| Summary: | Background. According to the studies of the World Health Organization, the
state of the environment in the place of residence of a person makes a significant contribution
to the formation of the functional state of his body, determining the burden of disease.
The purpose of the study is to take into account the impact of the level of environmental
well-being of a person when assessing human comorbidity based on the index of environmental
comorbidity. Materials and methods. The study was carried out using an integrated
ecosystem approach and methods of analysis and synthesis, grouping and generalization, as
well as mathematical and simulation modeling. Results. The article analyzes the existing
comorbidity indices, including the ECI ecological comorbidity index; by means of
SimInTech, simulation modeling of the state of the territorial technosphere was carried out
to assess the ecological well-being of a person; a scale is proposed that takes into account
the effect of the level of environmental well-being of a person on the index of environmental
comorbidity ECI. Conclusions. Simulation models created using the SimInTech software
package make it possible to determine and analyze the integral indicator of the state of
the territorial technosphere for various risk factors. The results of the work can be used in
determining the ecological comorbidity of a person through an integral indicator of the state
of the territorial technosphere, expressed in the form of risk. For practical use, the authors
consider the proposed scale of the adjusted environmental comorbidity index ECI+ to be
appropriate when making a decision on an individual patient treatment regimen.
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