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[SCREENING LEVEL ENVIRONMENTAL HEALTH RISK ASSESSMENT BY HEALTH DATA IN SOME SMALL AREAS OF UPPER IMERETI (CHIATURA DISTRICT)].

作者信息

Kvarackhelia G, Kverenchkhiladze R, Buleishvili M, Sharashenidze G, Sanikidze T, Ormotsadze G

机构信息

Beritashvili Center of Experimental Biomedicine, Laboratory of Problems of Radiation Safety; Tbilisi State Medical University; Davit Aghmashenebeli University of Georgia, Tbilisi, Georgia.

出版信息

Georgian Med News. 2017 Sep(270):145-152.

Abstract

The article presents the results of a comparative analysis of health data in villages Rgani, Perevisa and Khreiti population (Chiatura municipality), Which were obtained by the initiative group of the ak. N. Kipshidze Republican Hospital within the framework of the universal healthcare program of population insurance. The villages differ as by their remoteness from sources of ecological danger - manganese quarries, and scales of its achievement, which gives grounds to rank them according to the degree of ecological tension The purpose of the research is to develop optimal for Georgia approach to obtain and analyze information for site-specific environmental health risks assessment The analysis of the data was carried out using exploratory and evidentiary statistics: Cluster analysis, Logarithmic linear analysis and 2x2 conjugacy tables, correlation analysis, nonparametric statistics methods. As a measure of the adverse environmental impact on the health of the population, the ratio of the chances of developing pathologies was used. Statistical analysis and graphical visualization of the results were carried out using the STATISTICA-10 SPSS software. It was found that in the villages the surveyed population differ statistically significantly in the levels of chronic obstructive pulmonary disease (J44) and chronic bronchitis (J42), which according to the recommendations of the World Health Organization are among the direct indices of indoor and outdoor air pollution. It was found that the values of the odds ratio (by prevalence) of the development of chronic lung diseases in the samples are associated with the degree of possible external exposure to them. A subsample (a population of people over 50 years old) representative of the corresponding population group was identified and on the basis of which it was established that the chance of developing chronic obstructive lung diseases in the village of Ragani is about 5-7 times higher than in the village of Khreiti. The obtained results testify to the high information content of the survey data for site-specific assessments of environmental health risks. Specific directions for increasing their information content are outlined.

摘要

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