scholarly journals METHODOLOGICAL APPROACHES TO ASSESSING INDIVIDUAL RISK TO PUBLIC HEALTH ON THE BASIS OF THE REPUBLIC OF TATARSTAN EVOLUTIONARY MODEL

2015 ◽  
Author(s):  
N.V. Stepanova ◽  
E.R. Valeeva ◽  
S.F. Fomina
Keyword(s):  
Public Health ◽  
Evolutionary Model ◽  
Individual Risk ◽  
Methodological Approaches ◽  
The Republic

scholarly journals Systematic review and comparative analysis of current methodological approach for risk assessment of “Ohis Plant Skopje”

2020 ◽  
Vol 12 (3) ◽  
pp. 1-15
Author(s):  
Sandra Kosteska ◽  
Dragan Gjorgjev
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Risk Assessment ◽  
Comparative Analysis ◽  
Health Risk ◽  
Exposure Assessment ◽  
Health Impact ◽  
Health Data ◽  
Methodological Approaches ◽  
The Republic

Considering complicity in ecological health and social aspects of industrial contaminated sites (ICSs), the methodologies and approaches of health impact assessments are very heterogeneous. ICSHNet together with WHO recommend two main methodological approaches: health risk assessments and epidemiological studies. Some countries have necessary experience for impact assessment of ICSs, but others have limited resources and less intensity studies. In the Republic of North Macedonia, 16 ICSs are identified, but one of them, lindane dumpsite in OHIS Plant is characterized as the most ecological and public health risk. The general aim: Systematic review of literature data about methodological approaches for health risk assessment of ICSs on international and national level in order to make comparative analysis of current methodological approaches in the Republic of North Macedonia using the case study of ICS OHIS PLANT SKOPJE. Material and methods: The review of scientific and grey literature was performed. The selected scientific studies were searched in the PubMed and Medline databases from 2000-2017, in English and Macedonian. The selected studies and data were analyzed by required information for identification of hazards, exposure assessment and risk characterization. Additionally, the review was performed on published reports of risk assessment of OHIS Plant. Results: A total of 14 original papers were investigated. Continuous monitoring systems for gathering environmental data related to ICSs were used only in two cases and in other studies the concentrations of contaminants in the source were calculated or several ad hoc monitoring campaigns were performed. Exposure assessment was conducted according to qualitative definition for the presence/absence of a source, distance to a source and biomonitoring in the study. Mortality, cancer incidence, congenital abnormalities and hospitalizations were used health data. The study of risk assessment of OHIS Plant has ecological design and indirect quantitative exposure assessment model was used. Conclusion: All investigated studies used three main methodological approaches for exposure assessment: measurement of hazard concentration, distance from source and biomonitoring. Comparable, conducted risk assessment of OHIS Plant follows the recommendations of US EPA and ATSDR with weakness of no existing continual monitoring process and also deficiency of health data and this is the reason for limitation of health impact assessment and setting up EPHT or other public health surveillance system.

Amendment of the Contravention Code or Defiance of the Constitution by the Exceptional Situations Commission?

2021 ◽  
pp. 56-65
Author(s):  
Iulian Rusanovschi ◽  
Keyword(s):  
Public Health ◽  
The State ◽  
Constitutional Court ◽  
State Of Emergency ◽  
Constitutional Review ◽  
Republic Of Moldova ◽  
The Republic ◽  
The Right ◽  
Epidemiological Situation

On 17.03.2020, the Parliament declared a state of emergency on the entire territory of the Republic of Moldova for the period March 17 - May 15, 2020. By the same Decision, the Parliament delegated the Commission for Exceptional Situations with the right to implement a series of measures to overcome the epidemiological situation in the country. However, in the conditions of a functioning Parliament and despite the clear and exhaustive texts of the Constitution, the Commission for Exceptional Situations amended during the state of emergency the Contravention Code, which is an organic law. The amendments specifically concerned the procedure and terms for examining infringement cases brought in connection with non-compliance with the measures adopted by the Commission for Exceptional Situations and the Extraordinary Commission for Public Health. In the conditions in which an organic law can be modified only by the Parliament, it is obvious the unconstitutionality, at least partial, of the Disposition no. 4 of 24.03.2020 of the Commission for Exceptional Situations, but unfortunately, the Constitutional Court is not mandated with the right to submit to constitutional review the normative acts adopted by the Commission for Exceptional Situations. Under these conditions, the state is obliged to identify solutions in order not to allow an authority to adopt unconstitutional normative acts that cannot be subject to constitutional review.

On the work of the Scientific Medical Society of Surgeons of the Republic of Tatarstan in 1996

1997 ◽  
Vol 78 (2) ◽  
pp. 158-159
Author(s):  
I. A. Ibatullin ◽  
A. Yu. Anisimov
Keyword(s):  
Public Health ◽  
Health Care ◽  
Practical Experience ◽  
Public Health Care ◽  
Medical Society ◽  
Clinical Observations ◽  
Medical Institutions ◽  
Wide Range ◽  
The Republic

The activity of the oldest scientific medical society of surgeons in Tatarstan is especially relevant in the conditions of the period of profound reforming of the society and the system of public health care that we are going through. Its work is a reliable means of transferring up-to-date information and advanced practical experience from some leading clinics and departments to the widest circle of physicians and teams of medical institutions of surgical profile. At the meetings of NMOH RT the most interesting issues in different branches of surgery and adjacent spheres: anesthesiology, gynecology and oncology were discussed. A wide range of possibilities of Kazan Surgical School was presented in the form of demonstrations of clinical observations and educational and methodological videos.

scholarly journals Audit of the management of patients at high risk of carbapenemase-producing enterobacteriaceae (CPE): Are we ready?

