The role of factors of the production and non-production environment in the formation of negative trends in the state of health of mining machines operators as health risk criteria
Vlasova E.M., Lechkova I.V., Luzheckij K.P. 9
DIAGNOSIS, TREATMENT, EPIDEMIOLOGY, PREVENTION OF DISEASES
Immune mechanisms in the implementation of radiobiological effects of high-dose radiation therapy (review)
PRIMARY AND PRIMARY SPECIALIZED ACCREDITATION OF THE PREVENTIVE MEDICINE SPECIALISTS IN 2022: CERTAIN ASPECTS
A.V. Meltser1, А.А. Pronina2,3, N.V. Erastova1, Т.I. Aristova2, A.N. Pavlova1, Т.Yu. Pilkova1 1North-Western State Medical University named after I.I. Mechnikov, Russia, 191015, Saint-Petersburg, Kirochnaya street, 41; 2Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Russia 127944, Moscow, Vadkovsky lane, 18, buildings 5 and 7; 3 Russian Medical Academy of Continuous Professional Education, Russia 125993, Moscow, Barrikadnaya street, 2/1, building 1 Abstract Introduction. The professional activities of the preventive medicine specialists involve the performance of numerous work functions and actions. The level of professional competence of the preventive medicine specialists is assessed during the accreditation. Materials and Methods. The results of primary and primary specialized accreditation in an enlarged group of specialties and areas from 30 higher education institutions providing of training 32.00.00 Health Sciences and Preventive Medicine. Results. In 2022, the share of specialists, who successfully passed primary accreditation, was 95.8%. Primary specialized accreditation was carried out in 15 specialties assigned to the federal educational and methodological association in the higher education system on enlarged groups of specialties and areas of training 32.00.00 Health Sciences and Preventive Medicine; the share of accredited specialists was 92.9%. Conclusion. The results of primary and primary specialized accreditation are important for determining the priorities for the educational process implementation, the development of interaction between educational organizations, federal educational and methodological association in the higher education system on enlarged groups of specialties and areas of training 32.00.00 Health Sciences and Preventive Medicine and the employer. Keywords: medical and preventive care; preventive medicine specialists; preventive medicine specialists training; primary accreditation; primary specialized accreditation; Rospotrebnadzor.
ON THE ISSUE OF THE INFLUENCE OF ELECTROMAGNETIC FIELDS OF THE RADIO FREQUENCY RANGE ON THE HEALTH OF THE POPULATION (REVIEW)
V.N. Nikitina, N.I. Kalinina, E.N. Dubrovskaya North-West Public Health Research Center Saint-Petersburg. Russia, 191036, Saint-Petersburg, 2nd Sovetskaya str., 4
Abstract
Intensive development of telecommunication technologies significantly changes the electromagnetic background in the human environment and primarily due to the mass introduction of modern wireless communication networks that create multi-frequency modulated electromagnetic fields of the microwave range. The search and selection of sources for the study of the influence of electromagnetic fields of the radio frequency range on the human body was carried out using bibliographic databases Scopus, MedLine, Web of Science, PubMed. The foreign articles published in 2015-2022 in journals with quartile Q1, Q2 were analyzed. The analysis of scientific research areas has shown that abroad the largest number of studies are devoted to the study of the influence of electromagnetic fields of the radio frequency range created by mobile phones and Wi-Fi, antennas of base stations and transmitters by means of broadcasting. The available data indicate that saturation of the human habitat with sources of electromagnetic fields of the radio frequency range may pose a threat to public health. Methodological approaches to the study of the effect of the factor on the human body require improvement. Keywords: microwaves, scientific directions, population, health, mobile communication.
