BACKGROUND: In the 19th century, the process of annexation of lands in the north-east of the Russian Empire was completed. The influx of newcomers, political exile, criminal hard labor created the prerequisites for an aggravation of the epidemiological situation in the newly annexed territories. The morbidity of the population began to acquire an epidemic character. Syphilis, which spread in the 19th century, leprosy struck foreign communities in the northern and eastern regions of the Pacific Ocean, the Sea of Okhotsk, the Kamchatka Peninsula and the alien population from other territories. AIM: Systematize, as well as identify certain trends in the prevalence and forms of manifestation of syphilis and leprosy among the population of the north-eastern districts of Eastern Siberia of the 19th century. according to the reporting materials of doctors and authorities of that time. Let us explain: in this article, the authors quote from the documents, preserving (if possible) the style and punctuation of the originals, and also use geographical names and names of territories adopted in the Russian Empire in the 19th century. MATERIALS AND METHODS: On the basis of archival materials, the article discusses the ways of importation and spread of syphilis among representatives of individual foreign communities, the clinical course and forms of manifestation. The multiplicity of ways of penetration of syphilis to the outskirts of Eastern Siberia is noted. The reports of seconded staff physicians, doctors, paramedics during the examination of the population and the treatment of patients in hospitals provide the first statistical information on the incidence of men, women, their nationality, and the outcome of treatment. The reports of seconded staff physicians, doctors, paramedics during the examination of the population and the treatment of patients in hospitals provide the first statistical information on the incidence of men, women, their nationality, and the outcome of treatment. RESULTS: The article highlights the issues of studying the role of factors contributing to a high level of the spread of syphilis and leprosy among inorodtsy (indigenous dwellers), describes the symptoms of manifestation, and especially chronic syphilis, and notes the role of unsanitary living conditions and household arrangements in the spread of diseases. CONCLUSIONS: Observation of the clinical manifestations of syphilis allowed doctors to isolate leprosy as an independent form of the disease, and to investigate its causes. These observations were the basis for the development of measures aimed at stopping the spread of the disease among the population. The beginning of the emergence of medical and police supervision aimed at identifying patients, registering them and treating them is noted.

The article considers chronologies of events of the opening in the city of Irkutsk of the Irkutsk branch of the Society of struggle with contagious diseases, located in St.Petersburg. It is emphasized that socially necessary need for protection against contagious diseases contributed to organization of the Branch of the Society of Struggle with Contagious Diseases. The history of organization of the structure of the Society's branch, the criteria of recruiting the founding members, collaborating members and competing members, including description of their duties are explored. The mechanism of formation of financial allocations and the state of available capital owned by the Branch of the Society are studied. The structure of financial expenses is demonstrated. The role of benefactors and donations collected for needs of struggle with contagious diseases are emphasized. The correspondence of well-known honorary citizens of Irkutsk concerning issues of increasing the number of donations is presented. The objectives and tasks of the Branch of the Society related to struggle with contagious diseases are considered. The necessity of spreading health culture among population to prevent occurrence of contagious diseases is demonstrated. The conclusion is made about progressive role of the Branch of the Society in the Irkutsk Guberniya.

The article discusses the views of doctors of the 19th early 20th centuries on the causes of leprosy, presents the main etiological theories of their consistency and relationship with the climate and the populations life characteristics of the north-eastern Siberia. On the basis of modern research and literary sources of the 19th century, the probable ways of introducing leprosy to Eastern Siberia, on the coast of the Sea of Okhotsk and the territorial distribution of infection foci are shown. The attitude of foreigners to those infected with leprosy, based on the fear of being infected, is revealed. The purpose of the work is to study the facts indicating the prevalence of leprosy in Eastern Siberia in the 19th early 20th centuries. As part of the study, a content analysis of the source base, indicating the incidence of leprosy in the population of the northeastern districts of Siberia, was used. The work is based on the study of primary sources on the topic for the period 18401929, materials from the State Archives of the Irkutsk Region, as well as literary sources of the 19th early 20th centuries. Data showing the incidence of leprosy in the districts of the Irkutsk General Government are provided.

No abstract

The article analyzes efficiency of management by objectives planning in supporting sanitary epidemiological well-being of population and defense of rights of consumers in the subject of the Russian Federation. Within the framework of this analysis a characteristic is given concerning supporting sanitary epidemiological well-being of population and defense of rights of consumers according sectoral target programs in the subject of the Russian Federation. The results of analysis of social economic efficiency of management by objectives are presented. The sociological survey is implemented concerning issues of quality and accessibility of public services provided by Rospotrebnadzor and effective management of sanitary epidemiological well-being of population. The originally elaborated technique of evaluation of efficiency of management by objectives is presented within the framework of achieving strategic targets of Rospotrebnadzor in the subject of the Russian Federation.