2017 ◽  
Vol 18 (6) ◽  
pp. 296-300 ◽  
Author(s):  
Lasantha Ratnayake ◽  
Amy Harris ◽  
Doreen Ko ◽  
Linda Hawtin
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
High Risk ◽  
Individual Risk ◽  
Risk Status ◽  
Healthcare Settings ◽  
The Uk ◽  
Individual Risk Factors ◽  
Routine Assessment ◽  
Relevant Section

Background: Incidence of carbapenemase-producing enterobacteriaceae (CPE) in the UK is increasing. In 2013, Public Health England (PHE) published a toolkit to control spread of CPE within healthcare settings. Aim: To assess compliance to hospital CPE policy (adapted from PHE) in the identification, isolation and screening of suspected CPE patients. Methods: Admission booklets of 150 patients were evaluated to see whether the relevant section had been completed to identify high-risk CPE patients. Where necessary, patients were interviewed or their GPs were contacted to assess their CPE risk. Additionally, 28 patients screened for CPE were audited to assess compliance to screening and isolation. Findings: Only 23 patients out of 147 (15.6%) were risk assessed on admission. Risk status of 27 (18.4%) patients could not be assessed due to lack of data. Fifteen patients out of 28 (54%) screened for CPE were identified and isolated on admission. Ten out of 19 patients (53%) had three screens 48 h apart. Discussion: This audit highlights difficulties in screening based on individual risk factors as the majority of patients were not screened on admission and documentation on isolation and screening was poor. More needs to be done to raise awareness of the requirements for routine assessment, isolation and screening.

scholarly journals THE IDENTIFICATION OF OCCURRENCE AND COMPOSITION OF HAZARDOUS MEDICAL WASTE AT DEPOK CITY PUBLIC HEALTH CENTER

2020 ◽  
Vol 8 (1) ◽  
pp. 440-447
Author(s):  
Sirin Fairus ◽  
Siti Rohajawati ◽  
Prismita Nursetyowati ◽  
Diki Surya Irawan ◽  
Deffi Ayu Puspito Sari
Keyword(s):  
Public Health ◽  
Health Center ◽  
Hazardous Waste ◽  
Metal Content ◽  
Medical Waste ◽  
Primary Data ◽  
Number Of Patients ◽  
Qualitative Descriptive ◽  
The Republic ◽  
Descriptive Method

Purpose of the study: Hazardous solid medical waste, contains infectious, pathologic, sharp objects, pharmaceuticals, cytotoxic, chemical, radioactive, pressurized containers, and has a high heavy metal content and endangering the community. The Minister of Environment and Forestry of the Republic of Indonesia No.56 of 2015 regulates hazardous waste, but the study of the implementation and compliance with the regulation are still limited. Methodology: Qualitative descriptive method is carried out to describe and explain the condition of variables contained in the object of research. Main Findings: In general, the health center in Depok has carried out sorting consisting of sharp medical waste and non-sharp and reduced hazardous waste. The composition of non-sharp hazardous medical waste ranges from 55% to 96%. Applications of this study: Primary data collection was carried out in 11 Health Center in 11 sub-districts of Depok City. Novelty/Originality of this study: The number of sub-district residents does not always determine the average number of patients coming from the health center which ranges from 100-300 patients. With the average number of patients coming in at 300 people/day, Cipayung health center produced 1,821 grams/day, in contrast to Pancoran Mas and Sukmajaya which produced 2,398 and 3,357.

scholarly journals Implementation of the Solid Waste Management of Barangays in a Highly Urbanized City

2020 ◽  
Vol 3 (2) ◽  
pp. 153-154
Author(s):  
Joedcel M. Go ◽  
Merlita V. Caelian
Keyword(s):  
Public Health ◽  
Waste Management ◽  
Solid Waste ◽  
Solid Waste Management ◽  
Geographical Location ◽  
Community Leaders ◽  
World Crisis ◽  
The Republic ◽  
The City ◽  
Great Harm

The present alarming environmental world crisis is the uncontrolled generation and illegal dumping of solid waste (SW) that poses great harm to public health and the environment (Ali & Sion, 2014). Poor waste management may cause air, water, and soil contamination. The Republic Act 9003 (RA 9003) or the Ecological Solid Waste Management Act (ESWMA) had been in place for several years. However, its implementation was a challenge for every LGU, including in a highly urbanized city. Hence, the paper examined the level of implementation of the provisions and enforcement of prohibited acts on ESWMA of barangays as assessed by community leaders as a whole and according to their geographical location and income. Also, it explores the challenges encountered by the barangays and the recommendations of the community leaders in the implementation of RA 9003 and the local ordinance enacted by the city.

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