Prognosis of morbidity and health risk assessment during hygienic research associated with of chemical impact

Mironenko, O. V.; Kiselev, Anatoly V.; Noskov, Sergey N.; Pankin, Andrey; Magomedov, Khamzat K.; Shengelia, Zaza N.; Myakisheva, S. N.

doi:10.21638/11701/spbu11.2017.410

Cited by 5 publications

(6 citation statements)

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“…The ultimate goal is to perform adequate assessment of hazards or safety of air inside in-patient hospitals considering possible pollution created by internal sources (human excretory products, use of various technical means for air cleaning and disinfection, etc.). To achieve it, it is advisable to use the following algorithm of a chemical and analytical investigation: identification of a most comprehensive range of pollutants; selection of priority pollutants for monitoring; use of the risk analysis metho-dology 4 [23][24][25]. The latter is especially important since health risk analysis is known to allow predicting and minimizing a growth in incidence among healthcare workers under occupational long-term exposure to chemicals in low doses, which can often be below MPLs 4 [24,25].…”

Section: T a B L Ementioning

confidence: 99%

“…To achieve it, it is advisable to use the following algorithm of a chemical and analytical investigation: identification of a most comprehensive range of pollutants; selection of priority pollutants for monitoring; use of the risk analysis metho-dology 4 [23][24][25]. The latter is especially important since health risk analysis is known to allow predicting and minimizing a growth in incidence among healthcare workers under occupational long-term exposure to chemicals in low doses, which can often be below MPLs 4 [24,25].…”

Section: T a B L Ementioning

confidence: 99%

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Identification of hazards for human health under chemical pollution in air inside in-patient hospitals

Malysheva,

Kalinina

2024

Health Risk Analysis

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Use of various physical and chemical research techniques, including chromato-mass-spectrometry, made it possible to identify and quantify more than 40 organic compounds in air inside healthcare organizations, including saturated, unsaturated, cyclic, and aromatic hydrocarbons; terpenes, alcohols, aldehydes, esters, ketones, halogen-containing compounds, and organic acids. Levels of ethanol, dichloromethane, carbon tetrachloride, ethyl acetate, propyl acetate, acetone, terpene hydrocarbons, and acetic acid made the main contribution to the total content of all identified compounds. Most detected substances were present in concentrations not exceeding hygienic standards, except for chloroform and iodoform, the levels of which were up to 2 times higher than average daily MPL in intensive care wards and a bronchoscopy room. Organic acids and chlorinated organic compounds were found in elevated concentrations compared with insides of non-medical public buildings. Among the wide list of identified substances, hygienic standards have not been established for more than 70% of compounds and it is not possible to give a hygienic assessment of hazards or safety of their presence in air inside healthcare facilities. Despite that, the information obtained in this study is extremely useful for accomplishing an important stage in health risk analysis, which is identification of hazards for health of patients and healthcare workers posed by chemical air pollution inside healthcare organizations when using the risk analysis methodology. In this study, we assessed effects produced by operations of UV recirculator irradiators for air disinfection on its chemical composition inside healthcare institutions. The assessment showed that when such devices worked in the presence of patients and staff, there was an increase in the amount of pollutants in air and their total concentration grew from two to more than four times. When analyzing risks for health of staff and patients, hazard identification within risk-based control of chemical air pollution in the hospital environment should include monitoring of formaldehyde, styrene, ammonia, ethanol, isopropanol, chloroform, dichloroethane, acetic acid along with identification of a wide range of volatile organic compounds; it should also cover ammonia as one of the priority pollutants occurring in the environment from human excretory products.

