HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
Objective. To develop and scientifically prove the organizational and methodological principles of the regional model for congenital anomalies (CA) monitoring on the basis of hygienic diagnostics of the regularities of their formation to determine preventive measures for protecting the health of new...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
The Publishing House Medicine and Enlightenment
2017-03-01
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| Series: | Медицина в Кузбассе |
| Subjects: | |
| Online Access: | http://mednauki.ru/index.php/MK/article/view/59 |
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| Summary: | Objective. To develop and scientifically prove the organizational and methodological principles of the regional model for congenital anomalies (CA) monitoring on the basis of hygienic diagnostics of the regularities of their formation to determine preventive measures for protecting the health of newborns.
Materials and Methods. Newborns from all administrative territories of the Kemerovo region registered for congenital anomalies in the period 2005-2012 were included in the study. The cohort of newborns with CA selected for the study numbered 6813. To assess the environmental pollution and its impact on CA formation we analyzed 468000 samples of atmospheric air, drinking water and soil during the period 2005-2012. We used methods of mathematical analysis, simulation sanitary and hygienic situations, statistical processing, and the method of mapping analysis.
Results. The industrial impact of chemical substances on the environment of the Kemerovo region is produced by coal, chemical, metal industries and heat power engineering. More than 30,0 % emissions have gonadotoxic, mutagenic, embryotoxic and teratogenic effects and increase the risk of developing congenital congenital anomalies. The priority chemical substances contributing to the occurrence of CA up to 26,43 % are those polluting atmospheric air and exceeding the muximum concentration limit: Ben(a)pyrene – by 4,9 times, nitrogen(IY)oxide – by 2,2 times, formaldehyde – by 2,5 %, and suspended substances – by 1,9 times.
Conclusions. Regional monitoring of CA should be based on hygienic diagnosis of the congenital congenital anomalies formation regularities in conditions of anthropo-technogenic pollution and establish the evidence-based cause-effect links, mathematical modeling and prognosis through the interagency cooperation. |
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| ISSN: | 1819-0901 |