Role, tasks and functioning of the disinfection service among civilians and the military in the military operations zone

Kochin I. V.
Doctor of Medicine, Head, Chair for Civil Protection and Medicine of Disasters¹

1 - State Institution «Zaporozhye Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine», Zaporozhye, Ukraine, e-mail: zmapo33@gmail.com

The study had no sponsorship.

None declared.

Introduction. Significant sanitary losses due to infectious morbidity of military personnel seriously affect its fighting capabiliy and sometimes make combat missions impossible to perform. Purpose. The work aims to define the principles and content of the organization of preventive antiepidemic disinfection measures among the population and military personnel in the combat zone in order to prevent of infectious diseases outbreaks and hotbeds, the specifics of conduct of such measures, organizational and managerial basis for improving the activities of antiepidemic service as part of the national security system. Matherial and methods. A review of scientific literature on the infectious morbidity specifics in relation to military personnel participating in military actions in the XVIII-XX centuries is presented. Results and discussion. In this article the questions of the infectious morbidity features and the implementation of preventive anti-epidemic and sanitary aid to the civilians and military im the area of local armed conflict are considered. The most important factors determining the specific features of health and epidemiological support for the population and military personnel in emergency situations of a military nature are identified. The role of disinfection units in the implementation of preventive measures and the specifics of their conduct to prevent epidemic complications in the territories is determined. Conclusions. To ensure national security, the epidemic welfare of the population and military personnel, the scientific justification for improving the legislative and regulatory framework is a strategic issue, along with staffing of anti-epidemic structures, introducing constructive changes in legislation regarding their functioning in peacetime, effective work in the war zone in order to prevent outbreaks and the emergence of foci of infectious diseases.

disinfection service, disaster medicine service, military medical service, military operations, sanitary-epidemic state, epidemic complications

10.29234/2308-9113-2018-6-1-119-148

1. Andrejchin M.A., Kopcha V.S., Krushelnickij O.D., Narozhnov V.V. Epidemiologiya ekstremalnih umov z kursom vijskovoyi epidemiologiyi [Epidemiology of extreme conditions with the course of military epidemiology]. Ternopil: Ukrmedkniga, 2002. (In Ukr.)

2. Andrejchin M.A., Krushelnickij O.D., Kopcha V.S., Ogorodnik I.V. Vijskova epidemiologiya z epidemiologiyeyu nadzvichajnih situacij: Pidruchnik [Military epidemiology with epidemiology of emergencies: Textbook]. Ternopil: TDMU, 2015. (In Ukr.)

3. Belyakov V.D., Yafaev R.H. Epidemiologiya [Epidemiology]. Moscow: Medicina, 1989. (In Russ.)

4. Bres P. (1990) Dejstviya sluzhb obshestvennogo zdravoohraneniya v chrezvychajnyh situaciyah, vyzvannyh epidemiyami: Praktichne kerivnictvo [Public health services actions in emergencies caused by epidemics: WHO Practical guide]. Moscow: Medicina, 1990. (In Russ.)

5. Vinogradov S. Chrezvychajnye situacii i vodosnabzhenie naseleniya [Emergency situations and water supply of the population]. Grazhdanskaya zashita [Civil Defence] 2004; (5): 30-32. (In Russ.)

6. Epidemiologiya vijni: realnist ta ilyuziyi [Epidemiology of war: Reality and illusion]. Available at: www.vz.kiev.ua. (In Ukr.)

7. Zagajkevich I.S. (2017) Osoblivosti etiologichnoyi strukturi infekcijnoyi zahvoryuvanosti u voyennij chas [Features of the etiological structure of infectious morbidity in wartime]. Pivdennoukrayinskij medichnij naukovij zhurnal [South-Ukrainian medical scientific journal] 2017; (16): 47-50. (In Ukr.)

8. Zaharenko M.O., Polyakovskij V.M., Shevchenko L.V. Sanitarno-gigiyenichni vimogi do vodi ta vodopostachannya silskogospodarskih pidpriyemstv: Navchalnij posibnik [Sanitary and hygienic requirements for water and water supply of agricultural enterprises: Training manual]. Vinnicya: Vidavnichij centr VNAU, 2012. (In Ukr.)

9. Zakon Ukrayini «Pro zahist naselennya vid infekcijnih hvorob» [Law of Ukraine on protecting the population from infectious diseases] vid 06.04.2000 r. no 1645-III. (In Ukr.)

10. Zakon Ukrayini «Pro zabezpechennya sanitarnogo ta epidemichnogo blagopoluchchya naselennya» [Law of Ukraine on ensuring the sanitary and epidemic well-being of the population] vid 24.02.94 no 4005-XII. (In Ukr.)

11. Kochin I.V., Sidorenko P.I. Aktualni problemi rozvitku epidemiologiyi katastrof [Actual problems of the epidemiology of disasters]. Mat. konf. «Suchasni problemi epidemiologiyi, mikrobiologiyi ta gigiyeni» [Proceedings of the conference «Modern problems of epidemiology, microbiology and hygiene]. MOZ Ukrayini, LNDIEG, Lvivska obl. SES. Lviv: 2004, pp. 73-75. (In Ukr.)

