卷 99, 编号 2 (2020)

封面

PROBLEM-SOLVING ARTICLES

Epidemiological aspects of environmental problems of the present

Savilov E., Briko N., Kolesnikov S.

摘要

Now there is taken place forming of the new active risk factor contributing to the evolution of the epidemic process, namely, the technogenic environmental pollution as the manifestation of the scientific and technical progress which is closely connected with globalization processes. For the preservation of the own species for all history of the development, the human was to force to adapt to regular impact on the habitat of the negative natural factors promoting global changes of climatic conditions surrounding it. However, this feature cannot actively be shown to technogenic risk factors because this influence not only constantly changes, but also continuously increases at the expense of the constantly increasing number of the alien chemicals coming to the biosphere. Environmental pollution by industrial wastes results in significant differences in levels of the incidence of infectious diseases with its higher rates in territories of ecological trouble. Besides, in ecologically unfavorable conditions the instability of development of the epidemic process is revealed (shortening of long-term cycles and considerably bigger fluctuation band of incidence concerning the line of a trend in the years of its cyclical upswings). Technogenic pollution leads to a more severe clinical course of the infectious process, its longer duration, more frequent occurrence of complications, synchronization of process and lengthening of the convalescence period, promotes comorbidity formation. In ecologically unfavorable conditions the level of collective immunity against infections controlled with immune preventive measures in almost healthy children of school age is significantly lower, than in comparison group, which reduces the epidemiological efficiency of vaccine prevention. In the urbanized territories also a change of degree of pathogenicity takes place due to an increase in resistance of pathogens to antibacterial drugs that provide infections advantage for more wide circulation and promotes the growth of infectious pathology. All above-stated has allowed concretizing in the presented review its purpose as displays of an infectious pathology on organismal and population levels in the conditions of technogenic environmental contamination.
Hygiene and Sanitation. 2020;99(2):134-139
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Diagnostic criteria for the progression of the chronic obstructive pulmonary disease under a high technogenic load

Vitkina T., Sidletskaya K.

摘要

Introduction. The prevalence and gain in the incidence of chronic obstructive pulmonary disease (COPD) is a reason to search for new approaches to the diagnosis of its progression. Air pollution causes an additional burden on COPD patients, contributing to the progression of this pathology. The study of mechanisms of its impact on the inflammatory response in COPD is an urgent task.

The aim is to establish the dynamics of expression of interleukin-4 (IL-4), IL-6 and their membrane receptors (IL-4R, IL-6R) in blood T-helpers during COPD progression in patients living in areas with the high technogenic load.

Material and methods. Vladivostok was chosen as a region with significant technogenic air pollution - the amount of air pollutants is 59.9 thousand tons per year, with 80% related to vehicle emissions; the surface layer of air is characterized by a predominance of particles less than 10 µm, which are the most pathogenic for the respiratory system. Patients with stable mild (36), moderate (52 ) and severe COPD (24) patients living in Vladivostok for at least 5 years were examined. The control group consisted of healthy volunteers living in the same area (32cases). The levels of IL-4, IL-6 in plasma and the number of T-helper cells expressing IL-4R and IL-6R were determined by flow cytometry.

Results. A decline in serum IL-4 concentration and an increase in serum IL-6 level in COPD patients living under constant air pollution has been found. A decrease in IL-4R expression in blood T-helpers at all COPD stages and the gain in IL-6R synthesis in blood T-helpers during the progression of COPD were established.

Conclusion. Data on the expression of IL-6R and IL-4R on circulating T-helpers can be used to diagnose the progression of COPD in patients living in urbanized areas.

Hygiene and Sanitation. 2020;99(2):140-144
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ENVIRONMENTAL HYGIENE

Assessment of anthropogenic invasion of microfungi in Arctic ecosystems (exemplified by Spitsbergen archipelago)

Kirtsideli I., Vlasov D., Zelenskaya M., Iliushin V., Novozhilov Y., Churkina I., Barantsevich E.

