PUBLIC HEALTH AS A BASIS FOR THE SUSTAINABLE DEVELOPMENT OF AN ADMINISTRATIVE REGION

Abstract

Healthy life in harmony with the environment is one of the hallmarks of sustainable development. Human morbidity is an indicator of the environmental health. In the present study carried out in Samara Region, the objective was to analyze the prevalence levels of infections that depend on the natural conditions and of diseases that depend on the social factors. Data on infections in 8 municipalities and 27 administrative districts in 2000-2017 were provided by Consumer Rights Administration (Rospotrebnadzor) of Samara Oblast. Data on feral herd infections (hemorrhagic fever with renal syndrome, mite-borne borelliosis and encephalitis, leptospirosis, tularemia, rabies, and West Nile fever) were used to zone the territory according to the prevalence and incidence levels of the infections. Data on hepatitis B and C prevalence levels were analyzed with regard to population age structure and socioeconomic indices in every administrative unit. A rough estimate of socioeconomic losses associated with hepatitis C was obtained. A statistical analysis of association of tuberculosis prevalence with socioeconomic indices confirmed the association of these diseases with poor wealth. Formula for calculating of socioeconomic losses are presented, and recommendation for optimizing control of socially significant diseases are suggested.