Sanitary services in the perm region during the Great Patriotic war

The article is devoted to the history of the formation of the Medical Service of the (Molotov) region during the war. We describe the problems encountered sanitary doctors in the war years, the direction of the main measures to address these problems. It is shown that the organizers of the health service – A.V. Kostina, V.A. Ryazanov, their colleagues have made every effort to prevent epidemics and save health of both local and evacuees. It is showed the role of volunteers, doctors of medical units at the plants, the Department of Health Medical Institute to improve the sanitary conditions in the region

Problems and prospects for maintaining the register of sanitary and epidemiological objects of surveillance for the tasks of the transition to risk-oriented model of activity

The article describes the approaches to the formation of regional databases of the objects of sanitary-epidemiological surveillance for the tasks of sequential evaluation of each object having the potential risk to the citizens of the affected areas of these objects, e.g. workers, consumers of products or services. The basic structure of the information system is demonstrated. The system is oriented to be used together with the DBMS MS Access. The system performs the manual quiding function for the register and implements the calculation algorithm of the health risk indicators and classification of the objects of surveillance. Approaches to the formation of the system have been tested in Perm, Lipetsk, Kaluga, Omsk regions as part of a pilot project of the Federal Service on Surveillance for Consumer rights protection and human well-being. The problems of the registers’ formation are in the fact of scares operational entering of the significant amount of information, that has been accumulated in Administration offices of Rospotrebnadzor, but do not exist in the form of electronic databases. The relevant issue is the development of guidance documents to ensure unified approaches to the registers’ formation and risk calculation in relation to population census under the influence of various activities

The collaborative outcomes study on health and functioning during infection times in adults (COH-FIT-Adults): Design and methods of an international online survey targeting physical and mental health effects of the COVID-19 pandemic.

. High-quality comprehensive data on short-/long-term physical/mental health effects of the COVID-19 pandemic are needed. . The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is an international, multi-language (n=30) project involving >230 investigators from 49 countries/territories/regions, endorsed by national/international professional associations. COH-FIT is a multi-wave, on-line anonymous, cross-sectional survey [wave 1: 04/2020 until the end of the pandemic, 12 months waves 2/3 starting 6/24 months threreafter] for adults, adolescents (14-17), and children (6-13), utilizing non-probability/snowball and representative sampling. COH-FIT aims to identify non-modifiable/modifiable risk factors/treatment targets to inform prevention/intervention programs to improve social/health outcomes in the general population/vulnerable subgrous during/after COVID-19. In adults, co-primary outcomes are change from pre-COVID-19 to intra-COVID-19 in well-being (WHO-5) and a composite psychopathology P-Score. Key secondary outcomes are a P-extended score, global mental and physical health. Secondary outcomes include health-service utilization/functioning, treatment adherence, functioning, symptoms/behaviors/emotions, substance use, violence, among others. . Starting 04/26/2020, up to 14/07/2021 >151,000 people from 155 countries/territories/regions and six continents have participated. Representative samples of ≥1,000 adults have been collected in 15 countries. Overall, 43.0% had prior physical disorders, 16.3% had prior mental disorders, 26.5% were health care workers, 8.2% were aged ≥65 years, 19.3% were exposed to someone infected with COVID-19, 76.1% had been in quarantine, and 2.1% had been COVID 19-positive. . Cross-sectional survey, preponderance of non-representative participants. . Results from COH-FIT will comprehensively quantify the impact of COVID-19, seeking to identify high-risk groups in need for acute and long-term intervention, and inform evidence-based health policies/strategies during this/future pandemics