Objective: The purpose of this research is to assess regulatory, organizational and methodological documents, as well as Russian and international recommendations, to use infromation from them to identify and systematize problems in prevention of chronic non-communicable diseases, and tooffer solutions. Materials and Methods: Analysis encompasees the key Federal Laws of the Russian Federation; orders, records, and reports provided by various ministries and departments of the Russian Federation,as well as by the leading research institutes; guides, manuals, and federal recommendations; the latest Russian and foreign guidelines and recommendations on prevention of chronic non-communicable diseases. Results and Discussion: Analysis was faced with a number of problems:poor correlation between changes in regulatory documents governing the prevention of chronic non-communicable diseases; incomplete allowance for international experience and guidelines on prevention of chronic non-communicable diseases, incomplete epidemiological data; poor coordination and uneven assignment of responsibilities in structures involved in prevention; shift in emphasis from population-oriented prevention and high-risk groups towards secondary prevention; below-satisfactory efficiency of tuberculosis screening in clinical examination. Conclusions: Their resolutionmay significantly increase the effectiveness of measures intendedfor prevention of chronic non-communicable diseases and their risk factors from occurence in Russia.

Background: Medical examination of the adult population is aimed at diagnosing chronic noncommunicable diseases and their risk factors. The unreasonable choice of screening methods and information processing can lead to the unjustified waste of resources, with little benefit or even damage to the health of population and to the distortion of the statistic information.Objectives: To evaluate the quality of medical examinations for chronic noncommunicable diseases among the adult population of the Irkutsk region from 2013 to 2017. Methods:We analyzed the Adult Clinical Examination report N 131 using comparative and statistical methods. It was selected for this study because it provides a summary of the findings from the Chronic Non-Communicable Diseases surveys from 2013 to 2017 and thus precluded unnecessary investment of time and labor. The report comprises sections 1000 to 7000, which provided medical examination data, such as demographic information and statistics on various diseases, including neoplasms. Results:The years 2016 and 2017 were notable for the emergence of 567 new cancers, which accounted for 12.9% of total diagnoses. In 2017, there were 115 192 patients with cardiovascular diseases, a fivefold increase from 2013. Among the neurological dysfunctions, 0.9% were ischemia attacks and related syndromes. The remaining 99.1% were not highlighted in the report. The respiratory system diseases were pneumonia, bronchitis, chronic obstructive pulmonary disease (COPD), asthma, asthmatic status, and bronchiectasis. These diseases made up 68.3% of all pathologies of the respiratory system. The remaining 11 327 cases were not classified nosologically. Conclusion:Every section of the N 131 report showed significant inconsistencies among the summary survey results for both the Irkutsk Region and Russia. This could result in a misunderstanding of disease prevalence and, consequently, in improper decision making. At this point, approaches to statistical analysis of health surveys must be reconsidered on a national scale.