Population health of children, risks to health and sanitary and epidemiological wellbeing of students: problems, ways of solution and technology of the activity
- Authors: Kuchma V.R.1, Sukhareva L.M.1, Rapoport I.K.1, Shubochkina E.I.1, Skoblina N.A.1, Milushkina O.Y.1
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Affiliations:
- National Medical Research Center of Children’s Health
- Issue: Vol 96, No 10 (2017)
- Pages: 990-995
- Section: POPULATION HEALTH
- Published: 21.10.2020
- URL: https://rjsocmed.com/0016-9900/article/view/640744
- DOI: https://doi.org/10.47470/0016-9900-2017-96-10-990-995
- ID: 640744
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Abstract
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.
About the authors
V. R. Kuchma
National Medical Research Center of Children’s Health
Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-1410-5546
Russian Federation
L. M. Sukhareva
National Medical Research Center of Children’s Health
Email: noemail@neicon.ru
Russian Federation
Irina K. Rapoport
National Medical Research Center of Children’s Health
Email: ikrapoport@yandex.ru
MD, PhD, DSci., professor, National Medical Research Center of Children’s Health, Moscow, 119991, Russian Federation.
e-mail: ikrapoport@yandex.ru
Russian FederationE. I. Shubochkina
National Medical Research Center of Children’s Health
Email: noemail@neicon.ru
Russian Federation
N. A. Skoblina
National Medical Research Center of Children’s Health
Email: noemail@neicon.ru
Russian Federation
O. Yu. Milushkina
National Medical Research Center of Children’s Health
Email: noemail@neicon.ru
Russian Federation
References
- Baranov A.A., Kuchma V.R. Methods of Studying the Physical Development of Children and Adolescents in Population Monitoring [Metody issledovaniya fizicheskogo razvitiya detey i podrostkov v populyatsionnom monitoringe]. Moscow; 1999. (in Russian)
- Kuchma V.R., Skoblina N.A., Milushkina O.Yu., Bokareva N.A., Yampol’skaya Yu.A. Characteristics of morpho-functional indicators of Moscow schoolchildren of 8-15 years (according to the results of longitudinal studies). Vestnik Moskovskogo universiteta. Seriya XXIII. Antropologiya. 2012; (1): 76–83. (in Russian)
- Kuchma V.R., Shubochkina E.I. Forecasting, causation and technologies for managing the risks to the health of students. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2016; (1): 4–13. (in Russian)
- Sukhareva L.M., Namazova-Baranova L.S., Rapoport I.K. The incidence of Moscow schoolchildren in the dynamics of learning from the first to the ninth grade. Rossiyskiy pediatricheskiy zhurnal. 2013; (4): 48–53. (in Russian)
- Sukhareva L.M., Rapoport I.K., Polenova M.A. The state of health of Moscow schoolchildren and factors affecting its formation (longitudinal study). Zdorov’e naseleniya i sreda obitaniya. 2014; (3): 28–30. (in Russian)
- Skoblina N.A. Physical development of children in different social conditions. Rossiyskiy pediatricheskiy zhurnal. 2008; (3): 29–31. (in Russian)
- Korsakov A.V., Mikhalev V.P., Troshin V.P. A comparative assessment of the state of the environment and the health of the children of the Bryansk region. Zdravookhranenie Rossiyskoy Federatsii. 2012; (1): 21–6. (in Russian)
- Erofeev Yu.V., Mikheeva E.V., Novikova I.I., Polyakov A.Ya. The results of a hygienic assessment of the health of modern schoolchildren. Zdorov’e naseleniya i sreda obitaniya. 2012; (8): 10–2. (in Russian)
- Kuindzhi N.N., Zorina I.G. Experience in applying social and hygienic monitoring in the hygiene of children and adolescents. Gigiena i sanitariya. 2012; 91(4): 53–7. (in Russian)
- Setko N.P., Setko A.G., Karimova L.N., Valova A.Ya. Methodical bases of diagnostics of early infringements of health of children and teenagers in the conditions of influence of factors of an inhabitancy. Zdorov’e naseleniya i sreda obitaniya. 2011; 10: 28–30. (in Russian)
- Gudinova Zh.V., Zhernakova G.N., Bolotova S.S., Gegechkoriya I.V. Assessment of the quality of information about children’s health in Russia: interregional comparison and classification. Gigiena i sanitariya. 2015; 94(3): 77–82. (in Russian)
- Kuchma V.R., Shubochkina E.I., Moldovanov V.V., Safonkina S.G., Ibragimova E.M. The level of sanitary and epidemiological welfare of educational institutions and the health of children in Moscow. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2014; (1): 11–22. (in Russian)
- Shubochkina E.I., Ibragimova E.M., Moldovanov V.V., Ivanov V.Yu. Actual problems of ensuring a safe preventive environment and sanitary and epidemiological well-being of students in secondary and primary vocational education institutions. Voprosy shkol’noy i universitetskoy meditsiny i zdorov’ya. 2015; (2): 18–22. (in Russian)
- Kuchma V.R., Shubochkina E.I. About new scientific approaches to the management of the system of sanitary-epidemiological well-being of students in educational institutions. Zdorov’e naseleniya i sreda obitaniya. 2013; (8): 6–9. (in Russian)
- Kuchma V.R., Stepanova M.I., Aleksandrova I.E., Shumkova T.V., Sedova A.S., Zvezdina I.V., et al. A new methodical approach to the hygienic assessment of the conditions for the education and upbringing of children in educational organizations. Gigiena i sanitariya. 2014; 93(4): 110–5. (in Russian)
- Kuchma V.R., ed. Systemic Hygienic Diagnostics of Sanitary-Epidemiological Well-Being of Students [Sistemnaya gigienicheskaya diagnostika sanitarno-epidemiologicheskogo blagopoluchiya obuchayushchikhsya]. Moscow; 2014. (in Russian)
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