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Section: T a B L Ementioning

confidence: 99%

Section: T a B L Ementioning

confidence: 99%

Identification of hazards for human health under chemical pollution in air inside in-patient hospitals

Malysheva,

Kalinina

2024

Health Risk Analysis

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“…The proposed methods for objective and subjective assessment of the environmental situation can be used in the formation of regional socio-hygienic monitoring subject to risk assessment methodology [11,19]; while conducting environmental impact assessments; when planning events with classification of territories with consideration of the environmental risk [12,15]. The health oriented environmental activities should include the establishment of public environmental awareness [4,7], prevention of risk factors of the living conditions and the habitat using a health risk assessment methodology [11,13].…”

Section: Recommendationsmentioning

confidence: 99%

Health-related quality of life assessment when implementing ecology programs

2020

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The article presents the results of the analysis of the priority health-related quality of life criteria of metropolis residents (St. Petersburg), who live on the territories under the environmental risk and have the signs specific for respiratory diseases. The survey targets analyzing the severity of the main functioning types in the health-related quality of life structure taken in conjunction with the environmental factors. The clinical and statistical analysis and screening questionnaire were performed with the use the specialized questionnaire WHO, to identify the risk factors, the prevalence of the clinical symptoms and chronic respiratory diseases. The importance of the impact was established with deterioration of the life quality indicators at various degrees of the clinical status of the patients at the chronic respiratory disease development stages. The priority health-related quality of life assessment criteria were developed by the types of functioning, providing for classification of the urban residents by medical and environmental risk groups. Insufficient medical awareness and medical preventive care of urban residents were found to increase the impact of the adverse environmental factors on the development of the respiratory diseases. The revealed regularities allowed developing the medical and environmental programs for organizational and functional interaction of the experts.

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“…tory where its occurrence probability is the highest [3,4]. At present, such patterns are outlined in the methodology of risk assessment for public health 1 .…”

mentioning

confidence: 99%

“…In order to assess the risk of their presence with respect to drinking water, an oral route associated with water supply as drinking water should be chosen as the priority exposure scenario. Methodical guidelines MG 2.1.4.0032-11 serve as a supporting methodology for assessing the risk of chemicals in drinking water to public health 4 . They supplement the guidelines with the criteria for the acceptable risk levels and an algorithm for the formation of an overall or integral assessment of its harmlessness.…”

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confidence: 99%

Hygienic assessment of drinking water from underground water sources taken from centralized water supply systems on Island Russkiy

Богданова¹,

Кику²,

Кислицына³

et al. 2020

Health Risk Analysis

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Drinking water is a leading environmental and hygienic factor that influences population health as it tends to contain a lot of chemicals, both natural and anthropogenic in their origin.Our research goal was to hygienically assess drinking water from underground water sources taken from centralized water supply systems on Island Russiky.Research object. We hygienically assessed quality of water supply on Island Russkiy (Primorye) in 2017-2019 as per 33 sanitary-chemical and 3 microbiological parameters at three stages: water from underground sources (120 samples); water at pump stations (138 samples); water taken from distribution network (204 samples).Data and methods. The first stage in hygienic assessment of drinking water was performed as per methodical guidelines provided by F.F. Erisman's Federal Scientific Center for Hygiene «Assessment of sanitary-epidemiologic reliability of centralized drinking water supply systems» (MG 2.1.4-2370-08). The second stage involved calculating reflex-olfactor, chronic non-carcinogenic and carcinogenic effects and integral assessment of drinking water taken from centralized water supply systems as per chemical safety parameters .Basic results. We detected that drinking water quality most significantly deteriorated as per its microbiological and organoleptic parameters during transportation, and it made the greatest contribution into sanitary-epidemiologic ill-being of centralized drinking water supply systems. We revealed that non-carcinogenic risks and reflex-olfactor impacts exceeded their acceptable levels. Our analysis also revealed that physiologically insufficient iron contents and water turbidity were priority factors that predetermined poor quality of drinking water. Chemical structure of drinking water didn't cause any significant threats for population health; however, it is necessary to reconstruct water supply systems and eliminate deficiency of macro-and micro-elements in drinking water due to additional sources of their supply.

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Prognosis of morbidity and health risk assessment during hygienic research associated with of chemical impact

Cited by 5 publications

References 1 publication

Identification of hazards for human health under chemical pollution in air inside in-patient hospitals

Identification of hazards for human health under chemical pollution in air inside in-patient hospitals

Health-related quality of life assessment when implementing ecology programs

Hygienic assessment of drinking water from underground water sources taken from centralized water supply systems on Island Russkiy

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