PREVALENCE OF E-CIGARETTES USERS AMONG CHILDREN AND ADOLESCENTS IN BELARUS
T.N. Pronina, S.I. Sychik, S.Y. Petrova Scientific Practical Centre of Hygiene. Republic of Belarus, 220012, Minsk, Akademicheskaya street, 8 Abstract Introduction. Electronic cigarettes consumption requires special attention by researchers being a new challenge for the health care system. The aim of study was to analyze the prevalence of e-cigarettes use among school-age adolescents. Materials and methods. The prevalence of e-cigarettes users among children and adolescents was analyzed in 39 schools in Belarus using a nationally representative school–based survey «Global Youth Tobacco Survey» (here and after – GYTS) in 2020-2021.The study included 3493 schoolchildren of 7-10 grades. Results. GYTS data showed that using e-cigarettes are extremely popular among school-age adolescents. The number of "vapers" is 14.3%. A higher level of awareness was observed among girls (92.6% vs. 89.2%, p < 0.05). The product awareness, as well as the number of are expectedly increasing accordingly with age and with the school grade. The number of vapers in 9-th grade is 3.4 times higher than in 7-th grade (p < 0.001); in the 8-th grade is 2.4 times more than in 7-th grade (p < 0.001),thus, the 9-th grade is considered as a critical point. Girls are 2.5 times more likely not to aware the risks of e-smoking in comparison with boys (4.2% vs. 10.2%, p < 0.001). With the age the doubt on the harm of e-smoking decreases. Data on e-smoking stopping are disappointing. The negative correlation between maturing and unwillingness to quit smoking was revealed. Conclusion. GYTS results in Belarus revealed a significant level of e-cigarette consumption among adolescents aged 13-15 years (14.3%), where very fifth student of 9-th grade is a current smoker. Half of the surveyed students do not considered smoking to be harmful to health. Keywords: electronic nicotine delivery systems (ENDS), e-cigarettes, prevalence, vaping, children and adolescents.
Hygienic problems of the choice and use of schoolbags FOR ELEMENTARY schoolchildren
A.V. Suvorova, A.K. Kerimova, I.Sh. Iakubova, A.V. Meltser, L.A. Alikbaeva, O.G. Khurtsilava North-Western State Medical University named after I.I. Mechnikov. Russia, 191015, Saint-Petersburg, Kirochnaya street, 41
Abstract Introduction. The constant carrying of a heavy schoolbag is one of the potential factors contributing to the formation of functional abnormalities and chronic diseases of the musculoskeletal system in children and adolescents during the school period. Aim of the studywas to performthehygienic assessment of the schoolbags and the development of recommendations aimed at optimizing their choide and use. Material and methods. The study was carried out in two stages. At the first stage, schoolbags designed for the primary school students, sold in the Saint-Petersburg, were evaluated for the compliance with the established safety requirements in terms of: product marking, weight, length (height), front wall height, product width, strap length, strap width.An assessment is given for 30 schoolbags selected by random sampling from 9 city stores.At the second stage, in one of the general educational organizations of Saint-Petersburg, the weight of schoolbags and school supplies of primary school students was evaluated.The weight of the schoolbags was compared with the body weight of the children for the compliance with hygienic recommendations. The study included 86 students in 1-4grades. Results. During the first stage of the study,it was revealed that the range of school bags in the city's storeswas diverse.However, all the studied schoolbags models did not meet the safety requirements established by the Technical Regulations of the Customs Union TR CU 007/2011 "On the safety of products intended for children and adolescents": 53.3% of products by weight, 46.6% of models by length (height); 43.3% ‒ along the height of the front wall; 100% ‒ in width; 90% ‒ along the length of the shoulder strap.At the second stage of the study, it was found that in 76.8% of students in 1-4grades, the weight of the empty schoolbag exceeded the safety requirements.In 91.9% of students, the total weight of a set of textbooks and school supplies was found to exceed hygienic standards. As a result, in 81.4% of primary school students, the weight of the filled schoolbag did not meet individual hygienic recommendations. Conclusion. With a diverse range of school bags, the ability to choose and purchase safe products for children is limited. The majority of primary school students experience a daily significant physical load on the musculoskeletal system due to the constant carrying of a heavy school bag, the total mass of the mandatory set of textbooks, notebooks, stationery and the mass of excess staff that is not related to the educational process. Based on the study results, the proposed practical recommendations aimed at optimizing the choice and reducing the weight of the school bag among schoolchildren. Key words: schoolchildren, health status, musculoskeletal system, schoolbag, mass of school supplies, products for children.
