Health status analysis of the population living in the zone of protective measures of a chemical weapons destruction facility, during the conversion period

Abstract

Introduction. One of the tasks to be solved in the framework of the of the “Destruction of chemical weapons stockpiles in the Russian Federation” Federal Targeted Program was the social and hygienic monitoring (control) over the health of the population living in the zones of protective measures (ZPMs) of chemical weapons destruction facilities (CWDFs) as an integral part of state policy in the field of ensuring citizens’ guarantees for a favorable living environment and preservation of life and health. The purpose of the study is to determine the possible impact of the conversion of a chemical weapons destruction facility on the health of the population living in the zone of protective measures. Materials and methods. The article presents the results of the assessment, according to the statistical reporting forms, the health parameters of the population living in the zone of protective measures of the Maradykovsky CWDF located in the Kirov region. Results. Analysis of the medical and demographic parameters of the Orichi and Kotelnich Districts, Kirov Region, located in the ZPM zone of the Marazykovsky CWDF, in 2018, a decrease in the population compared to the previous year by 0.7% and 2.1%, respectively, was revealed. The birth rate proved to be lower compared to the weighted average birth rates over the period of 2010-2015, and the overall mortality rate proved to be higher than the birth rate, which was explained by the aging of the population and the regressive type of age structure. The prevalence and primary morbidity rates among the adult population were statistically significantly lower than the levels in the control groups (p < 0.05), and the structure of prevalence and primary morbidity compared with the respective values for the control group. Comparison of the prevalence rates for certain classes of diseases between the populations living in the territory in focus and in other territories revealed no increase in the mass noninfectious morbidity threshold. Limitations. When studying the health indicators of the population living in the zone of protective measures of the chemical weapons destruction facility “Maradykovsky”, located in the Kirov region, an assessment of the statistical reporting materials of the departments of the MIAC of the Kirov region, data from reporting forms No. 12 “Information on the number of diseases registered in patients living in the service area of the medical institution” of the Kirov region was carried out. Conclusion. The study revealed no correlation the activities of the the Maradykovsky CWDF during the conversion period and the health status of the population living in the ZPM of the facility.