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MUNICIPAL HYGIENE

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Subject and tasks of municipal hygiene Municipal hygiene – section of hygiene, studying influence factors of environment on the person and developing preventive actions for creation favorable conditions of life of the

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Слайд 1
MUNICIPAL HYGIENE

MUNICIPAL HYGIENE

Слайд 2Subject and tasks of municipal hygiene
Municipal hygiene – section of

hygiene, studying influence factors of environment on the person and

developing preventive actions for creation favorable conditions of life of the population.
Subject and tasks of municipal hygiene	Municipal hygiene – section of hygiene, studying influence factors of environment on

Слайд 3The basic sections of municipal hygiene:
. Hygiene of air

(action of it physical and chemical factors on organism, problems

of air pollution),
Hygiene of water and water supply,
Hygiene of ground (endemic and epidemic diseases),,
Hygiene of the occupied places, hygienic demands to clearing of occupied places,
Influence weather and climate on the person, prevention meteothropic reactions in people,
Recreational hygiene, prevention pollution of health resort resourses
The basic sections of municipal hygiene: . Hygiene of air (action of it physical and chemical factors

Слайд 4Concept about climate and microclimate
Climate – it is average long-term

complex of physical parameters of atmosphere air in significant territory

(region, country, etc.).  
Microclimate – it is physical parameters of air in small territory (quarter, street) or in rooms.

Major factors of microclimate:
Temperature of air
Humidity of air
Speed of air movement
Atmospheric pressure (it is usual is not taken into account at estimation microclimate).
Concept about climate and microclimateClimate – it is average long-term complex of physical parameters of atmosphere air

Слайд 5HEAT REGULATION SYSTEM OF ORGANISM AND INFLUENCE FACTORS OF MICROCLIMATE

HEAT REGULATION SYSTEM
CHEMICAL HEAT REGULATION Q1 (Thermo-genesis),
PHYSICAL HEAT REGULATION Q2 (Thermo-return) Q1 = Q2

CHEMICAL HEAT REGULATION Q1 (thermo-genesis)
It depend only from Тemperature of air
(Zone of apathy - 15-25 0С – optimal state of heat regulation)
Below 15 0С - rising of thermo-genesis, Above 25 0С - decreasing of thermo-genesis.
Above 35 0С – failures of thermoregulation system - (Thermal fatigue, Thermal edema foots, Thermal attrition, Thermal cramps, Thermal shock, Thermal syncope)
HEAT REGULATION SYSTEM OF ORGANISM AND INFLUENCE FACTORS OF MICROCLIMATE

Слайд 6WAYS OF PHYSICAL HEAT REGULATION (Thermo-return):
1. HEAT - CODUCTION

(30-40 %) – conduction heat to objects of environment
 А) Convection

- to air (depends from Т, Е, V)
 B) Conduction – to contact subjects (depends from Т of a subject, it heat conductivity and area of contact with a subject)
 
2. HEAT - EVAPORATION (10-15 %) – evaporation of perspiration from surface of the body
Depends from Т, Е, V of air
 
3. HEAT - IRRADIATION (40-45 %) giving heat to environment by Infra-red beams
Depends from radiation Т - difference between temperature of body (36,6 C) and temperature of environmental objects (walls, floor, furniture)
WAYS OF PHYSICAL HEAT REGULATION (Thermo-return): 1. HEAT - CODUCTION (30-40 %) – conduction heat to objects

Слайд 7WAYS OF PHYSICAL HEAT REGULATION

WAYS OF PHYSICAL HEAT REGULATION

Слайд 8THE NORMS OF MICROCLIMATE FOR DIFFERENT PREMISES AND DEVICES FOR

IT INVESTIGATION

THE NORMS OF MICROCLIMATE FOR DIFFERENT PREMISES AND DEVICES FOR IT INVESTIGATION

Слайд 9Temperature of air, instruments of its measuring
The thermometers may

be: home, minimum and maximal.
The home thermometer - shows temperature

in the given place, it does not fix the temperature.
The minimal thermometer fixes least temperature for any period.
The maximal thermometer fixes greatest temperature for any period. The medical thermometers are kind of maximal thermometers.
Temperature of air, instruments of its measuring The thermometers may be: home, minimum and maximal.The home thermometer

Слайд 10THE THERMOGRAPH

THE THERMOGRAPH

Слайд 11Humidity of air
Kinds of humidity:
а) Absolute – amount of

water pairs in air in present time (g / m3

or mm. Hg.)
b) Maximal - the greatest possible saturation of air by water pairs at given temperature,
c) Relative = absolute / maximal in %.