THE ROLE OF FACTORS OF THE PRODUCTION AND NON-PRODUCTION ENVIRONMENT IN THE FORMATION OF NEGATIVE TRENDS IN THE STATE OF HEALTH OF MINING MACHINES OPERATORS AS HEALTH RISK CRITERIA
E.M. Vlasova, I.V. Lechkova, K.P.Luzheckij Federal Scientific Center for Medical and Preventive Health Risk Management Technologies. Russia, 614045, Perm, Monastyrskaya street, 82
Abstract Introduction. The negative effects of the working conditions of the mining machines operators, such as dustiness, intense noise, vibration, unfavorable microclimate, psycho-emotional stress, shift schedule (day, night shifts), lead to "emotional" stress. Emotional stress, combined with such non-occupational factors as irrational nutrition, low physical activity, lack of sleep, as well as the presence of bad habits resulted in depletion of functional reserves of the body, impaired adaptation and, as a consequence, the development of pathological processes of organs and systems. The aim of the study was to determine the criteria of health risk and the probability of its realization under the influence of a complex of production and non-production factors, using the example of mining machine operators. Material and methods. The study included150 people: the observation group – 100 mining machines operators, average experience of 7.7 ±0.5 years, average age 40.1± 0.7 years; the comparison group - administrative workers, without exposure to harmful (dangerous) factors of production – 50 people, average experience of 5.9± 0.4 years, average age 43.9 ± 1.2 years. The study comprised of analysis of working conditions; the structure of occupational and non–occupational morbidity during 2015-2019; questionnaires; examination by doctors; laboratory and functional studies; neuropsychological testing; evaluation of the statistical significance of the differences. Results. The conducted examination showed that health disorders occurred on average five years before the clinical manifestations of the formed disease. Based on the obtained results, the criteria of health risk with a high probability of its realization were identified under the influence of occupational and non-occupational factors. According to the results, risk groups for the development of arterial hypertension and diabetes mellitus were formed. Conclusion. The identification of risk factors for socially significant diseases in the mining machines operators and their timely correction contributes to reducing the risk to health and, consequently, preserving the labor potential. Key words: occupational and non-occupational risk factors, functional reserves of the body, health risk criteria.
DIAGNOSIS, TREATMENT, EPIDEMIOLOGY, PREVENTION OF DISEASES
IMMUNE MECHANISMS IN THE IMPLEMENTATION OF RADIOBIOLOGICAL EFFECTS OF HIGH-DOSE RADIATION THERAPY (REVIEW)
A.I. Arseniev1,2, S.N. Novikov1, S.V. Kanaev1,
E.A. Arseniev1, S.A. Tarkov1, Yu.S. Melnik1, A.O. Nefedov3,
R.V. Novikov1,2, K.E. Gagua2, A.Yu. Zozulya1 1. Federal State Budgetary Institution "National Medical Research Center of Oncology named after N.N. Petrov" of the Ministry of Health of the Russian Federation. Russia, 197758, Saint Petersburg, Pesochny, 68 Leningradskayastr. 2. North-Western State Medical University named after I.I. Mechnikov. Russia, 191015, Saint-Petersburg, Kirochnaya street, 41 3. Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation. Russia, 191036, Saint Petersburg, Ligovsky av., д.2-4
Abstract
Report. Radiobiological concepts formulated for radiation therapy with classical fractionation cannot adequately explain the effects of high-dose irradiation, after which cells die more often along the path of not apoptosis, but immunogenic necroptosis, which largely determines the local control of the tumor. The most studied phenomena of the immune response to radiation are: radiation-enhanced presentation of antigens; radiation-induced molecular DAMP signals associated with cellular damage; radiation-induced viral mimicry; immunosuppressive effects of radiation therapy; tumor withdrawal from the immune response and radioresistance; irradiation as an immunomodulatory agent, the nature of which is determined by dose and fractionation (immunoablative at high doses; immunomodulatory at medium-high and modulating tumor microenvironment at low). The combined use of ionizing radiation, chemotherapy and immunotherapy can increase the effectiveness of treatment by affecting all links of the antitumor response: DNA damage; implementation of vascular factors; induction of immunogenic cell death; modulation of the tumor microenvironment and inclusion of unmarked mechanisms. The synergistic effects of double and triple combinations are the subject of many studies. Keywords: review; radiobiology; radioimmunology; high-dose radiation; stereotactic radiation therapy; immune response, immunotherapy.
