Results of the analytical development of data of the official statistical reporting on morbidity on negotiability of children and teenagers of the city of Moscow during 2005-2013 have shown the preservation of steady negative trends in the rise of the general morbidity, incidences of respiratory and school-related diseases, including diseases of musculoskeletal system, myopia etc. According to the longitudinal study of the state of health and physical development of the Moscow school pupils from 1 to 11 classes (2005-2015) the gain of the prevalence rate of functional disorders and chronic diseases in the course of school ontogenesis has been shown. The leading violations of students’ health with a tendency to increase in the prevalence rate are: functional violations of the musculoskeletal system, blood circulatory system, organ of vision, neuro-psychiatric disorders, as well as chronic diseases of musculoskeletal system, digestive and vision organs. In all age and sex groups of schoolchildren there is a reliable increase in body length and weight, chest circumference, acceleration of biological maturation in comparison with peers of the last decades. Indices of the muscular force of the right hand in modern schoolchildren have decreased in comparison with the supervision of 1960s and 1980s. The necessary condition of health preservation of children and teenagers is the providing safe and optimum conditions of education, training and life activity. The assessment of the efficiency of sanitary and epidemiological surveillance of training conditions of children and teenagers has shown an insufficient informational content of the assessment of a sanitary state of educational organizations on groups of sanitary and epidemiologic wellbeing (SEW). Institutions with the reduced SEW level (2 groups) were proved to have a significantly higher risk of formation of diseases, including school caused diseases. It has been developed a modern classification of the assessment of conditions and modes of training of children at the school characterizing the risk degree to health of students of training conditions (optimum, admissible, potentially dangerous and dangerous). In addition new standard and methodical documents on carrying out sanitary-epidemiological expertise for the provision of sanitary and epidemiological welfare of students in secondary schools have been developed and proved.

Аннотация. Представлены результаты анкетных опросов старшеклассников города Москвы в 2012 и 2016 гг. Опросы позво-лили оценить предпочтения современных подростков в выборе пути продолжения образования, сфер будущей профессио-нальной деятельности, потребности в профессиональной ориентации с учетом состояния здоровья. Показаны медико-соци-альные последствия несфомированного профессионального самоопределения. Обоснована необходимость совершенствова-ния работы в средней школе по проведению профессиональной ориентации в условиях изменения профессиональных инте-ресов и намерений учащихся. Ключевые слова: подростки, старшеклассники, профессиональная ориентация подростков, врачебная профессиональная консультация, охрана здоровья подростков.

The paper examined the issues of sequence (algorithm) of physician's activity on the hygiene of children and adolescents of the department for medical care organization for minors in educational institutions. We have formulated the methodological basis for the development of recommendations for the provision of primary health care to students (algorithms of the physician’s activity on the hygiene of children and adolescents of the departments for medical care organization to minors) that will improve the efficiency and effectiveness of all concerned organizations activities in the field of hygiene and child and adolescent health, ensuring sanitary and epidemiological wellbeing of younger generation.

Abstract. The materials on the dynamics of sanitary and epidemiological safety of educational institutions of Moscow and the state of health of children and teenagers for the period 2005-2010 have been assessed. The increased risks of growth of outbreaks of infectious diseases and the school-connected disorders of health of children and teenagers have been proved at the actual deterioration of conditions of training in educational institutions of the 2nd group of sanitary condition. It is shown that the assessment criteria of sanitary and epidemiological safety of educational institutions need new approach for a more objective assessment of educational establishments to reduce the risks to pupils' health. The onclusions have been drawn that the control system of sanitary and epidemiologic safety of pupils in the conditions of modern activity regulations of services and establishments of Russian Agency for Health and Consumer Rights has to include both the actions provided by the legislation and innovative actions -successfully approved in other fields of activity: production control over observance of health regulations and performance of sanitary and epidemiologic (preventive) actions depending on the level of their sanitary and epidemiologic safety, sanitary and epidemiologic audit in educational institutions. Key words: sanitary and epidemiological safety of pupils, risks of emergence of outbreaks of infectious diseases and the school-connected disorders of health, system of management of sanitary and epidemiologic safety in educational establishments, innovative approaches.Russia still shows negative health trends in children, and the reasons for that are living conditions of children and teenagers [1]. The biggest social load on children and teenagers is the education process. The impact of the learning environment at pre-schools and elementary schools (EF) where the students spend a bulk of their ime during the early years of life can lead to the so-called 'school' diseases as well as to deterioration of health. The main criterion to assess the sanitary and hygienic environment at educational facilities is the sanitary group (1st,