkaz) Thesis of Candidate of Medicine]. Kazan', 2011,176 p.
  8. Popova A.Ju., Zaitseva N.V., May I.V., Kiryanov D.A. Metodicheskie podhody k raschetu fakticheskih i predotvrashhennyh mediko-demograficheskih i jekonomicheskih poter', associirovannyh s negativnym voz-dejstviem faktorov sredy obitanija [Methodological approaches to the calculation of actual and prevented as a result of the control and supervisory activities, medical-demographic and economic 95 losses, associated with the negative impact of environmental factors]. Gigiena i sanitarija, 2015, vol. 94, no. 7, pp. 95–99 (in Russian).
  9. Onishchenko G.G. Itogi i perspektivy obespechenija sanitarno-jepidemiologicheskogo blagopoluchija na-selenija Rossijskoj Federacii [Results and prospects of the guarantee of sanitaryepidemiological welfare of popula-tion of the Russian Federation]. Gigiena i sanitarija, 2012, no. 4, pp. 4–12 (in Russian).
  10. Verevina M.L., Rusakov N.V., Zhukova T.V., Gruzdeva O.A. Ocenka zabolevaemosti naselenija v zavi-simosti ot uslovij prozhivanija [Estimation of morbidity rates in relation to living conditions]. Gigiena i sanitarija, 2010, no. 3, pp. 21–25 (in Russian).
  11. Popova A.Ju. Strategicheskie prioritety Rossijskoj Federacii v oblasti jekologii s pozicii sohranenija zdorov'ja nacii [Strategic priorities of the Russian Federation in the field of ecology from the position of preserva-tion of health of the nation]. Zdorov'e naselenija i sreda obitanija, 2014, vol. 251, no. 2, pp. 4–7 (in Russian).
  12. Potapov A.I., Novichkova N.I., Chistjakova T.V., Parhomenko V.V. Profilaktika i reabilitacija – jeffek-tivnye napravlenija povyshenija urovnja zdorov'ja naselenija [Prevention and rehabilitation are effective areas to improve population health]. Zdravoohranenie Rossijskoj Federacii, 2012, no. 1, pp. 3–5 (in Russian).
  13. Sadovnikova Ju.M. Sravnitel'nye pokazateli zabolevaemosti detej doshkol'nogo vozrasta iz jekologi-cheski razlichnyh gorodskih mikrorajonov [Comparative morbidity of preschool children from ecologically dif-ferent urban neighborhoods]. Vestnik orenburgskogo gosudarstvennogo universiteta, 2009, vol. 106, no. 12, pp. 56–60 (in Russian).
  14. Chamkina T.I. Vlijanie otraslej promyshlennosti na sostojanie okruzhajushhej sredy Kuzbassa [The impact of industries on Kuzbass environment]. Gornyj informacionno-analiticheskij bjulleten' (nauchno-tehnicheskij zhurnal), 2008, no. 8, pp. 268–279 (in Russian).
  15. Shur P.Z., Zubarev A.Ju., Sharifov A.T. Metodicheskie podhody k razrabotke kriteriev dlja koli-chestvennoj ocenki nekancerogennogo riska faktorov sredy obitanija po rezul'tatam jepidemiologicheskih is-sledovanij [Methodological approaches to the development of criteria to quantify the non-cancer risk of envi-ronmental factors on the results of epidemiological studies]. Profilakticheskaja medicina v Rossii: istoki i so-vremennost': sb. mater. Vseros. konf. s mezhdunar. uchastiem, posv. 140-letiju obrazovanija pervoj gigienicheskoj kafedry v Rossii [Preventive medicine in Russia: the origins and the present: the collection of materials of the All-Russian conference with international participation]. Kazan', Kazan. gos. med. un-ta Publ., 2009, vol. 2, pp. 105–106 (in Russian).
  16. Arutjunjan R.V., Vorob'eva L.M., Panchenko S.V., Pechkurova K.A., Novikov S.M., Shashina T.A., Dodina N.S., Gorjaev D.V., Tihonova I.V., Kurkatov S.V., Skudarnov S.E., Ivanova O.Ju. Jekologicheskaja be-zopasnost' Krasnojarskogo kraja s pozicii analiza riska dlja zdorov'ja naselenija [Environmental safety assess-ment of Krasnoyarsk Krai based on a public health risk analysis]. Atomnaja jenergija, 2015, vol. 118, no. 2, pp. 113–117 (in Russian).
  17. Ulanova T.S., Nurislamova T.V., Popova N.A., Chin'ko T.V. Jekologo-gigienicheskaja harakteristika sredy obitanija i ocenka zdorov'ja detej v uslovijah tehnogennoj nagruzki [Ecological and hygienic characteristics of the environment and evaluation of children's health in the conditions of anthropogenic impact]. Nauchnye os-novy i mediko-profilakti-cheskie tehnologii obespechenija sanitarno-jepidemiologicheskogo blagopoluchija nasele-nija: mater. Vseros. nauch.-prakt. konf. [Scientific basis of medical and preventive technology of sanitary and epidemiological welfare of the population: Proceedings of the scientific-practical conference]. In: chl.-korr. RAMN, d-r med. nauk, prof. N.V. Zaitseva ed. Perm', 2009, pp. 45–51 (in Russian).

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