摘要

Introduction. The aim of this work was to study the mycobiota of anthropogenic materials, soil and air in the settlement Barentsburg (Spitsbergen archipelago), to assess the spread of invasive species and to identify potentially pathogenic microfungi.

Material and methods. The material for the study was collected in the period of research work of the Russian expedition of the AARI (2017-2018) in the area of the settlement Barentsburg (located at 78° N, 14° E). Isolation and identification of microfungi were carried out using standard microbiological methods according to cultural and morphological characteristics and sequencing in the ITS1 and ITS2 regions.

Results. As a result of the research, a high level of microbiological colonization of anthropogenic substrates has been established, the places of accumulation of potentially pathogenic microorganisms were found out. 24 species of microfungi were identified from anthropogenic materials, 46 and 43 species from aeromycota and the soils of the observed territory. The genus Penicillium (12 species) prevailed by the number of species, followed by Cladosporium, Aspergillus, Cadophora (3 species each). For disturbed ecosystems the following peculiarities have been established: 1) a change in the structure of microfungi complexes and increase in the CFU number of microfungi at aeromycota and soil, 2) aeromycota formation occurs partly due to introduced species, 3) a clear dominance of dark-colored fungi on anthropogenic materials, 4) among the introduced microfungi a significant proportion were destructors of the materials as well as potentially human pathogens; 5) introduced species are able to adapt to arctic conditions.

Conclusion. On the example of the village of Barentsburg (arch. Svalbard) it is shown that anthropogenic impact leads to changes in the main characteristics of microscopic fungi complexes in the Arctic territories.

Hygiene and Sanitation. 2020;99(2):145-151
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Hygienic evaluation of illumination indices and non-ionizing radiation at educational sites of high schools

Gorbatkova E., Zulkarnaev T., Khusnutdinova Z., Ahmadullin U., Kazak A., Akhmadullina K., Manuilova G.

摘要

One of the significant factors affecting the condition of the students’ visual apparatus is an illumination level in the premises of educational organizations. Electromagnetic radiation arising from computers also has an essential influence on a state of health. Taking into account the urgency of this problem, an analysis of illumination indices and EM radiation was made in audiences of higher educational institutions of various profiles (Ufa, the Republic of Bashkortostan). The total number of illumination measurements was 3528. The measurement methods met the requirements of the interstate standard. According to the results of the illumination indices estimation in the studied universities, a significant deviation from the regulated norms was revealed: in 71.5% of the measurements the index was below the norm. It should be noted that indices differed significantly depending on the type of educational organization. The best situation is in the “Financial University under the Government of the Russian Federation,” where only 13.3% of the measurements are inconsistent with the normative indices. Pulsation coefficient also was determined. It turned out that 88.8% of the measurements do not correspond to the norm. The analysis of illumination measurements in computer classes was carried out. Only one-fifth of them in the computer table working area in the of the document placement corresponded to SanPin.

An anonymous questionnaire was also organized for students from four leading universities in Ufa, the Republic of Bashkortostan. According to respondents’ answers, out of seven students, one was revealed to be suffering from myopia.

On the basis of “Center for Hygiene and Epidemiology in the Republic of Bashkortostan”, a study of non-ionizing radiation from video terminals located in computer classes was made. 1145 measurements were made in 20 buildings of four universities studied. It was found out that the intensity of the electrostatic field did not meet the requirements of SanPiN in 5.7% of the measurements. Hygienic assessment of the environment of educational organizations of various profiles revealed a number of significant deviations from the regulated norms. The obtained results testify to the need to monitor the illumination and EMR indices both from the administration of higher education institutions and from teachers. Based on the results of the study, recommendations were prepared for the management of higher educational institutions in Ufa.

Hygiene and Sanitation. 2020;99(2):152-157
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OCCUPATIONAL HYGIENE

Assessment of the relationship between lifetime rates and incorporation of plutonium-235 in atomic production workers

Telnov V., Lyogkikh I., Okatenko P.

摘要

Introduction. The objective of the study was the quantitative assessment of the effect of internal exposure to the lifetime in Mayak PA workers based on analyzing the dependence of certain lifetime rates on the incorporation of plutonium-239.

