In Sverdlovsk region there is a system of measures on risk-management for the population health from influence of social-economic, sanitation-hygienic risk factors __________________________________________________________________________________________Population health risk management, being an integral part of risk analysis, is a multilevel system embracing various management subjects (regional, municipal management, business units, state supervision authorities and municipal control, population), methods of risk management (prevention, reduction, compensation and risk transfer) and risk management objects (risk factors, territories, supervision objects, population categories). This is the system the functioning of which is aimed at achieving the unified goal of securing sanitation-epidemiologic well-being of population [1,2].Technologies and methods of population health risk management conditioned by adverse influence of social-economic, sanitationhygienic and behavioral factors and realized ________________________________

Abstract. The use of typological factor, correlation and regression analysis has identified a statistically significant relationship between the death rate in working-age population in Sverdlovsk Region and socioeconomic indicators (housing improvements, quality of health services, social strain, and level of demographic load), and their incremental growth adjusted for time shifts. We determined an impact of purchasing power on the death rate of working-age population. We conducted an assessment of the economic losses for public health resulting from premature death of working-age people possibly associated with the impact of socioeconomic factors. We identified priority areas of future activities aimed at making management decisions by the executive bodies and governments at the local level in the Russian Federation as well as Rospotrebnadzor agencies and entities providing sanitary and epidemiological well-being of the population.

No abstract

Introduction: In the context of a decreasing size of the working-age population, monitoring of the health status and disease incidence in this cohort shall be one of the most important tasks of public and occupational health professionals. Health risk management for the working population in the Russian Federation requires complete and reliable data on its morbidity, especially in view of the fact that its average age demonstrates a stable growth. It is, therefore, crucial to have precise and consistent information about the morbidity of the working-age population. Objective: The study aimed to assess incidence rates of diseases with temporary incapacity for work in the constituent entities of the Ural Federal District of the Russian Federation. Materials and methods: We reviewed data on disease incidence rates published by the Federal State Statistics Service in the Common Interdepartmental System of Statistical Information, Section 15.12, Causes of Temporary Disability, and Section 2.9.I.4, Federal Project for Public Health Promotion. The constituent entities under study were ranked according to the number of cases and days of temporary incapacity per 100 workers and E.L. Notkin scale was used to determine grade the incidence. The statistical analysis was performed using STATISTICA 10 software. Long-term average values of certain indicators, median values, standard deviation (σ) and coefficients of variation were estimated. The difference in the indices was assessed using the Mann-Whitney test. Results: Compared to 2010, incidence rates of diseases with temporary incapacity for work in the constituent entities of the Ural Federal District in 2019 demonstrated a significant decline. The sharp drop was observed in 2015. We also established that the Common Interdepartmental System of Statistical Information contains contradictory information on disease incidence. Conclusion: It is expedient to consider the issue of revising guidelines for organization of federal statistical monitoring of morbidity with temporary incapacity for work and to include this indicator in the system of public health monitoring.

Background: Achievement of the national goals to increase life expectancy and ensure sustained population growth in the Russian Federation largely depends on the health status and mortality rates in the working-age population. Health risk management for this cohort is impossible without effective disease incidence data, the lack of which impedes the development and implementation of optimal solutions in health maintenance. Objective: To assess rates and features of disease incidence in the working-age population of the Ural Federal District. Materials and methods: We acquired data on disease incidence in the Russian Federation from statistical yearbooks published on the website of the Federal Research Institute for Health Organization and Informatics of the Russian Ministry of Health and on the size of the working-age population from the Federal State Statistics Service. We estimated age-specific incidence rates (per 100,000) in the working-age population of the Russian Federation, the Ural Federal District and its administrative territories for 2015–2019 using MS Excel. The statistical data analysis was performed using the Statistica 10 software. The incidence structure by ICD-10 disease categories was determined. Results: We were first to establish absolute and relative incidence rates, incidence structure by ICD-10 disease categories, and regional features of disease incidence in the working-age population residing in the Ural Federal District. We found significant differences between district and federal average incidence rates. Conclusions: The incidence in the Ural Federal District was significantly higher than the national average. Incidence rates differed significantly between certain territories of the district. Incidence rates in the working-age population shall be included in the system of public health monitoring and taken into account when developing local programs of governmental guarantees of free medical services to citizens.