The need to protect the population of the territories and personnel of the facilities serviced by the Federal Medical and Biological Agency in emergency situations by medical treatment organizations and mobile medical formations sets them an important task — to provide timely emergency and urgent medical care to victims in an emergency in accordance with modern principles of medical evacuation routing. The aim of the study is to analyze and to evaluate the main results of the activities of the All-Russian Center for Disaster Medicine “Zaschita” as a part of Federal Medical and Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of the Russian Federation, to develop proposals and to define objectives for further development and improvement of the system to organize medical care and medical evacuation in emergencies at facilities and territories served by FMBA of Russia. Materials and research methods. Materials: regulatory, legal and methodological documents governing the procedure for providing medical aid to the victims of emergencies; reports of the structural units of the All-Russian Center for Disaster Medicine “Zaschita”, including special exercises held in 2021; scientific papers on topical issues of medical support to the population in emergencies. Research methods: analytical, statistical, method of direct observation. Results of the study and their analysis. The results of the first year of operation of the the All-Russian Center for Disaster Medicine “Zaschita” as a part of Federal Medical and Biophysical Center named after A.I. Burnazyan of the Federal Medical and Biological Agency of the Russian Federation in 2021are presented. The following results are considered and analyzed: special trainings of the Field Multidisciplinary Hospital and Consolidated medical detachment; work on medical support of mass events — “Tavrida” Forum of Young Culture and Arts Workers and “Silk Road” international rally. The work of the laboratory of scientific and methodical problems of medical support in emergency situations established in the All-Russian Center for Disaster Medicine “Zaschita” within the past year was characterized. Decrease of the Center of sanitary aviation and ambulance services abroad activities due to borders closing, caused by COVID-19 pandemic, is highlighted. The activities of the All-Russian Center for Disaster Medicine “Zaschita” in the field of civil defense in the interests of FMBA of Russia, are listed. The main tasks for the All-Russian Center for Disaster Medicine “Zaschita” for 2022 are formulated.

Summary. The aim of the study is to investigate problematic issues of organizing the elimination of medical and sanitary consequences of emergency situations in Sakhalin region; to analyze the state of provision of medical services to the population. Study materials and methods. Materials of research: scientific works and publications, normative and methodical documents, statistical data, exercise materials, etc. When performing the study, methods of logical and information modeling, comparison, description were used. Results of the study and their analysis. The mechanism and sequence of actions during elimination of medical and sanitary consequences of emergencies in Sakhalin oblast were studied. The provision of medical services to the population in emergencies has been analyzed. Proposals for further improvement of medical and evacuation support of the population in emergencies have been made.