12. Kochin I.V., Chernyakov G.O., Sidorenko P.I. Naukovi osnovi epidemiologiyi katastrof: Navchalnij posibnik [Scientific fundamentals of catastrophic epidemiology: Textbook. Edited by I.V. Kochin]. Zaporizhzhya: Poligraf. 2004. (In Ukr.)

13. Kochin I.V., Panasyuk Yu.I. Upravlinnya sanitarno-gigiyenichnoyu ta protiepidemichnoyu sistemoyu u nadzvichajnih situaciyah [Management of sanitary and anti-epidemic systems in emergencies]. Tezi 45-oyi nauk.-prakt. konf. z napryamiv vprovadzhennya dosyagnen nauki v praktiku derzhavnogo sanitarno-epidemiologichnogo naglyadu [Abstracts of the 45-th scientific and practical conference on implementation of scientific achievments in the practice of state sanitary and epidemiological supervision]. MOZ Ukrayini; Zaporizka oblasna SES; ZDMU; ZMAPO; ZNU; Upravlinnya ohoroni zdorov’ya Zaporizkoyi ODA., Zaporizhzhya: 2005, pp. 9-10. (In Ukr.)

14. Kochin I.V., Sidorenko P.I. Upravlinnya sanitarno-gigiyenichnoyu ta protiepidemichnoyu sistemoyu u nadzvichajnih situaciyah [Management of sanitary and anti-epidemic systems in emergencies]. Ustanovchij z’yizd likariv shvidkoyi i nevidkladnoyi medichnoyi dopomogi ta medicini katastrof: Materiali z’yizdu [Materials of the constituent congress of emergency and disaster medicine doctors], 17-18 November 2005, Kiev: 2005, pp. 64-66. (In Ukr.)

15. Kochin I.V., Panasyuk Yu.I., Sidorenko P.I. Sanitarno-epidemiologichna sluzhba, yiyi zakladi, ustanovi ta formuvannya u likvidaciyi naslidkiv nadzvichajnih situacij. Osnovni zavdannya ta principi yih vikoristannya [Sanitary and epidemiological service, its institutions, institutions and formation in the elimination of the consequences of emergencies. Main tasks and principles of their use]. Zaporozhskij medicinskij zhurnal [Zaporozhje medical journal] 2005; (4): 142-146. (In Ukr.)

16. Kochin I.V., Panasyuk Yu.I. Prognozirovanie mediko-sanitarnyh poter ot infekcionnyh zabolevanij pri chrezvychajnyh situaciyah [Forecasting of medical-sanitary losses from infectious diseases in emergency situations]. Aktualnye voprosy epidemiologii infekcionnyh boleznej: Sbornik nauchnyh trudov Rossijskoj medicinskoj akademii poslediplomnogo obrazovaniya [Topical issues of epidemiology of infectious diseases. Collected scientific papers of Russian Medical Academy of Postgraduate Education, Chair of Epidemiology, vol. 8], Moscow: 2006, pp. 543-546. (In Russ.)

17. Kochin I.V., Chernyakov G.O., Sidorenko P.I. Medicina katastrof: Virobniche vidannya [Disaster Medicine: Production Edition]. Kiev: Zdorov’ya, 2008. (In Ukr.)

18. Kochin I.V., Akulova O.M., Shilo I.F. ta in. Algoritm identifikaciyi biologichnogo teroristichnogo aktu [An algorithm for identifying a biological terrorist act]. Informacijnij list pro novovvedennya v sistemi ohoroni zdorov’ya [Information bulletin on news in healthcare], Ukrmedpatentinform MOZ Ukrayini, 2009: (209), 4 p. (In Ukr.)

19. Kochin I.V., Akulova O.M., Sidorenko P.I. ta in. (2011) Osoblivosti diyalnosti Derzhavnoyi sluzhbi medicini katastrof Ukrayini pri likvidaciyi mediko-sanitarnih naslidkiv biologichnogo teroristichnogo aktu (Povidomlennya IV) [Features of activity of the State service of medicine of catastrophes of Ukraine in elimination of medical and sanitary consequences of a biological terrorist act (Message IV)]. Zaporozhskij medicinskij zhurnal [Zaporozhje medical journal] 2011; (6): 117-119. (In Ukr.)

20. Melnichenko P.I.,. Ogarkov P.I, Lizunov Yu.V. Voennaya gigiena i voennaya epidemiologiya: Uchebnik [Military hygiene and military epidemiology: Textbook]. Moscow: Medicina, 2006. (In Russ.)

21. Morozova N.S., Marievskij V.F. Osnovy dezinfektologii. Dezinfekciya i sterilizaciya [Fundamentals of disinfectology. Disinfection and sterilization]. Kiev: »Atele «Poligraficheskij Kompleks», 2009. (In Ukr.)

22. Struktura i harakteristika sanitarnyh poter terapevticheskogo profilya v lokalnyh vojnah i vooruzhennyh konfliktah [Structure and characteristics of sanitary losses of therapeutic profile in local wars and armed conflicts]. Available at: http://varies.narod.ru/leczii/stuk­_san­_pot­_v­_lok.htm. (In Russ.)

23. Gordis L. Epidemiology. Saunders, 2008.

24. Ray M. Merrill Introduction to еpidemiology. Jones & Bartlett Learning, 2015.