Social and Hygienic Monitoring as the Basis of a Control in the Control and Supervisory Activities of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing

Abstract

The current system of socio-hygienic monitoring provides the solution of the following tasks: priority and systematization of risk factors, assessment and forecast of risk for the health of the children population, planning and control of the activities of supervisory authorities with the introduction of a risk-based approach into their practice. Therefore, there was a need to summarize the huge and insufficiently systematic material of many-years research to assess the risk fir the health of the children population. The paper summarizes the materials of the annual “State Reports on the Sanitary and Epidemiological Well-Being of the Population of the Chelyabinsk Region” over the past three years. There is given an assessment of the risk forecast, including an assessment of the risk to the health of the children population, statistical methods for analyzing and assessing the structure of diseases under the influence of environmental factors, social factors and a risk-based approach to control and surveillance activities to assess the sanitary and epidemiological situation at educational facilities. There are identified main priority sanitary and epidemiological, social risk factors that form negative trends in the health status of the region’s children, with an analysis of the structure of their incidence, an assessment of the risk of multi-environmental exposure to chemical environmental factors. The causal relationship between the morbidity structure in children and adolescents with the negative influence of environmental factors and their lifestyle has been revealed. The on-alertness for the health of the child population living in three territories of the region is noted to be in the range of acceptable risk. The analysis of carcinogenic risk revealed the main risk factors for the population when consuming water and agricultural products to include the presence of arsenic and chloroform in them. In 2018, 0.05% of children’s organizations were established to be assigned to the high-risk group, 6.5% - to the significant-risk group, and 1.9% - to the low-risk group. The implemented risk-based approach to the practice of control and supervision activities of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare and systematic long-term monitoring of data made it possible to improve the sanitary and epidemiological situation at the objects of education and training of children and adolescents.