title: [Medicine strategy in population's health care on the eve of 21-st century].
abstract: The reforms have done great damage to the population's health and reduced birth rates in Russia. They were implemented as "shock therapy" which broke up a "dynamic stereotype" in the vast majority of individuals. The break-up of the "dynamic stereotype" was due to the fact that there were persons who had been grown under market economy in Russia at all. It is the circumstances that fundamentally distinguishes the conditions in Russia from those in Eastern Europe and Baltic countries. On the eve of the 21st century, the medical strategy for health care of Russia's population can be only prophylactic. This includes 3 main vectors: 1) prevention of infective diseases of viral origin in particular; 2) control of chronic noninfectious diseases; 3) prevention of hereditary and congenital diseases. At present, the "classical" recipes for healthy lifestyle are not sufficiently effective under the Russian conditions. There is a need for a fresh comprehensive approach to this problem on the assumption that there is a common pathogenetic link (the effects of active oxygen forms and other free radical products) in the mechanism of the factors of the environment and vital functions. In this connection, the most important task of medicine in the prevention of chronic noninfectious diseases is to enhance the body's resistance to their damaging action. Not only should healthy lifestyle, but also the most important biological reserve, such as cross-adaptation, be placed at the service of prophylaxis. It enhances the body's resistance to different environmental factors during adaptation to one of them. Intermittent hypoxia is the most active adaptive effect. For realization of its preventive effect, it is expedient to set up centers of adaptation medicine and prophylaxis. For prevention of hereditary and congenital diseases, both governmental and medical policies should be to implement a "desired child" programme.
authors.forename: B T
authors.initials: BT
authors.lastname: Velichkovskiĭ
mesh_terms: D003695:Delivery of Health Care / Q000639:trends*; D006305:Health Status Indicators; D006801:Humans; D012426:Russia