Material and methods. There was investigated a cohort of deceased Mayak PA workers employed in 1948-1958 with known Pu-239 body burden comprising 2343 individuals, including 1739 males and 604 females. Using regression analysis we have assessed the dependence of general lifetime and lifetime after the start of work as well as of proportion of individuals who did not survive until standard age in general and after a start of work from incorporated Pu-239 separately for workers of different age. Statistical values were defined using STATISTICA software.

Results. It was stated that for 1 kBq of incorporated Pu-239: a general lifetime in males decreased by 0.32 years and after a start of work – by 0.41 years; in females – by 0.22 and 0.28 years respectively. For 1 kBq of incorporated Pu-239 proportion of males who did not survive until 65 years of general lifetime and proportion of males who did not survive 40 years after a start of work increased by 1.33 and 1.87% respectively; in females for 70 and 45 years – by 0.90 and 1.14% respectively.

Conclusion. Thus, the workers’ dependence of lifetime after a start of work on incorporated Pu-239 was higher than of a general lifetime. A proportion of workers who did not survive until the standard age after the start of work was higher than the proportion of workers who did not survive until a general standard age. Dependence of decrease of lifetime rates under the study from incorporated Pu-239 in males was more significant than in females.

Hygiene and Sanitation. 2020;99(2):158-162
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Educational process and health of medical university teachers

Smagulov N., Evnevich A., Adilbekova A., Gitenis N.

摘要

Introduction. University pedagogical activity and unfavorable factors typical for the educational process have a negative impact on the health and contribute to the morbidity of teachers

Objective. To evaluate the influence of occupational activity on the resistance of the body of medical school teachers.

Material and Methods. Objects of study: teachers of Karaganda Medical University of three age categories (up to 30 years, 30-49 years and 50 years or more). An analysis of the incidence was carried out on sheets of temporary disability. The sociological survey was conducted on the questionnaires to assess the preventive, medical activity and self-assessment of the teachers’ own health. Statistical processing was made with the use of Statistica 8.0.

Results. The incidence rate of university professors with temporary disability due to underestimated cases of diseases was revealed to be hidden (latent) in nature. A questionnaire survey revealed that 66.6% ÷ 85.0% of respondents had health problems. Only half of the respondents (55.6 ÷ 45.7%) rated their state of health as good, but this rating decreased with age (21.9%). According to nosology, in the structure of diseases among teachers of medical schools in the second and third age groups (30-49 years and 50 years and more), diseases of the cardiovascular system (52.6% and 61.9%, respectively), the musculoskeletal system (55.3% and 47.6%), the digestive system (36.4% ÷ 42.9%). The main reasons for the low level of health and the high incidence of medical teachers were: insufficient physical activity, poor nutrition, insufficient attention to their own health, failure to comply with treatment-and-prophylactic recommendations, self-treatment.

Conclusion. An assessment of the resistance of an organism of university teachers in terms of incidence rates with a temporary disability, based on disability records, cannot be a reliable criterion. Using sociological methods of a questionnaire survey allows getting reliable information about the true incidence rates, identifying the causes of their growth, and can also be a related tool in the development of medical and preventive measures aimed at preserving the health of university teachers.

Hygiene and Sanitation. 2020;99(2):163-168
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HYGIENE OF CHILDREN AND ADOLESCENTS

Characteristics of indices of physical development of students of universities of the city of Ufa

Akhmadullin U., Gorbatkova E., Akhmadullina K.

摘要

The change in living conditions and the intensity of the educational process affect the health of students, so it is required that the standards and standards of physical development should be regularly updated. 2439 students including 1107 boys and 1432 girls from four Universities of Ufa were involved in the survey. It is provided a representative sample of the volume using the correlation method and it is allowed developing table-standards for assessing the physical development of students.