Norm of air humidity is 40-60 % (30-70 %),
at smaller humidity - dryness of skin and mucous membranes, at the greater – infringement of heat return.
In operational hall - up to 55 % (prevention explosion narcotic-air mix).
Humidity of airKinds of humidity: а) Absolute – amount of water pairs in air in present time

Слайд 12Devices for measurement of humidity of air: AUGUST’S PSYCHROMETER

Devices for measurement of humidity of air:  AUGUST’S PSYCHROMETER

Слайд 13ASSMAN’S PSYCHROMETER (Aspiration)

ASSMAN’S PSYCHROMETER (Aspiration)

Слайд 14Devises for estimation speed movement of air 1. ANEMOMETER

Devises for estimation speed movement of air 1. ANEMOMETER

Слайд 152. KATATERMOMETER
By the katatermometer we investigate Cooling ability of

air (CAA).
 Then we calculate speed of movement of air

from CAA under the formula Hill.



where Н — cooling ability of air, Q — a difference
between temperature of body of the man (36,5 С) and temperature of a premise (room), 0,2 and 0,4 — empirical factors, Х — speed of movement of air in m/s.


2. KATATERMOMETER By the katatermometer we investigate Cooling ability of air (CAA).  Then we calculate speed of

Слайд 16" Rose of winds "
The direction of a wind

can be: north - east, north, north – west, west,

south – west, south, south – east, east.
For investigation direction air movement on open places use Wind rose - graphic representation of primary direction of air movement in the given district during year - is very important at accommodation various objects of pollution.

Слайд 17DEVICES FOR ESTIMATION ATHMOSPHERIC PRESSURE

DEVICES FOR ESTIMATION ATHMOSPHERIC PRESSURE

Слайд 19 METHODS OF COMPLEX ESTIMATION OF MICROCLIMATE
It is estimation

of all factors of microclimate in room by one index.
 

Application methods of complex estimation of microclimate:
-         for estimation microclimate in room
-         for improvement microclimate in room (air condition)
-         in health resort science – for dozation of air procedures
in hygiene of work – in hot industry
METHODS OF COMPLEX ESTIMATION OF MICROCLIMATE It is estimation of all factors of microclimate in room

Слайд 20METHOD KATATHERMOMETRY
We investigate the cooling-off period of dry

katatermometer from 38 С up to 35 С in sec.


 
Cooling ability of air is determined under the formula :
F
H = --------, where F - factor of katatermometer,
t t – time of cooling in sec.
 
Norm H - 5,5 - 7 mcal / sm2 sec
METHOD  KATATHERMOMETRY We investigate the cooling-off period of dry katatermometer from 38 С up to 35

Слайд 21 METHOD OF EFFECTIVE TEMPERATURES
SPECIAL CHAMBER

t

C


 
 
 
E = 100%, V = 0 m/s
 
 
Zone of comfort 17,1 – 21,7 0C (50% of investigated person)
 
Line of comfort 18,1 – 18,9 0C (100% of investigated person)
METHOD OF EFFECTIVE TEMPERATURES SPECIAL CHAMBER   t C

Слайд 22NOMOGRAMM FOR DEFINITION EFECTIVE TEMPERATURE

NOMOGRAMM FOR DEFINITION EFECTIVE TEMPERATURE

Слайд 23 METHOD OF EQUIVALENT - EFFECTIVE TEMPERATURES
In other special

chambers were changed parameters of T, E, V so, that

thermal condition of person was like, as in zone of comfort in first chamber.
The tables of interrelation Т, Е, V for reaching zone comfort on effective temperature were created.
It is the base of conditioning of air.
METHOD OF EQUIVALENT - EFFECTIVE TEMPERATURES In other special chambers were changed parameters of T, E,

Слайд 24 METHOD OF EQUIVALENT - EFFECTIVE RADIATION TEMPERATURES
Besides other

factors of microclimate was taken into account radiation temperature (difference

between temperature of body and temperature of environmental objects).
METHOD OF EQUIVALENT - EFFECTIVE RADIATION TEMPERATURES Besides other factors of microclimate was taken into account

Слайд 25BY THERMAL FEELIND PEOPLE In a PREMISE: 1)      biographical method -

interrogation people in a premise about their thermal feeling 2)

method of dermal temperatures:
BY THERMAL FEELIND PEOPLE In a PREMISE: 1)      biographical method - interrogation people in a premise about

Слайд 26DEVICE FOR ESTIMATION SKIN TEMPERATURE

DEVICE FOR ESTIMATION SKIN TEMPERATURE

Слайд 27Concept “weather” and “climate”
Weather - dynamic complex of physical

properties of air for a short time interval (hours, day,

weeks).
 
Climate - the long-term mode of weather in the given district, it parameters - monthly average temperature of air, average amount days with deposits and etc.
 
