Effect of Anthropo-Technogenic Load on Medico-Social Aspects of Primary Morbidity and Disability of Population

Population aging is a global social phenomenon that affects the most important health indicators of the population. The older generation is particularly vulnerable in the current conditions of urbanization and the associated environmental situation. The comprehension of indicators of disability and morbidity of the population, the study of the factors that determine the negative processes of health damage, with an accounting for the regional features of these processes, are necessary for the planning of preventive measures. Elderly disabled people make up 53.3% of the age structure of the primary disability of the adult population in the Voronezh oblast. There are far fewer middle-aged and young people with disabilities; they comprise 30.1 and 16.6%, respectively. These indicators are higher than the average for Russia. The results of noncarcinogenic risk and primary morbidity analysis in the population of Levoberezhny district of Voronezh under permanent anthropo-technogenic load are presented. It has been established that noncarcinogenic risk coefficients were higher than the acceptable level (HQ > 1) for nitrogen dioxide, acrylonitrile, acrolein, 1,3-butadiene, copper oxide, and chromium⁺⁶. An unacceptable level of noncarcinogenic risk (HI > 1) is typical for the pathologies of respiratory organs (HI = 285.06), the cardiovascular system (HI = 125.72), and the endocrine system (HI = 25.58). Analysis of the primary morbidity of these nosological forms shows a high distribution in the adult population morbidity. Under rehabilitation measures in patients with diseases of the respiratory organs, circulatory system, and endocrine system, it is necessary to consider the anthropo-technogenic load and relationship between agents and disease development.