The correlation dependence of the average degree between body length and body weight was established (the value of the correlation coefficient varies from 0.32 to 0.59 among boys and from 0.3 to 0.51 among girls). The correlation mainly averages between height and chest circumference among boys aged 18 years (r = 0.52), 20 years (r = 0.45); and among girls – at the age of 17 (r = 0.32),  22 (r = 0.32). Out of the total number of tested cases, average physical development of male students was 68.45% and 68.82% in female students; 13.33% of male students and 13.13% of female students showed this index below average; 14.85% of male students and 13.29% of female students had this index above average; low physical development was observed in 1.85% of male students and 3.3% of female students; high physical development could be found among 1.52% of male students and 1.46% of female students. Analysis of the body mass index of the tested students indicates 76.0% of boys and 68.84% of girls to be characterized as having a physiologically normal state, excess body weight is observed in 10.5% of boys and 4.82% of girls (p<0.05). Regional approaches to the study of physical development are justified from the standpoint of expanding the all-Russian system of monitoring the state of physical development of students, planning recreational activities in the activities of higher education institutions, regional and municipal health systems and education; individualization of the process of physical education; construction of state programs in the field of youth political and sports.

Hygiene and Sanitation. 2020;99(2):169-175
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HEALTH RISK ASSESSMENT

Russian and international experience in the development of action plans for the protection of human health from climate risks

Revich B., Maleev V., Smirnova M., Pshenichnaya N.

摘要

The Paris climate agreement confirmed that climate change continues to pose a global concern and required all Parties to put forward their best efforts to protect public health. In the conditions of global warming, climate-induced risks gained importance as a public health hazard and confirmed the need to develop national action plans. Such plans shall be developed locally, taking into account the requirements of the National Action Plan for adaptation to health risks induced by changing climate. This manuscript presents the data on climate-dependent mortality. The global annual burden of excess deaths attributed to climate change is over 150,000 cases, which leads to a loss of 5.5 million years of productive life per year. Early warning systems have been adopted in many countries, with the goal to prevent heat-related deaths. If such a system were implemented in Moscow, eleven thousand excess deaths could have been avoided during the extremely hot summer of 2010. Heat watch warning systems are based on scientific data on heat thresholds. On the days with temperatures above such thresholds, climate-dependent mortality increases. Such thresholds have been established in the environmental epidemiology studies conducted in Moscow, Northern and Southern cities, the cities with continental and monsoon climates. The experience of implementation of early warning systems during extreme weather events was analyzed. The relative powers of bioclimatic indices as predictors of daily mortality rates during extreme weather events were compared. To prevent complications of cardiovascular diseases, a set of protective measures was proposed which included cardiology medications, recommendations on personal behavior and drinking habits during extreme heat, and other measures. The risks and examples of occurrence and northward propagation of climate-dependent infectious diseases such as Siberian anthrax, West Nile fever, Crimean-Congo hemorrhagic fever, and dirofilariasis, were described.
Hygiene and Sanitation. 2020;99(2):176-181
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METHODS OF INVESTIGATIONS

The study of lycopene content in the diet by various assessment methods

Kirpichenkova E., Korolev A., Nikitenko E., Denisova E., Fetisov R., Petrova E., Fanda E.

摘要

Introduction. Lycopene is a non-vitamin carotenoid possessing antioxidant, anti-carcinogenic, immunomodulatory, cardioprotective, antiatherogenic, radio-and photoprotective properties. Lycopene not being synthesized in humans, it intakes from food sources, mainly tomatoes and tomato-containing products.

The aim of this study is to assess the level of intake of lycopene and its main food sources in the diet of young people and compare the effectiveness of the 24-hours diet recall and food-frequency questionnaire method.

Material and methods. The specialized questionnaires contained the main and additional food sources of lycopene. The survey included 106 students. There were formed 6 consumption groups according to the levels of lycopene intake.

Results. According to the 24-hour diet recall and food-frequency questionnaires the largest share in the sample belongs to groups with high levels of lycopene intake. Tomatoes and ketchup are priority sources in these groups. The food-frequency questionnaire method allowed estimating the food sources present more often than others in the diet of the respondents. These included raw tomatoes, ketchup, and tomato-containing fast food products (with different frequencies for individual types of products). There were no additional sources of lycopene in the diet of the majority of respondents.

