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: Анна Владимировна Бачина, Елена Владимировна Коськина, Людмила Александровна Глебова, Юрий Семенович Чухров, Лилия Владимировна Попкова, Юлия Александровна Пеганова, Оксана Петровна Власова
Format: Article
Language:Russian
Published: The Publishing House Medicine and Enlightenment 2017-03-01
Series:Medicina v Kuzbasse
Subjects:
Online Access:http://mednauki.ru/index.php/MK/article/view/59
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author Анна Владимировна Бачина
Елена Владимировна Коськина
Людмила Александровна Глебова
Юрий Семенович Чухров
Лилия Владимировна Попкова
Юлия Александровна Пеганова
Оксана Петровна Власова
author_facet Анна Владимировна Бачина
Елена Владимировна Коськина
Людмила Александровна Глебова
Юрий Семенович Чухров
Лилия Владимировна Попкова
Юлия Александровна Пеганова
Оксана Петровна Власова
author_sort Анна Владимировна Бачина
collection DOAJ
description 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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spelling doaj.art-827e8af93f6046fc94c2a94ff7c87f572022-12-21T19:09:15ZrusThe Publishing House Medicine and EnlightenmentMedicina v Kuzbasse1819-09012017-03-01161303952HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASSАнна Владимировна Бачина0Елена Владимировна Коськина1Людмила Александровна Глебова2Юрий Семенович Чухров3Лилия Владимировна Попкова4Юлия Александровна Пеганова5Оксана Петровна Власова6ФБУЗ «Центр гигиены и эпидемиологии в Кемеровской области»ФГБОУ ВО «Кемеровский государственный медицинский университет» Минздрава РоссииФБУЗ «Центр гигиены и эпидемиологии в Кемеровской области»ФБУЗ «Центр гигиены и эпидемиологии в Кемеровской области»ФГБОУ ВО КемГМУ Минздрава РоссииФГБОУ ВО КемГМУ Минздрава РоссииФГБОУ ВО КемГМУ Минздрава России, г. КемеровоObjective. 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.http://mednauki.ru/index.php/MK/article/view/59врожденные порокиантропотехногенная нагрузкагигиеническая диагностикапричинно-следственные связисоциально-гигиенический мониторингрегиональная модель
spellingShingle Анна Владимировна Бачина
Елена Владимировна Коськина
Людмила Александровна Глебова
Юрий Семенович Чухров
Лилия Владимировна Попкова
Юлия Александровна Пеганова
Оксана Петровна Власова
HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
Medicina v Kuzbasse
врожденные пороки
антропотехногенная нагрузка
гигиеническая диагностика
причинно-следственные связи
социально-гигиенический мониторинг
региональная модель
title HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
title_full HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
title_fullStr HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
title_full_unstemmed HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
title_short HYGIENIC SUPPORT FOR THE REGIONAL MODEL OF CONGENITAL ANOMALIES MONITORING IN KUZBASS
title_sort hygienic support for the regional model of congenital anomalies monitoring in kuzbass
topic врожденные пороки
антропотехногенная нагрузка
гигиеническая диагностика
причинно-следственные связи
социально-гигиенический мониторинг
региональная модель
url http://mednauki.ru/index.php/MK/article/view/59
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