Thus, weather - the changeable phenomenon, a climate - statistically constant parameters.
Concept “weather” and “climate” Weather - dynamic complex of physical properties of air for a short time

Слайд 28BASIC GROUPS WEATHER FORMING FACTORS
GELIOPHYSICAL - intensity solar radiation, solar

activity.
PARAMETERS OF SOLAR ACTIVITY:
           1) Wolf coefficient (W) -

amount maculae on the Sun
         2) Coefficient S - general area of maculae on the Sun
           3) Intensity of radio emission of the Sun on a wavelength 10,7 sm
4) Intensity «solar wind» - corpuscular streams (protons, electrons etc.) from the Sun

2. GEOPHYSICAL - intensity geomagnetic field, geomagnetic activity (magnetic fluctuations and impulses)
 
ELECTRICAL STATE OF THE ATMOSPHERE - electric intensity, potential gradient, electric conductivity of air, ionization (contents + or – aeroions), electromagnetic oscillations.

BASIC GROUPS WEATHER FORMING FACTORSGELIOPHYSICAL - intensity solar radiation, solar activity. PARAMETERS OF SOLAR ACTIVITY:           1) Wolf

Слайд 29 4. METEOROLOGICAL - temperature, humidity, speed and direction

of air, atmospheric pressure, etc.

 5. SYNOPTIC - cloudiness, deposits
Synoptic

factors are caused by atmospheric circulation of warm and cold air masses.
3 types of air masses - warm, cold, neutral (local). At their movement are formed
atmospheric fronts - warm, cold, occlusion.

6. CHEMICAL COMPOSITION of ATMOSPHERE - content О2, СО2, pollutants


4. 	 METEOROLOGICAL - temperature, humidity, speed and direction of air, atmospheric pressure, etc. 5. 	 SYNOPTIC

Слайд 30 Types

of atmospheric circulation:
Cyclone - atmospheric whirlwind with low pressure in

the center and movement of air weights counter-clockwise.
It is characterized by unstable weather - it is cloudy, deposits, hurricanes, typhoons. The big differences of pressure, temperatures, contents О 2.
Biothopic weather.
Anticyclone - the atmospheric phenomenon with a high pressure in the center and movement of air clockwise.
Clear weather - strong heat in the summer or a frost in the winter. Sharp differences are not present - more favorable weather.

Types of atmospheric circulation:Cyclone - atmospheric whirlwind with

Слайд 31CYСLONE
ANTICYСLONE













CYСLONE

CYСLONEANTICYСLONECYСLONE

Слайд 32
The reasons of Metheotropic Reactions.
At a periodical

sharp changes of weather factors at people can arise MR,

expressed than more, than sharper changes of weather are observed during day or some hours.
All people by metheo-sensibility share on 2 categories:
а) meteostable - tolerant - young healthy people
b) meteosensitive - by the different data it is 30-70 % of the population, in old age, among ill patients - up to 90 %.
The reasons of Metheotropic Reactions.   At a periodical sharp changes of weather factors at people

Слайд 33Displays of MR
1)    Easy degree - asteno-vegetative syndrome.
(Mass

character and synchronism with changes of weather - presence MR).

2)

Average degree - the head and intimate pains, the expressed changes of pulse, the BP, asthma.

3) Heavy degree - aggravation of chronic diseases - insults, heart attacks, attacks bronchial asthma - growth mortality of patients.

Displays of MR 1)    Easy degree - asteno-vegetative syndrome. (Mass character and synchronism with changes of weather

Слайд 34Diseases, at which are marked MR
1) Diseases, at which presence

МR is authentically proved:
- Cardiovascular diseases - statistically growth number

of insults, hypertonic crisises, heart attacks and mortality at biothropic weather,
- Bronchial asthma - increase attacks of asthma, mortality of patients,
- Rheumatism - activation disease, strengthening polyarthritis, artralgya - at 90 % of patients,
CNPD (chronic nonspecific pulmonary diseases) - in 60-72 % of patients.
Diseases, at which are marked MR1) Diseases, at which presence МR is authentically proved:- Cardiovascular diseases -

Слайд 352) Diseases, at which there are data on presence МR:
-

Diseases gastro-enteritis way (stomach ulcer, gastritis, colitis) - 40-60 %

of patients
- Illnesses of kidneys - 40-50 %,
- Diabetes - 20 %,
- Psychyatric frustration - 50 % of patients,
- Ophthalmologic, surgical pathology etc.
Among ill children 25-45 % - meteosensitive.
2) Diseases, at which there are data on presence МR:- Diseases gastro-enteritis way (stomach ulcer, gastritis, colitis)

Слайд 36Medical estimation of weather
In a basis of all medical classifications

- the concept of N.Vvedenski about force of external irritation:

low, average and high level.
By G.Fedorov's classification - 3 types of weather: optimal, irritating and acute, by other classifications from 4 up to 7 types.

