Experience of medical support for railway transport workers in the context of a new coronavirus infection

Author(s):  
Ekaterina M. Gutor ◽  
Yuliya A. Tkachenko ◽  
Elena A. Zhidkova ◽  
Konstantin G. Gurevich

Introduction. The work's relevance is related to the health system's challenges associated with the pandemic of new coronavirus infection. The study aims to explore the experience of organizing the response to the COVID-19 epidemic by the medical service of JSC "Russian Railways" in March-August 2020. Materials and methods. We used the statistical reporting materials of the Ministry of Health of the Russian Federation and JSC "Russian Railways" to analyze the availability of bed fund and medical personnel. The official information of стопкоронавирус.рф website of the Russian Federation is used to analyze the incidence of COVID-19 in the Russian Federation and in the world. To analyze the morbidity of JSC "Russian Railways", we used data from daily monitoring conducted by the company. Results. The incidence of COVID-19 among health care workers in the pre-trip examination rooms of the holding was lower than in the whole of the Russian Federation. The bed fund of JSC "Russian Railways" in terms of 10 thousand people corresponds to the Russian average. The indicators of availability of medical personnel are higher than in the Russian Federation. During the "first wave" of the epidemic, 4 hospitals of Russian Railways were redesigned to provide medical care to patients with COVID-19. Two thousand one hundred twenty medical workers were involved. A total of 3.6 thousand patients with COVID-19 were treated. According to the treatment regimens described in the interim guidelines, the early start of therapy allowed to prevent the development of severe forms and minimize mortality. Russian railways medical institutions participated in the fight against the epidemic in 19 regions of the Russian Federation. 20 PCR laboratories were opened. Conclusions. The activities of Russian railways medical institutions were adequately reformed, which allowed not only to prevent the spread of a new coronavirus infection among the holding's employees.

2021 ◽  
Vol 2 (1) ◽  
pp. 36-40
Author(s):  
Sergey N. Perehodov ◽  
Nikoloz Yu. Sakvarelidze ◽  
Svetlana G. Tsakhilova ◽  
Elena V. Lunina

Coronavirus infection caused by a new strain of SARS-CoV-2 virus contributed to an increase in the number of infectious patients. The Ministry of Health of the Russian Federation and Rospotrebnadzor took over the organization of work to combat the pandemic. In Moscow, medical and preventive events were organized by the Government of the capital and the Department of Health of the city. As soon as possible, it was decided to reassign medical institutions to infectious hospitals for the treatment of patients with COVID-19 or with suspicion of it. “Maternity hospital No. 8” – the branch of State Clinical Hospital named after V. P. Demikhov was redesigned as a hospital on March 13, 2020. The decision was due to the presence of isolated boxes and an intensive care unit in the institution. The task was solved in one day: the first patients with coronavirus infection were admitted to the hospital for medical care at 17:00 on March 13, 2020.


Author(s):  
S.N. Puzin ◽  
◽  
S.S. Memetov ◽  
I.V. Dedeneva ◽  
O.V. Khorkova ◽  
...  

The article discusses current regulatory legal acts and clarifications on their application on social support for doctors, paramedical and junior medical personnel of medical organizations, ambulance drivers directly working with patients with a new coronavirus infection (COVID-19). The federal laws, Decrees of the Government of the Russian Federation, and Orders of the Government of the Russian Federation in the field of social support are analyzed. The article contains material on the possible types of medical examinations, systematizes the existing state guarantees for compulsory state insurance for certain categories of medical workers, and the possibility of obtaining the necessary documents from medical organizations and medical and social examination institutions for submission to the Social Insurance Fund of the Russian Federation.


Author(s):  
T.F. Stepanova ◽  
◽  
M.I. Belyaeva ◽  
K.B. Stepanova ◽  
A.M. Baranova ◽  
...  

The article presents data on 7 deaths of patients with malaria (Plasmodium falciparum) in 2020 in the Russian Federation, errors in the epidemiological, clinical and laboratory diagnostics of malaria. The use of preventive measures and effective drugs, adherence to the Protocol for the treatment of patients with malaria of various types, improving the knowledge of medical personnel of medical and preventive medical organizations are especially necessary during a pandemic of a new coronavirus infection for the timely differential diagnosis of diseases. Key words: malaria, clinical diagnostics, treatment, deaths.