Conclusions. The results obtained using these methods do not contradict each other. The complex using of the methods allows obtaining data on the levels of lycopene intake and its food sources present in the diet. The levels of lycopene intake and its priority sources were quantified using the 24-hour recall. The data of the food-frequency questionnaire method determine all sources of lycopene present in the diet.

Hygiene and Sanitation. 2020;99(2):182-186
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FOOD HYGIENE

Assessment of changes in the lipid composition of blood plasma and erythrocyte membranes in students under study load and their prevention

Kushnerova N., Rakhmanin Y., Momot T., Mikhailova R., Ryzhova I., Fomenko S., Sprygin V., Drugova E., Merzliakov V., Lesnikova L.

摘要

Introduction. The content of low and high-density lipoproteins, the level of total cholesterol, and the fatty acids composition of blood plasma and erythrocyte membranes were studied in first-year university students. The prevention of stress disorders was carried out with the functional food product “Biolad-Kalina” marmalade (TU 9128-152-02067936-2006) contained 100 mg of a complex of polyphenolic compounds per 100 g of the product, accounting for a therapeutic dose for polyphenol preparations.

Material and methods. A group of 10 male students aged 18-20 years studying in the 1st year of full-time study (2nd semester after admission to the university) was examined. The 1st group (control) included 20 healthy male donors; in the 2nd group - 10 male students before a biochemical blood test, the 3rd group - 10 male students of the 2nd group, after a biochemical blood test, invited to take daily for 6 weeks in the morning, 100 g of marmalade “Biolad-Kalina”.

Results. The effect of the study load (stress) was shown to be accompanied by the increase in low-density lipoproteins in plasma, the concentration of total cholesterol, total lipids and decrease in the content of total phospholipids, which is typical for dyslipidemia. In blood plasma and erythrocyte membranes, there was an increase in the content of saturated fatty acids (myristic, palmitic) and a decrease in the amount of polyunsaturated fatty acids of n-6 (arachidonic) and n-3 (eicosapentaenoic, docosahexaenoic) families, which causes changes in the physical and chemical properties of erythrocyte membranes, permeability, and lability. Changes in the ratio of fatty acids in the lipid pattern of erythrocyte membranes indicate the presence of destructive processes under the influence of stress. A prophylactic effect of the functional food product of marmalade “Biolad-Kalina” on the studied biochemical indices has been estimated. There was shown its effectiveness in the restoration of lipid metabolism in blood and erythrocyte membranes due to presence in it of a wide range of polyphenolic compounds.

Hygiene and Sanitation. 2020;99(2):187-192
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EXPERIMENTAL INVESTIGATIONS

Changes of myocardium contractility associated with a subchronic lead intoxication in rats

Klinova S., Protsenko Y., Lookin O., Balakin A., Nikitina L., Gerzen O., Nabiev S., Minigalieva I., Privalova L., Sutunkova M.

摘要

Introduction. There is a high chance of a link between cardiovascular conditions and occupational or environmental exposure to lead. Taking into account the peculiarities of lead intoxication and the metal common occurrence it appeared to necessarily prove further experimental research of lead cardiotoxicity.

Material and methods. After repeated intraperitoneal administration of sublethal doses of lead acetate to outbred male rats 3 times a week for 5 weeks, there was obtained the moderately pronounced subchronic lead intoxication manifested by some characteristic features. Cardiotoxic effects on myocardial contractility were studied by the analysis of the mechanical activity of isolated preparations of right ventricular trabeculae and papillary muscles contracting in isotonic and physiological modes of loading. Myocardial contractile function was also studied at the molecular level by measuring the sliding velocity of reconstructed thin filaments over myosin.

