[The perinatal mortality in the Omskaya Oblast].

The study of the perinatal mortality was carried out in the Omskaya Oblast from 1996 to 2005. The ample decrease of the perinatal mortality from 14.64 per 1000 newborns in 1996 to 10.21 in 2005 is noted. At the same time, the decrease of the still-born rate was less marked in comparison with the earlier neonatal mortality. The assessment of the analyzed indicators in the urban and rural settlements testify to the usefulness of the activities applied by the urban medical care institutions in comparison with the rural ones. The analysis of the fetus loss rates before and during the delivery and the comparison of the levels of the newborns mortality during the first week of their life in the formation of the urban and rural perinatal mortality in the aggregative (i.e. Five-year) periods give grounds to consider that that further decrease of the perinatal mortality will be restrained by the antenatal losses. In the present-day decade a tendency in increasing the numbers of small-for-date fetuses both in the urban and rural areas is taken shape. More pronounced deterioration of the physical development of new generations to come is noticed among rural population. The full accounting of the factual losses of fetuses and children is needed to make optimal management decisions promoting the development of the perinatal service and the decrease of the morbidity and mortality of children.

[Development of chronic diseases in adolescents].

Complex impact of various factors on development of chronic diseases among adolescents aged of 15-17 years and dwelling in districts of Omskaya oblast is analyzed. It is noted that out of twelve factors four of them are of educational pedagogic category. Besides, one of these (the twelfth) takes second rank place emphasizing that making necessary hygienic conditions of education is of highly significance for maintenance of adolescent health. The most pronounced effect on development of chronic pathology among adolescents is produced by habitation conditions, timeliness and quality of applied health-improving medical activities during childhood. All educational pedagogic and some other factors can be controlled setting up thereby reserve for decreasing adolescent morbidity.

[Current problems of health protection of inhabitants of a large industrial center in West Siberia]. / Aktual'nye problemy okhrany zdorov'ia naseleniia krupnogo promyshlennogo tsentra Zapadnoi Sibiri.

Presents the results of three-year study of the factors determining population health under new conditions of market relations and transfer to the medical insurance system in West Siberia. Offers recommendations aimed at improvement of organization of medical care at the present-day status of economy and health care.

[Social-hygienic problems of child morbidity and infant mortality in Omsk]. / Sotsial'no-gigienicheskie problemy zabolevaemosti detei i mladencheskoi smertnosti v Omske.

The morbidity rates in infants in Omsk are higher than those in other areas of the country. In its pattern, respiratory diseases (chronic non-specific lung diseases) head the list, peaking in infants of 2 years of age, which is largely associated with the presence of a large-scale petrochemical integrated works. The infantile mortality changes occurring in the past 15 years are characterized by a downward trend, which is associated with medical organizational measures.