ОЦЕНКА РИСКА САНИТАРНО-ЭПИДЕМИОЛОГИЧЕСКОГО БЛАГОПОЛУЧИЯ УЧРЕЖДЕНИЙ ОБРАЗОВАНИЯ ЗДОРОВЬЮ ДОШКОЛЬНИКОВ И ШКОЛЬНИКОВ
Risk assessment of the sanitary and epidemiological welfare of preschool and school educational establishments to the children’s health.
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The risk-oriented model of control of sanitary-epidemiological welfare level of the educational establishments was adopted because of lots of quality characteristics. Health criteria are multifarious and dynamic during the educational period. To minimize the impact of adverse factors it is necessary to have science-based concepts of education environment of the risk factors. The integrated approach provides the unified technique of an estimation of conditions of educational environment as one of the most significant and informative blocks of the factors of an environment, allows giving more objective quantitative characteristic of the sanitary-and-hygienic parameters which have qualitative-quantitative categories. It allows arranging on one scale not only the characteristics of a state of health, but also the parameters of the environment. The quantity health indicator – an index of «unhealthiness», which most objectively reflects a degree of «loss of health», was used. The index of «unhealthiness» is an expedient for a quantitative estimation of health. The evidence base of influence of educational environment factors to the dynamics of the health indicators was formed. The hygienic diagnostics of sanitary-epidemiological welfare level of the educational establishments was performed. The systematic approach which is used as the integral criteria for qualitative as quantitative characteristics of educational environment and children’s health was used. The science-based model system of risk assessment of the education environment influence on the children’s health was offered. The main risk factors and informative health indicator – an illness index – were identified. This confirms the appropriateness of the address control factors of the educational environment of educational institutions in order to reduce the adverse effects of risks. We have developed a classification system for risk factors of educational establishment to determine the feasibility of carrying out an in-process monitoring for compliance with the educational environment factors, sanitary norms and rules. The risk levels of educational institutions were identified: the risk of sanitary and epidemiological welfare of the educational establishment; the risk of sanitary and hygienic indicators; the risk of the individual criterion signs of forming health indicators.
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