Results. In papillary muscles lead intoxication led to a decrease in the maximal rate of isotonic shortening for all afterloads and a decrease in the thin filament sliding velocity in the in vitro motility assay. The same type of muscle from lead-exposed rats displayed marked changes in most of the main characteristics of afterload contraction-relaxation cycles, but in trabeculae, these changes were less pronounced. The reported changes were attenuated to some extent in rats similarly exposed to lead while being treated with a Ca-containing bio protector. The amount of work produced by both muscle preparations was unchanged under lead intoxication over the entire range of afterloads, which is an evidence of adaptation to the production of adequate mechanical work despite resulting contractility disturbances.

Conclusions. 1. Subchronic lead intoxication was shown to cause contractile dysfunction of rat myocardium. In papillary muscles the alterations were observed more than in trabeculae. The changes in contractile proteins corresponded with those seen in myocardium structures. 2. The reported changes were attenuated to some extent in rats being treated with a Ca-containing bio protector.

Hygiene and Sanitation. 2020;99(2):193-199
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Balance of glutathione-related processes in alveolar macrophages under exposure to suspended particulate matter of atmospheric air in of Wistar rats

Vitkina T., Barskova L., Zyumchenko N., Tokmakova N., Gvozdenko T., Golokhvast K.

摘要

Introduction. Air suspended particulate matter (SPM) directly influence on the human respiratory system. Dispersion is one of the characteristics of SPM determining their pathogenicity. Alveolar macrophages (AMs) produce reactive oxygen species in response to an exposure that may lead to oxidative stress.

The aim of the study. To assess the contribution of the glutathione antioxidant system to the protection of AMs from oxidative stress induced by air SPMs in Vladivostok’s districts with various man-made loads.

Material and methods. AMs were isolated from bronchoalveolar lavage of 17 Wistar rats. AMs were exposed by model suspensions (MS) for 2 days. MSs were identical air composition of Vladivostok’s districts with insignificant (MS № 1) and high (MS № 2) technogenic load. MS № 1 contained 22% of particles with a diameter of less than 10 µm. MS № 2 contained 70% of particles with a diameter smaller than 10 μm. The levels of malondialdehyde, glutathione and total antioxidant activity in cell culture and culture fluid were determined.

Results. The gain in the proportion of fine and ultrafine particles in MS № 2 has been established to lead to an increase in lipid peroxidation in AMs and a compensatory elevation in the antioxidant activity. The elevation of oxidized glutathione concentration in cell culture indicates the intensification of hydroperoxide detoxification by AMs. The reduction of reduced glutathione exocytosis supports intracellular antioxidant processes.

Conclusion. An increase in the fraction of fine and ultrafine particles in the air appears to shift AM redox balance towards oxidative stress, contributing to the formation and the progression of pathological disorders.

Hygiene and Sanitation. 2020;99(2):200-205
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Cytotoxic action of hepatoprotector Antral on bull sperm

Matysik S., Kuzminov B., Ostapiv D.

摘要

Introduction. According to the European legislation and requirements, industrial production of medication shall be provided with well-defined regulations of the quality of such preparation.

Material and methods. Cytotoxic action of hepatoprotector Antral on bull sperm was evaluated. Samples of sperm were divided into control and two experimental samples: control one was diluted with phosphate-buffered saline (PSB), which included NaCl – 0.8 g, KСl – 0.02 g, Na2HPO4 – 0.11 g, КH2PO4 – 0.02 g, MgCl2 – 0.01 г, Н2О till 100ml; in the first experimental sample PSB was added with antral in the dose 1/500 LD50 (2.77 mg); in the second – PSB with Antral in the dose 1/100 LD50 (13.87 mg) was added. The survival of spermatozoa was defined until termination of rectilinear forward movement in sperm, which was preserved in temperature of 2-5 °C; respiratory activity was defined (by polarography (ng-atom O/0.1 ml of semen (S) ∙ min) in thermostated sell (temperature of 38.5 °C), with the volume of 1.0 ml with the automatic registration of process flow by potentiometer, the proportion of decrease of which was evaluated in accordance to impacted dose of antral in substrate and restorative activity was defined potentiometrically (mV/0.1ml C ∙ min) using a system of pen microelectrodes that were inserted in thermostated polarographic cell).