The main thing in medical estimation weather - account quickly fluctuation of weather factors - it differences during the hour, day.
Medical estimation of weatherIn a basis of all medical classifications - the concept of N.Vvedenski about force

Слайд 37Definition degree variability of weather.

N
К = -------- х 100 %,

n
Where:
K - coefficient variability of weather, %
N - number days with contrast change of weather
n - total number days in the season
Definition degree variability of weather.      NК = -------- х 100 %,

Слайд 38Degree variability of weather

Degree variability of weather

Слайд 39Scientists Yalta scientific research institute named by Sechenov have offered


General Clinical Index of Pathogenicity of Weather - the sum

of changes of individual indexes of weather for day by the most important factors.

If the Index 0-19 - optimal weather,
If the Index 20-49 - irritating weather (demands strengthened medical control),
If the Index more than 50 - sharp weather (demands strict medical control).
Scientists Yalta scientific research institute named by Sechenov have offered General Clinical Index of Pathogenicity of Weather

Слайд 40System of prevention of MR
1) General hygienical methods -

improvement conditions of life and work, normalization microclimate, measures for

decrease negative influence weather at works on open air (in agriculture, construction etc.).
2) Organizational measures: account metheosensibility patients in a polyclinic and a hospital, organization medical weather forecasts, medical recommendations to the population in MASS-MEDIA etc.
System of prevention of MR 1) General hygienical methods - improvement conditions of life and work, normalization

Слайд 413) Treatment-and-prophylactic measures:
а) Increase nonspecific resistancy of organism

- stay on fresh air, vitamins, balanced diet etc.

b) Sparing mode – stay in bed, restriction of climatic and physiotherapeutic procedures, prohibition of operations, stomatologic procedures, direction in dispensaries, sanatoria etc.
в) Pharmacological measures by specific and nonspecific means - sedative, hypotensive, etc.
Can be seasonal prevention - regular reception small dozes preparations in adverse months in the given area.
3) Treatment-and-prophylactic measures:  а) Increase nonspecific resistancy of organism - stay on fresh air, vitamins, balanced

Слайд 42Seasons for seasonal prophylaxis cardiovascular diseases for the south of

Ukraine and in Crimea (V.Bardov, 1990)
Most unfavorable months on

rising frequency of exacerbations:
hypertonic crisises - 2,3,4,5 and 12
attacks stenocardia -1,2,3,4,5 and 11
myocardial infarction -1,2,3,4,5,7,8
violation of cerebral circulation (insults)- 1,3,4,5,6,12

Urgent prevention measures will be carried out for metheosensitive cardiological and other patients in hospital in the periods and days biothropic weathers on the basis of urgent medical weather forecasts.
Seasons for seasonal prophylaxis cardiovascular diseases for the south of Ukraine and in Crimea (V.Bardov, 1990) Most

Слайд 43Hygienic value climate
Climate - a long-term mode of weather in

the given district. CLIMATE FORMING FACTORS
1. Geographical

latitude, defining inflow solar radiation
2. Height above sea level, relief and kind of earth surface (water, land, green, snow)
3. Features of circulation of air masses
4. Closeness to the seas and oceans.
THE BASIC PARAMETERS of CLIMATE:
Monthly and year average parameters:
1. Temperature of air
2. Humidity
3. Amount of deposits
4. Atmospheric pressure
5. Rose of winds and it speed
6. Amount clear and bad weather days
7. Duration of winter
Hygienic value climateClimate - a long-term mode of weather in the given district.   CLIMATE FORMING

Слайд 44COEFFICIENT INSTABILITY of CLIMATE

К = А/В,


Where: A - amount days with labile weather
В - amount days in the season (season, year)
 
The coefficient К > 0,5 is regarded as unfavorable weather
COEFFICIENT INSTABILITY of CLIMATE             К

Слайд 45ACCLIMATIZATION
Acclimatization - complex functional - morphological changes in organism,

directed to the adaptation to new climatic conditions.
2

stages:
а) Partial acclimatization or adaptation - the first hours - 14 day (at ill people - about 30 and more days).
b) Full acclimatization - after 14 day - some months, to conditions of Far North - up to 1,5 years.
During acclimatization it is reduced resistancy of organism to adverse factors of environment - growth diseases, asteno-vegetative syndrome etc.
ACCLIMATIZATION Acclimatization - complex functional - morphological changes in organism, directed to the adaptation to new climatic

Слайд 46Prevention adverse displays of acclimatization:
Elimination of the reasons

- to avoid without necessity sharp changes of a climate,

is especial the patient, to older persons and children,

Increase general resistancy of organism - hardening, a balanced diet etc.

- Sparing mode of climatic procedures on southern resorts.
Prevention adverse displays of acclimatization: Elimination of the reasons - to avoid without necessity sharp changes of

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