THE POSSIBILITIES OF USING TELEMEDICINE TO PREVENT THE OCCURRENCE OF SKIN TOXICITY, AGAINST THE BACKGROUND OF RECEIVING TARGETED THERAPY (REVIEW)
A.Yu. Kutina, G.A. Gabrielian, E.V. Orlova, M.I. Sekacheva, N.I. Briko, N.V. Torchinskiy, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University). Russia, 119991, Moscow, Trubetskaya str., 8, p. 2
Abstract Introduction. There is an annual increase in oncological diseases both worldwide and in the territory of the Russian Federation. The use of targeted therapy, specifically inhibitors of the epidermal growth factor receptor, is used in the treatment of oncological diseases and significantly affects the survival of cancer patients. However, skin adverse events may occur, which worsens the quality of life of patients and may lead to the for dose reduction or discontinuation of treatment. Materials and methods. It was performed evaluation a randomized controlled trials, Meta-Analysis and Systematic Reviews on the portals: PubMed, Web of Sence, Elibrary. Result. Preventive therapy reduces the severity of clinical manifestations of skin toxicity. In order to prescribe timely preventive treatment, it is possible to introduce telemedicine technologies that are affordable and comfortable for cancer patients. Conclusion. To improve the quality of life, as well as to increase the compliance of receiving targeted therapy, it is possible to conduct telemedicine consultations for the purpose of preventive therapy and further remote monitoring of patients. Keywords: targeted therapy, skin toxicity, inhibitors of epidermal growth factor receptor inhibitor, preventive therapy, telemedicine.
EPIDEMIOLOGICAL MONITORING OF SURGICAL SITE INFECTIONS IN CHRONIC INFECTIOUS SPONDYLITIS
Ya.A. Aitova2, M.A. Mushkin3, V.Yu. Zhuravlev1, K.A. Dmitriev1, B.I. Aslanov4, L.V. Belova4, A.Yu. Mushkin1,3 1Saint-Petersburg State Research Institute of Phthisiopulmonology. Russia, 194064, Saint-Petersburg, Polytechnic street, 3 2Saint George`s Hospital. Russia, 194354, Sаint-Petersburg, Severny avenue, 1 3Pavlov First Saint Petersburg State Medical University. Russia, 197022, Sаint-Petersburg, Leo Tolstoy street, 6-8 4North-Western State Medical University named after I.I. Mechnikov. Russia, 195067, Sаint-Petersburg, Piskarevsky avenue, 47 Abstract Introduction. Patients with chronic infectious spondylitis have a high risk of developing surgical site infections. Epidemiological and microbiological monitoring are an important component in the prevention of surgical site infections. The aim of the study was to analyze the frequency and etiology of surgical site infectionsin the planned surgical treatment of chronic spinalinfectious of specific (tuberculosis) and non-specific etiology. Materials and methods.The study included 813 patients with chronic infectious spondylitis, who underwent 984 operations on the basis of the Center of Spinal Pathology of the Saint-Petersburg State Research Institute of Phthisiopulmonology from 01.01.2019 to 12.31.2020. Epidemiological, bacteriological (cultural), molecular biological, morphological, and clinical methods were used. Results and discussion. The structure of infectious chronic spondylitis (n=813): mycobacterial spinal lesions in 415 cases (409 – tuberculous spondylitis, 6 – non-tuberculous mycobacteriosis, including 2 - mixed mycobacteriosis) and 398 – non-specific (purulent) lesions. The incidence of surgical site infectionswas 5.0 per 100 surgical interventions (49 cases per 984 surgical interventions). Non-specific lesion is statistically confirmed risk factor for surgical site infections (p≤0.001). 818 out of 984 operations were primary surgical interventions (including multi-stage operations) in which surgical site infections developed in 29 cases, 166 revision operations in which surgical site infectionswas in 20 cases. The risk of developing surgical site infections in revision operations was 3 times higher than in primary operations (p <0.001; OR = 3.727 (95 CI=2.053 – 6.767). Conclusion. The incidence of surgical site infections is 5.0 per 100 surgical interventions. During revision operations, the risk of developing surgical site infections is three times higher than in primary interventions. Non-specific lesion is statistically confirmed risk factor for surgical site infections (p≤0.001). Keywords: surgical site infections, tuberculous spondylitis, purulent spondylitis, revision operations.