2020 ◽  
pp. 9-15
Author(s):  
Zoya Dmitrenko

The novel coronavirus infection (COVID-19) is an acute respiratory disease caused by a new coronavirus (SARS-CoV-2). The SARS-CoV-2 virus is assigned to the II group of pathogenicity in accordance with the sanitary legislation of the Russian Federation. The infection is included in the list of diseases that pose a danger to others (the Government Decree of the Russian Federation from 31.01.2020 No. 66). Dental facilities are at epidemiological risk; all patients are considered as potentially infected with hemocontact and aspiration infections. Disinfection in dental institutions is carried out according to the regime between viruses and fungi of the genus Candida; the mask regime is continuous. The protection against infections of the patient and medical personnel in dental institutions has always been an extremely urgent problem and especially now, during the period of the new coronavirus infection SARS-CoV-2. The purpose of medical dental institutions is to prevent and implement measures to interrupt the transmission of infections related to the provision of medical care (IRMC).


Author(s):  
Viktor Arkadyevich Lebedev ◽  
Elena Ivanovna Lebedeva

The article considers the provisions of the Federal law “on amendments to certain legislative acts of the Russian Federation on emergency prevention and response” dated 01.04.2020 No. 98-FZ, which should be taken into account when implementing public procurement for the needs of medical institutions in the process of executing state contracts; analyzes the interests of the parties to the state contract in force majeure circumstances, which include the spread of a new coronavirus infection; considers some aspects of anti-corruption mechanisms of the Federal contract system.


2021 ◽  
pp. 56-61
Author(s):  
S.A. Babanov ◽  
I.I. Berezin

Preserving and strengthening the health of the working population is one of the priority tasks of health care in the Russian Federation, including in the Samara region. Up to 39.7% of the country's population works under conditions that do not meet sanitary and hygienic requirements. Unsatisfactory working conditions are the main reason for the development of occupational diseases among the working population in the Samara region. The workers of medical institutions registered 42 acute occupational diseases with permanent disability, including 13 acute occupational diseases with fatal outcomes from the biological factor "new coronavirus infection caused by the COVID-19 virus."


2018 ◽  
Vol 94 (3) ◽  
pp. 13-19
Author(s):  
O. A. Karpova

In article presents the results a comparative analysis of the prevalence and incidence of the skin and subcutaneous tissue diseases in the railway transport workers of the Altay region, of the West-Siberian Railways, of JSC Russian Railways and the local population of the Siberian Federal district, and the Russian Federation.


Author(s):  
N. N. Petrukhin ◽  
O. N. Andreenko ◽  
I. V. Boyko ◽  
S. V. Grebenkov

Introduction. The activities of health workers are associated with the impact of many harmful factors that lead to loss of health. Compared with other professional groups, health care workers are ill longer and harder, which may be due to polymorbidity pathology.The aim of the study based on the survey data to study the representation of health workers about working conditions and to identify their impact on the formation of occupational diseases.Materials and methods. In order to get a real idea of the attitude of medical workers to their working conditions in 2018, an anonymous survey was conducted of 1129 doctors and 776 employees of secondary and junior medical personnel working in health care institutions in St. Petersburg, Moscow, Krasnoyarsk, Vologda and Orel.Results. Research of working conditions and health of physicians allowed to establish that work in medical institutions imposes considerable requirements to an organism of working, its physical condition and endurance, volume of operational and long-term memory, ability to resist to mental, moral and ethical overloads.Conclusions: The most important method of combating the development of occupational diseases is their prevention. Organizational and preventive measures should be aimed primarily at monitoring the working conditions and health of medical staff .


Author(s):  
Olga Shinkareva

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.


2020 ◽  
Vol 2 (7) ◽  
pp. 24-31
Author(s):  
E. V. SOKOLOV ◽  
◽  
E. V. KOSTYRIN ◽  

The article proves that it is impossible to achieve a significant increase in the salary of medical personnel within the existing system of healthcare financing of the Russian Federation, namely, in accordance with the “may” Decrees of 2012 by V. V. Putin, to bring the salary of doctors to a level twice higher than the average for the region by 2018. It is proved that to achieve the necessary results in terms of increasing doctors’ salaries and motivating citizens to increase labor productivity and a healthy lifestyle, it is necessary to transfer the system of healthcare financing within the framework of obligatory medical insurance to medical savings accounts.


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