title: [Sanitary and epidemiological well-being: topical problems].
abstract: The interaction of the interested services and authorities in implementing a package of goal-oriented organizational, comprehensive preventive and antiepidemic measures has given stability of the sanitary-and-epidemiological situation in the Russian Federation in some recent years. To accomplish the tasks, particularly those in developing a package of measures to reduce the prevalence of infectious diseases, the "Health" national program has been drawn up for 2006-2007 this year. One of the priorities of the program is to enhance the prophylactic orientation of the public health care system. Within the framework of this direction, it is planned to provide a further steady decline in the incidence of infections controlled by specific preventive means, primarily, in that of hepatitis B and rubella, to eliminate the congenital rubella syndrome, and to maintain the status of the Russian Federation as a poliomyelitis-free area. The subjects of the Russian Federation should redistribute allocations, by taking into account the funds envisaged in the Health program for purchase of vaccines, and direct them for implementation of other measures, such as personnel training, refrigerating equipment purchase, information-propagandistic work among the population, etc. In 2005, the poor situation established in the world due to the spread of avian influenza and there was a possible threat of influenza pandemic. Investigations ascertained the identity of influenza A virus (H5N1) isolated in the Russian Federation with the South-Eastern Asia-isolated viruses that caused mass epizooties of birds and severe diseases in persons contacting infected birds. It was assumed that 2006 spring migration might lead to the spread of pathogenic influenza H5N1 viruses throughout European Russia. This was due to the fact that the birds migrating to European Russia and a portion of birds migrating from Siberia have common winter nesting areas. To prevent mass influenza virus-infected birds' death and human infection in the epizootic localities, the federal surveillance service for protection of users' rights and human well-being jointly with the federal veterinary and phytosanitary surveillance service, and public health care administrative bodies has organized and implemented a package of measures: active headquarters have been set up in the epizooty-afflicted subjects to coordinate activities in localizing the spread of epizooty of birds; emergency commissions and antiepizootic commissions have been held; regulatory documents on the Russian Federation's subjects have been published; daily collection, analysis, systematization, and exchange of information between interested services, et. are under way.
authors.forename: G G
authors.initials: GG
authors.lastname: Onishchenko
mesh_terms: D000818:Animals; D001717:Birds; D003140:Communicable Disease Control / Q000458:organization & administration*; D004196:Disease Outbreaks / Q000517:prevention & control*; D006304:Health Status; D006801:Humans; D053124:Influenza A Virus, H5N1 Subtype; D005585:Influenza in Birds / Q000517:prevention & control; D007251:Influenza, Human / Q000517:prevention & control; D012426:Russia; D012499:Sanitation / Q000379:methods*