PUBLIC HEALTH, ORGANIZATION AND SOCIOLOGY OF HEALTH CARE
PREFERENTIAL MEDICINE PROVISION AS A CRITERION OF SATISFACTION OF PATIENTS WITH DIABETES MELLITUS
Yu.V. Endovitskaya1, L.I. Menshikova1,2 ,M.V. Shestakova3, I.V. Kononenko3, I.M. Son2 1Russian Research Institute of Health, Russia, 127254, Moscow, Dobrolyubova street, 11 2Russian Medical Academy of Continuous Professional Education, Russia, 125993, Moscow, Barricadnaya street, 2/1, building 1 3Research Centre of Endocrinology, Russia, 117292, Moscow, Dmitry Ulyanov street, 11
Abstract
Introduction. Patient satisfaction with the availability and quality of medical care is one of the main goals of the activities planned within the framework of the Federal project "Development of the Primary Health Care System". One of the key factors influencing the effectiveness and quality of ambulatory care is preferential medicine provision.
The aim of the study was to analyze the satisfaction of patients with diabetes mellitus in connection with preferential medicine provision and the quality of ambulatory care.
Materials and methods. A cross-sectional sociological study was conducted by questioning 187 patients with diabetes mellitus from various regions of the Russian Federation. The critical significance level was assumed to be 0.05. The calculation of 95% confidence intervals (CIs) was performed using Fisher's method. Statistics were processed using the SPSS Statistics v23.
Results. The vast majority of respondents (79.2%; 95% CI 73.1-84.7) use their right to receive preferential medicines and test strips for the treatment and control of diabetes mellitus, however, some patients are not aware of their right to preferential medicines (2.1%; 95% CI 0.5-4.6). The easiest way for diabetic patients to get insulin through preferential medicine provision (on average 4.08 points on a 5-point scale) and somewhat more difficult is to get test strips (on average 3.68 points on a 5-point scale). At the same time, one-fifth of the respondents do not have enough available prescribed number of test strips, so patients buy them on their own (20.3%; 95% CI 14.9-26.4). Two-thirds of respondents would like to simplify the process of obtaining a prescription or the obtaining the medicine itself, or both (67.9%; 95% CI 61.0-74.4).
Conclusion. There are a number of problems regarding the organization of preferential medicine provision, especially in terms of obtaining test strips. It was found that some patients were sure that they did not have the right to receive preferential medications and test strips for the treatment and control of diabetes mellitus, thus indicating a lack of awareness of patients about their rights. A number of patients have to buy test strips on their own, because the prescribed quantity is not enough, due to organizational problems or the lack of the required prescription medicine and/or test strips in the pharmacy.
Keywords: patient satisfaction; diabetes mellitus; endocrinologists; ambulatory care; medicine provision; patient rights; quality of medical care.
PROBLEMS OF ORGANIZING MEDICAL REHABILITATION OF PATIENTS WITH DEGENERATIVE DISC DISEASES IN OUTPATIENT CLINICS OFSAINT-PETERSBURG
Yu.A. Kreneva1,2, M.V. Avdeeva1,3, V.P. Panov1,2 1North-Western State Medical University named after I.I. Mechnikov. Russia, 195067, Saint-Petersburg, Piskarevsky prospect, 47 2City Polyclinic No. 14. Russia, 194021, Saint-Petersburg, 2nd Murinsky prospect, 35 3Saint-Petersburg State Pediatric Medical University. Russia; 194100, Saint-Petersburg, Litovskaya street, 2
Abstract Introduction. The share of spondylogenic pain syndrome associated with degenerative disc diseases accounts for up to 76% of all cases and up to 72% of days of temporary disability. Analysis of the problems associated with the organization of medical rehabilitation of patients with this pathology is important for the improvement of outpatient clinics. The aim of the study was to identify the problems of organizing medical rehabilitation of patients with degenerative disc diseases in order to determine priority areas for improving primary health care. Materials and methods. The study included 260 doctors of various specialties aged 24–65 years old, working in the primary health care of Saint-Petersburg. The questionnaire comprised 15 questions regarding the organization and implementation of medical rehabilitation measures for patients with degenerative disc diseases, complicated by pain. Consistency of opinions was determined by Kendall's concordance coefficient. Results. Primary health care physicians do not often use the restorative potential of complex medical rehabilitation in the treatment of patients with degenerative disc diseases, complicated by pain. In medical organizations, there are problems in organizing the process of referring patients for treatment to the medical rehabilitation department, which is due to the difficulties of preparing patients and an excessive amount of accompanying paper work, and the lack of clear ideas among doctors about the indications for medical rehabilitation in patients with degenerative disc diseases, complicated by pain syndrome. Conclusion. The identified problems make it possible to implement organizational measures to provide patients with degenerative disc diseases with high-quality and affordable medical care in the medical rehabilitation departments of outpatient clinics. Key words: medical rehabilitation, degenerative disc diseases, rehabilitation treatment, osteochondrosis, outpatient care.
