Hygienic aspects of legal and methodological support for organizing forensic medical examination

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BACKGROUND: The problem of the prevention and control of infections associated with the provision of medical services in the forensic medical examination bureau (FME) remains relevant. In connection with the spread of new coronavirus and other infections, it is of interest to study the compliance of the regulatory and methodological framework with new challenges from the point of view of hygienic and organizational aspects of forensic work, including examination, disease prevention, and reduction of the effect of risk factors on workers.

AIM: To analyze the current state of the regulatory framework of the activities of the forensic medical examination service.

MATERIALS AND METHODS: The regulatory documents at the federal and departmental levels regulating the activities of the forensic medical service were studied. Documents regulating a set of measures aimed at maintaining sanitary and epidemiological well-being and compliance with sanitary norms and rules in relation to the divisions of the FME bureau were analyzed. Emphasis was placed on identifying sanitary and hygienic measures to ensure that FME bureau workers are safe from infectious contamination.

RESULTS: The organization of the activities of the FME bureau is regulated by relevant legal acts that consider the procedure for organizing and conducting forensic medical examinations and are developed in strict accordance with the requirements of federal laws and orders. Some questions related to individual stages of the forensic medical examination, such as the location of the incident, transportation of the corpse to the medical examiner’s office, storage of a corpse, conducting an autopsy, and collecting biomaterial for examination, require solutions to improve the safety and quality of forensic medical examination. The protection of employees of the FME bureau from infectious contamination, organization of preventive measures, and prevention of risks of infection of medical personnel require the development of regulatory legal acts.

CONCLUSION: The results obtained indicate the need to improve the legal regulation of individual stages of forensic medical examinations and improve the quality of anti-epidemic measures that ensure the safety of FME bureau workers from infectious diseases. The recommendations are aimed at improving the forensic medical examination service in the country, improving the equipment of morgues, and ensuring conditions for the implementation of the right of personnel of forensic medical institutions to health protection.

作者简介

Olga Milushkina

Institute of Fundamental Medicine and Biology of Kazan (Volga Region) Federal University

Email: olmilushkina@mail.ru
ORCID iD: 0000-0001-6534-7951
SPIN 代码: 3802-3058

MD, Dr. Sci. (Med.), professor, corresponding member of Russian Academy of Sciences

俄罗斯联邦, 18 Kremlevskaya street, Kazan 420008

Marat Timerzyanov

Institute of Fundamental Medicine and Biology of Kazan (Volga Region) Federal University

Email: medbiol@kpfu.ru
ORCID iD: 0000-0003-3918-8832
SPIN 代码: 7054-5195

MD, Dr. Sci. (Med.), professor, corresponding member of Russian Academy of Sciences

俄罗斯联邦, 18 Kremlevskaya street, Kazan 420008

Denis Vasilev

N.I. Pirogov Russian National Research Medical University

编辑信件的主要联系方式.
Email: vasdenis78@mail.ru
ORCID iD: 0000-0002-6205-3760

MD, Cand. Sci. (Med.), associate professor

俄罗斯联邦, 1 street Ostrovityanova, 117997 Moscow

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