EUROMEDICA 

Hanover

23-24  Mai 2011

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover


Z.D. Bekmagambetova
K.K. Toguzbayeva
K.A. Tulebayev
E.S. Nadueva
L.S. Niyazbekova
L.B. Seiduanova
A.K.Sailybekova
D.D. Zhunistaev
A.B. Nurshabekova
ABOUT A COMPLEX SYSTEM OF MEASURES FOR PREVENTION OF TUBERCULOSIS IN ECOLOGICALLY POOR REGIONS
Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan

An important condition for effective prevention of infectious diseases is the proper sanitary and epidemiological supervision, during which some emphasis should be shifted to monitoring the environmental safety. This issue has recently received much attention. Thus, the UN recommends that the industrialized countries, the average environmental investments amounting to 5% -8% of total investment (in the CIS countries they make up 1.7%).

Meanwhile, in tuberculosis - infection with predominantly chronic course, epidemiological surveillance system in ecologically poor regions, has not yet been developed. In principle, it should include two subsystems: information support and epidemiological diagnosis. Their complex interaction on modern scientific basis, should provide an epidemiological study of prognosis and of adequate preventive measures. Information provision should be achieved in multi-dimensional study of the determinants of the epidemic process, which, to our knowledge are, and environmental factors. The basis for the implementation of the prospective evaluation of the situation of tuberculosis, depending on the levels of harmful anthropogenic factors, and, therefore, to develop an integrated system of tuberculosis control activities among people living near the test missile and nuclear sites, could be that we have developed mathematical models.

Algorithm research to establish causal relationships in the “environment-incidence of tuberculosis” for people living in rural areas adjacent to the missile and nuclear test site may consist of five blocks. Block V - a complex system of activities which in turn includes three sets of studies, the first of which consists of “monitoring the pollution of the environment” and “monitoring the epidemiological situation of tuberculosis”. Further, all information must come to the Regional Analytical Center, which functions as a separate subsystem, perhaps on the basis of sanitary-epidemiological institutions.

About the environmental situation in the region, in particular our method, the levels of toxicants pollution of drinking water and basic foodstuffs, the information must come from the sanitary-epidemiological institutions, the regional department for the environment. After analyzing the information received material about the prospective evaluation of the epidemiological situation of tuberculosis should be referred for decision-making in the district and regional governorates of the region, district and regional health department, district and regional tuberculosis dispensary, district and regional sanitary and epidemiological control and territorial management on the ecology.

Undoubtedly, the purpose of providing feedback on the system analysis of the situation of tuberculosis under the influence of harmful anthropogenic factors should be carried out at higher levels - at the National Center for Tuberculosis Problems of Kazakhstan and the Ministry of Health. Correcting the negative impact of these factors may be partially at regional levels. However, the radical improvement of the sociosanitary and environmental conditions of the population living in regions of nuclear-missile test ranges, is only possible with the support at the state level