[Current status and aspects of solving issues of sanitary and epidemiological well-being at the facilities of railway transport in Russia].

An analysis of modern sanitary-epidemiological status of railway transport is presented. The mean index of occupational morbidity in railway transport workers in recent years is 1.2 cases per 10 thousand railway workers. Workers of locomotive brigades (locomotive drivers and their assistants), in whom occupational sensorineural hearing loss was predominantly revealed (78.3 +/- 3.4%) accounted for 30-40% of cases out of the total number of occupational morbidity in railway transport workers. Water samples from the sources of centralized and noncentralized water supply did not meet health standards for microbiological parameters in the 14-18%, and from the water pipes in 4-6% of cases. Suggestions for improving sanitary-hygiene monitoring in railway transport have been given.