The role of specificity and not specificity of the influence of local factors of the habitat in formation of mass noninfectious diseases

Detection of nonspecific and specific answers in population on action of a complex of local factors in the form of mass noninfectious diseases (MNID) is urgent for their further monitoring, the development of preventive actions when taking into account a role of adaptation reactions and adverse local factors of the habitat in their formation, the introduction and control of an efficiency of actions for the decrease in the MNID prevalence rate, the improvement of indices of the habitat and quality of life of the population. The aim of the study was to substantiate the main indices of the specificity of non-infectious disease (NID) complexes of the children’s population under the influence of local environmental factors. The mechanism of the formation of wavy dynamics of risk of incidence of noninfectious diseases and waviness of the corresponding adaptation process is analyzed. Simplified models of wavy processes of the formation of risk of the incidence rate and intensity of corresponding adaptation processes with the determination of their parameters are presented. 3 groups of indices for the detection of the specific response of the children’s contingents to the action of local factors of certain territories are considered: 1) indices of the characteristic of a form of wavy dynamics; 2) key parameters of wavy dynamics and 3) prevalence rates of classes of separate diseases in the each territory are presented by: a) number and a list of classes of MNID with a different level of a risk of the incidence in children and b) the leading classes of MNID. There are proposed both classification criteria for separate classes of MNID and the assessment of the adaptation process and the level of exposure to local environmental factors on the level of their disease risk. The integrated characteristic of the specificity and expressiveness of impact of local factors of the habitat on the children’s population is established to be complexes of MNID classes and the number of diseases among them with the “very high”, “high” and “elevated” risk of the incidence. The specificity of the MNID complexes in each territory is formed by the structure and number of classes MNID, risk level of their incidence.