[Organizational and therapeutic aspects of the elimination of the medical consequences of chemical accidents].

During the liquidation of consequences of chemical accidents the main task is minimization o the population losses and the provision of effective medical care to. the victims. Training experience related to chemical accidents, shows the need for constant readiness of health facilities in the area of the chemical industry accommodation, planning of the medical forces and resources reserve. The most important elements of medical care in chemical accidents are affected sorting, intensive therapy and reanimation in cases of severe injuries, the organization of the observation of persons with initial minor manifestations of intoxication. Emergency assistance should be provided in full volume as soon as possible. It .is essential to provide enough oxygen and required. drugs (hormonal drugs, diuretics, antibiotics, anticonvulsants, analgesics, and others). Multistage evacuation should be excluded and should be:done the planned training within the medical service stuff with toxicological profile.

[Peculiarities of occupational esophagogastroduodenal pathology in personnel serving at CW disposal and storage facilities].

In a process of medical care and supervision on staff and military personnel, eliminating the chemical weapons, it was revealed that they are more susceptible to esophagogastroduodenal pathology in comparison with the control group. Moreover, the given pathology has an asymptomatic disease course but associated with high contamination of Helicobacter pylori. Marked inflammation changes, atrophic and fibrosis manifestation and microcirculation dysfunction have been confirmed by histological analysis of gastric mucosa. We supposed that the complex of occupational health risk factors, including possible subliminal toxic influence of eliminated CW components determines this pathological dysfunction. Negative influence of shift work and irregular nutrition rhythm are not excluded. The findings of this research are dictating the necessary of revision of military medical expertise principles and the development of the more effective treatment and prophylactic methods.