Results. In the experimental samples of semen in comparison with the control sample the respiratory and restorative activities were reduced; dose 1/500 LD50 to 58.8% and dose 1/100 LD50 to 68.5%; restorative activity – to 66.7% and 54.5% correspondingly.

Conclusion. Antral reduces the survival of sperm being irrespective of dose.

Hygiene and Sanitation. 2020;99(2):206-209
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SOCIO-HYGIENIC MONITORING

Monitoring of arsenic, lead, cadmium, zinc, and copper in the environmental components of the Sherlovaya Gora village (Eastern Transbaikalia)

Epova E., Soloduhina M., Eremin O., Mihaylova L., Alekseeva O., Burlaka L., Lapa S.

摘要

Introduction. The content of heavy metals (such as Pb, Cd, Zn, Cu) and arsenic in soils, snow cover, and water has been monitored in the Sherlova Gora mining area. The geochemical specificity of mining landscapes directly determines the incidence in the local population. Establishing a dependency between these two indices is an important medical and biological task.

Material and methods. The 120 soil samples were analyzed for the total content of lead, cadmium, zinc, and copper during 2012-2015. The analysis of the newly diagnosed incidence in childhood (0-14 years) and adolescent (15-18 years) population of the village Sherlova Gora was carried out according to statistical form No. 12 “Information on the number of diseases registered in patients living in the area of medical organization service” for 2012-2015.

Results. The excess of maximum permissible concentrations (MPC) of arsenic and cadmium in samples of drinking water were revealed. For samples of soil, snow and surface water of the tailings dump ponds located near the settlement, a significant excess of arsenic and metals MPC was established. The total soil contamination index (Zc) at monitoring points was calculated taking into account the average concentrations, and it is less than 16 units, which corresponds to the “permissible” category of soil contamination.

Conclusion. The children of the village were found to have cardiovascular morbidity by 7.0-15.3 times and a disease of the central nervous system (CNS) by 3.07–5.06 times more if compared with the administrative area. For adolescents, there was an excess of the incidence of cardiovascular pathology by 2.33–5.0 times, CNS - by 3.01–5.57 times, gastrointestinal tract by 2.6–4.9 times, urogenital system in 2.0–2.2 times. The prevalence of congenital anomalies is 6.9–15.6 times higher than the average margin.

Hygiene and Sanitation. 2020;99(2):210-216
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DISCUSSIONS

Hygienic regulation for jointly acting harmful factors and methodology of its experimental rationale

Katulskiy Y.

摘要

With the combined action of agents, the toxic effect depends not only on the time and effects levels of each of them but also on the combinations in which these levels are located. The main problems in the experimental substantiation of hygienic regulations for this type of action are the determination of this dependence, the establishment with its help of safe combinations of exposure levels and their description. In the work methods of their solution are offered.

This dependence is recommended to be obtained in the economical experiments proposed by the theory of mathematical planning. It is represented by a system of regression equations describing the dose dependencies observed at different moments after the onset of the impact (when indices are removed). In this case, the toxic effect is estimated by two indices, reflecting the degree of deviation of the state of the body of the experimental animals from the norm and the probability of this deviation.

Effective and ineffective combinations are determined by this system of equations when substituting in them the values of the toxic effect corresponding to its presence or absence. In turn, hygienically safe combinations are determined by a system describing ineffective combinations of exposure levels that include stock coefficients that are reasonable for each agent.

This system can be adopted as an experimentally valid hygiene regulation, which has the following advantages. It is determined by the results of the study of the joint rather than isolated action of agents, does not require the fulfillment of any conditions about the nature of this action (isoadditivity, etc.), and also takes into account not only the degree of deviation of the state of the organism of the experimental animals from the norm, but also the probability this deviation. In order to obtain the necessary information, we propose plans for experiments in which the number of groups of experimental animals is only one more than the number of cooperative agents.

An example of the proposed approach is given.

Hygiene and Sanitation. 2020;99(2):217-221
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