The disability among the population is one of the most important medical and social problems of the global significance. The article presents data on the epidemiology of the disability in the countries of the world. 110-190 million adults have significant difficulties in functioning - a significant degree of restriction in various spheres of life. The child’s disability accounts for 95 million children, out of which 13 million children have a “severe” form of the disability. In countries where the life expectancy exceeds 70 years, an average of about 8 years, representing 11.5 percent of total life expectancy, falls on years associated with the disability. In most countries, the demographic situation of aging of the population causes an increase in the disability among the elderly - two-thirds of the disabled belong to this age group of the population. In the total population of Russia, the share of disabled people is 9.3% - 12.3 million people, including disabled people of the working age accounting for 3 million 801 thousand people (less than a third - 30%), disabled elderly - 8 million 2,665 thousand people. (two-thirds of the total number of disabled people - 65.2%), children with disabilities include 636 thousand people (4.8%). There is noted a tendency to the decline in the primary and secondary disability of an adult (in 2000-2016) and children (2000-2014) population, but in 2015-2016 there was emerging a tendency to the gain in basic indices of the primary and repeated disability in children (the absolute number of disabled people, the level of disability). The analysis of individual programs for rehabilitation and habilitation (IPRH) of disabled people shows the greatest number of recommendations to be given about the needs of disabled people in technologies for medical and social rehabilitation and habilitation. According to the results of the reassessment of disabled persons in 2016, positive results of the implementation of the IPRH for disabled people were achieved in 48.4% of the disabled cases (among the victims of occupational accidents and occupational diseases - 63.8% of the disabled). There were noted low indices of the complete compensation and full recovery of lost functions (4-7% and 2.8-1%, respectively) and extremely low indices - for implementation recommendations for the acquisition of a profession, including new, advanced training, education and creation of a special workplace for the employment (0.2-0.8%).The solution of the problem of increasing the effectiveness of rehabilitation and habilitation activities requires a consistent integrated approach to the determination goals of the rehabilitation process in each case, depending on the cause of disability and close interagency cooperation in the implementation of IPRH for disabled persons. It is advisable to take into account the regional differentiation of the subjects of the Russian Federation in terms of the prevalence of the disability, as well as the age and gender features of the contingents of the disabled persons.

The article discusses current regulatory legal acts and clarifications on their application on social support for doctors, paramedical and junior medical personnel of medical organizations, ambulance drivers directly working with patients with a new coronavirus infection (COVID-19). The federal laws, Decrees of the Government of the Russian Federation, and Orders of the Government of the Russian Federation in the field of social support are analyzed. The article contains material on the possible types of medical examinations, systematizes the existing state guarantees for compulsory state insurance for certain categories of medical workers, and the possibility of obtaining the necessary documents from medical organizations and medical and social examination institutions for submission to the Social Insurance Fund of the Russian Federation.

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In the modem society, the state acts as the guarantor ofsocial security of citizens with disabilities. In this direction as an important stage the ratification by the Russian Federation of the Convention on the Rights of Persons with Disabilities in 2012 has turned. Convention was directed to the assurance of the full participation of persons with disabilities in civil, political, economic, social and cultural life of the society. Ratification of the Convention required to insert amendments in the acting legislations of the Russian Federation, including those concerning Medical and Social Expertise (MSE). In particular, there was changed quantitative and qualitative body of specialists, members of the Bureau of the MSE, there was changed the classification and the criteria used for the implementation of medical and social examination of citizens by Federal State MSE institutions. There was the replacement of a paradigm in relation to persons with restrictions in the life activity. The role of health care organizations in terms of examinations and clinical diagnosis in citizens, sent to the medical and social expertise has increased significantly. In the article there is presented an analysis of the current regulatory - legal frameworkfor the implementation of medical and social examination of citizens by Federal State MSE institutions. There was emphasized the importance of quantitative evaluation system of the severity of persistent disorders of the human body functions, caused by diseases, consequences of injuries and defects.