Basin-Scale Approach to Integration of Agro- and Hydroecological Monitoring for Sustainable Environmental Management: A Case Study of Belgorod Oblast, European Russia

The quantitative and qualitative depletion of water resources (both surface and groundwater) is closely related to the need to protect soils against degradation, rationalization of land use, and regulation of surface water runoff within the watershed area. Belgorod Oblast (27,100 km2), one of the administrative regions of European Russia, was chosen as the study area. It is characterized by a high activity of soil erosion (the share of eroded soils is about 48% of the total area of arable land). The development phase of the River Basin Environmental Management Projects (217 river basins from the fourth to seventh order) allowed for the proceeding of the development of an integrated monitoring system for river systems and river basin systems. The methods used to establish a geoecological network for regional monitoring include the selection and application of GIS techniques to quantify the main indicators of ecological state and predisposition of river basins to soil erosion (the share of cropland and forestland, the share of the south-oriented slopes, soil erodibility, Slope Length and Steepness (LS) factor, erosion index of precipitation, and the river network density) and the method of a hierarchical classification of cluster analysis for the grouping of river basins. An approach considering the typology of river basins is also used to expand the regional network of hydrological gauging stations to rationalize the national hydrological monitoring network. By establishing 16 additional gauging stations on rivers from the fourth to seventh order, this approach allows for an increase in the area of hydro-agroecological monitoring by 1.26 times (i.e., up to 77.5% of the total area of Belgorod Oblast). Some integrated indicators of agroecological (on the watershed surface) and hydroecological (in river water flow) monitoring are proposed to improve basin environmental management projects. Six-year monitoring showed the effectiveness of water quality control measures on an example of a decrease in the concentrations of five major pollutants in river waters.

Coverage with Timely Administered Vaccination against Hepatitis B Virus and Its Influence on the Prevalence of HBV Infection in the Regions of Different Endemicity

Universal hepatitis B vaccination of newborns was implemented in Russia starting from 1998. From 1998 to 2019, the incidence of acute hepatitis B reduced from 43.8 to 0.57 cases per 100,000 population. Here, we assessed the timely coverage of newborns with the birth dose (HepB-BD), second dose (HepB-2nd), and three vaccine doses (HepB3) in two remote regions of Russia with low (Belgorod Oblast) and high (Yakutia) levels of hepatitis B virus (HBV) endemicity. Vaccination data were obtained from the medical records of 1000 children in Yakutia and 2182 children in Belgorod Oblast. Sera of healthy volunteers from Belgorod Oblast (n = 1754) and Yakutia (n = 1072) across all age groups were tested for serological markers of HBV to assess the infection prevalence and herd immunity. Average HepB-BD coverage was 99.2% in Yakutia and 89.4% in Belgorod Oblast (p < 0.0001) and in both regions varied significantly, from 66% to 100%, between medical centers. The principal reason for the absence of HepB-BD was parent refusal, which accounted for 63.5% of cases of non-vaccination (83/123). While timely HepB-2nd coverage was only 55.4%–64.7%: HepB3 coverage by the age of one year exceeded 90% in both study regions. HBV surface antigen (HBsAg) prevalence in the 1998–2019 birth cohort was 0.2% (95% CI: 0.01–1.3%) in Belgorod Oblast and 3.2% (95% CI: 1.9–5.2%) in Yakutia. The proportion of persons testing negative for both antibodies to HBsAg (anti-HBs) and antibodies to HBV core antigen (anti-HBc) in the 1998–2019 birth cohort was 26.2% (125/481) in Belgorod Oblast and 32.3% (162/501) in Yakutia. We also assessed the knowledge of and attitude towards vaccination among 782 students and teachers of both medical and non-medical specialties from Belgorod State University. Only 60% of medical students knew that hepatitis B is a vaccine-preventable disease. Both medical and nonmedical students, 37.8% and 31.3%, respectively, expressed concerns about safety and actual necessity of vaccination. These data indicate the need to introduce a vaccine delivery audit system, improve medical education with respect to vaccination strategies and policies, and reinforce public knowledge on the benefits of vaccination.