Application of spatial-cartographic analysis of emergency calls FOR traffic accidents to optimize the work of the emergency medical services
N.V. Ivanova1, V.S. Belov1, A.I. Samarkin1, N.T. Gonchar2,
T.YuGarifullin2 1Pskov State University. Russia, 180000, Pskov, Lenin Square, 2 2North-Western State Medical University named after I.I. Mechnikov. Russia, 191015, Saint-Petersburg, 191015, Kirochnaya street, 41
Abstract Introduction. One of the problems of urban agglomerations is traffic accidents. At the same time, the survival rate of the injured persons is affected by the efficiency of providing emergency medical care on site and the fastest possible transportation to medical institutions. The aim of the study is to analyze the possibilities of using spatial-cartographic analysis of emergency calls for traffic accidents to optimize the work of ambulance. Materials and methods. The study included statistical materials on the work effectiveness of Pskov Ambulance Station during 2017-2019, including the information on the frequency of ambulance teams visiting the sites of traffic accidents, the average time of their arrival to the accident places, the number of accidents and victims. Retrospective and systematic analysis of the selected data, methods of spatial cartographic analysis made it possible to isolate information about the most emergency sections of the street network. Statistical analysis was performed using the Statistica program. Cartographic processing of information was carried out using the Microsoft 3d Card package. When analyzing the obtained data and identifying approaches to optimizing the ambulance station's service of calls for motor vehicle accidents, methods of content, system and structural analysis were used. Results. The main temporal aspects of ambulance service of calls for emergencies on the streets are revealed. Locations were established in the street network of Pskov with an increased concentration of traumatic transport accidents. The main directions for optimizing the service of the ambulance station receiving calls from traffic accidents were determined. Conclusions. The methods of geolocation analysis of traffic accidents and systematic study of the work of the ambulance station made it possible to design approaches to optimizing its work on servicing emergency for traffic accidents. Key words. Road accidents, ambulance service, geographic information systems, optimization of ambulance work.
RESULTS OF THE MEDICAL EXAMINATION OF THE ADULT POPULATION OVER 60 YEARS IN THE RUSSIAN FEDERATION (2016-2021)
O.O. Zakharchenko, I.B. Shikina, D.S. Terenteva Russian Research Institute of Health. Russia, 127254, Moscow, Dobrolyubova street, 11
Abstract Introduction. The aging process of the population has a serious impact on the health and social security system, since the quality of life of older people is largely determined by the availability and quality of medical and social care. An important aspect of improving the conditions and quality of life of senior citizens is the development of programs for the prevention and early diagnosis of diseases, including medical examinations. The aim of the study was to evaluate the results of medical examination of the population over 60 years in the Russian Federation during a seven-year period (2016-2022). Materials and methods. The study included persons over 60 years, who have undergone medical examination. Data obtained from the forms of industry statistical report No.131/o "Information on medical examination of certain groups of the adult population" during 2016-2020, form No.131/o "Information on preventive medical examination and medical examination of certain groups of the adult population" during 2021-2022, reference books of the Federal State Statistics Service during 2016-2022. Research methods: content analysis, descriptive statistics, dynamic series, ranking. Results. It was found that during 2016-2022, in the age group over 60 years, there was an increase in the number of both men and women by 17.4 and 12.0%, respectively. For men and women over 60 years, who underwent medical examination, the average was 81.3 and 90.6% of the planned value. In 2016-2020, the first three ranking places for men and women were occupied by the circulatory system diseases, endocrine system diseases and other diseases. In 2021-2022 there were circulatory system diseases, respiratory diseases and other diseases. In 2016-2022, persons with III group of health prevailed among those over 60 years. Conclusion. The coverage of the population over 60 years by medical examination is about 80% of men and 90% of women. In 2016-2022, circulatory system diseases occupied the first rank among chronic noncommunicable diseases. III group of health is the most numerous indicating an increase in the number of people with chronic noncommunicable diseases. Keywords: aging of the population; population over 60 years; prevention; medical examination of the population; frequency of detection of chronic noncommunicable diseases; health groups.
(с) 2020 North-Western State Medical University named after I.I.Mechnikov
