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Conclusion

On the ground of analysis of material stated the following conclusion can be drawn: The present accounting system of public health and sanitary inspection authorities does not provide the prompt, operative, complete and reliable information needed to decision making persons for realization of tasks in medico-ecological monitoring, situation forecasting and management; The current monitoring of state and dynamic of ecological factors does not provides a synchronous receipt of data necessary to estimate the effect of these factors on population health; it does not fit the territorial peculiarities of population settling (particularly in rural areas); The informatization of medical services and ecological monitoring services is necessary on the base of modern technologies, as well as coordination of programs of their functioning in the health protection; The formulation of the task concerning a detection of cause-and-effect connections between environmental factors and population health is impracticable under conditions of concrete territories without creation of inforhiation subsystem “environment - population health” supporting decisions in the sphere of nature protection and ecological security as an element of the unified national information management system; this formulation will be the only aim in such situation.

The development and introduction of medico-ecological monitoring system should be conducted in stages and must stipulate: the elaboration of shortened scheme of monitoring (which is realized by standard methods under real conditions of the resources available), transient scheme (period when new information technologies begin to appear within the framework of available financial capacities), and complete scheme of monitoring (i.e.

introduction of adjusted and approved subsystem within unified national, and possibly - regional network of systems); the conduction of intensified and purposeful medical supervision over the health of representative control population groups (possibly within territorial automated medico-statistical registers) at key areas according to a special monitoring program; the collection, analysis, storage, processing and output of relevant and pertinent data received both continuously (or with certain short intervals) and retrospectively selected in different information arrays which characterize medico- ecologic state of a territories; the elaboration of a knowledge base (along with a database) necessary within the framework of information management system.

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Источник: АА.Келлер, В.И.Кувакин. МЕДИЦИНСКАЯ ЭКОЛОГИЯ. 1998

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