ORGANIZATION OF COMMUNITY-ACQUIRED PNEUMONIA PREVENTION IN OVERFLOW ZONES OF THE AMUR REGION
The complex of organizational-methodological activities, carried out by the institutions of Russian Federal Service on Surveillance for Consumer rights protection and human well-being in the Amur region, the Ministry of Health Care of the Amur region, scientific and education institutions dealing with the prevention of acute and chronic diseases of the respiratory system and sanitary-epidemiologic welfare of the population in the overflow zones in the river basin of the Amur river during the flood in 2013, has been presented in this paper. Within this activity «the program of actions and the plan of organizational-methodological and medical-preventive arrangements about medical aid for those who suffered from the flooding and the prevention of the respiratory pathology among the population of the Amur region in the overflow zones» has been prepared and realized. This program suggests the realization of operative and prospective arrangements including the provision of epidemiologic monitoring of acute and chronic respiratory diseases and the assessment of the influence of risk factors of the environment on their development in the zones of ecological ill-being; medical-social and sanitary-hygienic assessment of life support and the population habitat in the overflow zones of their territory; social-economic assessment of the damage and loss from acute and chronic respiratory diseases; the provision of availability and quality of advanced and specialized medical help to the pulmonologic patients; the prevention of acute and chronic respiratory diseases in overflow zones. «The program of organization of monitoring and clinical-epidemiologic assessment of efficacy and vaccination against pneumococcal disease among the Amur region population that suffered from flooding in 2013» has been prepared and realized. The aim of the program was to assess clinical and social-economic efficacy of vaccination against pneumococcal infection among the Amur region population that suffered flooding in 2013. In the process of realization of program activities there will be clinical-epidemiologic and social-economic assessment of efficacy of the use of the pneumococcal vaccine «Prevenar-13» for specific prevention of pneumococcal infections among the Amur region children who have risk factors of their development, conditioned by unfavorable influence of ecologic and social-economic conditions of life in the period of flooding of the territory. These arrangements are expected to improve the prevention of community-acquired pneumonias and will lead to the decrease of morbidity and the death of the population and will also let to optimize epidemiology on the territory of the Amur region.